{"schema_version":"1.0.0","facility":{"id":"cms-555161","ccn":"555161","name":"Napa Valley Care Center","source_name":"NAPA VALLEY CARE CENTER","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":"3275 Villa Lane","city":"Napa","state":"CA","zip":"94558","county_name":"Napa County","county_fips":"06055","county_method":"name_match","ssa_county_code":"380","urban":true},"location":{"lat":38.3223,"lon":-122.29,"method":"cms_published_coordinates"},"phone":"7072570931","certification":{"authority":"CMS","ccn":"555161","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1984-01-19","certified_beds":130,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/555161"},"licenses":[{"state":"CA","authority":"California Department of Public Health (CDPH), Licensing & Certification","license_number":"110000117","state_facility_id":"110000046","license_type":"Skilled Nursing Facility","source_type_code":"SNF","status":"active","facility_status":"open","licensed_beds":130,"initial_license_date":"1984-01-23","effective_date":"2025-12-07","expiration_date":"2026-12-06","licensee":"PETUNIA HOLDINGS, LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Licensed and Certified","federal_programs":"Medicare (and possibly Medicaid)","ccn":"555161","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":130,"licensed_beds":130,"avg_residents_per_day":127.3},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"PETUNIA HOLDINGS, 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":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.06709,"lpn_hprd":1.21634,"rn_hprd":0.49745,"licensed_hprd":1.71379,"total_nurse_hprd":3.78088,"weekend_total_nurse_hprd":3.44107,"weekend_rn_hprd":0.44529,"pt_hprd":0.09603,"nursing_turnover_pct":23.4,"rn_turnover_pct":21.4,"administrators_left":0,"case_mix_index":1.29144,"case_mix_index_ratio":0.91575,"case_mix_total_nurse_hprd":3.5722,"adjusted_total_nurse_hprd":4.09634,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-07-25","cycle1_deficiencies":15,"cycle1_score":68,"cycle2_date":"2021-09-21","cycle23_deficiencies":39,"cycle23_score":272,"total_weighted_score":119},"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-petunia-holdings-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/555161","provenance":[{"source_id":"cms_provider_info","source_record_id":"555161","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=555161&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":"555161","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=555161&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":"110000046","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":18,"health_count":15,"fire_count":3,"complaint_count":12,"latest_date":"2026-07-02","latest_standard_health":"2025-07-25","earliest_date":"2019-08-07","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":86,"health_count":57,"fire_count":29,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":22,"by_severity":{"potential":77,"minimal":8,"actual_harm":1},"by_scope_severity":{"D":48,"F":8,"E":21,"C":8,"G":1},"by_concept":{"resident_rights":12,"environment_life_safety":24,"food_nutrition":9,"infection_prevention":5,"clinical_care":20,"staffing":3,"medication":5,"emergency_preparedness":6,"administration":2},"type_ids":["cms-f0600","cms-f0550","cms-k0222","cms-k0291","cms-k0345","cms-k0353","cms-k0918","cms-k0363","cms-k0161","cms-k0324","cms-k0355","cms-f0812","cms-f0880","cms-f0628","cms-f0656","cms-f0684","cms-f0695","cms-f0725","cms-f0759","cms-f0760","cms-f0761","cms-f0814","cms-f0825","cms-f0921","cms-f0609","cms-f0689","cms-f0625","cms-f0658","cms-f0557","cms-f0881","cms-f0804","cms-f0584","cms-f0686","cms-f0623","cms-f0622","cms-k0347","cms-k0511","cms-k0920","cms-e0015","cms-e0023","cms-e0026","cms-e0030","cms-e0032","cms-e0041","cms-k0321","cms-f0685","cms-f0657","cms-f0740","cms-f0802","cms-f0803","cms-f0806","cms-f0808","cms-f0868","cms-f0580","cms-f0637","cms-f0641","cms-f0645","cms-f0676","cms-f0692","cms-f0693","cms-f0865","cms-k0521","cms-k0761","cms-f0756","cms-f0758"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"state_action_summary":{"count":34,"class_aa":1,"class_a":10,"class_b":22,"death_related":2,"amount_final_total":303050,"earliest":"2000-12-08","latest":"2024-06-12","since_2019":2,"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":8,"organizations":2,"individuals":6,"not_available":false}},"row":{"id":"cms-555161","ccn":"555161","name":"Napa Valley Care Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"CA","city":"Napa","zip":"94558","county_fips":"06055","county_name":"Napa County","address":"3275 Villa Lane","beds":130,"residents":127.3,"ownership":"for_profit","operator_id":"op-petunia-holdings-llc","operator_name":"Petunia Holdings, LLC","chain_id":"cms-chain-690","chain_name":"Pacs Group","lat":38.3223,"lon":-122.29,"overall":3,"health_rating":2,"staffing_rating":4,"qm_rating":5,"nurse_hprd":3.78,"turnover":23.4,"inspections":18,"last_inspection":"2026-07-02","deficiencies":86,"serious":1,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0600","cms-f0550","cms-k0222","cms-k0291","cms-k0345","cms-k0353","cms-k0918","cms-k0363","cms-k0161","cms-k0324","cms-k0355","cms-f0812","cms-f0880","cms-f0628","cms-f0656","cms-f0684","cms-f0695","cms-f0725","cms-f0759","cms-f0760","cms-f0761","cms-f0814","cms-f0825","cms-f0921","cms-f0609","cms-f0689","cms-f0625","cms-f0658","cms-f0557","cms-f0881","cms-f0804","cms-f0584","cms-f0686","cms-f0623","cms-f0622","cms-k0347","cms-k0511","cms-k0920","cms-e0015","cms-e0023","cms-e0026","cms-e0030","cms-e0032","cms-e0041","cms-k0321","cms-f0685","cms-f0657","cms-f0740","cms-f0802","cms-f0803","cms-f0806","cms-f0808","cms-f0868","cms-f0580","cms-f0637","cms-f0641","cms-f0645","cms-f0676","cms-f0692","cms-f0693","cms-f0865","cms-k0521","cms-k0761","cms-f0756","cms-f0758"],"universe":"cms","licensed_beds":130,"state_license":"CA 