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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E7 | F3 |
| Minimal | A· | B· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 30, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jul 30, 2026 | Health | Health Standard | 12 | Potential harm | — | Open → |
| May 2, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 2, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| May 16, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 16, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 1, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Oct 24, 2018 violation Apr 28, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 090014511 |
| Jul 6, 2011 violation May 2, 2011 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $900 | Closed | 090008362 |
| Sep 27, 2006 violation Jun 5, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $900 | Closed | 090003372 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E7 | F3 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 30, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 4, 2026 | |
| Jul 30, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 14, 2026 | |
| Jul 30, 2026 | F-0605 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sharp Healthcare | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 1994 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sharp Healthcare | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 1994 |
| Lindsey Arendsee | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2023 |
| Jane Braun | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Michael Butera | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2020 |
| Robert Campbell | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| St. Pauls Health Care Center 235 Nutmeg Street, San Diego, CA 92103 CCN 555144Abuse icon | 4.4 km | 59 | Aug 12, 2026 | 771 harm | $29k | |
| Balboa Nursing & Rehabilitation Center 3520 Fourth Avenue, San Diego, CA 92103 CCN 0561051 state class AA/A | 5.3 km | 194 | Apr 23, 2026 | 721 harm2 open | — | |
| Golden Hill Post Acute 1201 34th St., San Diego, CA 92102 CCN 056182 | 5.4 km | 99 | Aug 11, 2026 | 701 harm | — | |
| Mission Hills Post Acute Care 3680 Reynard Way, San Diego, CA 92103 CCN 056401 | 5.6 km | 75 | Aug 13, 2026 | 571 harm | — | |
| Hillcrest Heights Healthcare Center 4033 Sixth Avenue Ext, San Diego, CA 92103 CCN 555630 | 6.1 km | 96 | Nov 25, 2025 | 59 | — | |
| Hillcrest Manor Sanitarium 1889 National City Blvd., National City, CA 91950 CCN 055975 | 7.3 km | 98 | Feb 12, 2026 | 592 open | — | |
| National City Post Acute 220 East 24th Street, National City, CA 91950 CCN 055954 | 7.4 km | 98 | Jun 22, 2026 | 602 harm2 open | $16k | |
| Castle Manor Nursing & Rehabilitation Center 541 V Avenue, National City, CA 91950 CCN 5552631 state class AA/A | 7.6 km | 99 | Mar 27, 2025 | 371 harm | $10k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055074 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055074 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| California CDPH Licensed Facility Listing CA | 090000324 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Oct 16, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 14, 2005 violation Dec 1, 2004 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 | Death related Closed | 090002851 |
| Aug 17, 2001 violation Aug 1, 2001 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 090002775 |
| Jul 2, 2001 violation Jun 1, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $900 | Closed | 090002767 |
| Jun 4, 2001 violation Apr 21, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 090002766 |
| Jun 29, 2000 violation May 10, 2000 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 090002750 |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect |
| D · Potential harm Isolated |
| Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 14, 2026 |
| Jul 30, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 14, 2026 |
| Jul 30, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 4, 2026 |
| May 2, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 7, 2025 |
| May 2, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 7, 2025 |
| May 2, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 7, 2025 |
| May 2, 2025 | K-0907 | Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 7, 2025 |
| May 2, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 23, 2025 |
| May 2, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 23, 2025 |
| May 2, 2025 | F-0726 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 23, 2025 |
| May 2, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 23, 2025 |
| May 2, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 23, 2025 |
| May 2, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 23, 2025 |
| May 16, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 16, 2024 |
| May 16, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 16, 2024 |
| May 16, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 16, 2024 |
| May 16, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 16, 2024 |
| May 16, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 16, 2024 |
| Mar 21, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 27, 2024 | Complaint |
| Nov 1, 2023 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 11, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.57 (case-mix index 2.30).
| William Lennard | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Eric Mair | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2024 |
| Scott Metzger | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2024 |
| Marlena Montgomery | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 1, 2019 |
| Paul Plumb | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
| Carol Sommer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2017 |
| Sydney Stanley | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2024 |
| Judy Weisman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2023 |
| Michael Woiwode | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Sharp Healthcare | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 1994 |
| Glend Atis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2007 |
| Fahd Benjalil | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2024 |
| William Evans | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2016 |
| Amir Fahid | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2021 |
| Marlena Montgomery | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2019 |
| Lindsey Arendsee | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2023 |
| Fahd Benjalil | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2024 |
| Jane Braun | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2024 |
| Michael Butera | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Robert Campbell | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2021 |
| William Evans | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 30, 2022 |
| William Lennard | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Eric Mair | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Marlena Montgomery | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 1, 2019 |
| Paul Plumb | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 1, 2021 |
| Carol Sommer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2017 |
| Judy Weisman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2023 |
| Michael Woiwode | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Christopher Howard | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2019 |
| Scott Metzger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2024 |
| Sydney Stanley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2024 |
| Sharp Healthcare | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 20, 2025 |
| Glend Atis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2007 |
| Amir Fahid | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 6, 2026 |