Home / California / Bishop
151 Pioneer Ln, Bishop, CA 93514 · Inyo County · (760) 872-1000
99 certified beds, about 94 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 555777 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 21, 2026, inspectors cited 8 health deficiencies (the California average is 15.6, the national average 9.2).
None of its 48 health citations since May 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.82 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
45.7% of nursing staff left within the year CMS measured (California average 36.7%).
CMS links it to PACS Group, an affiliated group of 275 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 48 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to implement its abuse prevention program when one of one sampled staff members (Certified Nursing Assistant 1 - CNA 1), did not have a completed background check prior to providing direct care to residents in the facility. This failure resulted in the facility allowing CNA 1 to provide care and services to residents for approximately three months without first verifying eligibility for employment through the required criminal background clearance process, placing residents at potential risk for abuse, neglect, exploitation, or employment of an individual prohibited from working in a licensed health care facility.
Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate an allegation of abuse for one (1) of 1 sampled residents (Resident 1) in accordance with the facility's policies and procedures for investigating allegations of abuse when appropriate staff and residents were not interviewed as part of the investigation for an allegation of abuse to Resident 1. This failure resulted in an incomplete investigation and placed Resident 1 and other residents at risk for potential continued or unidentified abuse because the facility could not reliably determine the circumstances surrounding the allegation, identify affected residents, substantiate or refute the allegation, or implement appropriate corrective and protective measures based on complete investigative findings.
Inspectors wroteBased on interviews, and record review the facility failed to ensure adequate supervision and safe environment was provided for one (1) of five (5) sampled residents (Resident 1) when the assigned Certified Nursing Assistant (CNA 2) did not verify Resident 1's whereabouts during the shift. This failure led to Resident 1 being found unresponsive in the facility parking lot and subsequently pronounced dead. During a review of Resident 1's face sheet (contains demographic and medical information), the face sheet indicated Resident 1 was admitted to the facility on [DATE], with diagnoses which included Parkinson's disease (brain disorder that primarily affects movement) with dyskinesia (uncontrollable, involuntary muscle movements), and difficulty of walking. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safe oxygen administration was provided in accordance with the physician's orders and facility policies and procedures (P&P) for one of three sampled residents (Resident 1) when Resident 1's oxygen humidifier bottle (a water-filled bottle attached to the oxygen tubing and add moisture and prevent drying and irritation inside the nose) was empty while oxygen was flowing. This failure had the potential for Resident 1 to have nasal (nose) dryness, nosebleeds, and sore throat while on oxygen therapy. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a change in a resident's condition was promptly reported to the licensed nurse for one (1) of one (1) resident (Resident 1) reviewed, when a Certificate Nurse Assistant (CNA 1) observed discoloration under Resident 1's right eye on the upper cheekbone area, but did not report the finding to the licensed nurse, on May 13, 2026. This failure had the potential to delay Resident 1's timely assessment, treatment, and notification of the physician and or responsible party regarding a potentially significant change in the resident's condition. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure two out of three sampled residents (Resident 11 and 80) to be free from physical restraints when: 1. For Resident 11, the resident was unable to freely access an exit the bed from both sides as intended, and documentation supporting the need, safety or authorization of the intervention was not provided 2. For Resident 80, the resident's bed was positioned directly against the wall, thereby limiting Resident 80 ability to move freely and restricting safe access. These failures had the potential to contribute to Resident 11 and 80 decline in physical functioning, and increasing the risk of accidents.
Inspectors wroteBased on interview and record review, the facility failed to provide sufficient number of staff when 22 out of 31 sampled days had less than 3.5 direct care service hours per patient day (DHPPD- the total number of hours worked per patient day divided by the average daily number of residents in the facility). This failure had the potential to result in unmet needs, such as psychosocial and physical needs, and safety concerns for 97 residents who reside in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure safe and effective pharmaceutical services when: Insulin (injectable drug to manage blood sugar) was not administered at the prescribed time for three of three sampled residents (Resident 7, Resident 35, and Resident 46) on May 20, 2026, when License Vocational Nurse (LVN 2) administered physician-ordered insulin glargine (brand name Lantus) approximately 2 hours and 21 minutes to 2 hours and 29 minutes prior to the ordered administration time of 6:00 AM.LVN 5 administered Resident 82 chewable aspirin 81 mg (low dose blood thinner) instead of the physician ordered enteric coated aspiring 81 mg (a low dose blood thinner with a special coating designed to help protect the stomach from irritation). [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention control program for three of three sample residents (Residents 32, 12, and 13) when: 1. For Resident 32, the resident's nebulizer machine was observed with a brown crusted substance at the port site where the tubing connected to the nebulizer and nebulizer tubing not in use was observed hanging from a shelf in the resident's room and not stored in a protective plastic bag. 2. For Resident 12, the resident's wheelchair was observed with dried brown crusted substance on the wheelchair cushion, wheel areas and bilateral side panels. 3. For Resident 13, the resident's oxygen tubing / cannula (a flexible plastic tube to deliver Oxygen from the oxygen concentrator to the resident) was observed hanging underneath the bed and touching the floor. [...]
