{"schema_version":"1.0.0","facility":{"id":"cms-555017","ccn":"555017","name":"Riverwalk Post Acute","source_name":"RIVERWALK POST ACUTE","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"CA","address":{"line1":"4000 Harrison Street","city":"Riverside","state":"CA","zip":"92503","county_name":"Riverside County","county_fips":"06065","county_method":"name_match","ssa_county_code":"430","urban":true},"location":{"lat":33.9207,"lon":-117.45,"method":"cms_published_coordinates"},"phone":"9517856060","certification":{"authority":"CMS","ccn":"555017","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1976-04-22","certified_beds":146,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/555017"},"licenses":[{"state":"CA","authority":"California Department of Public Health (CDPH), Licensing & Certification","license_number":"250000214","state_facility_id":"250000091","license_type":"Skilled Nursing Facility","source_type_code":"SNF","status":"active","facility_status":"open","licensed_beds":146,"initial_license_date":"1972-05-22","effective_date":"2026-10-07","expiration_date":"2027-10-06","licensee":"ORANGE TREEIDENCE OPCO, LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Licensed and Certified","federal_programs":"Medicare (and possibly Medicaid)","ccn":"555017","as_of":"2026-10-16","evidence_class":"VERIFIED","source_id":"ca_cdph_facility_listing","source_url":"https://data.chhs.ca.gov/dataset/healthcare-facility-locations"}],"capacity":{"certified_beds":146,"licensed_beds":146,"avg_residents_per_day":136.3},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"ORANGE TREEIDENCE OPCO, LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":3},"health_inspection":{"value":2},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":4},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.75877,"lpn_hprd":1.30251,"rn_hprd":0.26824,"licensed_hprd":1.57075,"total_nurse_hprd":4.32952,"weekend_total_nurse_hprd":3.92374,"weekend_rn_hprd":0.17963,"pt_hprd":0.1309,"nursing_turnover_pct":28.2,"rn_turnover_pct":0,"administrators_left":0,"case_mix_index":1.59838,"case_mix_index_ratio":1.1334,"case_mix_total_nurse_hprd":4.42122,"adjusted_total_nurse_hprd":3.78997,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-12-11","cycle1_deficiencies":20,"cycle1_score":104,"cycle2_date":"2024-10-24","cycle23_deficiencies":23,"cycle23_score":104,"total_weighted_score":104},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-690","cms_chain_id":"690","name":"PACS GROUP"},"operator_id":"op-orange-treeidence-opco-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/555017","provenance":[{"source_id":"cms_provider_info","source_record_id":"555017","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555017&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"555017","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555017&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"ca_cdph_facility_listing","source_record_id":"250000091","url":"https://data.chhs.ca.gov/dataset/healthcare-facility-locations","retrieved_at":"2026-11-07T13:31:59.230Z","source_updated_at":"2026-10-16","effective_date":"2026-10-16","jurisdiction":"CA","fields":["state_license","licensed_beds","licensee"],"evidence_class":"VERIFIED","status":"current","note":"Linked to the CMS record by exact CCN."}],"inspection_summary":{"count":24,"health_count":21,"fire_count":3,"complaint_count":19,"latest_date":"2026-07-22","latest_standard_health":"2025-12-11","earliest_date":"2022-01-07","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":73,"health_count":53,"fire_count":20,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":31,"by_severity":{"potential":70,"minimal":3},"by_scope_severity":{"E":9,"D":57,"F":4,"C":2,"B":1},"by_concept":{"environment_life_safety":15,"clinical_care":24,"resident_rights":15,"emergency_preparedness":7,"administration":2,"staffing":1,"infection_prevention":3,"medication":4,"food_nutrition":2},"type_ids":["cms-f0921","cms-f0677","cms-f0684","cms-f0842","cms-f0580","cms-f0689","cms-f0655","cms-k0161","cms-k0920","cms-k0321","cms-k0363","cms-e0004","cms-f0838","cms-f0712","cms-f0880","cms-f0558","cms-f0656","cms-f0658","cms-f0693","cms-f0755","cms-f0759","cms-f0573","cms-f0602","cms-f0808","cms-f0551","cms-f0692","cms-f0758","cms-f0686","cms-k0222","cms-k0712","cms-f0622","cms-f0623","cms-f0625","cms-f0626","cms-f0600","cms-k0353","cms-e0006","cms-e0025","cms-e0030","cms-e0031","cms-e0039","cms-k0325","cms-k0343","cms-k0511","cms-f0812","cms-f0554","cms-f0685","cms-f0690","cms-f0695","cms-f0697","cms-f0761","cms-f0770"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"state_action_summary":{"count":14,"class_aa":0,"class_a":3,"class_b":11,"death_related":1,"amount_final_total":43100,"earliest":"2004-06-30","latest":"2024-04-25","since_2019":3,"evidence_class":"HISTORICAL","note":"California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies."