CLOVERDALE HEALTHCARE CENTER
300 CHERRY CREEK RD, CLOVERDALE, CA 95425 · CCN 055756
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 72
- Avg residents/day
- 52.3
- Phone
- 7078945201
Inspection history vs California & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | California avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-19 | 5 | 15.6 | 9.5 | -10.6 better |
| 2 | 2025-01-09 | 1 | 17.4 | 9.8 | -16.4 better |
| 3 | 2022-10-21 | 7 | 17.1 | 9.3 | -10.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Pharmacy service | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.40 | 43.1% |
| RN staffing (reported) | 0.44 | — |
| Total nurse staffing (adjusted) | 4.52 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- THE ENSIGN GROUP
- Facilities in chain
- 329
- Chain avg overall
- 3.20 / 5
Inspection citations (13)
- DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-12-19 · Health · corrected 2025-12-29
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-19 · Health · corrected 2025-12-29
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-19 · Health · corrected 2025-12-29
Potential for more than minimal harm
- EF0761Ensure 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.2025-12-19 · Health · corrected 2025-12-29
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-05 · Health · corrected 2025-03-17
Potential for more than minimal harm
- BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-01-09 · Health · corrected 2025-02-02
Potential for minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-10-21 · Health · corrected 2023-01-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-21 · Health · corrected 2023-01-30
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-21 · Health · corrected 2023-01-30
Potential for more than minimal harm
- EF0761Ensure 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.2022-10-21 · Health · corrected 2023-01-30
Potential for more than minimal harm
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2022-10-21 · Health · corrected 2023-01-30
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-10-21 · Health · corrected 2023-01-30
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-21 · Health · corrected 2023-01-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FLAGSTONE HEALTHCARE NORTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2006-02-01 |
| THE ENSIGN GROUP INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2006-01-30 |
| TWOMAGNETS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-11-15 |
| GAMBLE, SHAWNDEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2001-11-15 |
| SERRANO, NOEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2006-02-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
| WILLITS, ADAM | Individual | CORPORATE OFFICER | — | 2025-11-15 |
Other facilities in CLOVERDALE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.