{"schema_version":"1.0.0","facility":{"id":"cms-555352","ccn":"555352","name":"Grace Healthcare Center","source_name":"GRACE HEALTHCARE 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":"2939 S. Peach Avenue","city":"Fresno","state":"CA","zip":"93725","county_name":"Fresno County","county_fips":"06019","county_method":"name_match","ssa_county_code":"090","urban":true},"location":{"lat":36.6953,"lon":-119.72,"method":"cms_published_coordinates"},"phone":"5592336248","certification":{"authority":"CMS","ccn":"555352","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1989-06-01","certified_beds":101,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/555352"},"licenses":[{"state":"CA","authority":"California Department of Public Health (CDPH), Licensing & Certification","license_number":"040000154","state_facility_id":"040000061","license_type":"Skilled Nursing Facility","source_type_code":"SNF","status":"active","facility_status":"open","licensed_beds":101,"effective_date":"2026-06-17","expiration_date":"2026-11-30","licensee":"SUNNYSIDE REHAB OF FRESNO LLC","licensee_entity_type":"Limited Liability Company","certification_status":"Licensed and Certified","federal_programs":"Medicare (and possibly Medicaid)","ccn":"555352","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":101,"licensed_beds":101,"avg_residents_per_day":60.2},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"R. FELLEN, INC.","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":1},"health_inspection":{"value":1},"quality_measures":{"value":3},"long_stay_qm":{"value":3},"short_stay_qm":{"value":2},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.98289,"lpn_hprd":0.2066,"rn_hprd":0.27741,"licensed_hprd":0.484,"total_nurse_hprd":2.46689,"weekend_total_nurse_hprd":2.35321,"weekend_rn_hprd":0.22188,"pt_hprd":0,"nursing_turnover_pct":50.7,"rn_turnover_pct":50,"administrators_left":0,"case_mix_index":1.4316,"case_mix_index_ratio":1.01514,"case_mix_total_nurse_hprd":3.9599,"adjusted_total_nurse_hprd":2.41104,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-03-20","cycle1_deficiencies":24,"cycle1_score":172,"cycle2_date":"2024-09-13","cycle23_deficiencies":30,"cycle23_score":244,"total_weighted_score":190},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":1,"total":1},"operator_id":"op-r-fellen-inc","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/555352","provenance":[{"source_id":"cms_provider_info","source_record_id":"555352","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=555352&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":"555352","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=555352&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":"040000061","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":15,"health_count":12,"fire_count":3,"complaint_count":9,"latest_date":"2026-08-05","latest_standard_health":"2026-03-20","earliest_date":"2023-06-16","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":117,"health_count":74,"fire_count":43,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":21,"by_severity":{"potential":107,"minimal":9,"actual_harm":1},"by_scope_severity":{"D":44,"F":27,"E":36,"C":8,"G":1,"B":1},"by_concept":{"clinical_care":24,"staffing":5,"infection_prevention":7,"emergency_preparedness":8,"environment_life_safety":42,"food_nutrition":10,"resident_rights":9,"medication":9,"administration":3},"type_ids":["cms-f0656","cms-f0727","cms-f0882","cms-f0658","cms-f0692","cms-f0880","cms-e0039","cms-k0293","cms-k0345","cms-k0353","cms-k0712","cms-k0916","cms-k0918","cms-k0372","cms-k0363","cms-k0919","cms-k0920","cms-k0926","cms-k0346","cms-k0354","cms-f0801","cms-f0911","cms-f0926","cms-f0550","cms-f0580","cms-f0641","cms-f0646","cms-f0657","cms-f0726","cms-f0730","cms-f0757","cms-f0761","cms-f0812","cms-f0842","cms-f0689","cms-f0602","cms-f0755","cms-f0835","cms-f0940","cms-f0944","cms-f0607","cms-f0945","cms-k0521","cms-k0321","cms-k0211","cms-k0324","cms-f0802","cms-f0803","cms-f0921","cms-f0600","cms-f0623","cms-f0640","cms-f0644","cms-f0700","cms-f0908","cms-f0609","cms-f0573","cms-e0041","cms-k0347","cms-k0914","cms-e0006","cms-k0500","cms-k0923","cms-e0007","cms-e0020","cms-e0030","cms-e0031","cms-f0636","cms-f0638","cms-f0684","cms-f0759","cms-f0760","cms-f0805","cms-f0806","cms-f0814","cms-f0925"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":0,"fine_total":0,"payment_denials":1,"latest_date":"2025-09-05"},"state_action_summary":{"count":62,"class_aa":1,"class_a":1,"class_b":58,"death_related":1,"amount_final_total":188300,"earliest":"2002-02-26","latest":"2023-10-05","since_2019":4,"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":4,"organizations":0,"individuals":4,"not_available":false}},"row":{"id":"cms-555352","ccn":"555352","name":"Grace Healthcare Center","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"CA","city":"Fresno","zip":"93725","county_fips":"06019","county_name":"Fresno County","address":"2939 S. Peach Avenue","beds":101,"residents":60.2,"ownership":"for_profit","operator_id":"op-r-fellen-inc","operator_name":"R. Fellen, Inc","lat":36.6953,"lon":-119.72,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":3,"nurse_hprd":2.47,"turnover":50.7,"inspections":15,"last_inspection":"2026-08-05","deficiencies":117,"serious":1,"ij":0,"open":0,"penalties":1,"fines_total":0,"deficiency_type_ids":["cms-f0656","cms-f0727","cms-f0882","cms-f0658","cms-f0692","cms-f0880","cms-e0039","cms-k0293","cms-k0345","cms-k0353","cms-k0712","cms-k0916","cms-k0918","cms-k0372","cms-k0363","cms-k0919","cms-k0920","cms-k0926","cms-k0346","cms-k0354","cms-f0801","cms-f0911","cms-f0926","cms-f0550","cms-f0580","cms-f0641","cms-f0646","cms-f0657","cms-f0726","cms-f0730","cms-f0757","cms-f0761","cms-f0812","cms-f0842","cms-f0689","cms-f0602","cms-f0755","cms-f0835","cms-f0940","cms-f0944","cms-f0607","cms-f0945","cms-k0521","cms-k0321","cms-k0211","cms-k0324","cms-f0802","cms-f0803","cms-f0921","cms-f0600","cms-f0623","cms-f0640","cms-f0644","cms-f0700","cms-f0908","cms-f0609","cms-f0573","cms-e0041","cms-k0347","cms-k0914","cms-e0006","cms-k0500","cms-k0923","cms-e0007","cms-e0020","cms-e0030","cms-e0031","cms-f0636","cms-f0638","cms-f0684","cms-f0759","cms-f0760","cms-f0805","cms-f0806","cms-f0814","cms-f0925"],"universe":"cms","licensed_beds":101,"state_license":"CA 