SAN LUIS CARE CENTER
State inspectors recorded 3 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-09-12 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-30 — ACTUAL HARM (tag F0656, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-01-30 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2019-05-28 — ACTUAL HARM (tag F0655, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Staffing, from payroll records
Nursing hours / resident / day
3.53
state median 3.94
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.24
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
38%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $46,118 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-01-30 | Fine | $46,118 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the AVALON HEALTH CARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- FRANCISCAN POST-ACUTE CARE CENTER (MERCED, CA) —
- AVALON CARE CENTER - HONOLULU, LLC (HONOLULU, HI) —
- AVALON CARE CENTER - SCAPPOOSE (SCAPPOOSE, OR) —
- William E Christofferson Salt Lake Veterans Home (Salt Lake City, UT) —
- George E. Wahlen Ogden Veterans Home (Ogden, UT) —
- Southern Utah Veterans Home - Ivins (Ivins, UT) —
- Mervyn Sharp Bennion Central Utah Veterans Home (Payson, UT) —
- GARDEN VILLAGE (YAKIMA, WA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-06 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-06 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-06 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-06 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-06 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-03-06 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-03-06 | F0801 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-03-06 | F0802 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-06 | F0803 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2026-03-06 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-06 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-06 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-03-06 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2026-03-06 | F0908 | Environmental Deficiencies | E | not recorded |
| 2026-03-06 | F0921 | Environmental Deficiencies | E | not recorded |
| 2025-09-12 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-08-08 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-08-08 | F0625 | Resident Rights Deficiencies | E | not recorded |
| 2024-08-08 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-08 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-08 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-08-08 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-05-29 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-29 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-01-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-01-30 | F0656 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2023-12-19 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-04 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-05-28 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2019-05-28 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2019-05-28 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2019-05-28 | F0655 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2019-05-28 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-05-28 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-05-28 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-05-28 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2019-05-28 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2019-05-28 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-05-28 | F0867 | Administration Deficiencies | E | not recorded |
| 2019-05-28 | F0880 | Infection Control Deficiencies | D | not recorded |