California › San Joaquin County › Manteca
Guardian Care and Rehabilitation Center
410 Eastwood Ave, Manteca, CA 95336
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 176 beds, Guardian Care and Rehabilitation Center serves Manteca in San Joaquin County, California and has taken Medicare and Medicaid residents since 1970.
CMS gives it 2 of 5 stars overall, below the California median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 66 health deficiencies across the three most recent survey cycles (25, 27, 14 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 37.5 per 100 beds, fewer than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.0 hours per resident per day (0.6 RN), close to the California median of 4.2; nursing staff turnover is 31.7%.
Compared with county, state and nation
| Measure | This facility | San Joaquin Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 66 | 48 | 44 | 28.7 |
| Citations per 100 beds | 37.5 | 50.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.2 | 4.2 | 3.9 |
| RN hours per resident day | 0.6 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 31.7% | 39.7% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (24 in the county, 1165 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Aug 2025, 19 Jul 2024.
Severity mix: G ×1 D ×51 E ×11 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Jun 2026 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 23 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Jul 2026 |
| 19 Mar 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 10 Apr 2026 |
| 19 Mar 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 10 Apr 2026 |
| 20 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Mar 2026 |
| 6 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Feb 2026 |
| 6 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Mar 2026 |
| 2 Jan 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 30 Jan 2026 |
| 2 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 30 Jan 2026 |
| 23 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 23 Jan 2026 |
| 23 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 23 Jan 2026 |
| 29 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 27 Oct 2025 |
| 29 Aug 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 29 Sep 2025 |
| 29 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Sep 2025 |
| 29 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0778 | Help the resident make transportation arrangements to and from radiology services. | D | Standard survey | 29 Sep 2025 |
| 29 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Sep 2025 |
| 24 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 24 Jul 2025 |
| 24 Jun 2025 | F0814 | Dispose of garbage and refuse properly. | F | Complaint investigation | 24 Jul 2025 |
| 6 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Jun 2025 |
| 6 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 Apr 2025 |
| 4 Mar 2025 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 10 Apr 2025 |
| 4 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 10 Apr 2025 |
| 4 Mar 2025 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 10 Apr 2025 |
| 19 Aug 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 19 Sep 2024 |
| 19 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 19 Aug 2024 |
| 19 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 19 Aug 2024 |
| 19 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Aug 2024 |
| 27 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 26 Mar 2024 |
| 8 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 4 Oct 2023 |
| 27 Jul 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 27 Aug 2023 |
| 27 Jul 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 27 Aug 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the California average. Turnover: nursing staff 31.7%, RNs 47.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.3% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.1% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.6% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.0% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.2% | 9.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Eastwood Care, Inc..
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Joaquin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meadowood A Health and Rehabilitation Center | Stockton | 100 | 5 | 4 | 5 | 38 | 38.0 | — | 21 May 2026 |
| Arbor Rehabilitation & Nursing Center | Lodi | 149 | 4 | 3 | 3 | 48 | 32.2 | — | 9 Jan 2026 |
| Bethany Home Society San Joaquin County | Ripon | 92 | 4 | 4 | 3 | 29 | 31.5 | — | 15 Apr 2026 |
| Fairmont Rehabilitation Hospital | Lodi | 59 | 4 | 4 | 4 | 29 | 49.2 | — | 7 May 2026 |
| Lodi Nursing & Rehabilitation | Lodi | 74 | 4 | 3 | 4 | 44 | 59.5 | — | 2 Jul 2026 |
| North Park Post-Acute | Tracy | 99 | 4 | 3 | 4 | 44 | 44.4 | — | 30 Jan 2026 |
| Vienna Nursing and Rehabilitation Center | Lodi | 150 | 4 | 3 | 5 | 35 | 23.3 | — | 1 Jul 2026 |
| Crestwood Manor - 104 | Stockton | 190 | 3 | 3 | 5 | 34 | 17.9 | — | 13 Apr 2026 |
All 24 facilities in San Joaquin County
Questions and answers
How many deficiencies has Guardian Care and Rehabilitation Center been cited for?
66 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Guardian Care and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Guardian Care and Rehabilitation Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Guardian Care and Rehabilitation Center?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Guardian Care and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jun 2026; the most recent standard health survey was 29 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.