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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· | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D65 | E16 | F7 |
| Minimal | A· | B2 |
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 | |
|---|---|---|---|---|---|---|
| Aug 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 1, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Jun 11, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jun 11, 2026 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Jan 27, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 29, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 24, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 8, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Dec 6, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 16, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 28, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Apr 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 18, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Apr 18, 2024 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Dec 27, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 5, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 29, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 28, 2024 | Denial of payment for new admissions | — | Jul 30, 2024 · 16 days | 055111|Payment Denial|2024-07-30 |
| Jun 28, 2024 | Civil money penalty (fine) | $24,531 | — | 055111|Fine|130786 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 24, 2024 violation Nov 29, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810020015 |
| Jan 19, 2024 violation Nov 16, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920019612 |
| Jan 11, 2024 violation Jan 15, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920019588 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D65 | E16 | F7 |
| Minimal | A· | B2 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 5, 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 Aug 18, 2026 | Complaint |
| Jul 23, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 24, 2026 | Complaint |
“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.
183 facilities in 18 states. CMS chain ID 237.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fc-Gen Operations Investment LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Gen Bq Jv Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Gen Operations I LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Gen Operations II LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Genesis Healthcare Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Genesis Healthcare LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Genesis Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Ghc Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Ghc Jv Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Sun Healthcare Group Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Arnold Whitman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Sundance Rehabilitation Holdco Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Welltower Op LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fc-Gen Operations Investment LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Gen Bq Jv Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Gen Operations I LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Gen Operations II LLC | Organization | Indirect owner |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Earlwood 20820 Earl Street, Torrance, CA 90503 CCN 0550328 state class AA/A | 87 | Aug 19, 2026 | 1073 harm3 open | $18k | |
| Montebello Care Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Palazzo Post Acute 5400 Fountain Ave, Los Angeles, CA 90029 CCN 0564564 state class AA/A | 0 km | 99 | Jul 22, 2026 | 65 | — | |
| Hollywood Premier Healthcare Center 5401 Fountain Ave., Los Angeles, CA 90029 CCN 0564894 state class AA/A | 0 km | 99 | May 22, 2026 | 1101 IJ1 harm | $17k | |
| The Meadows on Sunset Post Acute 5154 Sunset Blvd, Los Angeles, CA 90027 CCN 0560569 state class AA/A | 1 km | 159 | Jun 22, 2026 | 1193 IJ | $22k | |
| Alexandria Care Center 1515 N Alexandria Ave., Los Angeles, CA 90027 CCN 0561137 state class AA/A | 1 km | 177 | Jul 1, 2026 | 1281 open | — | |
| Hollywood Presbyterian Medical Center D/P SNF 4636 Fountain Avenue, Los Angeles, CA 90029 CCN 0563111 state class AA/A | 1.8 km | 89 | Dec 4, 2025 | 811 open | — | |
| Virgil Rehabilitation & Skilled Nursing Center 975 North Virgil Avenue, Los Angeles, CA 90029 CCN 0551572 state class AA/A | 2 km | 124 | Jun 22, 2026 | 731 IJ1 harm | — | |
| Garden Crest Rehabilitation Center 909 Lucile Ave., Los Angeles, CA 90026 CCN 0551613 state class AA/A | 3 km | 72 | May 12, 2026 | 621 harm | — | |
| La Brea Rehabilitation Center 505 N. La Brea Avenue, Los Angeles, CA 90036 CCN 0561959 state class AA/AAbuse icon | 3.2 km | 141 | Aug 25, 2026 | 1263 harm2 open | $33k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055111 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055111 | 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 | 970000015 | 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
| Oct 14, 2022 violation Feb 28, 2022 |
| Class A |
| Citation Citation A (HSC 1424) |
| Patient Care |
| $75,000 initial $25,000 |
Closed |
| 920018085 |
| Sep 28, 2022 violation Aug 29, 2022 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $3,000 | Closed | 920018018 |
| Mar 15, 2022 violation Aug 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Closed | 810017469 |
| Sep 17, 2021 violation Jul 20, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $14,000 initial $20,000 | Appealed Closed | 920016929 |
| Jul 16, 2021 violation Apr 21, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 920016710 |
| May 12, 2021 violation Feb 10, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 | Closed | 920016488 |
| May 10, 2019 violation Sep 9, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920015064 |
| May 3, 2019 violation Jan 29, 2019 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death related Closed | 920015033 |
| Apr 22, 2019 violation May 8, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920014970 |
| Sep 29, 2017 violation Jun 13, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920013525 |
| Dec 1, 2016 violation May 6, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 920012729 |
| Dec 21, 2011 violation Sep 6, 2010 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $40,000 initial $75,000 | Death relatedAppealed Closed | 920008483 |
| Sep 7, 2011 violation Jul 17, 2011 | Class A | Citation Citation A (HSC 1424) | Patient Care | $7,500 | Closed | 920008499 |
| Jan 8, 2010 violation Feb 5, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 initial $1,000 | Appealed Closed | 920006899 |
| Mar 10, 2005 violation Sep 20, 2004 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $70,000 | Death relatedAppealed Closed | 970001454 |
| Mar 21, 2002 violation Jan 18, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 970001374 |
| Jul 1, 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 | F · Potential harm Widespread | Corrected Jul 17, 2026 | Complaint |
| Jul 1, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Jul 16, 2026 | Complaint |
| Jul 1, 2026 | 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 Jul 16, 2026 | Complaint |
| Jul 1, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Jul 16, 2026 | Complaint |
| Jul 1, 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 | D · Potential harm Isolated | Corrected Jul 16, 2026 | Complaint |
| Jun 11, 2026 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 26, 2026 |
| Jun 11, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 16, 2026 |
