Cloverdale Healthcare Center
CMS five-star sub-ratings
The overall rating starts from the health-inspection rating and is adjusted by staffing and quality-measure performance. How this works.
Facility details
- Type
- Nursing Home
- Ownership
- For-profit
- Certified beds
- 72
- Phone
- (707) 894-5201
- CMS Certification Number
- 055756
- Address
- 300 Cherry Creek Rd, Cloverdale, CA 95425
Staffing
- Total nurse staffing (hrs/resident/day)
- 4.33 hrs
- RN staffing (hrs/resident/day)
- 0.46 hrs
- Total nursing staff turnover
- 38.5 %
Inspection
- Total weighted health survey score
- 19
Other measures
- Average residents per day
- 54.9
Inspection history
Recent citations
| Date | Tag | Issue | Severity |
|---|---|---|---|
| Dec 2025 | 0755 | Pharmacy Service Deficiencies | |
| Dec 2025 | 0761 | Pharmacy Service Deficiencies | |
| Dec 2025 | 0628 | Resident Rights Deficiencies | |
| Dec 2025 | 0658 | Resident Assessment and Care Planning Deficiencies | |
| Mar 2025 | 0580 | Resident Rights Deficiencies complaint | |
| Jan 2025 | 0912 | Environmental Deficiencies | |
| Oct 2022 | 0755 | Pharmacy Service Deficiencies | |
| Oct 2022 | 0761 | Pharmacy Service Deficiencies | |
| Oct 2022 | 0812 | Nutrition and Dietary Deficiencies | |
| Oct 2022 | 0658 | Resident Assessment and Care Planning Deficiencies | |
| Oct 2022 | 0689 | Quality of Life and Care Deficiencies | |
| Oct 2022 | 0802 | Nutrition and Dietary Deficiencies | |
| Oct 2022 | 0805 | Nutrition and Dietary Deficiencies |
Scope/severity runs A (least) to L (most serious); G and above indicate actual harm or immediate jeopardy. Source: CMS health inspection surveys.
Penalties
No federal fines or payment denials are recorded for this nursing home in the latest CMS data.
Ownership
| Owner | Type | Role | Stake |
|---|---|---|---|
| The Ensign Group Inc | Organization | 5% Or Greater Direct Ownership Interest | 100% |
| Gamble, Shawndee | Individual | Managing Control - Governing Body | — |
| Serrano, Noel | Individual | Managing Control - Governing Body | — |
| Burnam, Soon | Individual | Corporate Officer | — |
| Keetch, Chad | Individual | Corporate Officer | — |
| Willits, Adam | Individual | Corporate Officer | — |
| Twomagnets LLC | Organization | Operational/Managerial Control | — |
| Gamble, Shawndee | Individual | Operational/Managerial Control | — |
| Serrano, Noel | Individual | Operational/Managerial Control | — |
| Port, Barry | Individual | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF | — |
| Ensign Services Inc | Organization | Adp Of The SNF | — |
| Red Barn Lakeside Holdings, LLC | Organization | Adp Of The SNF | — |
Owners, managing employees and organizations on file with CMS. Ownership can affect accountability and care patterns. Source: CMS Ownership data.