Guardian Care And Rehabilitation Center
GUARDIAN CARE AND REHABILITATION CENTER in MANTECA, CA — inspection on February 20, 2026.
Found 1 citation. 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 an observation on 12/20/26, at 12:38 p.m., in Hall 400, Certified Nursing Assistant (CNA) 1 was observed entering Resident 1's room with the appropriate Personal Protective Equipment (PPE- protective clothing, helmets, goggles, or other garments/gear designed to protect the wearer's body from injury or infection in industrial, medical, or emergency settings).During an observation on 12/20/26, at 12:40 p.m., in Hall 400, CNA 1 exited Resident 1's room, removed her PPE, performed hand hygiene with alcohol based gel located outside the room, and walked down the hall and entered another resident's room.
During an interview on 12/20/26, at 12:42 p.m., with CNA 1, CNA 1 confirmed she performed hand hygiene using an alcohol-based sanitizing gel located outside the Resident 1's room. CNA 1 stated Resident 1 had C. diff and she had done appropriate hand hygiene before moving on to the next resident.
During an interview on 12/20/26, at 12:59 p.m., with the IP, the IP stated she expected the staff to use proper contact precautions when caring for a resident with C. diff.
The IP nurse further stated the proper hand hygiene for C. diff was to use soap and water. CNA 1 explained that alcohol-based sanitizing gel was not enough as it would not kill the C. diff bacteria.
During an interview on 12/20/26, at 1:07 p.m., with the Director of Nursing (DON), the DON stated she expected staff to perform hand hygiene with soap and water when providing care to a C. diff resident.
The DON further stated the risk was the spread of infection to other residents.
The DON explained the importance of handwashing with soap and water was so that the C. diff infection could not spread.Review of an undated facility document titled, Clostridium Difficile, indicated, .5.
Steps toward prevention and early intervention include.d. frequent hand washing with soap and water by staff and residents.Review of an online document posted by the Centers of Disease Control and Prevention (CDC) titled, Preventing C. diff, dated 12/18/24, indicated, Washing hands with soap and water is the best way to prevent the spread of C.
Diff from person to person . https://www.cdc.gov/c-diff/prevention/index.html 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
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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.