Inspection citations
12’19
2’23
11’24
1’25
16’26
42 shown
| Date | Severity | What inspectors found | Visit |
|---|---|---|---|
| Mar 6, 2026 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| Mar 6, 2026 | D · potential | Ensure that residents are fully informed and understand their health status, care and treatments. | Routine |
| Mar 6, 2026 | D · potential | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Routine |
| Mar 6, 2026 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Routine |
| Mar 6, 2026 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| Mar 6, 2026 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| Mar 6, 2026 | E · potential | 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. | Routine |
| Mar 6, 2026 | D · potential | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Routine |
| Mar 6, 2026 | E · potential | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Routine |
| Mar 6, 2026 | D · potential | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Routine |
| Mar 6, 2026 | E · potential | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Routine |
| Mar 6, 2026 | E · potential | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Routine |
| Mar 6, 2026 | F · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| Mar 6, 2026 | E · potential | Provide and implement an infection prevention and control program. | Routine |
| Mar 6, 2026 | E · potential | Keep all essential equipment working safely. | Routine |
| Mar 6, 2026 | E · potential | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Routine |
| Sep 12, 2025 | G · harm | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Complaint |
| Aug 8, 2024 | D · potential | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Routine |
| Aug 8, 2024 | E · potential | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | Routine |
| Aug 8, 2024 | D · potential | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Routine |
| Aug 8, 2024 | D · potential | 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. | Routine |
| Aug 8, 2024 | D · potential | Provide enough food/fluids to maintain a resident's health. | Routine |
| Aug 8, 2024 | D · potential | Provide and implement an infection prevention and control program. | Routine |
| May 29, 2024 | E · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Complaint |
| May 29, 2024 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| May 6, 2024 | D · potential | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Jan 30, 2024 | G · harm | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Complaint |
| Jan 30, 2024 | G · harm | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Complaint |
| Dec 19, 2023 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Complaint |
| Oct 4, 2023 | D · potential | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Complaint |
| May 28, 2019 | D · potential | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Routine |
| May 28, 2019 | D · potential | Reasonably accommodate the needs and preferences of each resident. | Routine |
| May 28, 2019 | D · potential | Keep residents' personal and medical records private and confidential. | Routine |
| May 28, 2019 | G · harm | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Routine |
| May 28, 2019 | D · potential | Ensure services provided by the nursing facility meet professional standards of quality. | Routine |
| May 28, 2019 | D · potential | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Routine |
| May 28, 2019 | D · potential | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Routine |
| May 28, 2019 | D · potential | 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. | Routine |
| May 28, 2019 | E · potential | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Routine |
| May 28, 2019 | D · potential | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Routine |
| May 28, 2019 | E · potential | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Routine |
| May 28, 2019 | D · potential | Provide and implement an infection prevention and control program. | Routine |
Medicare's severity letters: A–C minimal harm, D–F potential for more than minimal harm, G–L actual harm or immediate danger. Source: CMS health deficiencies file, processed October 1, 2026.
Questions to ask on a visit
San Luis Care Center
709 N Street, Newman, CA 95360 · (209) 862-2862
Visit date: ____________ Spoke with: ______________________
Record on file
- Certification
- Medicare and Medi-Cal certified skilled nursing facility
- Medicare number (CCN)
- 055839
- Certified beds
- 71
- Legal owner
- Avalon Care Center-Newman LLC
- Part of
- Avalon Health Care
Full profile on Medicare's Care Compare. Source: CMS, processed October 1, 2026.
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