Guardian Care And Rehabilitation Center
GUARDIAN CARE AND REHABILITATION CENTER in MANTECA, CA — inspection on January 2, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a concurrent observation and interview on 1/2/26 at, 10:52 AM, with Licensed Nurse (LN) 1, in Resident 1's room, LN 1 confirmed the call light was not within Resident 1's reach because it was hanging from the left side of the bed rail to the floor. LN 1 stated that Resident 1 would not be able to get help right away if the call light was not within reach, which created a safety risk and could result in a fall.
During an interview on 1/2/26, at 4:23 PM, with the Director of Nursing (DON), the DON stated that residents' call lights should always be within a resident's reach.
The DON further stated that if a call light was not within reach, the resident was at risk for a fall.
Review of Resident 1's Care Plan, revised on 12/12/25, in the section titled, Focus, indicated, .Unwitnessed fall. In the section titled, Interventions, indicated, .Keep call light within reach.Review of Resident 1's Care Plan, initiated on 12/17/25, in the section titled, Focus, indicated, .Fracture to right femur. In the section titled, Interventions, indicated, .Keep call light within reach.
Review of the facility policy and procedure (P&P) titled, Answering the Call Light, revised 9/2022, indicated, .Ensure the call light is accessible to the resident when in bed.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
056216 01/02/2026
Guardian Care and Rehabilitation Center 410 Eastwood Ave Manteca, CA 95336
Review of an undated facility policy and procedure (P&P) titled, Accidents and Incidents-Investigating and Reporting, indicated, .The nurse supervisor/charge nurse and/or the department director or supervisor shall promptly initiate and document investigation of the accident or incident.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.