Krystal Meza
Apr 2026
Horrible horrible experience having a loved one here. They don’t give the correct basic necessary care. Very careless.
1 / 5Quick Facts
- Total units
- 176
- Medicare rating
- 1 of 5
- Ownership
- For profit, Corporation
- Certified beds
- 176
- Inspections
- View history (81 citations)
- Nursing coverage
- Licensed nurse on-site 24 hours a day
- Physician availability
- Physician on call at all times
- Visiting policy
- No set visiting hours, no appointment needed
- Facility size
- Largest skilled nursing facility in Manteca area
- Therapy services on-site
- Physical, occupational, and speech therapy provided
CMS Care Compare
What Families Think
Reviewers largely praise Guardian Care & Rehab Center for attentive, compassionate staff and a clean, well-maintained building, with several families noting significant improvement over prior facilities. A minority report describes neglect of basic care needs, creating some inconsistency in experience. As a skilled nursing facility, it focuses on short- and long-term rehabilitative and medical care rather than a traditional residential-living experience.
The Good
- Staff described as kind, attentive, and communicative
- Facility kept clean and well-maintained
- Frequent family updates on residents' condition
- Residents taken on wheelchair walks for engagement
- Located right off Highway 99 for accessibility
The Bad
- One report of careless, insufficient basic care
AI-generated from reviews and community data.
Guardian Care & Rehab Center is a senior living community in Manteca, California offering Skilled Nursing / Long Term Care. Amenities include Social Activities, Transportation Services and Housekeeping. Families rate it 3.3 out of 5 across 72 reviews.
About Guardian Care & Rehab Center
Guardian Care & Rehabilitation Center is a skilled nursing facility in Manteca, California, offering short-term and long-term rehabilitative care and nursing services. Licensed health professionals provide focused care aimed at improving physical and emotional health following injury or illness, with the goal of helping patients regain independence and return home.
The facility operates 24 hours a day with a licensed nurse always available and a physician on call. Services include skilled nursing care, physical therapy, occupational therapy, speech-language therapy, specialty feeding, medication management, wound care, intravenous therapy, injections, and pain management. Guardian Care & Rehab Center describes itself as the largest skilled nursing facility in the Manteca area.
Care at the facility is built on person-centered philosophy, with each patient assessed as unique at admission. The team works closely with residents, families, and physicians to develop individualized care plans focused on specific goals and timely achievement of ideal outcomes. Beyond medical services, the facility provides life enrichment activities to support residents' quality of life, health, and dignity.
Visiting is permitted with no set hours, though the facility recommends 10:00 a.m. to 8:00 p.m. as ideal visiting times with no appointment registration required. Residents may arrange leaves of absence with physician authorization through the nursing staff.
Types of Care at Guardian Care & Rehab Center
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Private Rooms
- Wheelchair Accessible
Meals & Dining
- Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
Community Amenities
- 24-Hour Staff
- Housekeeping
- Medication Management
- On-Site Nurse (RN)
- Security
- Transportation Services
Activities
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of Guardian Care & Rehab Center
3.3overall · 72 ratings combined
3.3★ on Google (72)
Les Wilson
Dec 2025
I wish to express my appreciation for the exceptional care my wife has been receiving at Guardian Care & Rehab Center. The dedication of your entire team has been a remarkable experience during what has, for me been a deeply challenging and often overwhelming time. Every member of your staff, without exception, has a level of professionalism, compassion, and sincerity that is truly remarkable. It’s clear that working in an environment dedicated to the sick and elderly is more than just a job for them. From the warm greetings at the front office to the meticulous attention of the housekeepers, and the constant support from the nursing staff, every interaction is with genuine respect and a commitment to patient dignity. I have been consistently impressed by how readily everyone steps forward to assist with any request, always with a kind word and a helpful demeanor. In fact, the warmth and support I've encountered have been so genuine that I've even had the privilege of fostering some sincere friendships within these halls during a very stressful period. Your collective efforts make an immeasurable difference in the lives of patients and their families every single day.
Wade Kennedy
Dec 2025
My experience with the Guardian staff has been very positive.. they’ve been quick to respond to any concerns that our family has re. my uncle, and communicate well when he needs any form of care (upcoming Dr. appointments, transportation needs, meds adjustments, etc.).
Kamran H (Kam)
Dec 2025
What a breath of fresh air! BUT WHAT is up with these bad reviews??! We moved our grandma from a run-down and neglectful SNF in the East Bay where my grandma would be left in her own diaper for hours on end and be begging for water and food. We moved her to Guardian and we couldn't be more happy. Her diaper is actually changed. She's actually covered and warm in her blankets. The staff here contacts us frequently with updates on her condition. We can't thank Bristol Hospice company enough for helping us get our grandma to Guardian. My grandma would be laying in bed exposed, neglected, and covered in her own feces (sorry for the imagery) at the East Bay SNF but here she's cleaned up ASAP, and even taken out for little wheelchair walks. It might not be much, but for someone's well-being this does wonders. No SNF will be perfect, but Guardian and its staff definitely do try and show that they care--we are very happy she's at Guardian (and it's right off the 99 for us which makes it very accessible). Not to mention that the rooms are clean and people are generally doing their jobs here. So much better than the place we were in the East Bay (where they would have open diapers just sitting around)! Very grateful for Guardian! Thank you all so much!