Inspectors wroteBased on interview, and record review, the facility to ensure 1 of 5 sampled Certified Nursing Assistant 5 (CNA 5) received required in-service training of no less than 12 hours per year. This failure had the potential to diminish CNA 5 continuing competence and reduce the CNA 5 ability to provide safe, appropriate care, including dementia management and resident abuse prevention.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the call light (a device that allows a resident to communicate with nursing staff when a resident needs assistance) was within resident reach for one of six sampled residents (Resident 49 ) when Resident 49's call light was hanging off the side of the bed and out of the reach. This failure had the potential to place Resident 49 at risk for safety and well-being.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure an allegation of abuse with an injury of unknown origin was reported to the State Survey Agency within the required time frame for one of one sample resident (Resident 11). This failure had the potential to put at risk the health and safety of Resident 11.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure one of one sampled residents (Resident 11) had access to a functioning resident's call light in the bathroom. This failure had the potential for Resident 11 to experience delayed assistance and increased the risk for unmet care needs, falls, injury, and inability to request help during an emergency.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a written response was provided timely and in accordance with the facility's policy when the Family Council (also known as Resident Council; an organized group of relatives and friends of residents who meet regularly to discuss and address concerns about quality of care in the nursing home) submitted a grievance on November 9, 2025, and have not received any response until December 29, 2025. This failure has the potential to impact on the facility's ability to ensure grievances were promptly addressed and resolved, which could negatively affect 99 highly vulnerable residents residing in the facility.
Inspectors wroteF 725: Sufficient Staffing - [NAME] Care Center S/S D [NAME] S483.35 Nursing Services The facility must have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment required at S483.70(e). S483.35(a) Sufficient Staff. S483.35(a)(1) The facility must provide services by sufficient numbers of each of the following types of personnel on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans: [...]
Inspectors wroteBased on interview and record review, the facility failed to provide sufficient number of nursing staff when the 3.5 direct care service hours per patient day (DHPPD- the total number of hours worked per patient day divided by the average daily number of residents in the facility) staffing requirement was not met. This failure had the potential to result in unmet resident's needs, such as psychosocial, physical needs, and safety concerns for 95 vulnerable residents.
Inspectors wroteBased on interview and record review, the facility failed to report for one of 3 sampled residents (Resident 1) per there policy and procedure to the state agency and the local ombudsman for an alleged abuse/ injury of unknown cause. This failure has the potential to put (Resident 1) health, safety and well-being at risk.
Inspectors wroteBased on interview and record review, the facility failed to provide sufficient numbers of staff when 52 sampled days from October ' 2024 till March ' 2025 had less than 3.5 direct care service hours per patient day (DHPPD- the total number of hours worked per patient day divided by the average daily number of residents in the facility). This failure had the potential to result in unmet needs, such as psychosocial, physical needs, and safety concerns for 97 residents.
Inspectors wroteBased on interview, record review, and facility document and policy review, the facility failed to ensure there was registered nurse (RN) coverage eight consecutive hours, seven days a week for 6 days (10/23/2024, 11/17/2024, 11/24/2024, 12/01/2024, 12/08/2024, and 12/22/2024) during Fiscal Year (FY) 2025, Quarter 1 (October 2024, November 2024, and December 2024) and 3 days (02/23/2025, 03/01/2024, and 03/02/2025) during the timeframe from 02/11/2025 through 03/11/2025.
