Nursing homeFAID #1094
Guardian Care and Rehabilitation Center
★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare
Photo via Google · Guardian Care & Rehab Center
Public record summary
What we can show you for free.
Bed capacity
176
CMS facility ID
056216
Care type
Nursing home
County
San Joaquin
Facility name
Guardian Care and Rehabilitation Center
Street address
410 EASTWOOD AVE
City / state / ZIP
Manteca, CA 95336
Phone
(209) 239-1222
Website
About this facility — Guardian Care and Rehabilitation Center
Guardian Care and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Manteca, California. It is licensed for 176 beds — well above the median for skilled nursing facilities in California (98 beds).
It is one of 25 senior care facilities in Manteca and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Guardian Care and Rehabilitation Center 83 times across 23 inspections in the last three years, including 4 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Ownership type
For profit - Corporation
Registered owners & officers
Cortez, Edna
Managing employee — since 2023
Jose, Josekutty
Director · Officer — since 2022
Regulatory standing
Licensed / certified since
1970-09-16
CMS overall rating
2 of 5 stars
Health deficiencies
25 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-08-29
Nurse staffing
4.0 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$335 per day (≈ $10,180/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
0% Medicaid · 9% Medicare · 91% private/other
Occupancy
51% (fiscal year 2023)
Vs. state median
35% below the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
176
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily 8:00 AM – 8:00 PM
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-30Health inspectionComplaint-triggered1 citation
F-0940
D · No harm foundFrom a complaint
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
2026-06-23Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-07-17
19 earlier / fire-safety inspections (81 citations)
2026-03-19Health inspectionComplaint-triggered2 citations
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-04-10
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2026-04-10
2026-02-20Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-03-20
2026-02-06Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-26
2026-01-06Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-10
2026-01-02Health inspectionComplaint-triggered2 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-01-30
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-01-30
2025-12-23Health inspectionComplaint-triggered2 citations
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-23
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-23
2025-08-29Health inspectionComplaint-triggered14 citations
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-09-29
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-29
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-29
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-29
F-0688
D · No harm found
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.
Corrected 2025-09-29
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-27
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-29
F-0740
D · No harm found
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-09-29
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-29
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-09-29
F-0761
D · No harm found
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.
Corrected 2025-09-29
F-0778
D · No harm found
Help the resident make transportation arrangements to and from radiology services.
Corrected 2025-09-29
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2025-09-29
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-29
2025-06-24Health inspectionComplaint-triggered2 citations
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-24
F-0814
F · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2025-07-24
2025-06-06Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-29
2025-03-06Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-06
2025-03-04Health inspectionComplaint-triggered3 citations
F-0622
D · No harm foundFrom a complaint
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.
Corrected 2025-04-10
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-10
F-0626
D · No harm foundFrom a complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2025-04-10
2024-08-19Health inspectionComplaint-triggered1 citation
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2024-09-19
2024-07-19Health inspectionComplaint-triggered19 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-08-19
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-08-19
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-08-19
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-08-19
F-0584
D · No harm found
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.
Corrected 2024-08-19
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-19
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-19
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-19
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-19
F-0679
D · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-08-19
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-19
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-08-19
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-19
F-0726
E · No harm found
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.
Corrected 2024-08-19
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-19
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-08-19
F-0761
E · No harm found
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.
Corrected 2024-08-19
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-19
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-19
2024-02-27Health inspectionComplaint-triggered1 citation
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-26
2023-08-08Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-04
2023-07-27Health inspection12 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-08-27
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-27
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-08-27
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-27
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-27
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-27
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-27
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-27
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-08-27
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-08-27
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-08-27
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-08-27
2025-08-29Fire-safety inspection3 citations
E-0023
F · No harm found
Establish policies and procedures for medical documentation.
Corrected 2025-09-10
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-09-10
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-10
2024-07-19Fire-safety inspection7 citations
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2024-08-08
K-0346
C · No harm found
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2024-08-08
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-08-08
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-08
K-0354
C · No harm found
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-08-08
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-08-08
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-08
2023-07-27Fire-safety inspection7 citations
E-0031
D · No harm found
Provide emergency officials' contact information.
Corrected 2023-08-07
E-0032
D · No harm found
Provide primary/alternate means for communication.
Corrected 2023-08-07
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2023-08-07
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-07
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-08-07
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-07
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-07
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 056216.
Visitor reviews
What people say on Google.
3.3★★★★★71 ratings on Google
★★★★★Wade Kennedy · 2025-12-22 · via Google“My experience with the Guardian staff has been very positive.. they’ve been quick to respond to any concerns that our family has re. my uncle, and communicate well when he needs any form of care (upcoming Dr. appointments, transportation needs, meds adjustments, etc.).”
★★★★★Les Wilson · 2025-12-29 · via Google“I wish to express my appreciation for the exceptional care my wife has been receiving at Guardian Care & Rehab Center. The dedication of your entire team has been a remarkable experience during what has, for me been a deeply challenging and often overwhelming time. Every member of your staff, without exception, has a level of professionalism, compassion, and sincerity that is truly remarkable. It’…”
★★★★★Tomin George · 2025-11-28 · via Google“I am truly impressed with this facility. The building is beautifully maintained and always in excellent condition. The maintenance team, staff, and caregivers take exceptional pride in keeping everything clean, safe, and welcoming. The caregivers here are kind, attentive, and genuinely dedicated to the well-being of every resident. There are plenty of activities, programs, and accommodations that…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 83 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered