5/5
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.
5/5
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.
Settling on 76 acres of tranquil lands in Estates Drive, Fairfield, CA, Paradise Valley Estates is an idyllic senior living community that provides assisted living, memory care, and skilled nursing. Keep peace of mind with a competent and highly trained team assisting seniors with their daily needs around the clock. Moreover, Paradise Valley Estates handles the maintenance and other household chores to provide residents with more time to make the most out of their best years.
Immerse in a wide array of cultural activities and recreational programs to stay active and well–engaged. Personalized meal plans are available to meet dietary needs and preferences. Paradise Valley Estates is ideal for seniors aiming to maximize their freedom while receiving the utmost attention for their ever-changing needs.
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.
Staffing hours
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.
Hours per resident per day vs California averages
Total nursing care
This home is ranked 12th out of 289 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.
5h 49m
38% above state avg
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
2 of 6 metrics below state avg
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Paradise Valley Estates is legally operated by Northern California Retired Officers Community, and administered by Shannon Stack.
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.This is a proprietary Assisted Living Magazine score.
5 points above the California average for nursing homes (81/100)
Rank #649 / 1475 in California Inspection Score — State benchmarked This home is ranked 649th out of 1475 homes in California for inspection score. Shows this facility's inspection score compared to the California average among 1475 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 86 out of 100. Letter grade B. 5 points above 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.
| 6 | 10 | This facility has 40% fewer total citations than a typical California nursing home (6 vs. CA avg 10).↓ 40% better |
|
Serious citations (Type A)
Citations that pose an immediate risk to resident health or safety. Type A citations are the most serious and typically require prompt corrective action.
| 2 | 3 | This facility has 33% fewer serious citations (type a) than a typical California nursing home (2 vs. CA avg 3).↓ 33% better Rank #724 / 1434 Serious citations (Type A) — State benchmarked This home is ranked 724th out of 1434 homes in California for # of serious citations. Shows this facility's # of serious citations compared to the California average among 1434 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. |
|
Moderate citations (Type B)
Citations that do not pose an immediate risk but still represent a departure from required care or operational standards.
| 4 | 4 | This facility has moderate citations (type b) in line with the California average (4 vs. CA avg 4).— At avg |
|
Citations per inspection
Average citations per inspection.
| 0.4 | 3.3 | This facility has 88% fewer citations per inspection than a typical California nursing home (0.4 vs. CA avg 3.3).↓ 88% better |
Inspections & Visits
| This Facility | CA Average | vs. CA Avg |
|---|---|---|---|
|
Total inspections
Combined count of official scheduled inspections, complaint visits and other regulatory visits. California counts each evaluation report, so one trip can count twice when it serves two purposes.
| 17 | 16 | This facility has had 6% more total inspections than the California average (17 vs. CA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↑ 6% more |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 3 | 13 | This facility has had 77% fewer complaint visits than the California average (3 vs. CA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↓ 77% fewer Rank #443 / 1388 Complaint visits — State benchmarked This home is ranked 443rd out of 1388 homes in California for # of complaint visits. Shows this facility's # of complaint visits compared to the California average among 1388 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking. |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 9 | 7 | This facility has had 29% more other visits than the California average (9 vs. CA avg 7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 29% more |
|
Official inspections
Routine, scheduled inspections conducted by state regulators to evaluate whether the facility meets federal and state standards.
| 5 | 4 | This facility has had 25% more official inspections than the California average (5 vs. CA avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↑ 25% more |
|
Complaint investigations
On-site investigations triggered by complaints filed with California regulators.
| 2 | 10 | This facility has had 80% fewer complaint investigations than the California average (2 vs. CA avg 10). More inspections can mean more regulatory scrutiny rather than worse care.↓ 80% fewer |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
State average 12.5
Last Health inspection on Feb 2025
State average 50.2
State average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 25 citations resulted from standard inspections; and 3 of 25 resulted from complaint investigations.
100% better than State averageState average: 0.4
100% worse than State averageState average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% more staff per resident than California average
6% worse than 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 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
7 total: 6 full-time employees and 1 contractor.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursHelps with daily care and mobility.
27 total: 26 full-time employees and 1 contractor.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,377 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 1 | 27 | 9,103 | 92 | 100% | 7.4 |
| Registered Nurse | 10 | 0 | 10 | 2,708 | 92 | 100% | 7.5 |
| Licensed Practical Nurse | 6 | 1 | 7 | 1,668 | 92 | 100% | 7.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 952 | 73 | 79% | 8 |
| Dietitian | 3 | 0 | 3 | 823 | 90 | 98% | 7.8 |
| RN Director of Nursing | 1 | 1 | 2 | 751 | 77 | 84% | 8.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 492 | 62 | 67% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 382 | 65 | 71% | 5.9 |
| Qualified Social Worker | 0 | 1 | 1 | 350 | 58 | 63% | 6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 320 | 56 | 61% | 5.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 286 | 44 | 48% | 6.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 263 | 48 | 52% | 5.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 74 | 14 | 15% | 5.3 |
| Medical Director | 0 | 1 | 1 | 40 | 14 | 15% | 2.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 34 | 10 | 11% | 3.4 |
Includes penalties issued in 2024
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)
10% 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.
0
100% fewer payment denials than California averageCalifornia average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Apr 3, 2024 · $35K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 3, 2024Last 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.
11.3
70% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.4
71% worse than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
27.3%
147% worse than California averageCalifornia average: 11.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.5%
In line with California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
13.8%
178% worse than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
2.6%
112% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
4.2%
In line with California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
1.3%
87% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
5% better than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.2%
17% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
77% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
33Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
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 Paradise Valley Estates from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #4 / 260Payroll costs — State benchmarkedThis home is ranked 4th out of 260 homes in California. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the California average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #55 / 260Payroll % of net patient revenue — State benchmarkedThis home is ranked 55th out of 260 homes in California. Shows payroll as a percentage of net patient revenue versus the California average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California that report data for that category. Facilities without available data are excluded from the ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Pets Allowed
Room Sizes: 803 - 2,090 sq. ft.
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (77% of admissions), and a typical Medicare stay runs around 26 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.0 miles from city center
Estimated distance in miles from Fairfield's city center to Paradise Valley Estates's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Vi at Palo Alto | NH AL IL MC SNF | Palo Alto | 876
Facility
876
CA AVG
104
Rank
#1 / 1646 |
73.1%
Facility
73.1%
CA AVG
73.9
Rank
#851 / 1492 | -1% | 5.11
Facility
5.11
CA AVG
4.22
Rank
#30 / 289 | +28% | +21% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 294 | 90
Facility
90
CA AVG
81
Rank
#461 / 1475 | 18
Facility
18
CA AVG
50.2
Rank
#28 / 291 | 3.0
Facility
3.0
CA AVG
4.6
Rank
#54 / 291 | 1 | 640 | - |
80
Facility
80
CA AVG
59
Rank
#416 / 2058 | Cary Maslow | $15.0MFiscal year ending 12/2023
Facility
$15.0MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#117 / 260 | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
CA AVG
$8.9M
Rank
#73 / 260 | 70.6%Fiscal year ending 12/2023
Facility
70.6%Fiscal year ending 12/2023
CA AVG
61.1%
Rank
#32 / 260 | 555835 | ||||
| Canterbury Woods | NH AL IL SNF | Pacific Grove | 190
Facility
190
CA AVG
104
Rank
#180 / 1646 |
72.6%
Facility
72.6%
CA AVG
73.9
Rank
#865 / 1492 | -2% | 6.30
Facility
6.30
CA AVG
4.22
Rank
#7 / 289 | +10% | +49% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 294 | 91
Facility
91
CA AVG
81
Rank
#408 / 1475 | 26
Facility
26
CA AVG
50.2
Rank
#72 / 291 | 8.7
Facility
8.7
CA AVG
4.6
Rank
#282 / 291 | - | 138 | A+ |
81
Facility
81
CA AVG
59
Rank
#383 / 2058 | Shaida Behnam | $3.2MFiscal year ending 03/2024
Facility
$3.2MFiscal year ending 03/2024
CA AVG
$15.7M
Rank
#259 / 260 | $5.7MFiscal year ending 03/2024
Facility
$5.7MFiscal year ending 03/2024
CA AVG
$8.9M
Rank
#199 / 260 | 176.7%Fiscal year ending 03/2024
Facility
176.7%Fiscal year ending 03/2024
CA AVG
61.1%
Rank
#5 / 260 | 55303 | ||||
| Webster House | NH AL IL SNF | Palo Alto (Crescent Park) | 54
Facility
54
CA AVG
104
Rank
#1116 / 1646 |
90.7%
Facility
90.7%
CA AVG
73.9
Rank
#324 / 1492 | +23% | 4.93
Facility
4.93
CA AVG
4.22
Rank
#42 / 289 | +21% | +17% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 294 | 94
Facility
94
CA AVG
81
Rank
#212 / 1475 | 23
Facility
23
CA AVG
50.2
Rank
#53 / 291 | 5.8
Facility
5.8
CA AVG
4.6
Rank
#239 / 291 | - | 49 | - |
90
Facility
90
CA AVG
59
Rank
#171 / 2058 | Elvyra Abare | $10.2MFiscal year ending 03/2024
Facility
$10.2MFiscal year ending 03/2024
CA AVG
$15.7M
Rank
#198 / 260 | $7.8MFiscal year ending 03/2024
Facility
$7.8MFiscal year ending 03/2024
CA AVG
$8.9M
Rank
#145 / 260 | 76.2%Fiscal year ending 03/2024
Facility
76.2%Fiscal year ending 03/2024
CA AVG
61.1%
Rank
#22 / 260 | 555156 | ||||
| The Vineyards – California Armenian Home | NH AL IL MC RESC SNF | Fresno (Roosevelt) | 412
Facility
412
CA AVG
104
Rank
#27 / 1646 |
54.1%
Facility
54.1%
CA AVG
73.9
Rank
#1265 / 1492 | -27% | 4.63
Facility
4.63
CA AVG
4.22
Rank
#63 / 289 | +6% | +10% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 294 | 91
Facility
91
CA AVG
81
Rank
#408 / 1475 | 37
Facility
37
CA AVG
50.2
Rank
#129 / 291 | 6.2
Facility
6.2
CA AVG
4.6
Rank
#248 / 291 | 1 | 223 | - |
24
Facility
24
CA AVG
59
Rank
#1795 / 2058 | Lucy Grayson | $13.8MFiscal year ending 05/2024
Facility
$13.8MFiscal year ending 05/2024
CA AVG
$15.7M
Rank
#136 / 260 | $9.6MFiscal year ending 05/2024
Facility
$9.6MFiscal year ending 05/2024
CA AVG
$8.9M
Rank
#94 / 260 | 69.8%Fiscal year ending 05/2024
Facility
69.8%Fiscal year ending 05/2024
CA AVG
61.1%
Rank
#34 / 260 | 55955 | ||||
| Paradise Valley Estates | NH AL MC SNF | Fairfield | 743
Facility
743
CA AVG
104
Rank
#6 / 1646 | - | - | 5.82
Facility
5.82
CA AVG
4.22
Rank
#12 / 289 | +75% | +38% | $35.5k
Facility
$35.5k
CA AVG
$56.5k
Rank
#236 / 294 | 86
Facility
86
CA AVG
81
Rank
#649 / 1475 | 25
Facility
25
CA AVG
50.2
Rank
#65 / 291 | 6.3
Facility
6.3
CA AVG
4.6
Rank
#252 / 291 | 2 | 72 | - | - | Northern California Retired Officers Community | $34.0MFiscal year ending 12/2023
Facility
$34.0MFiscal year ending 12/2023
CA AVG
$15.7M
Rank
#10 / 260 | $21.2MFiscal year ending 12/2023
Facility
$21.2MFiscal year ending 12/2023
CA AVG
$8.9M
Rank
#4 / 260 | 62.4%Fiscal year ending 12/2023
Facility
62.4%Fiscal year ending 12/2023
CA AVG
61.1%
Rank
#55 / 260 | 555727 |
Paradise Valley Estates is legally operated by Northern California Retired Officers Community, and administered by Shannon Stack.
Paradise Valley Estates's occupancy is 9.7%.
Paradise Valley Estates has been operating for approximately 28 years, based on available licensing and registration records.
Yes, Paradise Valley Estates allows residents to bring their pets.
Paradise Valley Estates is registered as a non-profit in CA.
Shannon Stack is the administrator of Paradise Valley Estates.
Paradise Valley Estates has 743 beds.
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