Inspectors wroteBased on interview and record review, the facility failed to provide sufficient numbers of staff when 3 out of 5 sampled days (January 9, 2025-January 13, 2025) had less than 3.5 direct care service hours per patient day (DHPPD- the total number of hours worked per patient day divided by the average daily number of residents in the facility). This failure had the potential to result in unmet needs, such as psychosocial, physical needs, and safety concerns for 93 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure three of five residents (Residents 1,2, and 3) received or were offered fluids during the day and night. This failure had the potential in putting Residents 1, 2 and 3's health and safety at risk when not receiving fluids to meet daily requirements consistent with resident's comprehensive assessment.
Inspectors wroteBased on observation, interview and record review the facility failed to follow its Activities of Daily Living ADLs policy and procedure for 3 of 3 sampled Residents (Resident's 1,2 and 3) when: 1. Resident 1 used call light to get staff attention for help, waiting over an hour. 2. Resident 2 was left soiled for a long period of time. 3. Resident 3 used call light along with roommates to help call to get assistance that took over an hour. This failure has the potential to cause (Resident's 1,2, and 3) health and safety at risk for skin break down.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adhere to its food and nutrition services policy when three of three sampled residents (Resident 1, 2, & 3) were served meals that were not presented at an appetizing temperature. This failure may decrease resident ' s appetite and has the potential to adversely affect the well-being of clinically compromised Residents (Residents 1, 2, & 3) when their meals were served cold.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adhere to its food-related garbage disposal policy when four outdoor dumpsters were left open. This failure had the potential to attract vermin (pest or animals that spread diseases) which could pose a significant health risk to the 89 clinically compromised residents currently residing in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to adhere to its pest control policy, affecting 89 residents, after reports of mice sighting inside the facility. This failure had the potential to pose a significant health risk to the 89 clinically compromised residents currently residing in the facility.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to follow its policy and procedure to provide care and services for residents and ensure call lights are answered in a timely manner for all four sampled residents (Residents 1, 2, 3, and 4). This failure has the potential to jeopardize the health and safety of clinically compromised Residents (Residents 1, 2, 3, and 4) when their requests for assistance with activities of daily living were not responded to promptly.
Inspectors wroteBased on interview and record review, the facility failed to follow their policy and procedure in preventing, reporting, and investigating an allegation of suspected physical abuse for one of three sampled resident (Resident 3), when: 1. The facility employed Certified Nursing Assistant 1 (CNA 1, who was Resident 3 ' s alleged abuser) before the completion of her background check. 2. The facility Administrator did not respond immediately to initiate an investigation and promptly report the incident to the state agency and to other required agencies within specified timeframes after Resident 3 reported an alleged abuse by CNA 1 to the Administrator on April 24, 2024. These failures have the potential to jeopardize Resident ' s 3 health, safety, and well-being at risk and the other vulnerable population of 89 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure immediate measure was put into place to provide protections to one of three sampled resident (Resident 3) when a Certified Nurse Assistance 1 (CNA 1) was not placed on administrative leave immediately after an alleged abuse to Resident 3 was reported on April 24, 2024. This failure had the potential for further abuse, neglect, exploitation, or mistreatment as the alleged perpetrators, CNA 1, continued to have access to the alleged victim, Resident 3, and to the other vulnerable population of 89 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow its policy and procedure when: 1. One of three residents (Resident 1) did not receive medications timely as prescribed by the physician. 2. Three of three sampled residents, Resident 1, Resident 2, and Resident 3, experienced a delay in response to their call lights. These failures had the potential to put the health and safety of three clinically compromised residents (Resident 1, Resident 2, and Resident 3) at risk.
Inspectors wroteBased on interview and record review, the facility failed to ensure Certified Nursing Assistant 1 (CNA 1) reported an allegation of suspected physical abuse towards a resident (Resident 1) within the timeframe specified by their policy and procedures when the staff member (Certified Nursing Assistant 1 - CNA 1) was aware of the alleged abuse on April 2, 2024, but did not report it to the facility administration until two days later on April 4, 2024. This failure resulted in a delay in the facility ' s ability to promptly investigate the allegation of abuse and had the potential for Resident 1 to be at continued risk for ongoing physical abuse which may have been prevented had the allegation been reported timely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 2 of 3 residents (Residents 1, and 2) received safety devices to prevent accidents from occurring when staff did not ensure the pad alarm (a device applied to the bed surface that beeps when the resident tries to get up) was applied and turned on. This failure had the potential to place Resident 1, and Resident 2 at risk for falls and serious injury.
Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to provide sufficient numbers of direct care (staff who directly provide nursing services to residents) staff when eleven out of 15 sampled days (for the period of January 23, 2024, to February 07, 2024) had less than 2.4-3.5 direct care service hours per patient day (DHPPD- the total number of hours worked per patient day divided by the average daily number of residents in the facility). This failure had the potential to result in unmet needs, to include assisting residents who requiring feeding or incontinence care to prevent skin breakdown; delay in needed pain medications; prevention of falls or resident to resident altercations; and social isolation by not being able to get to activities of their choice in a universe of 90 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow their policy when they delivered snacks to the nursing station with no labels, to include residents name with no dates and time. These failure had the potential for residents who have orders for snack to be subjected to foodborrn Illness (any illness resulting from food spoilage, pathogenic bacteria (a germ that causes disease), viruses (a small organism that causes disease), or parasites ( a creature that lives off another organism) that can contaminate the food.
Inspectors wroteBased on interview and record review, the facility failed to take precautionary measures to provide protection to one of three sampled Residents (Resident 1) when an allegation of sexual abuse was made against a Certified Nursing Assistant 1 (CNA 1) but CNA 1 was not suspended or removed from patient care during the facility's investigation into the allegation. This failure resulted in the facility to not provide protection for Resident 1 from potential sexual abuse by CNA 1.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medication administration of drugs was in accordance with the physician's orders for two of three Residents (Resident 1 and Resident 2). This failure resulted in increased pain and psychosocial (emotional) harm for Resident 1 and Resident 2.
Inspectors wroteBased on interview and record review, the facility failed to provide sufficient numbers of staff when 5 out of 8 sampled days (July 16, 2023- July 23, 2023) had less than 3.5 direct care service hours per patient day (DHPPD- the total number of hours worked per patient day divided by the average daily number of residents in the facility). This failure had the potential to result in unmet needs, such as psychosocial and physical needs, and safety concerns for 88 residents.
Inspectors wroteBased on observation, interview and record review the facility failed to follow policy and procedure to ensure call lights were answered in timely manner to provide care and services for one of three sampled residents (Resident 1). This failure had the potential to place a clinically compromised Resident (Resident 1) health and safety at risk when residents ' activities of daily living were not met in timely manner.
Inspectors wroteBased on interview and record review, the facility failed to provide the services of a Registered Nurse (RN) for 8 consecutive hours for multiple sampled days during the fiscal year Quarter 3 of 2022 (April 2 - June 30). This failure had the potential for all residents living in the facility to not receive services and advanced care activities specifically performed by a registered nurse including resident assessments, administration of intravenous medications, and general oversight of the residents' clinical needs either directly by the RN or indirectly by the Licensed Vocational Nurses or Certified Nursing Assistants for whom the RN was responsible for overseeing resident care.
Inspectors wroteBased on interview and record review, the facility failed to ensure it met minimum staffing requirements of 3.5 Direct Care Service Hours Per Patient Day (DHPPD - number of hours of direct care service hours per patient day based upon the facility census [total resident count] and staff working within a 24 hour period) for multiple sampled days during the fiscal year 2022 Quarter 2 (January 1 - March 31), fiscal year 2022 Quarter 3 (April 1 - June 30), and fiscal year 2022 Quarter 4 (July 1 - September 30). This failure had the potential to result in unmet care needs for all residents who resided in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a baseline care plan (resident-specific plan of care necessary to properly provide care immediately upon their admission) within 48 hours for one of 18 sampled residents (Resident 286). This failure had the potential to delay medical care and wound healing for Resident 286.
Inspectors wroteBased on observation, interview, and record review, the facility failed to develop a comprehensive and personalized care plan for one of five sampled residents (Resident 13). This failure had the potential to prevent Resident 13's medical and psychosocial needs from being met.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide quality care according to professional standards of practice for 3 of 18 sampled residents (Resident 22, 232, and 78), when: 1. The facility failed to provide wound treatment as ordered for Residents 22 and 232. This failure had the potential for Resident 22 and 232's delayed wound healing. 2. The facility failed to complete a skin assessment and obtain treatment orders upon admission for Resident 78. This failure had the potential for Resident 78 to have serious infection or other complications to occur.
