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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Kaego’s Richman Gardens by Special Community Healthcare (SCH) offers a warm and welcoming atmosphere where residents and staff are encouraged to create friendships and build a mutual level of trust with each other. Specializing in assisted living for memory care seniors– the facility home aims to enhance the quality of life for its residents by ensuring that seniors can satisfy their holistic wellness.
Kaego’s Richman Gardens ensures its residents remain independent and fully supported throughout their journey. They offer amenities and services, including a library, recreational center, outdoor walking paths, a dining room, services such as housekeeping and linen, transportation, daily activities, and memory care training programs.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 262nd out of 345 homes in California for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 43m per day | ▼ 9% State avg: 4h 4m per day · National avg: 3h 25m per day |
Similar to the California average: 72.8%Kaego‘s Richman Gardens by SCH is legally operated by Specialized Community Healthcare Company, and administrated by Magali Sanchez.
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the California state average. The score below shows how many points this facility sits above or below the typical California nursing home score (the benchmark); higher is better.
9 points below the California average for nursing homes (81/100)
Inspection score: 72 out of 100. Letter grade C-. 9 points below the California average for nursing homes (81/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 13 | 10 | This facility has 30% more total citations than a typical California nursing home (13 vs. CA avg 10).↑ 30% worse |
|
Serious citations (Type A)
Violations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 8 | 3 | This facility has 167% more serious citations (type a) than a typical California nursing home (8 vs. CA avg 3).↑ 167% worse Rank #1015 / 1164 Serious citations (Type A) — State benchmarked This home is ranked 1015th out of 1164 homes in California. Shows this facility's # of serious citations compared to the California average among 1164 comparable communities in the ranking pool. |
|
Moderate citations (Type B)
Violations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 5 | 4 | This facility has 25% more moderate citations (type b) than a typical California nursing home (5 vs. CA avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2022.
| 3.3 | 2.5 | This facility has 32% more citations per year than a typical California nursing home (3.3 vs. CA avg 2.5).↑ 32% worse |
|
Citations per inspection
Average citations per inspection.
| 0.7 | 3.3 | This facility has 79% fewer citations per inspection than a typical California nursing home (0.7 vs. CA avg 3.3).↓ 79% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 18 | 16 | This facility has 13% more total visits than a typical California nursing home (18 vs. CA avg 16).↑ 13% worse |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 4 | 13 | This facility has 69% fewer complaint visits than a typical California nursing home (4 vs. CA avg 13).↓ 69% better Rank #529 / 1397 Complaint visits — State benchmarked This home is ranked 529th out of 1397 homes in California. Shows this facility's # of complaint visits compared to the California average among 1397 comparable communities in the ranking pool. |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 12 | 7 | This facility has 71% more other visits than a typical California nursing home (12 vs. CA avg 7).↑ 71% worse |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 2 | 4 | This facility has 50% fewer official inspections than a typical California nursing home (2 vs. CA avg 4).↓ 50% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 3 | 10 | This facility has 70% fewer complaint investigations than a typical California nursing home (3 vs. CA avg 10).↓ 70% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
California average 12.5
Last Health inspection on Aug 2025
California average 50.2
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
49 of 89 citations resulted from standard inspections; and 40 of 89 resulted from complaint investigations.
150% worse than California averageCalifornia average: 0.4
300% worse than California averageCalifornia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with California average
0% compared with California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursAssists with medical care and medications.
90 total: 44 full-time employees and 46 contractors.
90
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
167 total: 128 full-time employees and 39 contractors.
167
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,432 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 128 | 39 | 167 | 41,074 | 92 | 100% | 7.3 |
| Licensed Practical Nurse | 44 | 46 | 90 | 14,634 | 92 | 100% | 7.5 |
| Registered Nurse | 15 | 0 | 15 | 5,952 | 92 | 100% | 7.9 |
| Speech Language Pathologist | 8 | 0 | 8 | 2,861 | 80 | 87% | 7.5 |
| Physical Therapy Aide | 9 | 0 | 9 | 2,590 | 88 | 96% | 7 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,762 | 76 | 83% | 7.1 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,631 | 92 | 100% | 7.8 |
| Physical Therapy Assistant | 5 | 0 | 5 | 1,311 | 76 | 83% | 7.3 |
| Qualified Social Worker | 3 | 0 | 3 | 1,246 | 67 | 73% | 6.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,093 | 82 | 89% | 7.7 |
| Dental Services Staff | 2 | 0 | 2 | 993 | 67 | 73% | 8.4 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 464 | 56 | 61% | 8.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 240 | 30 | 33% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 184 | 39 | 42% | 4.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 78 | 9 | 10% | 8.7 |
| Medical Director | 0 | 1 | 1 | 24 | 24 | 26% | 1 |
| RN Director of Nursing | 1 | 0 | 1 | 10 | 2 | 2% | 5 |
| Other Physician | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
143% higher than California averageCalifornia average: $55K
15% fewer fines than California averageCalifornia average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
102% more payment denials than California averageCalifornia average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 13, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Dec 13, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.6
29% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.9
58% worse than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
11.6%
5% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
16.1%
34% worse than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.1%
132% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
6% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
3.2%
36% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.7%
45% better than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
10.2%
142% worse than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
4.8%
28% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
5.3%
47% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
In line with California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
30% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.3%
7% better than California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
9% of new residents, usually for short-term rehab.
77% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
172Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Kaego‘s Richman Gardens by SCH based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #55 / 346Payroll — State benchmarkedThis home is ranked 55th out of 346 homes in California for payroll. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
0.7 mile from city center
— 1.5 miles to nearest hospital (Fresenius Medical Care at St Jude Medical Cnter Apheresis)
Add your location
Kaego‘s Richman Gardens by SCH is located in Fullerton, California.
Here are the financial assistance programs available to residents in California.
Kaego‘s Richman Gardens by SCH is in the Downtown Fullerton neighborhood of Fullerton.
The legal owner and operator of Kaego‘s Richman Gardens by SCH is Specialized Community Healthcare Company.
Kaego‘s Richman Gardens by SCH has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Kaego‘s Richman Gardens by SCH's occupancy is 73%.
Magali Sanchez is the administrator of Kaego‘s Richman Gardens by SCH.
Kaego‘s Richman Gardens by SCH has 26 beds.
Kaego‘s Richman Gardens by SCH has had 13 recently reported deficiencies.
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