Tomin George
Nov 2025
I am truly impressed with this facility. The building is beautifully maintained and always in excellent condition. The maintenance team, staff, and caregivers take exceptional pride in keeping everything clean, safe, and welcoming. The caregivers here are kind, attentive, and genuinely dedicated to the well-being of every resident. There are plenty of activities, programs, and accommodations that keep residents engaged, active, and happy throughout the day. If you are looking for a place where your loved one will be treated with dignity, compassion, and high-quality care, I highly recommend this nursing home. Your loved one will be in very good hands here.
Government Inspection History
16 inspection visits in the last three years, 81 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Mar 19, 2026Health Complaint2 citations
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 10, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2026
Feb 20, 2026Health Complaint1 citation
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 20, 2026
Feb 6, 2026Health Complaint1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 26, 2026
Jan 6, 2026Health Complaint1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 10, 2026
Jan 2, 2026Health Complaint2 citations
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 30, 2026
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 30, 2026
Dec 23, 2025Health Complaint2 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 23, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 23, 2026
Aug 29, 2025Fire Safety StandardHealth ComplaintHealth Standard17 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 27, 2025
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 10, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 29, 2025
Establish policies and procedures for medical documentation.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 29, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 29, 2025
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 10, 2025
Provide enough food/fluids to maintain a resident's health.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Ensure 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Help the resident make transportation arrangements to and from radiology services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 29, 2025
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 29, 2025
Jun 24, 2025Health Complaint2 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jul 24, 2025
Dispose of garbage and refuse properly.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jul 24, 2025
Jun 6, 2025Health Complaint1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 29, 2025
Mar 6, 2025Health Complaint1 citation
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 6, 2025
Mar 4, 2025Health Complaint3 citations
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2025
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2025
Aug 19, 2024Health Complaint1 citation
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 19, 2024
Jul 19, 2024Fire Safety StandardHealth ComplaintHealth Standard26 citations
Properly provide smoke detection systems in areas open to corridors.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2024
Inspect, test, and maintain automatic sprinkler systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2024
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 8, 2024
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 8, 2024
Ensure 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 19, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 19, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 19, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Protect each resident from the wrongful use of the resident's belongings or money.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 19, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Provide activities to meet all resident's needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 19, 2024
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Severity C of L: potential for minimal harm, widespreadCorrected Aug 8, 2024
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Severity C of L: potential for minimal harm, widespreadCorrected Aug 8, 2024
Conduct testing and exercise requirements.
Severity C of L: potential for minimal harm, widespreadCorrected Aug 8, 2024
Feb 27, 2024Health Complaint1 citation
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 26, 2024
Aug 8, 2023Health Complaint1 citation
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 4, 2023
Jul 27, 2023Fire Safety StandardHealth ComplaintHealth Standard19 citations
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 27, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 27, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 27, 2023
Install corridor and hallway doors that block smoke.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 7, 2023
Provide emergency officials' contact information.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 7, 2023
Provide primary/alternate means for communication.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 7, 2023
Use approved construction type or materials.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 7, 2023
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 7, 2023
Have generator or other power source capable of supplying service within 10 seconds.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 7, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 27, 2023
Ensure proper usage of power strips and extension cords.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 7, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 27, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 27, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 27, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 27, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 27, 2023
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 27, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 27, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 27, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Guardian Care & Rehab Center offer?
Guardian Care & Rehab Center offers Skilled Nursing / Long Term Care.
Where is Guardian Care & Rehab Center located?
Guardian Care & Rehab Center is located at 410 Eastwood Ave in Manteca, California.
What do families say about Guardian Care & Rehab Center?
Reviewers largely praise Guardian Care & Rehab Center for attentive, compassionate staff and a clean, well-maintained building, with several families noting significant improvement over prior facilities. A minority report describes neglect of basic care needs, creating some inconsistency in experience. As a skilled nursing facility, it focuses on short- and long-term rehabilitative and medical care rather than a traditional residential-living experience.
How did Guardian Care & Rehab Center do on recent health and safety inspections?
Guardian Care & Rehab Center had 16 government inspection visits in the last three years, with 81 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Guardian Care & Rehab Center?
Submit the Request Information form on this page to connect with Guardian Care & Rehab Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Guardian Care & Rehab Center? Claim this listing to update photos, pricing, and details. It's free.
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