},"ownership_summary":{"disclosures":6,"organizations":0,"individuals":6,"not_available":false}},"row":{"id":"cms-555017","ccn":"555017","name":"Riverwalk Post Acute","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"CA","city":"Riverside","zip":"92503","county_fips":"06065","county_name":"Riverside County","address":"4000 Harrison Street","beds":146,"residents":136.3,"ownership":"for_profit","operator_id":"op-orange-treeidence-opco-llc","operator_name":"Orange Treeidence Opco, LLC","chain_id":"cms-chain-690","chain_name":"Pacs Group","lat":33.9207,"lon":-117.45,"overall":3,"health_rating":2,"staffing_rating":3,"qm_rating":5,"nurse_hprd":4.33,"turnover":28.2,"inspections":24,"last_inspection":"2026-07-22","deficiencies":73,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0921","cms-f0677","cms-f0684","cms-f0842","cms-f0580","cms-f0689","cms-f0655","cms-k0161","cms-k0920","cms-k0321","cms-k0363","cms-e0004","cms-f0838","cms-f0712","cms-f0880","cms-f0558","cms-f0656","cms-f0658","cms-f0693","cms-f0755","cms-f0759","cms-f0573","cms-f0602","cms-f0808","cms-f0551","cms-f0692","cms-f0758","cms-f0686","cms-k0222","cms-k0712","cms-f0622","cms-f0623","cms-f0625","cms-f0626","cms-f0600","cms-k0353","cms-e0006","cms-e0025","cms-e0030","cms-e0031","cms-e0039","cms-k0325","cms-k0343","cms-k0511","cms-f0812","cms-f0554","cms-f0685","cms-f0690","cms-f0695","cms-f0697","cms-f0761","cms-f0770"],"universe":"cms","licensed_beds":146,"state_license":"CA 250000214","state_actions":14,"state_serious":3,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-orange-treeidence-opco-llc","name":"Orange Treeidence Opco, LLC","legal_name":"ORANGE TREEIDENCE OPCO, LLC","facility_count":1,"states":["CA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-690","name":"Pacs Group","cms_chain_id":"690","facility_count":277,"states":["AK","AZ","CA","CO","ID","KS","KY","MO","NV","OH","OR","PA","SC","TN","TX","WA"],"cms_reported":{"facility_count":277,"avg_overall_rating":3,"avg_health_inspection_rating":2.5,"avg_staffing_rating":2.5,"avg_qm_rating":4.5}},"ownership":[{"owner_type":"individual","owner_name":"Frederick Apt","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"APT, FREDERICK"},{"owner_type":"individual","owner_name":"Mark Hancock","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"HANCOCK, MARK"},{"owner_type":"individual","owner_name":"Joshua Jergensen","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"JERGENSEN, JOSHUA"},{"owner_type":"individual","owner_name":"John Mitchell","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-01-01","owner_name_raw":"MITCHELL, JOHN"},{"owner_type":"individual","owner_name":"Calvin Patel","role":"managing_employee","role_raw":"CONTRACTED MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2023-10-01","owner_name_raw":"PATEL, CALVIN"},{"owner_type":"individual","owner_name":"Ben Weese","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2023-01-01","owner_name_raw":"WEESE, BEN"}],"inspections":[{"id":"cms-555017-20260722-health","ccn":"555017","date":"2026-07-22","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-10","cmp":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2026-08-10","cmp":1}]},{"id":"cms-555017-20260715-health","ccn":"555017","date":"2026-07-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-27","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-27","cmp":1}]},{"id":"cms-555017-20260304-health","ccn":"555017","date":"2026-03-04","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-27","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-27","cmp":1}]},{"id":"cms-555017-20260102-health","ccn":"555017","date":"2026-01-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-22","cmp":1}]},{"id":"cms-555017-20251211-fire","ccn":"555017","date":"2025-12-11","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0161","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-29","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-29","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2025-12-29","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-29","std":1,"tv":"New"},{"t":"cms-e0004","ss":"C","sl":1,"cs":"corrected","cd":"2025-12-29","std":1,"tv":"New"}]},{"id":"cms-555017-20251211-health","ccn":"555017","date":"2025-12-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0712","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0838","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-07","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-01-07","std":1}]},{"id":"cms-555017-20251113-health","ccn":"555017","date":"2025-11-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":1,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0573","ss":"B","sl":1,"cs":"corrected","cd":"2025-12-17","cmp":1}]},{"id":"cms-555017-20250702-health","ccn":"555017","date":"2025-07-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0602","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-25","cmp":1}]},{"id":"cms-555017-20250620-health","ccn":"555017","date":"2025-06-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-11","cmp":1},{"t":"cms-f0808","ss":"D","sl":2,"cs":"corrected","cd":"2025-07-11","cmp":1}]},{"id":"cms-555017-20250613-health","ccn":"555017","date":"2025-06-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-06-20","cmp":1}]},{"id":"cms-555017-20250414-health","ccn":"555017","date":"2025-04-14","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0921","ss":"D","sl":2,"cs":"corrected","cd":"2025-04-25","cmp":1}]},{"id":"cms-555017-20250305-health","ccn":"555017","date":"2025-03-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0551","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-27","cmp":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-27","cmp":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-27","cmp":1}]},{"id":"cms-555017-20241224-health","ccn":"555017","date":"2024-12-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-13","cmp":1}]},{"id":"cms-555017-20241101-health","ccn":"555017","date":"2024-11-01","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-22","cmp":1}]},{"id":"cms-555017-20241024-fire","ccn":"555017","date":"2024-10-24","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0161","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"},{"t":"cms-k0222","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"},{"t":"cms-k0712","ss":"C","sl":1,"cs":"corrected","cd":"2024-11-18","std":1,"tv":"New"}]},{"id":"cms-555017-20241024-health","ccn":"555017","date":"2024-10-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1,"std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1,"std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1,"std":1}]},{"id":"cms-555017-20240711-health","ccn":"555017","date":"2024-07-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0622","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-02","cmp":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-07","cmp":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-02","cmp":1},{"t":"cms-f0626","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-02","cmp":1}]},{"id":"cms-555017-20240327-health","ccn":"555017","date":"2024-03-27","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0623","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-06","cmp":1}]},{"id":"cms-555017-20240124-health","ccn":"555017","date":"2024-01-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"E","sl":2,"cs":"corrected","cd":"2024-02-19","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-02-19","cmp":1}]},{"id":"cms-555017-20240109-health","ccn":"555017","date":"2024-01-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-30","cmp":1}]},{"id":"cms-555017-20231026-health","ccn":"555017","date":"2023-10-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-13","cmp":1}]},{"id":"cms-555017-20231002-health","ccn":"555017","date":"2023-10-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2023-10-16","cmp":1}]},{"id":"cms-555017-20220107-fire","ccn":"555017","date":"2022-01-07","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-e0006","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-e0025","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-e0030","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-e0031","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-e0039","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-k0161","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-k0325","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-k0343","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-01","std":1,"tv":"New"}]},{"id":"cms-555017-20220107-health","ccn":"555017","date":"2022-01-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":10,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0554","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0685","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0770","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1}]}],"deficiency_types":{"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0363":{"code":"K-0363","title":"Install corridor and hallway doors that block smoke.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-f0838":{"code":"F-0838","title":"Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0712":{"code":"F-0712","title":"Ensure that the resident and his/her doctor meet face-to-face at all required visits.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0658":{"code":"F-0658","title":"Ensure services provided by the nursing facility meet professional standards of quality.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0693":{"code":"F-0693","title":"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.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0759":{"code":"F-0759","title":"Ensure medication error rates are not 5 percent or greater.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0573":{"code":"F-0573","title":"Let each resident or the resident's legal representative access or purchase copies of all the resident's records.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0602":{"code":"F-0602","title":"Protect each resident from the wrongful use of the resident's belongings or money.