110000117","state_actions":34,"state_serious":11,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-petunia-holdings-llc","name":"Petunia Holdings, LLC","legal_name":"PETUNIA HOLDINGS, 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_id":"org-hudson-river-opco-llc","owner_type":"organization","owner_name":"Hudson River Opco LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2021-11-05"},{"owner_id":"org-bay-bridge-capital-partners-llc","owner_type":"organization","owner_name":"Bay Bridge Capital Partners, LLC","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2021-11-05"},{"owner_type":"individual","owner_name":"Spencer Hadley","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2021-11-05","owner_name_raw":"HADLEY, SPENCER"},{"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":"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":"Noel Serrano","role":"managing_employee","role_raw":"CONTRACTED MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2023-05-11","owner_name_raw":"SERRANO, NOEL"},{"owner_type":"individual","owner_name":"Spencer Hadley","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2021-11-05","owner_name_raw":"HADLEY, SPENCER"}],"inspections":[{"id":"cms-555161-20260702-health","ccn":"555161","date":"2026-07-02","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-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2026-07-29","cmp":1}]},{"id":"cms-555161-20260520-health","ccn":"555161","date":"2026-05-20","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-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-10","cmp":1}]},{"id":"cms-555161-20250725-fire","ccn":"555161","date":"2025-07-25","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0161","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-15","std":1,"tv":"New"},{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2025-08-11","std":1,"tv":"New"},{"t":"cms-k0291","ss":"F","sl":2,"cs":"corrected","cd":"2025-08-05","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-07","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-08-06","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-08-10","std":1,"tv":"New"},{"t":"cms-k0355","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-10","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2025-08-05","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-08-05","std":1,"tv":"New"}]},{"id":"cms-555161-20250725-health","ccn":"555161","date":"2025-07-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0725","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0759","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0814","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0825","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-08-21","std":1},{"t":"cms-f0921","ss":"D","sl":2,"cs":"corrected","cd":"2025-08-21","std":1}]},{"id":"cms-555161-20250512-health","ccn":"555161","date":"2025-05-12","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-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-15","cmp":1}]},{"id":"cms-555161-20250408-health","ccn":"555161","date":"2025-04-08","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-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-04-24","cmp":1}]},{"id":"cms-555161-20250221-health","ccn":"555161","date":"2025-02-21","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-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-03-11","cmp":1}]},{"id":"cms-555161-20250109-health","ccn":"555161","date":"2025-01-09","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-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2025-02-10","cmp":1}]},{"id":"cms-555161-20241008-health","ccn":"555161","date":"2024-10-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0557","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-13","cmp":1},{"t":"cms-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-13","cmp":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-13","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-13","cmp":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-13","cmp":1}]},{"id":"cms-555161-20240724-health","ccn":"555161","date":"2024-07-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0658","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-20","cmp":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-20","cmp":1},{"t":"cms-f0881","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-21","cmp":1}]},{"id":"cms-555161-20240216-health","ccn":"555161","date":"2024-02-16","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-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-02","cmp":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-02","cmp":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-04-02","cmp":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-02","cmp":1}]},{"id":"cms-555161-20240110-health","ccn":"555161","date":"2024-01-10","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-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-24","cmp":1}]},{"id":"cms-555161-20231219-health","ccn":"555161","date":"2023-12-19","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-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-09","cmp":1}]},{"id":"cms-555161-20231018-health","ccn":"555161","date":"2023-10-18","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-f0622","ss":"D","sl":2,"cs":"corrected","cd":"2023-11-26","cmp":1},{"t":"cms-f0623","ss":"E","sl":2,"cs":"corrected","cd":"2023-11-26","cmp":1}]},{"id":"cms-555161-20210921-fire","ccn":"555161","date":"2021-09-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":14,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