Inspectors wroteBased on interview and record review, the facility failed to provide evidence for one of two sampled residents (Resident 15) reviewed for pressure ulcers (bedsores - also called pressure ulcers - are injuries to skin and underlying tissue resulting from prolonged pressure on the skin) received care and monitoring for skin breakdown as was specified in the resident's care plan (an individualized plan for the medical care of a resident) and physicians orders when: Resident 15's clinical record did not indicate the residents low air loss mattress (LAL mattress - a special mattress designed to prevent and treat pressure ulcers) was monitored for proper settings and functioning for multiple shifts in January, February, and March of 2023. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor the dialysis (process of filtering out the blood through a machine, to remove excess fluid and toxins) access site for one sampled resident (Resident 13). This failure had the potential for serious bleeding or other complications to occur for Resident 13.
Inspectors wroteBased on interview and record review, the facility failed to ensure staff were evaluated for competencies when three of five sampled staff members did not have annual competency assessments for 2019, 2020, and 2021. This failure resulted in the facility to not have regular competency evaluations of staff to determine if staff had the required knowledge and skills needed to care for the residents in the facility as identified in the facility assessment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor for side effects and behavior related to the prescription of an anti-anxiety medication (medication to treat anxiety - a mood disorder characterized by fear, nervousness, or panic) for one of five sampled residents (Resident 13). This failure had the potential for Resident 13 to experience serious side effects or psychosocial distress without proper monitoring or treatment.
Inspectors wroteBased on observation, interview, and record review the facility failed to perform annual dental reevaluation for two of five sampled residents (Resident 29 and 49). This failure had the potential for residents 29 and 49 to develop oral diseases which may impact their physical, psychological, and social well-being through pain, diminished function, and may reduce quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly document blood sugar levels as ordered for one of 18 sampled residents (Resident 13). This failure caused Resident 13's medical record to be incomplete, and for Resident 13's blood sugar levels unable to be assessed.
26 fire safety citations on file: 5 on May 21, 2026, 7 on March 12, 2025, 14 on May 11, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | California | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.82 | 4.52 | 3.86 |
| Registered nurses | 0.42 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.19 | 4.09 | 3.42 |
| Nurse aides | 2.58 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 45.7% | 36.7% | 45.8% |
| Registered nurse turnover | 64.3% | 38.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.52 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.08 on weekdays and 3.19 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.82 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.82 | 0.42 | 4.08 | 3.19 | 1.5% | 0 of 90 | 94 |
| Oct to Dec 2025 | 3.67 | 0.43 | 3.96 | 2.95 | 2.5% | 0 of 92 | 97 |
| Jul to Sep 2025 | 3.64 | 0.46 | 3.94 | 2.89 | 3.4% | 0 of 92 | 96 |
| Apr to Jun 2025 | 3.64 | 0.46 | 3.93 | 2.90 | 0.3% | 0 of 91 | 96 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| California, Jan to Mar 2026 | 4.36 | 0.59 | 4.52 | 3.97 | 2.3% | 0.5% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Trains nurse aides: this home runs a state-approved CNA program for its own hires (state list: CDPH Facility Based Nurse Assistant Training Programs, as of February 13, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Bishop Care Center CNA training on CareerFunded, our sister site for career training.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| California, all employers | |||
| CNAs (nursing assistants) | $22.90 | $22.04 to $26.35 | 110,060 |
| LPNs and LVNs | $38.34 | $35.98 to $45.06 | 82,850 |
| Registered nurses | $67.44 | $58.87 to $83.25 | 338,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.6 | 10.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.7 | 9.8 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.3 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.3 | 12.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 27.3 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 1.6 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Bishop Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (42.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.1% this home
Worse than the national rate
US median of homes 51.5% · California: 301 better, 190 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 191 eligible stays.
9.7% this home
No different from the national rate
US median of homes 10.7% · California: 10 better, 22 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 174 eligible stays.
8.4% this home
No different from the national rate
US median of homes 7.1% · California: 8 better, 48 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 108 eligible stays.
54.0% this home
Median of homes: California59.2% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 50 residents counted.
1.2% this home
Median of homes: California0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 83 residents counted.
4.5% this home
Median of homes: California0.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 83 residents counted.
85.7% this home
Median of homes: California96.2% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 35 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: IXIA HOLDINGS, LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Farrer, Todd | Contracted managing employee | Individual | 09/14/2022 | |
| Lester, Karsten | W-2 managing employee | Individual | 03/01/2024 | |
| Apt, Frederick | Corporate officer | Individual | 01/01/2024 | |
| Hancock, Mark | Corporate officer | Individual | 01/01/2024 | |
| Jergensen, Joshua | Corporate officer | Individual | 01/01/2024 | |
| Mitchell, John | Corporate officer | Individual | 01/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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