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0808":{"code":"F-0808","title":"Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0551":{"code":"F-0551","title":"Give the resident's representative the ability to exercise the resident's rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0758":{"code":"F-0758","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0622":{"code":"F-0622","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0625":{"code":"F-0625","title":"Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0626":{"code":"F-0626","title":"Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0006":{"code":"E-0006","title":"Conduct risk assessment and an All-Hazards approach.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0025":{"code":"E-0025","title":"Create arrangements with other facilities to receive patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0030":{"code":"E-0030","title":"List the names and contact information of those in the facility.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0031":{"code":"E-0031","title":"Provide emergency officials' contact information.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0325":{"code":"K-0325","title":"Have properly installed hallway dispensers for alcohol-based hand rub.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0343":{"code":"K-0343","title":"Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0554":{"code":"F-0554","title":"Allow residents to self-administer drugs if determined clinically appropriate.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0685":{"code":"F-0685","title":"Assist a resident in gaining access to vision and hearing services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0770":{"code":"F-0770","title":"Provide timely, quality laboratory services/tests to meet the needs of residents.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"}},"penalties":[],"state_actions":[{"id":"cms-555017-ca-250020051","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250020051","date":"2024-04-25","violation_date":"2024-02-05","type":"Citation","detail":"Citation B (HSC 1424)","category":"Other · FTR Ombudsman","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":200,"amount_final":200,"death_related":false,"appealed":false,"disposition":"Open","fiscal_year":"SFY2023-24","evidence_class":"HISTORICAL","source_record_id":"250020051"},{"id":"cms-555017-ca-250020050","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250020050","date":"2024-04-25","violation_date":"2024-01-08","type":"Citation","detail":"Citation B (HSC 1424)","category":"Other · FTR Ombudsman","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":200,"amount_final":200,"death_related":false,"appealed":false,"disposition":"Open","fiscal_year":"SFY2023-24","evidence_class":"HISTORICAL","source_record_id":"250020050"},{"id":"cms-555017-ca-250020049","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250020049","date":"2024-04-25","violation_date":"2023-11-15","type":"Citation","detail":"Citation B (HSC 1424)","category":"Other · FTR Ombudsman","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":200,"amount_final":200,"death_related":false,"appealed":false,"disposition":"Open","fiscal_year":"SFY2023-24","evidence_class":"HISTORICAL","source_record_id":"250020049"},{"id":"cms-555017-ca-250014428","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250014428","date":"2018-10-02","violation_date":"2018-08-11","type":"Citation","detail":"Citation B (HSC 1424)","category":"Abuse/Facility Not Self Reported","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":6000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2018-19","evidence_class":"HISTORICAL","source_record_id":"250014428"},{"id":"cms-555017-ca-250013946","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250013946","date":"2018-04-12","violation_date":"2017-10-10","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"A","class_final":"A","class":"A","class_label":"Class A","class_meaning":"Imminent danger, or substantial probability, of death or serious harm","rank":3,"amount_initial":15000,"amount_final":10000,"death_related":true,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2017-18","evidence_class":"HISTORICAL","source_record_id":"250013946"},{"id":"cms-555017-ca-250013855","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250013855","date":"2018-02-28","violation_date":"2017-08-29","type":"Citation","detail":"Citation B (HSC 1424)","category":"Abuse/Facility Not Self Reported","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":6000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2017-18","evidence_class":"HISTORICAL","source_record_id":"250013855"},{"id":"cms-555017-ca-250013296","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250013296","date":"2017-06-21","violation_date":"2016-10-14","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Care","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":2000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"250013296"},{"id":"cms-555017-ca-250012258","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250012258","date":"2016-10-27","violation_date":"2015-09-14","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"A","class_final":"A","class":"A","class_label":"Class A","class_meaning":"Imminent danger, or substantial