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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 | G1 | H· | I· |
| Potential harm | D41 | E28 | F· |
| Minimal | A· | B2 | C |
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 3, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 3, 2026 | Health | Health Standard | 14 | Potential harm | — | Open → |
| May 15, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 23, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 16, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jan 28, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 6, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 10, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 10, 2025 | Health | Health Standard | 12 | Immediate jeopardy | — | Open → |
| Apr 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 5, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 19, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 19, 2024 | Health | Health Standard | 12 | Potential harm | — | Open → |
| May 17, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Mar 8, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 10, 2025 | Civil money penalty (fine) | $13,319 | — | 055141|Fine|134799 |
| May 17, 2024 | Civil money penalty (fine) | $16,198 | — | 055141|Fine|130615 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jul 25, 2023 violation Nov 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810018964 |
| Jun 12, 2023 violation Apr 27, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Death related Closed | 950018844 |
| Sep 28, 2022 violation Jun 17, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D41 | E28 | F· |
| Minimal | A· | B2 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 3, 2026 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 20, 2026 | |
| Aug 3, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 25, 2026 | |
| Aug 3, 2026 | F-0558 |
“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.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 30, 2025 |
| John Liu | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2023 |
| Najib Yamak | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2023 |
| Twomagnets LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| John Liu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Najib Yamak | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Fairfield Post Acute Rehabilitation 1255 Travis Blvd, Fairfield, CA 94533 CCN 0550145 state class AA/A | 99 | Jun 25, 2026 | 57 | — | |
| Palomar Vista Healthcare Center 201 N Fig Street, Escondido, CA 92025 CCN 055067 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Penn Mar Healthcare Center 3938 Cogswell Road, El Monte, CA 91732 CCN 05A360 | 0.9 km | 45 | Jun 24, 2026 | 911 harm | $4,893 | |
| Eastland Subacute and Rehabilitation Center 3825 Durfee Ave, El Monte, CA 91732 CCN 0564771 state class AA/AAbuse icon | 1 km | 139 | Aug 28, 2026 | 641 IJ | $56k | |
| Fidelity Health Care 11210 Lower Azusa Rd., El Monte, CA 91731 CCN 5550883 state class AA/A | 1.9 km | 90 | Jul 21, 2026 | 54 | — | |
| Valley View Post Acute 3111 Santa Anita Ave, El Monte, CA 91733 CCN 0553723 state class AA/A | 2.2 km | 96 | Jun 18, 2026 | 911 harm | $25k | |
| The Gardens of El Monte 5044 Buffington Rd, El Monte, CA 91732 CCN 555903 | 2.2 km | 53 | Aug 6, 2026 | 711 harm | — | |
| Sunset Manor Conv Hosp 2720 Nevada Avenue, El Monte, CA 91733 CCN 055104 | 2.4 km | 81 | Aug 20, 2026 | 701 harm | — | |
| Temple City Healthcare 5101 Tyler Avenue, Temple City, CA 91780 CCN 056413 | 2.7 km | 59 | Apr 17, 2026 | 671 open | — | |
| Greater El Monte Community Hos 1701 Santa Anita Avenue, El Monte, CA 91733 CCN 555634 | 3.5 km | 13 | Nov 21, 2025 | 25 | $5,698 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055141 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055141 | 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 | 950000007 | 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
Closed |
| 950018020 |
| May 4, 2022 violation Apr 25, 2022 | Class B | Citation Citation B (HSC 1424) | Refusal to Readmit | $3,000 | Closed | 950017621 |
| Oct 15, 2021 violation Aug 18, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950017018 |
| Aug 31, 2021 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 810016822 |
| Aug 6, 2021 violation May 19, 2021 | Class B | Citation Citation B (HSC 1424) | Staffing | $2,000 | Closed | 950016797 |
| Feb 12, 2021 violation Oct 1, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950016288 |
| Sep 10, 2020 violation Aug 3, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950016021 |
| Nov 27, 2019 violation Aug 1, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950015559 |
| May 18, 2018 violation Mar 3, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940014087 |
| Jan 12, 2018 violation Sep 9, 2017 | Class B | Citation Citation A (HSC 1424) | Patient Care | $1,300 initial $20,000 | Appealed Closed | 940013734 |
| Oct 19, 2017 violation Jun 9, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Appealed Closed | 940013550 |
| Sep 8, 2017 violation May 23, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Appealed Closed | 940013482 |
| May 4, 2015 violation Jul 4, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death related Closed | 940011388 |
| Mar 25, 2015 violation Aug 4, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Appealed Closed | 940011286 |
| May 23, 2008 violation Jan 4, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 970004777 |
| Apr 19, 2006 violation Aug 30, 2005 | Class A | Citation Citation A (HSC 1424) | Medication | $15,000 | Appealed Closed | 970003038 |
| Jan 31, 2006 violation Aug 30, 2005 | Class B | Citation Citation B (HSC 1424) | Administration | $1,000 | Closed | 950001446 |
| Sep 25, 2000 violation Jul 19, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $8,000 | Closed | 950001361 |
| Jul 12, 2000 violation Mar 14, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 950001346 |
| Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Aug 26, 2026 |
| Aug 3, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 26, 2026 |
| Aug 3, 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 | E · Potential harm Pattern | Corrected Aug 26, 2026 |
| Aug 3, 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 | E · Potential harm Pattern | Corrected Aug 25, 2026 |
| Aug 3, 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 4, 2026 |
| Aug 3, 2026 | 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 Aug 24, 2026 |
| Aug 3, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 26, 2026 |
| Aug 3, 2026 | 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 Aug 26, 2026 |
| Aug 3, 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 Aug 25, 2026 |
| Aug 3, 2026 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 26, 2026 |
| Aug 3, 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 Aug 26, 2026 |
| Aug 3, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 25, 2026 |
| Aug 3, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 26, 2026 |
| Aug 3, 2026 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| May 15, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 9, 2026 | Complaint |
| May 15, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 10, 2026 | Complaint |
| May 15, 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 | E · Potential harm Pattern | Corrected Jun 10, 2026 | Complaint |
| Apr 23, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2026 | Complaint |
| Apr 23, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 14, 2026 | Complaint |
| Apr 23, 2026 | 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 May 11, 2026 | Complaint |
| Apr 23, 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 May 14, 2026 | Complaint |
| Apr 8, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 1, 2026 | Complaint |
| Mar 16, 2026 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 2, 2026 | Complaint |
| Mar 16, 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 | E · Potential harm Pattern | Corrected Apr 2, 2026 | Complaint |
| Mar 16, 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 Apr 2, 2026 | Complaint |
| Mar 16, 2026 | F-0926 | Have policies on smoking. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 2, 2026 | Complaint |
| Jan 28, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 14, 2026 | Complaint |
| Jan 6, 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 | E · Potential harm Pattern | Corrected Jan 30, 2026 | Complaint |
| Jan 6, 2026 | 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 | E · Potential harm Pattern | Corrected Jan 30, 2026 | Complaint |
| Jan 6, 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 Jan 30, 2026 | Complaint |
| Aug 21, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 12, 2025 | Complaint |
| Jul 10, 2025 | 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 | K · Immediate jeopardy Pattern | Corrected Jul 24, 2025 |
| Jul 10, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 10, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 10, 2025 | 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 Jul 30, 2025 |
| Jul 10, 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 | E · Potential harm Pattern | Corrected Jul 30, 2025 |
| Jul 10, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 10, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 30, 2025 |
| Jul 10, 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 | E · Potential harm Pattern | Corrected Jul 30, 2025 |
| Jul 10, 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 Jul 30, 2025 |
| Jul 10, 2025 | F-0700 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 10, 2025 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 10, 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 Jul 25, 2025 |
| Jul 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 30, 2025 |
| Jul 10, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 10, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jul 30, 2025 |
| Jul 10, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Jul 30, 2025 |
| Apr 7, 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 May 1, 2025 | Complaint |
| Mar 19, 2025 | 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 Apr 9, 2025 | Complaint |
| Feb 5, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 3, 2025 | Complaint |
| Feb 5, 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 Mar 3, 2025 | Complaint |
| Dec 16, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 | Complaint |
| Oct 10, 2024 | 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 Nov 1, 2024 | Complaint |
| Oct 9, 2024 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 28, 2024 | Complaint |
| Jul 19, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 6, 2024 |
| Jul 19, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jul 19, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 6, 2024 |
| Jul 19, 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 Aug 7, 2024 |
| Jul 19, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 5, 2024 |
| Jul 19, 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 Aug 9, 2024 |
| Jul 19, 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 | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 19, 2024 | 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 | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 19, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 19, 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 Aug 8, 2024 |
| Jul 19, 2024 | F-0700 | 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 12, 2024 |
| Jul 19, 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 Aug 12, 2024 |
| Jul 19, 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 Aug 8, 2024 |
| Jul 19, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Aug 7, 2024 |
| May 17, 2024 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 14, 2024 | Complaint |
| May 17, 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 Jun 14, 2024 | Complaint |
| Mar 8, 2024 | 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 Mar 27, 2024 | Complaint |
| Mar 8, 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 Mar 27, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.22 (case-mix index 1.36).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Feb 1, 2023 |
| Adam Willits | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2023 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 8, 2022 |
| Alicia Gamero | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Ami Sato | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 9, 2024 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2022 |
| Twomagnets LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 18, 2025 |
| John Liu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| Najib Yamak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| 74 |
| Jan 15, 2026 |
68 |
| — |
| Grand Terrace Health Care Center 12000 Mount Vernon Ave, Grand Terrace, CA 92313 CCN 0551291 state class AA/A | 59 | Mar 5, 2026 | 38 | — |
| Lemon Grove Care and Rehabilitation Center 8351 Broadway, Lemon Grove, CA 91945 CCN 0551822 state class AA/A | 158 | Dec 18, 2025 | 63 | — |
| Garden View Post Acute Rehabilitation 14475 Garden View Lane, Baldwin Park, CA 91706 CCN 0551872 state class AA/A | 97 | May 7, 2026 | 53 | — |
| Victoria Healthcare and Rehabilitation Center 340 Victoria Street, Costa Mesa, CA 92627 CCN 0552371 state class AA/A | 79 | Aug 14, 2026 | 38 | — |
| Fairmont Rehabilitation Hospital 950 S. Fairmont Avenue, Lodi, CA 95240 CCN 0552422 state class AA/A | 59 | May 7, 2026 | 52 | — |
| Lomita Post-Acute Care Center 1955 Lomita Blvd, Lomita, CA 90717 CCN 0552625 state class AA/A | 71 | Aug 20, 2026 | 61 | — |