Guardian Care and Rehabilitation Center
410 Eastwood Ave, Manteca, CA 95336 · (209) 239-1222
For profit - Corporation · 176 certified beds
Guardian Care and Rehabilitation Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 14 citations, 1 for actual harm or immediate jeopardy (the California average is 15.6). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 29, 2025 found 14 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 29, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Have a plan that describes the process for conducting QAPI and QAA activities.August 29, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 29, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 29, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.August 29, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.August 29, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.August 29, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.August 29, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.August 29, 2025 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 29, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.August 29, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 29, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Help the resident make transportation arrangements to and from radiology services.August 29, 2025 · F0778 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 29, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 24 citations.
- Develop, implement, and/or maintain an effective training program for all new and existing staff members.June 30, 2026 · F0940 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 23, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are fully informed and understand their health status, care and treatments.March 19, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.March 19, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 20, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 6, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 6, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.January 2, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.January 2, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.December 23, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 23, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.August 29, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 29, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 29, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 24, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Dispose of garbage and refuse properly.June 24, 2025 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 6, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 6, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.March 4, 2025 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.March 4, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.March 4, 2025 · F0626 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.August 19, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.July 19, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 27, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | California average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.96 | 4.52 | 3.86 |
| Registered nurses (RN) | 0.63 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 0.85 | 1.20 | 0.86 |
| Nurse aides | 2.48 | 2.65 | 2.32 |
| Total nursing staff turnover | 31.7% | 36.7% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 176 |
| Average residents per day | 97.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Harvest Crossing Post Acute Manteca · ★★★★★ 2 out of 5 stars
- Fairmont Rehabilitation Hospital Lodi · ★★★★★ 4 out of 5 stars
- Arbor Rehabilitation & Nursing Center Lodi · ★★★★★ 4 out of 5 stars
- Bethany Home Society San Joaquin County Ripon · ★★★★★ 4 out of 5 stars
- Meadowood a Health and Rehabilitation Center Stockton · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Guardian Care and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.