probability, of death or serious harm","rank":3,"amount_initial":10000,"amount_final":8000,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"250012258"},{"id":"cms-555017-ca-250012389","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250012389","date":"2016-07-20","violation_date":"2016-02-10","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Care","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":2000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"250012389"},{"id":"cms-555017-ca-250012056","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250012056","date":"2016-03-09","violation_date":"2015-11-01","type":"Citation","detail":"Citation B (HSC 1424)","category":"Abuse/Facility Not Self Reported","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":1000,"amount_final":1000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2015-16","evidence_class":"HISTORICAL","source_record_id":"250012056"},{"id":"cms-555017-ca-250012038","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250012038","date":"2016-02-24","violation_date":"2015-02-16","type":"Citation","detail":"Citation B (HSC 1424)","category":"Abuse/Facility Not Self Reported","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":2000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2015-16","evidence_class":"HISTORICAL","source_record_id":"250012038"},{"id":"cms-555017-ca-250011146","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250011146","date":"2014-12-03","violation_date":"2013-10-27","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Care","class_initial":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":1000,"amount_final":1000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2014-15","evidence_class":"HISTORICAL","source_record_id":"250011146"},{"id":"cms-555017-ca-250010528","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250010528","date":"2014-03-14","violation_date":"2012-10-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Care","class_initial":"B","class_final":"B","class":"B","class_label":"Class B","class_meaning":"Direct or immediate relationship to patient health, safety or security","rank":2,"amount_initial":2000,"amount_final":1500,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2013-14","evidence_class":"HISTORICAL","source_record_id":"250010528"},{"id":"cms-555017-ca-250001540","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"250001540","date":"2004-06-30","violation_date":"2003-11-03","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"A","class_final":"A","class":"A","class_label":"Class A","class_meaning":"Imminent danger, or substantial probability, of death or serious harm","rank":3,"amount_initial":12000,"amount_final":3000,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2003-04","evidence_class":"HISTORICAL","source_record_id":"250001540"}],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555017&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555017&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555017&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555017&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555017&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=555017&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"CA","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":4.2,"staffing_rating":3.3,"avg_residents_per_day":87.6,"cycle1_health_deficiencies":15.7,"cycle1_fire_deficiencies":6.3,"nurse_aide_hprd":2.66,"lpn_hprd":1.2,"rn_hprd":0.67957,"licensed_hprd":1.88,"total_nurse_hprd":4.54292,"weekend_total_nurse_hprd":4.10275,"weekend_rn_hprd":0.52,"pt_hprd":0.1,"nursing_turnover_pct":36.6,"rn_turnover_pct":37.8,"administrators_left":0.4,"case_mix_index":1.5057,"fines":0.8,"fine_amount":23366,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"CA","name":"California"},"county":{"fips":"06065","name":"Riverside County"},"zip":"92503","city":"Riverside"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-055001","ccn":"055001","name":"Redlands Healthcare Center","address":"1620 W Fern Ave","city":"Redlands","state":"CA","zip":"92373","beds":78,"overall":5,"inspections":7,"last_inspection":"2026-04-23","deficiencies":23,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":78,"state_actions":5,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055049","ccn":"055049","name":"Pleasant Hill Post Acute","address":"1625 Oak Park Boulevard","city":"Pleasant Hill","state":"CA","zip":"94523","beds":51,"overall":4,"inspections":7,"last_inspection":"2026-07-06","deficiencies":51,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":51,"state_actions":1,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055064","ccn":"055064","name":"Cottonwood Canyon Healthcare Center","address":"1391 Madison Avenue","city":"El Cajon","state":"CA","zip":"92021","beds":96,"overall":3,"inspections":18,"last_inspection":"2026-08-26","deficiencies":78,"serious":1,"ij":0,"open":0,"fines_total":9255,"status":"active","universe":"cms","licensed_beds":96,"state_actions":4,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055085","ccn":"055085","name":"Moraga Post