SAN PEDRO MANOR
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-06-27 — 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.
2024-05-17 — IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
Staffing, from payroll records
Nursing hours / resident / day
2.95
state median 2.67
Weekend staffing gap
−2%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.29
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
46%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $24,285 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-06-27 | Fine | $14,063 |
| 2024-06-27 | Payment Denial | payment denial |
| 2024-05-17 | Fine | $10,222 |
Ownership
Ownership type: Government - Hospital district. Part of the THE ENSIGN GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) —
- Polaris Extended Care (ANCHORAGE, AK) —
- THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) —
- POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) —
- Desert Terrace Healthcare Center (PHOENIX, AZ) —
- PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) —
- CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) —
- MISSION PALMS POST ACUTE (MESA, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-30 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-08 | F0576 | Resident Rights Deficiencies | C | not recorded |
| 2025-08-08 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2025-08-08 | F0690 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-08-08 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-08 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-08 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-07-30 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-07-17 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-09 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-06-27 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-06-27 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-06-27 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-06-27 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-27 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-06-27 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-06-27 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-06-27 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-06-27 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-27 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-06-27 | F0908 | Environmental Deficiencies | E | not recorded |
| 2024-06-27 | F0925 | Environmental Deficiencies | E | not recorded |
| 2024-05-17 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-17 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-04-02 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-05-12 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-05-12 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-12 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-05-12 | F0814 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-05-12 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |