CLEARWATER HEALTHCARE CENTER
CLEARWATER HEALTHCARE CENTER is a 120-bed nursing home in STOCKTON, California. CMS has certified it for Medicare and Medicaid since 1988-05-02. It averages 114.2 residents a day.
What harm was found in the violations cited at CLEARWATER HEALTHCARE CENTER?
CMS lists 74 health-inspection deficiencies for CLEARWATER HEALTHCARE CENTER since 2019-04-05, 52 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-07-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-01 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-06-17 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-06-02 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2026-05-27 | F0558, F0627, F0628, F0656, F0689, F0880 | Reasonably accommodate the needs and preferences of each resident. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | D |
| 2026-04-29 | F0627, F0628 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2026-01-28 | F0689, F0842 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-12-30 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| 2025-12-04 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2025-11-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-11-13 | F0778 | Help the resident make transportation arrangements to and from radiology services. | D |
| 2025-09-04 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-07-02 | F0558, F0778 | Reasonably accommodate the needs and preferences of each resident. / Help the resident make transportation arrangements to and from radiology services. | D |
| 2025-06-17 | F0627, F0628 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2025-06-02 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2025-04-23 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2025-04-23 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-03-27 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2025-03-27 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-03-27 | F0550, F0552, F0582, F0645, F0677, F0697, F0755, F0761, F0803 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. | D |
| 2025-01-17 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2024-11-22 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2024-11-22 | F0583, F0660 | Keep residents' personal and medical records private and confidential. / Plan the resident's discharge to meet the resident's goals and needs. | D |
| 2024-07-11 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-03-04 | F0677, F0907 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough space and equipment to meet each resident's needs | E |
| 2024-03-04 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D |
| 2024-01-12 | F0656, F0839 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Employ staff that are licensed, certified, or registered in accordance with state laws. | D |
| 2023-11-03 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-10-27 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F |
| 2023-10-27 | F0842, F0880 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2023-10-27 | F0761 | 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. | D |
| 2021-07-15 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2021-07-15 | F0558, F0658, F0688, F0697, F0755, F0761, F0842, F0880, F0908 | Reasonably accommodate the needs and preferences of each resident. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Provide safe, appropriate pain management for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. | D |
| 2019-04-05 | F0759, F0761, F0812, F0880 | Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2019-04-05 | F0578, F0658, F0677, F0692, F0693, F0755, F0756, F0758 | Honor 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Ensure 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement 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. | D |
How is CLEARWATER HEALTHCARE CENTER staffed relative to the CA average?
| Measure | This facility | CA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.20260 | 4.51570 |
| Total nursing staff turnover (%) | 42.0 | 36.7 |
| Average number of residents per day | 114.2 | 87.9 |
Who owns CLEARWATER HEALTHCARE CENTER, and what chain is it in?
CLEARWATER HEALTHCARE CENTER is registered with CMS as For profit - Individual, operates under the legal business name CHESAPEAKE BAY HOLDINGS LLC and belongs to the LINKS HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | LINKS HEALTHCARE GROUP LLC | since 09/01/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | LINKS HEALTHCARE GROUP LLC | since 09/01/2017 |
| INDIRECT OWNERSHIP INTEREST | RODRIGUEZ, CURTIS, TILFORD, TOBY | since 07/24/2017 |
| 5% OR GREATER SECURITY INTEREST | AMERICAN RIVER HOLDCO LLC, FORBRIGHT BANK | since 09/01/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | LINKS HEALTHCARE GROUP LLC, RODRIGUEZ, CURTIS, TILFORD, TOBY | since 09/01/2017 |
| GENERAL PARTNERSHIP INTEREST | CLAWSON, SCOTT, EARL, STEVEN, SANOFSKY, JACK | since 09/01/2017 |
| ADP OF THE SNF | AMERICAN RIVER HOLDCO LLC, EIDE BAILLY LLP, LINKS HEALTHCARE GROUP LLC, LINKS SUPPORT SERVICES, LLC, ANDERSON, CHAD, BEARDSLEY, MARY, BERNHOLZ, VICTORIA, CARTER, MELISSA, DEGUZMAN, MYRNA, FROJELIN, ANTONETTE, KHAN, ABDUL, PALMER, ALEXANDER, RAMIREZ, SHARON, SAMBO, EMERLINDO, SUBIA, ELLEN | since 09/01/2017 |
Were you or a family member harmed at CLEARWATER HEALTHCARE CENTER?