| Jun 11, 2026 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 30, 2026 |
| Jun 11, 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 | F · Potential harm Widespread | Corrected Jul 10, 2026 |
| Jun 11, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Jun 11, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| Jun 11, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| Jun 11, 2026 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| Jun 11, 2026 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| Jun 11, 2026 | F-0605 | 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 Jun 19, 2026 |
| Jun 11, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| Jun 11, 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 Jun 19, 2026 |
| Jun 11, 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 Jun 19, 2026 |
| Jun 11, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| Jun 11, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| Jun 11, 2026 | 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 Jun 19, 2026 |
| Jun 11, 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 Jun 19, 2026 |
| Jun 11, 2026 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 12, 2026 |
| Jun 11, 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 Jun 12, 2026 |
| Jun 11, 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 Jun 19, 2026 |
| Jun 11, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| Jun 11, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| Jan 27, 2026 | 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 Jan 30, 2026 | Complaint |
| Jan 27, 2026 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 30, 2026 | Complaint |
| Jan 27, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 30, 2026 | Complaint |
| Dec 29, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 15, 2026 | Complaint |
| Dec 29, 2025 | 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 Jan 15, 2026 | Complaint |
| Dec 29, 2025 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2026 | Complaint |
| Nov 24, 2025 | 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 Nov 25, 2025 | Complaint |
| Nov 24, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 25, 2025 | Complaint |
| May 8, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 16, 2025 |
| May 8, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 16, 2025 |
| May 8, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2025 |
| May 8, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2025 |
| May 8, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2025 |
| May 8, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2025 |
| May 8, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 23, 2025 |
| May 8, 2025 | 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 May 23, 2025 |
| May 8, 2025 | 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 May 23, 2025 |
| May 8, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 23, 2025 |
| May 8, 2025 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 23, 2025 |
| May 8, 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 8, 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 8, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected May 23, 2025 |
| Dec 6, 2024 | 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 Dec 20, 2024 | Complaint |
| Dec 6, 2024 | 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 | D · Potential harm Isolated | Corrected Dec 20, 2024 | Complaint |
| Oct 16, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 27, 2024 | Complaint |
| Oct 16, 2024 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Oct 27, 2024 | Complaint |
| Jun 28, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | K · Immediate jeopardy Pattern | Corrected Aug 15, 2024 | Complaint |
| Jun 28, 2024 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 15, 2024 | Complaint |
| Apr 30, 2024 | F-0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 3, 2024 | Complaint |
| Apr 18, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Apr 18, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | 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 | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 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 | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 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 | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Apr 18, 2024 | 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 | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Apr 18, 2024 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Apr 30, 2024 |
| Dec 27, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 25, 2024 | Complaint |
| Dec 27, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 25, 2024 | Complaint |
| Dec 27, 2023 | 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 | D · Potential harm Isolated | Corrected Jan 25, 2024 | Complaint |
| Dec 5, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 29, 2023 | Complaint |
| Dec 5, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 29, 2023 | Complaint |
| Dec 5, 2023 | 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 Dec 29, 2023 | Complaint |
| Nov 29, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 29, 2023 | Complaint |
| Nov 29, 2023 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 29, 2023 | Complaint |
| Nov 29, 2023 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 29, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.35 (case-mix index 1.88).
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| not provided |
| Feb 2, 2015 |
| Genesis Healthcare Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Genesis Healthcare LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Genesis Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Ghc Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Ghc Jv Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Sun Healthcare Group Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Arnold Whitman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Feb 2, 2015 |
| Sundance Rehabilitation Holdco Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Welltower Op LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Jigar Kadakia | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Arlindo Serumal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Pamela Shaw | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2020 |
| Alexis Washington | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 6, 2023 |
| Newgen Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2020 |
| Powerback Rehabilitation LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2020 |
| Jigar Kadakia | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2022 |
| Arlindo Serumal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Pamela Shaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2020 |
| Alexis Washington | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 6, 2023 |
| 99 |
| May 15, 2026 |
77 |
| — |
| Bay Crest Care Center 3750 Garnet Street, Torrance, CA 90503 CCN 0555595 state class AA/ASFF CandidateAbuse icon | 80 | Aug 25, 2026 | 1452 IJ3 harm3 open | $124k |
| Kingsburg Center 1101 Stroud Ave, Kingsburg, CA 93631 CCN 055573 | 86 | Jun 5, 2026 | 991 harm | — |
| Sharon Care Center 8167 West Third St., Los Angeles, CA 90048 CCN 0557558 state class AA/A | 86 | Aug 19, 2026 | 1481 IJ2 harm1 open | $18k |
| Woodland Care Center 7120 Corbin Ave., Reseda, CA 91335 CCN 056066 | 157 | Jul 16, 2026 | 1172 IJ | $31k |
| Anaheim Terrace Care Center 141 South Knott Avenue, Anaheim, CA 92804 CCN 0560761 state class AA/A | 99 | Jul 15, 2026 | 105 | — |
| Devonshire Care Center 1350 East Devonshire Avenue, Hemet, CA 92544 CCN 056095 | 99 | Jul 16, 2026 | 1091 IJ | $10k |