0291","ss":"D","sl":2,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-k0347","ss":"D","sl":2,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-k0511","ss":"D","sl":2,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-e0015","ss":"C","sl":1,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-e0023","ss":"C","sl":1,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-e0026","ss":"C","sl":1,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-e0030","ss":"C","sl":1,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-e0032","ss":"C","sl":1,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-e0041","ss":"C","sl":1,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-k0161","ss":"C","sl":1,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"},{"t":"cms-k0321","ss":"C","sl":1,"cs":"corrected","cd":"2021-11-02","std":1,"tv":"New"}]},{"id":"cms-555161-20210921-health","ccn":"555161","date":"2021-09-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":19,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0685","ss":"G","sl":3,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0637","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0645","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0676","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0693","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0740","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0802","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0806","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0808","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0865","ss":"D","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0868","ss":"E","sl":2,"cs":"corrected","cd":"2022-02-16","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2022-02-16","std":1}]},{"id":"cms-555161-20190807-fire","ccn":"555161","date":"2019-08-07","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0347","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-09","std":1,"tv":"New"},{"t":"cms-k0353","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-09","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-09","std":1,"tv":"New"},{"t":"cms-k0521","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-09","std":1,"tv":"New"},{"t":"cms-k0761","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-09","std":1,"tv":"New"},{"t":"cms-k0918","ss":"D","sl":2,"cs":"corrected","cd":"2019-10-09","std":1,"tv":"New"}]},{"id":"cms-555161-20190807-health","ccn":"555161","date":"2019-08-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"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-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-18","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2019-09-18","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2019-09-18","std":1}]}],"deficiency_types":{"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-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-k0291":{"code":"K-0291","title":"Install emergency lighting that can last at least 1 1/2 hours.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems 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-k0161":{"code":"K-0161","title":"Use approved construction type or materials.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke 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-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-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","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-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-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-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"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-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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-f0814":{"code":"F-0814","title":"Dispose of garbage and refuse properly.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0825":{"code":"F-0825","title":"Provide or get specialized rehabilitative services as required for a resident.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0609":{"code":"F-0609","title":"Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.","category":"Freedom from Abuse, Neglect, and Exploitation 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-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-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-f0557":{"code":"F-0557","title":"Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0881":{"code":"F-0881","title":"Implement a program that monitors antibiotic use.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0584":{"code":"F-0584","title":"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.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-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-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-k0347":{"code":"K-0347","title":"Properly provide smoke detection systems in areas open to corridors.","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-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-e0015":{"code":"E-0015","title":"Address subsistence needs for staff and patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0023":{"code":"E-0023","title":"Establish policies and procedures for medical documentation.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0026":{"code":"E-0026","title":"Establish roles under a Waiver declared by secretary.","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-e0032":{"code":"E-0032","title":"Provide primary/alternate means for communication.