Starfile / California

PIONEERS MEMORIAL SKILLED NURSING CENTER

320 CATTLE CALL DR., BRAWLEY, CA 92227 · CCN 555557

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$52,435

Number of fines

1

Number of penalties

2

Payment denials

1

Inspection citations (60)2 actual harm

1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-28 · Health · corrected 2025-05-16

   Potential for more than minimal harm

2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-28 · Health · corrected 2025-05-16

   Potential for more than minimal harm

3. DF0583Keep residents' personal and medical records private and confidential.2025-01-10 · Health · corrected 2025-02-14

   Potential for more than minimal harm

4. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-01-10 · Health · corrected 2025-02-14

   Potential for more than minimal harm

5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-10 · Health · corrected 2025-02-14

   Potential for more than minimal harm

6. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2025-01-10 · Health · corrected 2025-02-14

   Potential for more than minimal harm

7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-10 · Health · corrected 2025-02-14

   Potential for more than minimal harm

8. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-01-10 · Health · corrected 2025-02-14

   Potential for more than minimal harm

9. DF0727Have 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.2025-01-10 · Health · corrected 2025-02-14

   Potential for more than minimal harm

10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-10 · Health · corrected 2025-02-14

    Potential for more than minimal harm

11. DF0759Ensure medication error rates are not 5 percent or greater.2025-01-10 · Health · corrected 2025-02-14

    Potential for more than minimal harm

12. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-10 · Health · corrected 2025-02-14

    Potential for more than minimal harm

13. DF0880Provide and implement an infection prevention and control program.2025-01-10 · Health · corrected 2025-02-14

    Potential for more than minimal harm

14. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2025-01-10 · Health · corrected 2025-02-14

    Potential for minimal harm

15. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-01-10 · Health · corrected 2025-02-14

    Potential for minimal harm

16. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-18 · Health · corrected 2025-01-15

    Potential for more than minimal harm

17. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-11 · Health · corrected 2024-11-11

    Potential for more than minimal harm

18. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

19. DF0584Honor 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.2024-02-20 · Health · corrected 2024-04-25

    Potential for more than minimal harm

20. DF0641Ensure each resident receives an accurate assessment.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

21. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

22. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

23. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

24. FF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

25. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-20 · Health · corrected 2024-04-11

    Actual harm

26. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-20 · Health · corrected 2024-04-11

    Actual harm

27. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

28. DF0692Provide enough food/fluids to maintain a resident's health.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

29. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

30. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

31. DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

32. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

33. DF0732Post nurse staffing information every day.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

34. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-02-20 · Health · corrected 2024-05-06

    Potential for more than minimal harm

35. DF0761Ensure 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.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

36. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

37. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

38. EF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

39. EF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

40. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

41. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

42. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

43. DF0880Provide and implement an infection prevention and control program.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

44. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-02-20 · Health · corrected 2024-04-11

    Potential for more than minimal harm

45. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2024-02-20 · Health

    Potential for minimal harm

46. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-02-20 · Health

    Potential for minimal harm

47. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-08-03 · Health · corrected 2023-08-24

    Potential for more than minimal harm

48. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-03 · Health · corrected 2023-08-24

    Potential for more than minimal harm

49. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

50. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

51. DF0558Reasonably accommodate the needs and preferences of each resident.2022-12-15 · Health · corrected 2023-01-06

    Potential for more than minimal harm

52. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-12-15 · Health · corrected 2023-01-06

    Potential for more than minimal harm

53. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-15 · Health · corrected 2023-01-06

    Potential for more than minimal harm

54. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-12-15 · Health · corrected 2023-01-06

    Potential for more than minimal harm

55. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-15 · Health · corrected 2023-01-06

    Potential for more than minimal harm

56. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-15 · Health · corrected 2023-01-06

    Potential for more than minimal harm

57. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-15 · Health · corrected 2023-01-06

    Potential for more than minimal harm

58. EF0880Provide and implement an infection prevention and control program.2022-12-15 · Health · corrected 2023-01-06

    Potential for more than minimal harm

59. BF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.2022-12-15 · Health · corrected 2023-01-06

    Potential for minimal harm

60. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2022-12-15 · Health · corrected 2023-01-06

    Potential for minimal harm

Ownership

Other facilities in BRAWLEY

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.