ElderGrade
C

66/100

Average

Guardian Care And Rehabilitation Center

410 Eastwood Ave, Manteca, CA 95336

CMS 2/5 stars #16 of 24 in San Joaquin County (209) 239-1222
Certified beds
176
Occupancy
56%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

16/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -10 for 51 total citations against a national median of 17

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.05 total nurse hours per resident per day (national median 3.77)
  • 0.63 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 32% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.96 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.63 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.67 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 31.70%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 64 citations

Last standard health inspection: August 29, 2025 (11 months ago).

E Mar 19, 2026 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Mar 19, 2026 F0552 From a complaint

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

No actual harm, potential for more than minimal harm

D Feb 20, 2026 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Feb 6, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

D Jan 6, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Jan 2, 2026 F0558 From a complaint

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D Jan 2, 2026 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

E Dec 23, 2025 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
CORTEZ, EDNA Individual W-2 MANAGING EMPLOYEE
JOSE, JOSEKUTTY Individual CORPORATE DIRECTOR
JOSE, JOSEKUTTY Individual CORPORATE OFFICER

What families say

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Common questions about Guardian Care And Rehabilitation Center

What is the ElderGrade for Guardian Care And Rehabilitation Center? +

Guardian Care And Rehabilitation Center holds an ElderGrade of C (66 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Guardian Care And Rehabilitation Center? +

Residents receive an average of 3.96 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Guardian Care And Rehabilitation Center been cited for harming residents? +

Yes. 1 of the 64 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Guardian Care And Rehabilitation Center accept Medicaid? +

Yes, Guardian Care And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.