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-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-f0657":{"code":"F-0657","title":"Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0740":{"code":"F-0740","title":"Ensure each resident must receive and the facility must provide necessary behavioral health care and services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0802":{"code":"F-0802","title":"Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0803":{"code":"F-0803","title":"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.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0806":{"code":"F-0806","title":"Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-f0868":{"code":"F-0868","title":"Have the Quality Assessment and Assurance group have the required members and meet at least quarterly","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"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-f0637":{"code":"F-0637","title":"Assess the resident when there is a significant change in condition","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0641":{"code":"F-0641","title":"Ensure each resident receives an accurate assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0645":{"code":"F-0645","title":"PASARR screening for Mental disorders or Intellectual Disabilities","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0676":{"code":"F-0676","title":"Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-f0865":{"code":"F-0865","title":"Have a  plan that describes the process for conducting QAPI and QAA activities.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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"}},"penalties":[],"state_actions":[{"id":"cms-555161-ca-810020298","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"810020298","date":"2024-06-12","violation_date":"2021-07-01","type":"Administrative Penalty","detail":"AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)","category":"DHPPD: 2 - 11 Days","class_initial":"AP NHPPD","class":"AP NHPPD","class_label":"AP NHPPD","rank":1,"amount_initial":25000,"amount_final":25000,"death_related":false,"appealed":false,"disposition":"Open","fiscal_year":"SFY2023-24","evidence_class":"HISTORICAL","source_record_id":"810020298"},{"id":"cms-555161-ca-110013023","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110013023","date":"2024-02-21","violation_date":"2016-10-21","type":"Citation","detail":"Citation AA (HSC 1424)","category":"Patient Care","class_initial":"AA","class":"AA","class_label":"Class AA","class_meaning":"Violation was a direct proximate cause of a patient's death","rank":4,"amount_initial":100000,"amount_final":100000,"death_related":true,"appealed":true,"disposition":"Open","fiscal_year":"SFY2023-24","evidence_class":"HISTORICAL","source_record_id":"110013023"},{"id":"cms-555161-ca-110013195","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110013195","date":"2018-09-14","violation_date":"2017-01-05","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"A","class":"A","class_label":"Class A","class_meaning":"Imminent danger, or substantial probability, of death or serious harm","rank":3,"amount_initial":20000,"amount_final":20000,"death_related":true,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2018-19","evidence_class":"HISTORICAL","source_record_id":"110013195"},{"id":"cms-555161-ca-110013194","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110013194","date":"2018-09-14","violation_date":"2017-01-02","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"A","class":"A","class_label":"Class A","class_meaning":"Imminent danger, or substantial probability, of death or serious harm","rank":3,"amount_initial":20000,"amount_final":20000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2018-19","evidence_class":"HISTORICAL","source_record_id":"110013194"},{"id":"cms-555161-ca-110012906","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110012906","date":"2017-02-07","violation_date":"2016-08-12","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":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"110012906"},{"id":"cms-555161-ca-110012047","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110012047","date":"2016-03-09","violation_date":"2013-12-14","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"A","class":"A","class_label":"Class A","class_meaning":"Imminent danger, or substantial probability, of death or serious harm","rank":3,"amount_initial":20000,"amount_final":20400,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2015-16","evidence_class":"HISTORICAL","source_record_id":"110012047"},{"id":"cms-555161-ca-110011771","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110011771","date":"2015-10-27","violation_date":"2015-05-15","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":"SFY2015-16","evidence_class":"HISTORICAL","source_record_id":"110011771"},{"id":"cms-555161-ca-110011524","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110011524","date":"2015-09-18","violation_date":"2015-05-13","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":"110011524"},{"id":"cms-555161-ca-110011054","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110011054","date":"2014-10-09","violation_date":"2012-08-20","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"A","class":"A","class_label":"Class A","class_meaning":"Imminent danger, or substantial probability, of death or serious