040000154","state_actions":62,"state_serious":2,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-r-fellen-inc","name":"R. Fellen, Inc","legal_name":"R. FELLEN, INC","facility_count":1,"states":["CA"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_type":"individual","owner_name":"Llatisha Gonzalez","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2017-08-31","owner_name_raw":"GONZALEZ, LLATISHA"},{"owner_type":"individual","owner_name":"Llatisha Gonzalez","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2017-07-20","owner_name_raw":"GONZALEZ, LLATISHA"},{"owner_type":"individual","owner_name":"Llatisha Gonzalez","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2017-07-20","owner_name_raw":"GONZALEZ, LLATISHA"},{"owner_type":"individual","owner_name":"Llatisha Gonzalez","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2017-07-20","owner_name_raw":"GONZALEZ, LLATISHA"}],"inspections":[{"id":"cms-555352-20260805-health","ccn":"555352","date":"2026-08-05","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-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-28","cmp":1}]},{"id":"cms-555352-20260724-health","ccn":"555352","date":"2026-07-24","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-f0727","ss":"F","sl":2,"cs":"corrected","cd":"2026-09-18","cmp":1},{"t":"cms-f0882","ss":"F","sl":2,"cs":"corrected","cd":"2026-09-18","cmp":1}]},{"id":"cms-555352-20260710-health","ccn":"555352","date":"2026-07-10","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"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":"E","sl":2,"cs":"corrected","cd":"2026-07-29","cmp":1},{"t":"cms-f0692","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-29","cmp":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-07-29","cmp":1}]},{"id":"cms-555352-20260527-health","ccn":"555352","date":"2026-05-27","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-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-20","cmp":1},{"t":"cms-f0692","ss":"E","sl":2,"cs":"corrected","cd":"2026-06-20","cmp":1}]},{"id":"cms-555352-20260320-fire","ccn":"555352","date":"2026-03-20","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"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-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-03","std":1,"tv":"New"},{"t":"cms-k0293","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-26","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-06","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-29","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-28","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-04","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-29","std":1,"tv":"New"},{"t":"cms-k0916","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-03","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-13","std":1,"tv":"New"},{"t":"cms-k0919","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-26","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-27","std":1,"tv":"New"},{"t":"cms-k0926","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-06","std":1,"tv":"New"},{"t":"cms-k0346","ss":"C","sl":1,"cs":"corrected","cd":"2026-03-28","std":1,"tv":"New"},{"t":"cms-k0354","ss":"C","sl":1,"cs":"corrected","cd":"2026-04-03","std":1,"tv":"New"}]},{"id":"cms-555352-20260320-health","ccn":"555352","date":"2026-03-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":16,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0641","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0646","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0657","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0726","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0730","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0801","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0911","ss":"F","sl":2,"cs":"corrected","cd":"2026-04-16","std":1},{"t":"cms-f0926","ss":"E","sl":2,"cs":"corrected","cd":"2026-04-16","std":1}]},{"id":"cms-555352-20250905-health","ccn":"555352","date":"2025-09-05","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":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2025-10-15","cmp":1}]},{"id":"cms-555352-20241223-health","ccn":"555352","date":"2024-12-23","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-f0727","ss":"D","sl":2,"cs":"corrected","cd":"2025-01-23","cmp":1}]},{"id":"cms-555352-20241002-health","ccn":"555352","date":"2024-10-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0602","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1},{"t":"cms-f0607","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1},{"t":"cms-f0755","ss":"F","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1},{"t":"cms-f0757","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1},{"t":"cms-f0835","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1},{"t":"cms-f0940","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1},{"t":"cms-f0944","ss":"E","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1},{"t":"cms-f0945","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-15","cmp":1}]},{"id":"cms-555352-20240913-fire","ccn":"555352","date":"2024-09-13","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0211","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-10","std":1,"tv":"New"},{"t":"cms-k0293","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-10","std":1,"tv":"New"},{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-10","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-10","std":1,"tv":"New"},{"t":"cms-k0363","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-10","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-10","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-10","std":1,"tv":"New"},{"t":"cms-k0920","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-10","std":1,"tv":"New"}]},{"id":"cms-555352-20240913-health","ccn":"555352","date":"2024-09-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":17,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0600","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0640","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0700","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