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B

80/100

Above 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

Our read on Guardian Care And Rehabilitation Center

Guardian Care runs 176 beds in Manteca under corporate ownership, and its staffing is the one clear strength here: 3.96 nurse hours per resident day, slightly above the national average, with turnover at 31.7% against a national figure near 46%. Retention like that matters, though weekend coverage drops about 7% below weekday levels, so timing affects what you get. The inspection record is where the picture darkens, 64 deficiencies on file, including one at the harm level and five tied to abuse, with a 2-star health inspection rating. A recent August 2025 inspection means the record is current, not stale. Ask about those abuse deficiencies specifically before you decide.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

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

Inspection30/30Staffing20/30Stability15/15Outcomes5/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

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

  • →No citations recorded in the last 3 years

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 day3.96 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.63 hrs
National average 0.69 hrsBelow average

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

Weekend nurse hours3.67 hrs
National average 3.42 hrsBetter than average

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

Nursing staff turnover31.70%
National average 45.80%Better than average

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

Recent inspection findings

Last standard health inspection: August 29, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

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 B (80 out of 100), which we describe as "above 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? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

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.