Acute","address":"348 Rheem Boulevard","city":"Moraga","state":"CA","zip":"94556","beds":49,"overall":5,"inspections":9,"last_inspection":"2026-04-13","deficiencies":50,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":49,"state_actions":2,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055092","ccn":"055092","name":"Yuba City Post Acute","address":"1220 Plumas St","city":"Yuba City","state":"CA","zip":"95991","beds":59,"overall":5,"inspections":9,"last_inspection":"2026-04-01","deficiencies":62,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":59,"state_actions":17,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055150","ccn":"055150","name":"Diablo Valley Post Acute","address":"3806 Clayton Road","city":"Concord","state":"CA","zip":"94521","beds":190,"overall":2,"inspections":17,"last_inspection":"2026-08-13","deficiencies":76,"serious":3,"ij":0,"open":0,"fines_total":102456,"abuse":true,"status":"active","universe":"cms","licensed_beds":190,"state_actions":10,"state_serious":2,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055185","ccn":"055185","name":"Garden City Healthcare Center","address":"1310 West Granger","city":"Modesto","state":"CA","zip":"95350","beds":104,"overall":2,"inspections":16,"last_inspection":"2026-08-11","deficiencies":75,"serious":3,"ij":1,"open":0,"fines_total":35153,"status":"active","universe":"cms","licensed_beds":104,"state_actions":9,"state_serious":2,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-055204","ccn":"055204","name":"Oakwood Gardens Care Center","address":"3510 East Shields","city":"Fresno","state":"CA","zip":"93726","beds":103,"overall":4,"inspections":11,"last_inspection":"2026-07-02","deficiencies":71,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":103,"state_actions":4,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":276,"same_site_review":[],"nearby":[{"id":"cms-555353","ccn":"555353","name":"Villa Health Care Center","address":"8965 Magnolia Avenue","city":"Riverside","state":"CA","zip":"92503","beds":59,"overall":5,"inspections":15,"last_inspection":"2026-08-25","deficiencies":62,"serious":0,"ij":0,"open":5,"fines_total":0,"status":"active","universe":"cms","licensed_beds":59,"state_actions":2,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.1},{"id":"cms-055042","ccn":"055042","name":"Alta Vista Healthcare & Wellness Centre","address":"9020 Garfield Street","city":"Riverside","state":"CA","zip":"92503","beds":99,"overall":4,"inspections":10,"last_inspection":"2026-05-13","deficiencies":58,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":99,"state_actions":12,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.3},{"id":"cms-056315","ccn":"056315","name":"Citrus Grove Post Acute","address":"9025 Colorado Avenue","city":"Riverside","state":"CA","zip":"92503","beds":120,"overall":2,"inspections":25,"last_inspection":"2026-08-04","deficiencies":77,"serious":0,"ij":0,"open":3,"fines_total":0,"status":"active","universe":"cms","licensed_beds":120,"state_actions":13,"state_serious":3,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.9},{"id":"cms-055542","ccn":"055542","name":"Mission Care Center","address":"8487 Magnolia Avenue","city":"Riverside","state":"CA","zip":"92504","beds":40,"overall":5,"inspections":9,"last_inspection":"2026-05-20","deficiencies":25,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":40,"state_actions":2,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.2},{"id":"cms-056485","ccn":"056485","name":"Arlington Gardens Care Center","address":"3688 Nye Avenue","city":"Riverside","state":"CA","zip":"92505","beds":99,"overall":3,"inspections":24,"last_inspection":"2026-07-13","deficiencies":67,"serious":2,"ij":2,"open":0,"fines_total":8281,"status":"active","universe":"cms","licensed_beds":99,"state_actions":10,"state_serious":2,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.4},{"id":"cms-056162","ccn":"056162","name":"Extended Care Hospital of Riverside","address":"8171 Magnolia Avenue","city":"Riverside","state":"CA","zip":"92504","beds":99,"overall":4,"inspections":20,"last_inspection":"2026-08-28","deficiencies":55,"serious":0,"ij":0,"open":3,"fines_total":0,"status":"active","universe":"cms","licensed_beds":99,"state_actions":5,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.2},{"id":"cms-055474","ccn":"055474","name":"Woodcrest Post Acute & Rehabilitation","address":"8133 Magnolia Avenue","city":"Riverside","state":"CA","zip":"92504","beds":120,"overall":3,"inspections":26,"last_inspection":"2026-04-20","deficiencies":65,"serious":1,"ij":0,"open":0,"fines_total":12500,"status":"active","universe":"cms","licensed_beds":120,"state_actions":16,"state_serious":5,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.2},{"id":"cms-555365","ccn":"555365","name":"Palm Terrace Care Center","address":"11162 Palm Terrace Lane","city":"Riverside","state":"CA","zip":"92505","beds":71,"overall":4,"inspections":9,"last_inspection":"2026-07-13","deficiencies":69,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":75,"state_actions":7,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.9}]}}