Home / California / Colusa
Colusa Medical Center - SNF
199 E Webster Street, Colusa, CA 95932 · Colusa County · (530) 691-0800
6 certified beds, about 7 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2018
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
CMS note: This facility reported a high number of days without a registered nurse onsite.
Quality measures
Not rated
CMS note: Not enough data available to calculate a star rating.
CMS Care Compare ratings, data as of September 1, 2026 · CCN 555909 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 4, 2025, inspectors cited 2 health deficiencies (the California average is 15.6, the national average 9.2).
None of its 14 health citations since November 2021 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $4,558 in the last three years; the largest was $4,558, and the latest is dated January 30, 2024.
Nurses and nurse aides worked 4.03 hours per resident per day, against 4.52 across California and 3.86 nationally. Registered nurses accounted for 0.00 of those hours.
Health inspections
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.
811/21
303/24
204/25
105/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
4E
3F
Potential for minimal harm
0A
0B
0C
May 28, 2025Complaint inspection · 1 citation
- E 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain a homelike environment for two of three sampled residents (Resident 1 and Resident 2) when it failed to maintain facility temperature above 71 degrees Fahrenheit (F). This failure resulted in Resident 1 and Resident 2's decreased desire to ambulate out of bed, Resident 1's oxygen tubing became stiff, and every day-shift staff member wore a padded jacket or sweatshirt during their shift.
April 4, 2025Standard inspection · 2 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and record review, the facility failed to ensure they had a Registered Nurse (RN) 8 hours a day, 7 days per week from 4/1/24 to 12/28/24. This failure had potential to affect the quality of care and quality of life of residents and put them at risk for injury by not having an RN to oversee their care.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to develop personalized Activity care plans for four of five residents who were sampled for care plans. (Residents 4, 5, 59, and 110) This had the potential for the residents' activity interests to go unmet and cause them boredom and depression which could negatively impact their rehabilitation goals and psychosocial well-being.
March 21, 2024Standard inspection · 3 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on observation, interview, and record review, the facility failed to submit the required Payroll Based Journaling (PBJ), staffing information to the Centers for Medicare and Medicaid Services (CMS). The failure to submit the required data, staffing hours and census information, can prevent determining an adequate level of staff is working at a given time, leading to inadequate care of residents and adverse clinical outcomes.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview, the facility failed to maintain a clean and sanitary environment in the medication room at nursing station B, when an overhead air intake duct vent cover was notably fuzzy and dark with dusty material and particulates. This failure had the potential to contaminate (contact with an unclean substance which renders something unusable), medications administered to residents with a potential for poor health outcomes.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain temperature logs for the resident food/snack refrigerator. The failure to monitor refrigerator temperatures can lead to food borne illness by food that has unknowingly not been maintained at a safe temperature.
November 4, 2021Standard inspection · 8 citations
- F Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review the facility failed to ensure the attending pharmacist Medication Regimen Review (MRR) were documented in five of five resident's (Resident 109, 4, 7, 2 and 3) medical record. This did not follow facility policy.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure five of five residents (Resident 2, 3, 4, 7, 109) had completed comprehensive care plans to meet the needs of the residents when: 1. Resident 4 did not have a bowel and bladder care plan; 2. Resident 2, 4, and 7's did not have discharge care plans; and 3. Resident 2, 3, 4, 7, and 109, did not have activity care plans. These failure had the potential to negatively effect the physical and psychosocial needs of these residents and prevent them from achieving their goals. During a review of the facility's policy titled Care Plans dated June 2019, the policy indicated, A comprehensive care plan is developed for the resident that includes measurable objectives and timetables to meet the resident's medical, nursing, mental, and psychosocial needs identified in the comprehensive assessment. 4. The care plan: a. [...]
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview and policy review the facility failed to provide two of five Residents (Resident 7 and 4), the right to be treated with dignity and respect and provide privacy during their treatment and care of personal needs. This failure had the potential for Resident 7 and Resident 4 to feel a lack of self-esteem and self-worth.
- D 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.
Inspectors wroteBased on observation and interview the facility failed to maintain a safe clean and comfortable homelike environment when it: 1. Did not maintain a resident room above 68 degrees as required by regulation and; 2. Maintain a kitchen drain that allowed water to puddle on the dishwashing room floor. These failures could lead to residents and visitors being uncomfortable, loss of body heat and slip and fall injuries.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the medication error rate did not exceed five percent or greater when there were 25 medication pass opportunities for error and two errors resulting in a medication error rate of eight percent. This failure resulted in the medication error for two of five residents (Resident 2 and Resident 109) when 1. Resident 2's medication were combined, and 2. The manufacture instructions were not followed when medication was given to Resident 109. These errors had the potential to cause altered therapeutic doses of medications.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review the facility did not employ industry standards as required in the storage of dry goods. Not employing industry standards could lead to the spread of food borne illness to residents leading to illness and adverse clinical outcomes.