0802","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0803","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0921","ss":"F","sl":2,"cs":"corrected","cd":"2024-10-15","std":1},{"t":"cms-f0911","ss":"C","sl":1,"cs":"corrected","cd":"2024-10-15","std":1}]},{"id":"cms-555352-20240516-health","ccn":"555352","date":"2024-05-16","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-f0609","ss":"D","sl":2,"cs":"corrected","cd":"2024-06-04","cmp":1}]},{"id":"cms-555352-20240104-health","ccn":"555352","date":"2024-01-04","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-f0573","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-01","cmp":1}]},{"id":"cms-555352-20230616-fire","ccn":"555352","date":"2023-06-16","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":21,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0006","ss":"D","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-e0039","ss":"D","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-e0041","ss":"E","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0321","ss":"D","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0324","ss":"D","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0347","ss":"E","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0363","ss":"D","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0500","ss":"D","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0712","ss":"E","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0914","ss":"E","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0920","ss":"F","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0923","ss":"D","sl":2,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-e0007","ss":"C","sl":1,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-e0020","ss":"C","sl":1,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-e0030","ss":"C","sl":1,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-e0031","ss":"C","sl":1,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"},{"t":"cms-k0919","ss":"C","sl":1,"cs":"corrected","cd":"2023-07-21","std":1,"tv":"New"}]},{"id":"cms-555352-20230616-health","ccn":"555352","date":"2023-06-16","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":20,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0636","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0638","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0640","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0641","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0658","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0700","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0727","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0759","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0760","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0802","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0805","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0806","ss":"E","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0814","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0925","ss":"D","sl":2,"cs":"corrected","cd":"2023-08-01","std":1},{"t":"cms-f0911","ss":"B","sl":1,"cs":"corrected","cd":"2023-08-01","std":1}]}],"deficiency_types":{"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-f0727":{"code":"F-0727","title":"Have a registered nurse on duty 8 hours a day; and  select a registered nurse to be the director of nurses on a full time basis.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0882":{"code":"F-0882","title":"Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-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-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-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","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-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-k0916":{"code":"K-0916","title":"Have a battery powered remote alarm panel in a location accessible by operating personnel.","category":"Gas, Vacuum, and Electrical Systems 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-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","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-k0919":{"code":"K-0919","title":"Meet requirements for the use of electrical equipment.","category":"Gas, Vacuum, and Electrical Systems 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-k0926":{"code":"K-0926","title":"Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0346":{"code":"K-0346","title":"Follow proper procedures when the fire alarm was out of service for more than 4 hours.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0354":{"code":"K-0354","title":"Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0801":{"code":"F-0801","title":"Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0911":{"code":"F-0911","title":"Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0926":{"code":"F-0926","title":"Have policies on smoking.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"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-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-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-f0646":{"code":"F-0646","title":"Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.","category":"Resident Assessment and Care Planning 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-f0726":{"code":"F-0726","title":"Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0730":{"code":"F-0730","title":"Observe each nurse aide's job performance and give regular training.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","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-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-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-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-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-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-f0835":{"code":"F-0835","title":"Administer the facility in a manner that enables it to use its resources effectively and efficiently.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0940":{"code":"F-0940","title":"Develop, implement, and/or maintain an effective training program for all new and existing staff members.