harm","rank":3,"amount_initial":20000,"amount_final":20000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2014-15","evidence_class":"HISTORICAL","source_record_id":"110011054"},{"id":"cms-555161-ca-110010226","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110010226","date":"2014-07-03","violation_date":"2013-07-28","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":20000,"amount_final":10000,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2014-15","evidence_class":"HISTORICAL","source_record_id":"110010226"},{"id":"cms-555161-ca-110009855","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110009855","date":"2013-04-25","violation_date":"2010-08-04","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":20000,"amount_final":18000,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2012-13","evidence_class":"HISTORICAL","source_record_id":"110009855"},{"id":"cms-555161-ca-110006880","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110006880","date":"2010-07-16","violation_date":"2009-08-04","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":"SFY2010-11","evidence_class":"HISTORICAL","source_record_id":"110006880"},{"id":"cms-555161-ca-110006879","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110006879","date":"2010-07-16","violation_date":"2009-08-04","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":"SFY2010-11","evidence_class":"HISTORICAL","source_record_id":"110006879"},{"id":"cms-555161-ca-110005617","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110005617","date":"2008-12-17","violation_date":"2008-05-28","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":"SFY2008-09","evidence_class":"HISTORICAL","source_record_id":"110005617"},{"id":"cms-555161-ca-110004434","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110004434","date":"2007-11-09","violation_date":"2006-10-26","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":"SFY2007-08","evidence_class":"HISTORICAL","source_record_id":"110004434"},{"id":"cms-555161-ca-110003914","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110003914","date":"2007-05-11","violation_date":"2006-06-14","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":15000,"amount_final":6000,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2006-07","evidence_class":"HISTORICAL","source_record_id":"110003914"},{"id":"cms-555161-ca-110003569","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110003569","date":"2006-12-12","violation_date":"2006-07-31","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":800,"amount_final":800,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2006-07","evidence_class":"HISTORICAL","source_record_id":"110003569"},{"id":"cms-555161-ca-110002897","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002897","date":"2006-03-13","violation_date":"2006-01-17","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Rights","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":600,"amount_final":600,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2005-06","evidence_class":"HISTORICAL","source_record_id":"110002897"},{"id":"cms-555161-ca-110002198","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002198","date":"2004-05-28","violation_date":"2003-08-13","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":"SFY2003-04","evidence_class":"HISTORICAL","source_record_id":"110002198"},{"id":"cms-555161-ca-110002185","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002185","date":"2004-03-04","violation_date":"2003-06-22","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":"SFY2003-04","evidence_class":"HISTORICAL","source_record_id":"110002185"},{"id":"cms-555161-ca-110002183","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002183","date":"2004-02-19","violation_date":"2003-09-03","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":"SFY2003-04","evidence_class":"HISTORICAL","source_record_id":"110002183"},{"id":"cms-555161-ca-110002066","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002066","date":"2003-08-20","violation_date":"2002-01-17","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":16000,"amount_final":10000,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2003-04","evidence_class":"HISTORICAL","source_record_id":"110002066"},{"id":"cms-555161-ca-110002057","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002057","date":"2003-06-09","violation_date":"2003-02-18","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":750,"amount_final":750,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2002-03","evidence_class":"HISTORICAL","source_record_id":"110002057"},{"id":"cms-555161-ca-110002042","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002042","date":"2003-04-08","violation_date":"2002-11-28","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"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":15000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2002-03","evidence_class":"HISTORICAL","source_record_id":"110002042"},{"id":"cms-555161-ca-110002013","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002013","date":"2003-01-09","violation_date":"2002-07-11","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":"SFY2002-03","evidence_class":"HISTORICAL","source_record_id":"110002013"},{"id":"cms-555161-ca-110002009","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110002009","date":"2002-10-28","violation_date":"2002-06-27","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":"SFY2002-03","evidence_class":"HISTORICAL","source_record_id":"110002009"},{"id":"cms-555161-ca-110001985","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110001985","date":"2002-07-19","violation_date":"2002-03-10","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":800,"amount_final":800,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2002-03","evidence_class":"HISTORICAL","source_record_id":"110001985"},{"id":"cms-555161-ca-110001979","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110001979","date":"2002-06-20","violation_date":"2001-12-11","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":"SFY2001-02","evidence_class":"HISTORICAL","source_record_id":"110001979"},{"id":"cms-555161-ca-110001970","