Nursing homeActive

Cloverdale Healthcare Center

300 Cherry Creek Rd, Cloverdale, CA 95425707894520172 certified beds · 56 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
13
1120
Penalties · 3 yrs
none on file
Last survey
2025-12-19
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · California Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-12-19Standard040CMS-2567 (Care Compare)
2025-03-05Complaint010CMS-2567 (Care Compare)
2025-01-09Standard100CMS-2567 (Care Compare)
2022-10-21Standard070CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · California Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-12-19Standard survey · 4 deficienciesOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 055756-20251219-F628
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 055756-20251219-F658
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 055756-20251219-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-29Record 055756-20251219-F761
2025-03-05Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-17Record 055756-20250305-F580
2025-01-09Standard survey · 1 deficiencyOfficial report
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity BPaperwork
Environment
Pattern; potential for minimal harm.Corrected 2025-02-02Record 055756-20250109-F912
2022-10-21Standard survey · 7 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-30Record 055756-20221021-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-30Record 055756-20221021-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-01-30Record 055756-20221021-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-01-30Record 055756-20221021-F761
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-30Record 055756-20221021-F802
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-30Record 055756-20221021-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-01-30Record 055756-20221021-F812

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.36
Facility
California
National
California 0.67 · National 0.69
Total nurse hours per resident day4.36
Facility
California
National
California 4.52 · National 3.86
Weekend total nurse hours3.85
Facility
California
National
California 4.09 · National 3.42
Total nursing staff turnover37%
Facility
California
National
California 37% · National 46%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityCaliforniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.9%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.7%1.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
10.7%12.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%1.2%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.4%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.8%10.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.4%4.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
13.1%13.7%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
The Ensign Group Inc
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Gamble, Shawndee
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Serrano, Noel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Twomagnets LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Burnam, Soon
Individual
CORPORATE OFFICERNOT APPLICABLE
Ensign Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Gamble, Shawndee
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Gamble, Shawndee
Individual
ADP OF THE SNFNOT APPLICABLE
Keetch, Chad
Individual
CORPORATE OFFICERNOT APPLICABLE
Port, Barry
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Red Barn Lakeside Holdings, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Serrano, Noel
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Serrano, Noel
Individual
ADP OF THE SNFNOT APPLICABLE
Twomagnets LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Willits, Adam
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
The Ensign Group342 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or California.

No county cost figures on file for Sonoma.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Healdsburg Hospital D/P SNF
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14.4 mi2024-08-16030
Lakeport Post Acute
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17.4 mi2026-05-130301
Rocky Point Care Center
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Ukiah Post Acute
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25.3 mi2026-06-120240
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01