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0944":{"code":"F-0944","title":"Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0945":{"code":"F-0945","title":"Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"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-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-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress 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-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-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-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-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-f0640":{"code":"F-0640","title":"Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0700":{"code":"F-0700","title":"Try different approaches before using a bed rail.  If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","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-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-e0041":{"code":"E-0041","title":"Implement emergency and standby power systems.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"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-k0914":{"code":"K-0914","title":"Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.","category":"Gas, Vacuum, and Electrical Systems 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-k0500":{"code":"K-0500","title":"Meet other general requirements that are deficient.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0923":{"code":"K-0923","title":"Have proper medical gas storage and administration areas.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0007":{"code":"E-0007","title":"Address patient/client population and determine types of services needed.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0020":{"code":"E-0020","title":"Establish policies and procedures including evacuation.","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-f0636":{"code":"F-0636","title":"Assess the resident completely in a timely manner  when first admitted, and then periodically, at least every 12 months.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0638":{"code":"F-0638","title":"Assure that each resident’s assessment is updated at least once every 3 months.","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-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-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","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-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-f0925":{"code":"F-0925","title":"Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[{"id":"cms-555352-pen-d20250905","type":"payment_denial","type_label":"Denial of payment for new admissions","date":"2025-09-05","denial_start":"2025-10-11","denial_days":4,"evidence_class":"VERIFIED","source_record_id":"555352|Payment Denial|2025-10-11"}],"state_actions":[{"id":"cms-555352-ca-040019218","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040019218","date":"2023-10-05","violation_date":"2022-10-28","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":80000,"amount_final":80000,"death_related":true,"appealed":true,"disposition":"Open","fiscal_year":"SFY2023-24","evidence_class":"HISTORICAL","source_record_id":"040019218"},{"id":"cms-555352-ca-040018773","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040018773","date":"2023-05-19","violation_date":"2022-11-02","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":"Open","fiscal_year":"SFY2022-23","evidence_class":"HISTORICAL","source_record_id":"040018773"},{"id":"cms-555352-ca-040018587","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040018587","date":"2023-04-05","violation_date":"2020-10-01","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":"SFY2022-23","evidence_class":"HISTORICAL","source_record_id":"040018587"},{"id":"cms-555352-ca-810016636","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"810016636","date":"2021-06-18","violation_date":"2019-10-01","type":"Administrative Penalty","detail":"AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)","category":"DHPPD: 1 Day (No Penalty)","class_initial":"AP NHPPD","class":"AP NHPPD","class_label":"AP NHPPD","rank":1,"amount_initial":0,"amount_final":0,"death_related":false,"appealed":false,"disposition":"Open","fiscal_year":"SFY2020-21","evidence_class":"HISTORICAL","source_record_id":"810016636"},{"id":"cms-555352-ca-040012478","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012478","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012478"},{"id":"cms-555352-ca-040012477","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012477","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":2050,"death_related":false,"appealed":false,"disposition":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012477"},{"id":"cms-555352-ca-040012476","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012476","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":2050,"death_related":false,"appealed":false,"disposition":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012476"},{"id":"cms-555352-ca-040012475","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012475","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":2050,"death_related":false,"appealed":false,"disposition":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012475"},{"id":"cms-555352-ca-040012473","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012473","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012473"},{"id":"cms-555352-ca-040012471","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012471","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012471"},{"id":"cms-555352-ca-040012468","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012468","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012468"},{"id":"cms-555352-ca-040012466","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012466","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012466"},{"id":"cms-555352-ca-040012464","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012464","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac 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":"Open","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012464"},{"id":"cms-555352-ca-040012462","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012462","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012462"},{"id":"cms-555352-ca-040012460","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012460","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012460"},{"id":"cms-555352-ca-040012459","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012459","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012459"},{"id":"cms-555352-ca-040012458","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012458","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012458"},{"id":"cms-555352-ca-040012457","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012457","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012457"},{"id":"cms-555352-ca-040012456","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012456","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012456"},{"id":"cms-555352-ca-040012455","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012455","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012455"},{"id":"cms-555352-ca-040012454","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012454","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012454"},{"id":"cms-555352-ca-040012453","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012453","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012453"},{"id":"cms-555352-ca-040012452","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012452","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012452"},{"id":"cms-555352-ca-040012451","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012451","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012451"},{"id":"cms-555352-ca-040012450","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012450","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012450"},{"id":"cms-555352-ca-040012449","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012449","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012449"},{"id":"cms-555352-ca-040012445","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012445","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012445"},{"id":"cms-555352-ca-040012444","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012444","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012444"},{"id":"cms-555352-ca-040012443","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012443","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012443"},{"id":"cms-555352-ca-040012442","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012442","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012442"},{"id":"cms-555352-ca-040012441","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012441","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012441"},{"id":"cms-555352-ca-040012440","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012440","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012440"},{"id":"cms-555352-ca-040012439","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012439","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012439"},{"id":"cms-555352-ca-040012438","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012438","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012438"},{"id":"cms-555352-ca-040012437","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012437","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012437"},{"id":"cms-555352-ca-040012436","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012436","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012436"},{"id":"cms-555352-ca-040012434","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012434","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012434"},{"id":"cms-555352-ca-040012433","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012433","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012433"},{"id":"cms-555352-ca-040012431","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012431","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012431"},{"id":"cms-555352-ca-040012430","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012430","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012430"},{"id":"cms-555352-ca-040012427","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012427","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012427"},{"id":"cms-555352-ca-040012426","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012426","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012426"},{"id":"cms-555352-ca-040012425","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012425","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012425"},{"id":"cms-555352-ca-040012414","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012414","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012414"},{"id":"cms-555352-ca-040012413","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012413","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012413"},{"id":"cms-555352-ca-040012412","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012412","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012412"},{"id":"cms-555352-ca-040012410","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012410","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012410"},{"id":"cms-555352-ca-040012409","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012409","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012409"},{"id":"cms-555352-ca-040012408","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012408","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012408"},{"id":"cms-555352-ca-040012407","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012407","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012407"},{"id":"cms-555352-ca-040012406","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012406","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012406"},{"id":"cms-555352-ca-040012405","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012405","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012405"},{"id":"cms-555352-ca-040012404","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012404","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012404"},{"id":"cms-555352-ca-040012403","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012403","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012403"},{"id":"cms-555352-ca-040012402","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012402","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012402"},{"id":"cms-555352-ca-040012401","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012401","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012401"},{"id":"cms-555352-ca-040012400","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012400","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012400"},{"id":"cms-555352-ca-040012397","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040012397","date":"2016-07-27","violation_date":"2015-12-30","type":"Citation","detail":"Citation