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No fines or payment denials in the published 3-year window.
931 Idaho Ave., Los Banos, CA 93635 (opens Google Maps) · Merced County · (209) 826-0790· 59 certified beds · avg 53 residents/day · certified since Jul 1, 1976 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: KALESTA HEALTHCARE GROUP (19 facilities, chain avg rating 2.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.
The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. F-0727
The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. F-0801
The facility did not have enough support staff to safely and effectively run its food and nutrition service. F-0802
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 8, 2025 | F · Potential for more than minimal harm, widespread | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Aug 8, 2025 | F · Potential for more than minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Aug 8, 2025 | F · Potential for more than minimal harm, widespread | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802 |
| Aug 8, 2025 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Aug 8, 2025 | F · Potential for more than minimal harm, widespread | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · F-0687 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Aug 8, 2025 | E · Potential for more than minimal harm, pattern | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| Aug 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Jan 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
| Aug 12, 2024 | D · Potential for more than minimal harm, isolated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622 |
| Aug 1, 2024 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Aug 1, 2024 | C · Potential for minimal harm, widespread | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838 |
| Nov 8, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Sep 20, 2019 | F · Potential for more than minimal harm, widespread | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · F-0838 |
| Sep 20, 2019 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Sep 20, 2019 | E · Potential for more than minimal harm, pattern | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · F-0912 |
| Sep 20, 2019 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
Citations from standard inspections increased between the last two inspection cycles (2 → 15).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | F |
| 2023 | 1 | 0 | D |
| 2024 | 3 | 0 | D |
| 2025 | 16 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | California avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.53 | 4.31 | 3.95 | bottom 11% in California; bottom 38% in the U.S. |
| Registered Nurse hours | 0.27 | 0.61 | 0.69 | bottom 8% in California; bottom 7% in the U.S. |
| Weekend total nurse staffing | 3.14 | 3.90 | 3.50 | bottom 9% in California; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.20 | 0.51 | 0.48 | bottom 11% in California; bottom 12% in the U.S. |
| Total nursing staff turnover (%) | 36.7 | 36.7 | 45.8 | bottom 48% in California; top 28% in the U.S. |
| RN turnover (%) | — | 38.1 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.06, RN 0.31, weekend 3.60.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.06 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Los Banos Post Acute. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Clawson, Scott | Individual | 5% or Greater Indirect Ownership Interest | 48% | 11/01/2021 |
| Clawson, Scott | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2021 |
| Kalesta Healthcare Group, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2021 |
| Williams, Ryan | Individual | 5% or Greater Indirect Ownership Interest | 48% | 11/01/2021 |
| 931 Idaho Avenue, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2021 |
| Cardoso, Samuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/17/2025 |
| Chen, Kai Shin | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2021 |
| Chen, Kai Shin | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Clawson, Scott | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2021 |
| Devireddy, Karthikeya | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Devireddy, Karthikeya | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2021 |
| Dover Dirlam, Barbara | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Fields, Domonique | Individual | Corporate Director | NOT APPLICABLE | 11/01/2021 |
| Fields, Domonique | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Flake, Ethan | Individual | Corporate Director | NOT APPLICABLE | 10/07/2024 |
| Flake, Ethan | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/07/2024 |
| Gomes, Tanya | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2021 |
| Hinkle, Cortney | Individual | Corporate Director | NOT APPLICABLE | 01/09/2024 |
| Hinkle, Cortney | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/09/2024 |
| Jones, Steven | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
Showing 20 of 35 parties CMS has on file for this facility; 15 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Kalesta Healthcare Group — 19 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 18 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| New Bethany Skilled Nursing | 2.0 mi | Los Banos, CA | ★★☆☆☆ | 2/5 | |
| San Luis Care Center | 20.0 mi | Newman, CA | ★★★☆☆ | 2/5 |
Compare this facility with the 2 closest →
CMS records place this facility in Merced, CA — 10 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 055028.
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