The Upper San Gabriel Valley Municipal Water District conducted a pilot program focusing on saving water at Skilled Nursing Facilities (SNFs). The primary goals of the SNF retrofit program were: to assist SNFs in retrofitting existing plumbing devices with water-saving devices; and, to determine the accuracy of water surveys conducted for SNFs and similar facilities. During Phase I of the program, fifteen SNFs were selected and visited by the program consultants who conducted full indoor/outdoor water use surveys for each of those facilities. The participating SNFs were a mix of convalescent homes and institutions for developmentally disabled adults. Based on survey results, a full report was developed for each site discussing potential water saving actions (WSAs), estimated water savings and payback times. Phase II of the program involved the installation of all recommended water saving devices and an analysis of pre-retrofit and post-retrofit water usage. Includes table, figures.