Turlock Nursing and Rehabilitation Center

    1111 E Tuolumne Rd, Turlock, CA, 95382
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    1.0

    Helpful staff but dangerous neglect

    I had a mixed but ultimately alarming stay. The physical and occupational therapy were excellent and many nurses, CNAs and admissions staff (Vanessa, a few RNs/CNAs named) were kind and helpful, and the building often looked clean. However I experienced or saw repeated neglect: long call-light delays, missed meds, infrequent showers, dirty rooms at times, missing clothes/ cash, rude/denying management, and dangerous medical incidents (falls, poor wound care, refusal of transport) plus a COVID outbreak with deaths. Communication was terrible - phones unanswered, therapy delayed, social work hit-or-miss - so families must constantly advocate. I can't recommend this place unless you supervise everything and keep valuables with you.

    Pricing

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    Amenities

    Healthcare services

    • Accept incoming residents on hospice
    • Activities of daily living assistance
    • Administer insulin injections
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Diabetes care
    • Medication management
    • Mental wellness program
    • Physical therapy
    • Rehabilitation program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision
    • Same day assessments

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Care with behavioral issues
    • Mild cognitive impairment
    • Parkinson's care

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor patio
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Family education and support services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Continuing learning programs
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.97 · 153 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.8
    • Staff

      3.0
    • Meals

      2.6
    • Amenities

      2.5
    • Value

      1.6

    Pros

    • Strong physical and occupational therapy program
    • Compassionate and dedicated nurses and CNAs (many named positively)
    • Effective short-term rehabilitation and measurable functional recoveries
    • Attentive admissions and social services staff who facilitate transitions
    • Engaged activities department with varied programs (yoga, bingo, music)
    • Clean rooms and facility reported by numerous reviewers
    • 24/7 nursing availability reported by some families
    • Some staff demonstrate excellent communication and family updates
    • Successful complex clinical care reported in select cases (trach removal, IV antibiotics)
    • Private rooms and access to gym/exercise equipment
    • Occasional strong management responsiveness after family complaints
    • Pet visitation allowed and some family-friendly visiting areas
    • Range-of-motion and hands-on therapy assistance noted
    • Helpful discharge coordination in some cases
    • Friendly front-desk and admissions representatives noted by many reviewers

    Cons

    • Highly inconsistent quality of care across shifts and staff
    • Long call‑button and nurse response times; delayed help
    • Chronic understaffing and staff appearing distracted (phones)
    • Multiple reports of neglect (soiled linens/diapers left hours, missed showers)
    • Serious safety incidents reported (falls, wounds, infections, missed assessments)
    • Allegations of medication errors, delays, or restricted pain control
    • Poor communication with families and lack of transparency about care
    • Theft and missing personal items reported by several families
    • Claims of profit-driven decisions, pressure around DNRs, and billing disputes
    • Facility cleanliness and upkeep inconsistent—some describe dirty/outdated rooms
    • Failure to isolate infections promptly and Covid outbreak concerns
    • Inadequate wound/prosthetic care and reports of facility-acquired infections
    • Reception/administration sometimes rude, unhelpful, or unresponsive
    • Promises by case managers or social workers sometimes not kept
    • Insufficient or delayed therapy minutes for some patients
    • Problems arranging promised transportation or home health follow-up
    • Phone system failures and difficulty reaching staff
    • Restricted or poorly handled visitation and access near closing hours
    • Inconsistent food quality—some find meals bland or poorly prepared
    • Reports of unsafe discharges or transport without necessary equipment
    • Instances where on-call physician coverage or hospital transfer was refused
    • Unclear or missing documentation of medical orders and medication lists
    • Reports of long holds and poor phone customer service
    • Emotional distress from unempathetic or dehumanizing staff behaviors
    • Staff turnover and morale concerns implied by reviewers

    Summary review

    Overall impression: The reviews for Turlock Nursing and Rehabilitation Center are highly polarized. Numerous families and residents praise the facility for its strong rehabilitation program, dedicated therapists, and many caring frontline staff members. However, a substantial set of reviews describe serious and sometimes dangerous lapses in nursing care, safety, communication, and administration. The pattern across reviews is one of real strengths in therapy and in pockets of compassionate staff, paired with systemic and recurring deficiencies that have produced significant family distress and, in some reports, alleged patient harm.

    Care quality and safety: The most consistent positive theme is the rehabilitation program. Multiple reviewers credited physical and occupational therapy staff (many by name) with measurable recoveries—regained mobility, trach removal, improved independence, and rapid rehabilitation after surgeries or injuries. Therapy is frequently described as skilled, hands-on, and essential to positive outcomes. In contrast, nursing care is highly inconsistent by reviewer account. While many families praised attentive nurses and CNAs who ‘‘go above and beyond,’’ others reported long call‑bell delays, unattended soiled diapers for hours, missed showers, inadequate feeding or meal assistance, and insufficient monitoring for dementia patients. Serious safety concerns are repeatedly mentioned: falls without proper evaluation, wounds and pressure injuries that were poorly managed, possible facility-acquired infections, patients moved without isolation during contagious events, and reports of missed or delayed medication and pain control. Several reviewers described life‑threatening situations (very low blood pressure, rapid weight loss, alleged medication errors, denial of hospital transfer) that prompted emergency readmission or regulatory complaints. These contrasting accounts point to variability by shift, by unit, and by individual staff member.

