nursing home in Merced, CA

La Sierra Care Center

2424 M Street, Merced, CA 95340 · (209) 723-4224

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★3
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

La Sierra Care Center at a glance

La Sierra Care Center is a 68-bed for-profit nursing home in Merced, California (Merced County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.

Residents receive about 3.9 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 4.5 hours.

Its most recent standard health inspection (January 23, 2026) found 12 health citations. The California average is 15.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 54.9% per year (state average 36.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
68
Certified for
Medicare and Medicaid
Chain / affiliated entity
Cambridge Healthcare Services
Medicare-certified since
January 1, 1967
Resident/family council
Resident
County
Merced County
CMS Certification Number
055271

Ratings

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53.2 / 53 / 5Average
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)3 / 53.3 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)3 / 54.1 / 53.6 / 5Worse
Long-stay quality rating (higher is better)5 / 54.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)1 / 53.6 / 53.3 / 5Worse

Staffing

This facility3.93 hrsCalifornia average4.52 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.93 hrs4.52 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.52 hrs0.67 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.53 hrs2.65 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.66 hrs4.09 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)54.9%36.7%45.8%Worse
Registered nurse turnover (yearly) (lower is better)85.7%38.1%42.9%Worse
Administrators who left in the past year (lower is better)001Better

Inspections

This facility12California average16U.S. average9
Health citations in the most recent inspection: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)12169Worse
Citations from complaint investigations (latest cycle) (lower is better)143Better
Weighted health inspection score ⓘ (lower is better)77105.880.6Average

Penalties

This facility0California average1U.S. average1
Fines in the past 3 years: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$23,986$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Certified beds6899107
Average residents per day668886
Occupancy96.8%88.4%80.9%

Long-stay residents

This facility0.9%California average1.6%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0.9%1.6%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.5%4.3%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)11%12%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1.3%1.2%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)4.1%10.2%13.9%Better
Long-stay residents whose walking worsened (lower is better)13%9.8%14.1%Better
Long-stay residents who lose too much weight (lower is better)3.3%4%5.2%Better
Long-stay residents with depressive symptoms (lower is better)10.4%7.3%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.4%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)25.1%13.7%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)15.7%10.2%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98.2%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%98.6%93.6%Better

Short-stay residents

This facility5.3%California average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. California and U.S. averages
MeasureThis facilityCalifornia avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)5.3%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)100%93.2%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)100%94.4%82%Better

Inspection citations

State inspectors cited this home for 38 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
January 23, 2026
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected January 29, 2026
January 23, 2026
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected January 29, 2026
January 23, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected February 12, 2026
January 23, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected January 30, 2026
January 23, 2026
Standard
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Tag F0801
E
Potential harm, pattern
Corrected February 23, 2026
January 23, 2026
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
E
Potential harm, pattern
Corrected February 23, 2026
January 23, 2026
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected February 23, 2026
January 23, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected February 23, 2026
January 23, 2026
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
E
Potential harm, pattern
Corrected February 23, 2026
January 23, 2026
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected February 23, 2026
January 23, 2026
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected February 23, 2026
January 23, 2026
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected February 23, 2026
January 23, 2026
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected February 23, 2026
January 23, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected February 23, 2026
January 23, 2026
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected February 23, 2026
November 19, 2025
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected December 11, 2025
April 3, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected April 21, 2025
October 23, 2024
Complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Tag F0800
E
Potential harm, pattern
Corrected November 4, 2024
August 23, 2024
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
F
Potential harm, widespread
Corrected September 4, 2024
August 23, 2024
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected September 4, 2024
August 23, 2024
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected September 4, 2024
August 23, 2024
Fire safety
Meet requirements for the use of electrical equipment.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919
D
Potential harm, isolated
Corrected September 4, 2024
August 23, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected September 4, 2024
August 23, 2024
Fire safety
Establish policies and procedures for medical documentation.
Emergency Preparedness Deficiencies · Tag E0023
C
No harm, widespread
Corrected September 4, 2024
August 23, 2024
Fire safety
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies · Tag K0341
C
No harm, widespread
Corrected September 4, 2024
August 23, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
C
No harm, widespread
Corrected September 4, 2024
August 23, 2024
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
F
Potential harm, widespread
Corrected September 23, 2024
August 23, 2024
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
F
Potential harm, widespread
Corrected September 23, 2024
August 23, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected September 23, 2024
August 23, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected September 23, 2024
August 23, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected September 23, 2024
August 23, 2024
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected September 23, 2024
August 23, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected September 23, 2024
August 23, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected September 23, 2024
August 23, 2024
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected September 23, 2024
August 23, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected September 23, 2024
August 23, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected September 23, 2024
August 23, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected September 23, 2024
August 23, 2024
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected September 23, 2024
October 9, 2023
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected October 26, 2023
April 29, 2021
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected May 18, 2021
April 29, 2021
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies · Tag E0018
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Establish policies and procedures for medical documentation.
Emergency Preparedness Deficiencies · Tag E0023
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies · Tag E0024
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies · Tag E0036
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies · Tag K0232
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies · Tag E0007
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
D
Potential harm, isolated
Corrected May 18, 2021
April 29, 2021
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
F
Potential harm, widespread
Corrected June 10, 2021
April 29, 2021
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected June 10, 2021
April 29, 2021
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected June 10, 2021
April 29, 2021
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
E
Potential harm, pattern
Corrected June 10, 2021
April 29, 2021
Standard
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
E
Potential harm, pattern
Corrected April 29, 2021
April 29, 2021
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected May 11, 2021
April 29, 2021
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected June 10, 2021
April 29, 2021
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected May 20, 2021
April 29, 2021
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected May 20, 2021
April 29, 2021
Standard
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Environmental Deficiencies · Tag F0920
D
Potential harm, isolated
Corrected May 11, 2021