B (HSC 1424)","category":"Financial Occurrence/Fac Not Self Reported","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":1300,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2016-17","evidence_class":"HISTORICAL","source_record_id":"040012397"},{"id":"cms-555352-ca-040001335","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040001335","date":"2003-05-15","violation_date":"2003-01-03","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Rights","class_initial":"A","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":20000,"amount_final":2500,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2002-03","evidence_class":"HISTORICAL","source_record_id":"040001335"},{"id":"cms-555352-ca-040001258","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040001258","date":"2002-06-25","violation_date":"2002-02-16","type":"Citation","detail":"Citation A (HSC 1424)","category":"Patient Rights","class_initial":"A","class_final":"Dismissed by Court","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":0,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2001-02","evidence_class":"HISTORICAL","source_record_id":"040001258"},{"id":"cms-555352-ca-040001244","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040001244","date":"2002-03-20","violation_date":"2002-01-02","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":1000,"amount_final":1000,"death_related":false,"appealed":false,"disposition":"Closed","fiscal_year":"SFY2001-02","evidence_class":"HISTORICAL","source_record_id":"040001244"},{"id":"cms-555352-ca-040001239","state":"CA","authority":"CDPH Licensing & Certification","penalty_number":"040001239","date":"2002-02-26","violation_date":"2001-09-21","type":"Citation","detail":"Citation B (HSC 1424)","category":"Patient Rights","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":1000,"amount_final":1150,"death_related":false,"appealed":true,"disposition":"Closed","fiscal_year":"SFY2001-02","evidence_class":"HISTORICAL","source_record_id":"040001239"}],"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=555352&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=555352&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=555352&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=555352&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=555352&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=555352&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":"06019","name":"Fresno County"},"zip":"93725","city":"Fresno"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-555935","ccn":"555935","name":"Stonehaven Senior Living","address":"1717 S Winery Avenue","city":"Fresno","state":"CA","zip":"93727","inspections":3,"last_inspection":"2026-06-03","deficiencies":18,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.6},{"id":"ca-cdph-040000064","name":"Stonehaven Senior Living","address":"1717 S Winery Ave","city":"Fresno","state":"CA","zip":"93727","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"state","licensed_beds":50,"state_actions":9,"state_serious":2,"types":["nursing_home"],"distance_km":3.6},{"id":"cms-555866","ccn":"555866","name":"Sierra Vista Healthcare","address":"1715 South Cedar","city":"Fresno","state":"CA","zip":"93702","beds":99,"overall":3,"inspections":10,"last_inspection":"2026-01-09","deficiencies":69,"serious":3,"ij":1,"open":0,"fines_total":12048,"status":"active","universe":"cms","licensed_beds":99,"state_actions":4,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.3},{"id":"cms-056207","ccn":"056207","name":"Pacific Gardens Nursing and Rehabilitation Center","address":"577 S. Peach Ave.","city":"Fresno","state":"CA","zip":"93727","beds":188,"overall":3,"inspections":11,"last_inspection":"2026-04-24","deficiencies":71,"serious":2,"ij":0,"open":1,"fines_total":30654,"status":"active","universe":"cms","licensed_beds":180,"state_actions":2,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.7},{"id":"cms-555920","ccn":"555920","name":"Evergreen Care Center","address":"5265 East Huntington Avenue","city":"Fresno","state":"CA","zip":"93727","beds":49,"overall":3,"inspections":14,"last_inspection":"2026-05-27","deficiencies":55,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":49,"state_actions":7,"state_serious":3,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.9},{"id":"cms-056225","ccn":"056225","name":"Orchard Post Acute","address":"4840 E.tulare Avenue","city":"Fresno","state":"CA","zip":"93727","beds":99,"overall":3,"inspections":12,"last_inspection":"2026-06-09","deficiencies":66,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":99,"state_actions":4,"state_serious":1,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.4},{"id":"cms-055955","ccn":"055955","name":"California Home for the Aged","address":"6720 E. Kings Canyon","city":"Fresno","state":"CA","zip":"93727","beds":120,"overall":5,"inspections":8,"last_inspection":"2025-08-19","deficiencies":52,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":120,"state_actions":1,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":6.4},{"id":"ca-cdph-630028517","name":"Burnett Extended Care Center","address":"2715 Fresno St","city":"Fresno","state":"CA","zip":"93721","inspections":0,"deficiencies":0,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"state","licensed_beds":154,"state_actions":0,"state_serious":0,"types":["nursing_home"],"distance_km":7.8}]}}