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on interview and record review the facility does not have the necessary membership attendance at the Quality Assurance/Performance improvement meetings as regulations require. The failure to have membership attendance as required reduces the exchange of information between disciplines decreasing the effectiveness of the provision of quality care leading to suboptimal care and outcomes.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure infection control measures were adhered to when three of three staff (Certified Nursing Assistant [CNA] 1, Licensed vocational Nurse [LVN] 1, and LVN 2) provided patient care without following infection control policy and procedures. These failures had the potential to cause the spread of infection and disease to the residents they cared for.
Fire safety inspections
26 fire safety citations on file: 9 on April 4, 2025, 11 on March 21, 2024, 6 on November 4, 2021.
Every fire safety citation26 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Meet requirements for the use of electrical equipment.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
- C Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- C Have simulated fire drills held at unexpected times.
- F Establish policies and procedures for medical documentation.
- F Implement emergency and standby power systems.
- F Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- E Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D Address patient/client population and determine types of services needed.
- D Address subsistence needs for staff and patients.
- D Provide emergency officials' contact information.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have simulated fire drills held at unexpected times.
- D Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- F Have simulated fire drills held at unexpected times.
- E Install corridor and hallway doors that block smoke.
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Conduct risk assessment and an All-Hazards approach.
- D Provide emergency officials' contact information.
- D Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 30, 2024 | Fine | $4,558 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 4.03 | 4.52 | 3.86 |
| Registered nurses | 0.00 | 0.67 | 0.69 |
| All nursing staff on weekends | 4.09 | 4.09 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 2.05 | ||
| Nursing staff turnover (share who left in a year) | not reported | 36.7% | 45.8% |
| Registered nurse turnover | not reported | 38.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 4.01 on weekdays and 4.09 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 7.93 in July to September 2025 to 4.03 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 | 4.03 | 0.00 | 4.01 | 4.09 | 0.0% | 90 of 90 | 7 |
| Jul to Sep 2025 | 7.93 | 0.70 | 7.90 | 8.01 | 0.0% | 60 of 92 | 6 |
| 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | California | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
Owners and operators
Legal business name: COLUSA MEDICAL CENTER, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Colusa Medical Center, LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2019 |
| Randhawa, Gurpreet | Direct ownership interest | Individual | 11/16/2016 | |
| Thompson, Tammy | Corporate director | Individual | 05/01/2017 | |
| Bhullar, Shamsher | Corporate officer | Individual | 11/16/2016 | |
| Randhawa, Gurpreet | Corporate officer | Individual | 11/16/2016 | |
| Thompson, Tammy | Corporate officer | Individual | 05/17/2017 | |
| Bhullar, Shamsher | Operational/managerial control | Individual | 11/16/2016 | |
| Nijjar, Jagraj | Operational/managerial control | Individual | 06/01/2021 | |
| Randhawa, Gurpreet | Operational/managerial control | Individual | 11/16/2016 | |
| Colusa Medical Center, LLC | Adp of the SNF | Organization | 06/27/2018 | |
| Bhullar, Shamsher | Adp of the SNF | Individual | 11/16/2016 | |
| Nijjar, Jagraj | Adp of the SNF | Individual | 01/01/2019 | |
| Randhawa, Gurpreet | Adp of the SNF | Individual | 11/16/2016 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on May 28, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 4, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on March 21, 2024: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 21, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Almond View Care Center Williams, 9.4 mi · 4 of 5 stars · 24 citations
- River Valley Care Center Live Oak, 18.6 mi · 3 of 5 stars · 53 citations
- Gridley Post Acute Gridley, 19.9 mi · 4 of 5 stars · 21 citations
- Fountains, the Yuba City, 20.2 mi · 5 of 5 stars · 28 citations
- Bridgeview Post Acute Yuba City, 20.7 mi · 2 of 5 stars · 70 citations
- Yuba City Post Acute Yuba City, 20.8 mi · 5 of 5 stars · 43 citations
- Marysville Post-Acute Marysville, 22.8 mi · 5 of 5 stars · 39 citations
- Willows Post Acute Willows, 24.6 mi · 5 of 5 stars · 20 citations
California contacts for a concern about a nursing home
These are the official offices in California. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: California Department of Public Health, Center for Health Care Quality, Licensing and Certification Program, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: California Long-Term Care Ombudsman Program, 1-800-231-4024. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Cal Health Find, where California publishes its own records on licensed homes.
Common questions
- What is Colusa Medical Center - SNF's Medicare star rating?
- CMS rates Colusa Medical Center - SNF 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and no for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Colusa Medical Center - SNF get at its last inspection?
- 2 health deficiencies at the standard inspection on April 4, 2025. The California average is 15.6.
- Has Colusa Medical Center - SNF been fined?
- Yes. CMS lists 1 fine totaling $4,558 in the last three years.
- Does Colusa Medical Center - SNF accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Colusa Medical Center - SNF?
- CMS lists 13 owners and managers. Legal business name: COLUSA MEDICAL CENTER, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.