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CRESCENT FACILITIES OPERATIONS LLC
Organization
5% or greater direct ownership interest100%02/07/2007
BERING PROPERTIES LLC
Organization
5% or greater indirect ownership interest—02/01/2007
IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST
Organization
5% or greater indirect ownership interest—02/01/2007
JENMAX ENTERPRISES LLC
Organization
5% or greater indirect ownership interest—02/01/2007
JENNIFER NURIT SMEDRA TRUST 1997 TRUST
Organization
5% or greater indirect ownership interest—02/01/2007
JK-CSH JV LLC
Organization
5% or greater indirect ownership interest—11/01/2006
MANHATTAN FIVE PARTNERS LLC
Organization
5% or greater indirect ownership interest—11/01/2006
THE HYMAN & BETTY INGBER FAMILY TRUST
Organization
5% or greater indirect ownership interest—10/10/2013
WIN WIN ENTERPRISES, LLC
Organization
5% or greater indirect ownership interest—02/01/2007
2424 M STREET LLC
Organization
adp of the snfNOT APPLICABLE12/15/2006
BRETSCH, GREGORY
Individual
adp of the snfNOT APPLICABLE02/25/2019
BUTENKO, JULIE
Individual
adp of the snfNOT APPLICABLE07/24/2023
CAMBRIDGE HEALTHCARE SERVICES LLC
Organization
adp of the snfNOT APPLICABLE07/15/2025
CAPELA, HEIDI
Individual
adp of the snfNOT APPLICABLE04/03/2023
DAROUZE, MICHAEL
Individual
adp of the snfNOT APPLICABLE07/15/2025
HASSELL, LANCE
Individual
adp of the snfNOT APPLICABLE04/25/2022
JENMAX ENTERPRISES LLC
Organization
adp of the snfNOT APPLICABLE02/01/2007
JK-CSH JV LLC
Organization
adp of the snfNOT APPLICABLE11/01/2006
LUTZ, LINDA
Individual
adp of the snfNOT APPLICABLE02/01/2012
MANOHARAN, ARUN
Individual
adp of the snfNOT APPLICABLE08/24/2024
SALAZAR, PAULINA
Individual
adp of the snfNOT APPLICABLE12/14/2020
SMEDRA, IRA
Individual
adp of the snfNOT APPLICABLE04/01/2014
WIN WIN ENTERPRISES, LLC
Organization
adp of the snfNOT APPLICABLE02/01/2007
SMEDRA, IRA
Individual
corporate officerNOT APPLICABLE04/01/2014
WINTNER, JACOB
Individual
corporate officerNOT APPLICABLE02/01/2007
BH ALLIANCE
Organization
indirect ownership interestNOT APPLICABLE11/01/2006
THE JACOB WINTNER TRUST
Organization
indirect ownership interestNOT APPLICABLE11/01/2006
THE WINTNER LIVING TRUST DATED 7/08/1992
Organization
indirect ownership interestNOT APPLICABLE02/01/2007
WINTNER, JACOB
Individual
indirect ownership interestNOT APPLICABLE02/01/2007
BRETSCH, GREGORY
Individual
managing control - governing bodyNOT APPLICABLE02/25/2019
DAROUZE, MICHAEL
Individual
managing control - governing bodyNOT APPLICABLE01/22/2024
BRETSCH, GREGORY
Individual
operational/managerial controlNOT APPLICABLE02/25/2019
BUTENKO, JULIE
Individual
operational/managerial controlNOT APPLICABLE07/24/2023
CAMBRIDGE HEALTHCARE SERVICES LLC
Organization
operational/managerial controlNOT APPLICABLE04/01/2014
CAPELA, HEIDI
Individual
operational/managerial controlNOT APPLICABLE04/03/2023
DAROUZE, MICHAEL
Individual
operational/managerial controlNOT APPLICABLE01/22/2024
HASSELL, LANCE
Individual
operational/managerial controlNOT APPLICABLE04/25/2022
LUTZ, LINDA
Individual
operational/managerial controlNOT APPLICABLE02/01/2012
MANOHARAN, ARUN
Individual
operational/managerial controlNOT APPLICABLE08/24/2024
SALAZAR, PAULINA
Individual
operational/managerial controlNOT APPLICABLE12/01/2020

Showing 40 of 43 records.

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Frequently asked questions

What is La Sierra Care Center's rating?

La Sierra Care Center has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.

How many inspection citations did La Sierra Care Center receive?

Its most recent standard health inspection found 12 citations, compared with a California average of 15.5. Every citation is listed on this page with its severity.

Does La Sierra Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns La Sierra Care Center?

It is for profit - limited liability company and part of Cambridge Healthcare Services. The ownership section on this page lists the owners and managers reported to CMS.

Where is La Sierra Care Center and how do I contact it?

La Sierra Care Center is at 2424 M Street, Merced, CA 95340. Phone: (209) 723-4224.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.