    Staff, culture, and variability: Reviews repeatedly show staff variability: many named staff (nurses, CNAs, therapists, and admissions/social work personnel) receive heartfelt praise for compassion, competence, and effective communication. Admissions and social services are frequently highlighted as helpful, welcoming, and informative. Conversely, other staff—particularly some night nurses, certain receptionists, and some supervisors—are described as rude, dismissive, or unresponsive. Families report that day staff often behave differently from graveyard shifts. This uneven culture appears to contribute to unpredictable resident experiences: some residents thrive and recover; others report neglect and deterioration. Several reviewers also raise concerns about staff morale, underpayment, and understaffing, which may partially explain the inconsistency.

    Communication, administration, and management: Poor communication is a major recurring theme. Families describe difficulty reaching staff by phone (frequent holds, disconnected calls, or unreturned messages), inconsistent discharge planning, and promises by case managers or social workers that were not fulfilled (transportation, home health setup). Some reviewers report responsive management that resolved issues after complaints, while others describe management as unhelpful, defensive, or rude. Allegations of a profit-driven approach appear in multiple reviews: billing disputes, pressure related to advance directives or DNRs, and refusal to transfer patients to higher-level care. A number of reviewers urged filing complaints with state regulators and the county ombudsman, indicating that some concerns moved beyond isolated dissatisfaction.

    Facility, cleanliness, and amenities: Reports about physical conditions are mixed. Many reviewers say rooms and common areas are clean, the facility is well maintained, and recent renovations or cosmetic updates have helped. Others report outdated, run-down rooms, broken TVs or phones, foul odors, infrequent laundering, and dirty bathrooms. Dining impressions are also mixed: several people praise the food and sufficient portions, while others describe bland, poorly prepared meals and limited choices. Activities and social programs are frequently viewed positively, with an active activities director and varied offerings that improve resident morale.

    Serious allegations and regulatory concerns: Multiple reviewers claim severe events such as theft of money and clothing, unexplained medical declines after admission, COVID outbreaks with inadequate staff protection, alleged unauthorized changes to code-status orders, and delayed or denied hospital transfers. Several described bringing cases to legal or regulatory authorities; others warned potential residents to avoid the facility entirely. While these are reviewer accounts and vary in specificity and corroboration, the repetition and severity of some allegations (theft, deaths related to infection, refusal to hospitalize) are notable and should be treated as red flags by prospective families.

    Common practical patterns and advice implicit in the reviews: The dominant, practical takeaway is that experiences change dramatically depending on timing, unit, and the particular staff assigned. Rehabilitation and therapy are strong reasons families choose this facility, and many short-term stays end positively. But because of frequent reports of understaffing, communication failures, and occasionally dangerous clinical oversights, families repeatedly emphasize the need to closely advocate for loved ones: verify wound care and medications, check call‑bell response times, confirm promised services (transport/home health), verify identity and belongings, and maintain direct communication with therapists and reliable nursing staff. Several reviewers also recommend confirming management responsiveness and considering escalation to regulatory bodies if care deficits arise.

    Bottom line: Turlock Nursing and Rehabilitation Center delivers excellent therapy and has many compassionate, high-performing staff members who help residents recover and feel supported. However, there is a substantial and recurring set of complaints—some alleging serious neglect, safety lapses, theft, and poor management—that indicate systemic reliability problems. Prospective residents and families should weigh the facility's strong rehabilitation services and admired staff against the documented variability in nursing care and administrative responsiveness, and should plan to actively monitor care, ask specific questions about staffing and safety protocols, and be prepared to escalate concerns quickly if problems arise.

    Location

    Map showing location of Turlock Nursing and Rehabilitation Center

    About Turlock Nursing and Rehabilitation Center

    Turlock Nursing and Rehabilitation Center sits in Turlock, California and provides skilled nursing and rehabilitation care for up to 144 residents, with an average of 128 residents staying each day, and the facility offers both short-term and long-term care options, including specialized services like memory care and therapy programs such as physical, occupational, and speech therapy which means residents get treatment based on their individual needs, goals, and doctor's orders. The place accepts admissions any time of day and has a nurse turnover rate of 41%, which is close to the state average, and staff give about 3.78 nurse hours per resident per day, which is a bit lower than the California average, but there's a dedicated team that aims to keep residents comfortable and engaged, with Lance Hassell leading the staff since May 2018. The facility is run as a for-profit corporation, owned by Covenant Care California, LLC and Covenant Care, LLC, and has several indirect owners like Centre Capital Investors V, LP, which ties it to the larger Covenant Care network. The inspection reports show 40 total deficiencies, with 4 related to infection control, but the place has rules about infection control and upholding resident rights, and it honors values like resident dignity, self-determination, and personal choices, as seen in their commitment to providing care based on residents' preferences and care goals. There are several amenities, like an open dining room where meals follow set nutritional plans, spacious rooms and outdoor spaces for relaxation, and structured daily activities and social programs to help folks stay active and connected. Residents can try the Smart Stay Program, get access to clean living areas, and join in on organized recreational activities, with personal care services available when needed. The staff aims for a supportive, home-like environment and works to make sure residents feel they belong, while the facility also offers tours and visits for those interested in learning more about life there.

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