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110001970","date":"2002-04-25","violation_date":"2001-11-03","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":"SFY2001-02","evidence_class":"HISTORICAL","source_record_id":"110001970"},{"id":"cms-555161-ca-110001851","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110001851","date":"2001-07-31","violation_date":"2000-07-20","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":"SFY2001-02","evidence_class":"HISTORICAL","source_record_id":"110001851"},{"id":"cms-555161-ca-110001848","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110001848","date":"2001-07-06","violation_date":"2000-12-18","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":700,"amount_final":700,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2001-02","evidence_class":"HISTORICAL","source_record_id":"110001848"},{"id":"cms-555161-ca-110001841","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110001841","date":"2001-05-30","violation_date":"2000-10-05","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Care","class_initial":"A","class":"A","class_label":"Class A","class_meaning":"Imminent danger, or substantial probability, of death or serious harm","rank":3,"amount_initial":16000,"amount_final":16000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2000-01","evidence_class":"HISTORICAL","source_record_id":"110001841"},{"id":"cms-555161-ca-110001834","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110001834","date":"2001-03-27","violation_date":"2000-09-13","type":"Citation","detail":"Citation B (HSC 1424)","category":"Physical Environment","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":"SFY2000-01","evidence_class":"HISTORICAL","source_record_id":"110001834"},{"id":"cms-555161-ca-110001807","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"110001807","date":"2000-12-08","violation_date":"2000-03-01","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":"SFY2000-01","evidence_class":"HISTORICAL","source_record_id":"110001807"}],"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=555161&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=555161&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=555161&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=555161&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=555161&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=555161&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":"06055","name":"Napa County"},"zip":"94558","city":"Napa"},"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-056153","ccn":"056153","name":"Napa Post Acute","address":"705 Trancas St.","city":"Napa","state":"CA","zip":"94558","beds":120,"overall":1,"inspections":14,"last_inspection":"2026-06-01","deficiencies":86,"serious":3,"ij":1,"open":0,"fines_total":108180,"status":"active","universe":"cms","licensed_beds":120,"state_actions":31,"state_serious":5,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0.2},{"id":"cms-555207","ccn":"555207","name":"Napa Community Health Center","address":"1800 Pueblo Ave","city":"Napa","state":"CA","zip":"94558","beds":49,"overall":1,"inspections":8,"last_inspection":"2026-06-05","deficiencies":69,"serious":3,"ij":0,"open":0,"fines_total":31430,"status":"active","universe":"cms","licensed_beds":49,"state_actions":5,"state_serious":2,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.2},{"id":"cms-555639","ccn":"555639","name":"The Meadows of Napa Valley Care Center","address":"1900 Atrium Parkway","city":"Napa","state":"CA","zip":"94559","beds":69,"overall":5,"inspections":6,"last_inspection":"2026-08-13","deficiencies":30,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":60,"state_actions":7,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.2},{"id":"cms-05a357","ccn":"05A357","name":"Dept of State Hospitals - Napa D/P SNF","address":"2100 Napa-Vallejo Highway","city":"Napa","state":"CA","zip":"94558","beds":36,"overall":3,"inspections":10,"last_inspection":"2026-05-15","deficiencies":44,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":36,"state_actions":5,"state_serious":1,"types":["nursing_home"],"distance_km":6.1},{"id":"cms-555095","ccn":"555095","name":"Veterans Home of California - Yountville - SNF","address":"100 California Drive","city":"Yountville","state":"CA","zip":"94599","beds":274,"overall":5,"inspections":10,"last_inspection":"2026-03-26","deficiencies":59,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":274,"state_actions":8,"state_serious":2,"types":["skilled_nursing_facility","nursing_home"],"distance_km":10.1},{"id":"ca-cdph-150001235","name":"Veterans Home of California - Yountville","address":"100 California Dr","city":"Yountville","state":"CA","zip":"94599","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"state","licensed_beds":72,"state_actions":1,"state_serious":0,"types":["nursing_home"],"distance_km":10.2},{"id":"cms-055268","ccn":"055268","name":"Sonoma Post Acute","address":"678 2nd Street West","city":"Sonoma","state":"CA","zip":"95476","beds":83,"overall":3,"inspections":16,"last_inspection":"2026-06-25","deficiencies":76,"serious":2,"ij":1,"open":0,"fines_total":12006,"status":"active","universe":"cms","licensed_beds":83,"state_actions":24,"state_serious":4,"types":["skilled_nursing_facility","nursing_home"],"distance_km":15.3},{"id":"cms-055987","ccn":"055987","name":"Broadway Villa Post Acute","address":"1250 Broadway","city":"Sonoma","state":"CA","zip":"95476","beds":144,"overall":5,"inspections":14,"last_inspection":"2026-08-20","deficiencies":54,"serious":1,"ij":0,"open":0,"fines_total":22580,"status":"active","universe":"cms","licensed_beds":144,"state_actions":25,"state_serious":6,"types":["skilled_nursing_facility","nursing_home"],"distance_km":15.6}]}}