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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D30 | E11 | F8 |
| Minimal | A· | B· | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 19, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 19, 2026 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Mar 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 13, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 13, 2024 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Nov 2, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Nov 2, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D30 | E11 | F8 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 19, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 23, 2026 | |
| Jun 19, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 23, 2026 | |
| Jun 19, 2026 | F-0655 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Donald Gormly | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 31, 2018 |
| Dg 2016 Holdings Trust Dated September 14, 2016 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 31, 2018 |
| Dh 2016 Holdings Trust Dated November 28, 2016 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 31, 2018 |
| Jh 2016 Holdings Trust Dated November 28, 2016 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 31, 2018 |
| Ng 2016 Holdings Trust Dated September 14, 2016 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 31, 2018 |
| Don and Nancy Gormly Family Trust Dated February 25, 2002 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Jerry and Debbie Holloway Revocable Trust Dated February 25, 2002 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Nancy Gormly | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Debra Holloway | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Jerry Holloway | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Donald Gormly | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 31, 2018 |
| Dg 2016 Holdings Trust Dated September 14, 2016 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 31, 2018 |
| Dh 2016 Holdings Trust Dated November 28, 2016 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 31, 2018 |
| Jh 2016 Holdings Trust Dated November 28, 2016 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Merced Behavioral Center 1255 B Street, Merced, CA 95341 CCN 05A1471 state class AA/A | 4 km | 96 | Aug 21, 2026 | 461 harm | — | |
| La Sierra Care Center 2424 M Street, Merced, CA 95340 CCN 055271 | 4.8 km | 68 | Jan 23, 2026 | 61 | — | |
| Merced Nursing & Rehabilitation Ctr 510 West 26th Street, Merced, CA 95340 CCN 055249 | 4.9 km | 79 | Jul 17, 2026 | 46 | — | |
| Golden Merced Care Center 3170 M Street, Merced, CA 95340 CCN 0559882 state class AA/A | 5.2 km | 121 | Aug 20, 2026 | 521 harm2 open | — | |
| Franciscan Post-Acute Care Center 3169 M Street, Merced, CA 95348 CCN 055979 | 5.9 km | 71 | Apr 20, 2026 | 373 harm | $9,110 | |
| Anberry Nursing and Rehabilitation Center 1685 Shaffer Rd, Atwater, CA 95301 CCN 5552441 state class AA/A | 11.5 km | 99 | Jan 23, 2026 | 36 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555901 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555901 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| California CDPH Licensed Facility Listing CA | 630016406 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Oct 16, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0887 | Educate 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. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 19, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jun 29, 2026 |
| Jun 19, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jul 1, 2026 |
| Mar 19, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Mar 18, 2025 | Complaint |
| Dec 13, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 23, 2024 |
| Dec 13, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 23, 2024 |
| Dec 13, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 23, 2024 |
| Dec 13, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 23, 2024 |
| Dec 13, 2024 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0625 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 31, 2024 |
| Dec 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 31, 2024 |
| Nov 2, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Nov 2, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Nov 22, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.70 (case-mix index 1.64).
| Dec 31, 2018 |
| Ng 2016 Holdings Trust Dated September 14, 2016 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 31, 2018 |
| Don and Nancy Gormly Family Trust Dated February 25, 2002 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Jerry and Debbie Holloway Revocable Trust Dated February 25, 2002 | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Nancy Gormly | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Debra Holloway | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Jerry Holloway | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2018 |
| Donald Gormly | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 20, 2015 |
| Jerry Holloway | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2018 |
| Donald Gormly | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 31, 2018 |
| Nancy Gormly | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 31, 2018 |
| Debra Holloway | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 31, 2018 |
| Jerry Holloway | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 31, 2018 |
| Donald Gormly | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 31, 2018 |
| Jerry Holloway | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 31, 2018 |
| David Kuhls | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Dec 16, 2016 |