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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· | L1 |
| Actual harm | G· | H· | I· |
| Potential harm | D56 | E8 | F9 |
| Minimal | A· | B1 |
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 | |
|---|---|---|---|---|---|---|
| Jun 5, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jun 5, 2026 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Mar 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 30, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 14, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 20, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Jan 24, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 24, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Mar 15, 2024 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Mar 15, 2024 | Health | Health Standard | 12 | Immediate jeopardy | — | Open → |
| Nov 28, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 15, 2024 | Denial of payment for new admissions | — | Apr 12, 2024 · 5 days | 055155|Payment Denial|2024-04-12 |
| Mar 15, 2024 | Civil money penalty (fine) | $55,450 | — | 055155|Fine|130465 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 12, 2024 violation Mar 9, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Closed | 920019996 |
| Oct 10, 2023 violation Jul 18, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death relatedAppealed Open | 920019250 |
| Aug 11, 2023 violation Feb 18, 2023 | Class B |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L1 |
| Actual harm | G· | H· | I· |
| Potential harm | D56 | E8 | F9 |
| Minimal | A· | B1 | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 5, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 30, 2026 | |
| Jun 5, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 30, 2026 | |
| Jun 5, 2026 | K-0223 |
“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.
35 facilities in 2 states. CMS chain ID 50.
Chain average overall rating (CMS): 3.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Asms, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 11, 2020 |
| Peter Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 7, 2023 |
| Eric Elsner | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Jared Kirkwood | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Craig Orgill | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Rajesh Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Shruty Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Marcus Paxman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Asms, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 11, 2020 |
| Peter Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 7, 2023 |
| Eric Elsner | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Jared Kirkwood | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Craig Orgill | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| South Marin Health & Wellness Center 1220 South Eliseo Drive, Greenbrae, CA 94904 CCN 055093 | 72 | Jan 23, 2026 | 57 | — | |
| Berkley West Healthcare Center 1623 Arizona Avenue, Santa Monica, CA 90404 CCN 055136 | 54 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Berkley West Healthcare Center 1623 Arizona Avenue, Santa Monica, CA 90404 CCN 055136 | 0 km | 54 | Jun 25, 2026 | 841 IJ | $101k | |
| Pacific Post Acute 1323 17th Street, Santa Monica, CA 90404 CCN 555054 | 0 km | 49 | Aug 3, 2026 | 55 | — | |
| Santa Monica Rehabilitation Center 1338 20th Street, Santa Monica, CA 90404 CCN 5558087 state class AA/ASFF Candidate | 0.2 km | 144 | Aug 31, 2026 | 1983 IJ4 harm5 open | $143k | |
| Santa Monica Health Care Center 1320 20th Street, Santa Monica, CA 90404 CCN 0555401 state class AA/A | 0.3 km | 59 | Jul 17, 2026 | 502 IJ1 harm | — | |
| Berkley East Healthcare Center 2021 Arizona Ave, Santa Monica, CA 90404 CCN 5557483 state class AA/AAbuse icon | 0.4 km | 207 | Aug 7, 2026 | 1302 IJ4 harm | $58k | |
| Beachwood Post-Acute & Rehab 1340 15th Street, Santa Monica, CA 90404 CCN 0563346 state class AA/A | 0.9 km | 227 | Aug 14, 2026 | 1345 harm | $178k | |
| Good Shepherd Health Care Center of Santa Monica 1131 Arizona Ave., Santa Monica, CA 90401 CCN 5550612 state class AA/A | 1 km | 48 | Feb 25, 2026 | 591 harm | $8,424 | |
| Brentwood Health Care Center 1321 Franklin Street, Santa Monica, CA 90404 CCN 055711 | 1.6 km | 59 | Apr 21, 2026 | 55 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055155 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055155 | 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 | 910000006 | 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
| Citation Citation B (HSC 1424) |
| Patient Rights |
| $3,000 |
Closed |
| 920018987 |
| May 10, 2022 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 | 810017600 |
| Jan 5, 2021 violation Nov 10, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,050 initial $2,000 | Closed | 920016226 |
| Nov 9, 2020 violation Mar 17, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Closed | 810016124 |
| Dec 12, 2019 violation Dec 5, 2019 | Class B | Citation Citation B (HSC 1424) | Administration | $2,000 | Closed | 920015606 |
| Apr 18, 2019 violation Jan 12, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910014957 |
| Nov 10, 2016 violation Sep 23, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,500 | Closed | 910012746 |
| Jun 23, 2005 violation Jun 6, 2005 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Appealed Closed | 910001519 |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jun 30, 2026 |
| Jun 5, 2026 | 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 Jun 30, 2026 |
| Jun 5, 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 30, 2026 |
| Jun 5, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 30, 2026 |
| Jun 5, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 30, 2026 |
| Jun 5, 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 Jun 30, 2026 |
| Jun 5, 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 30, 2026 |
| Jun 5, 2026 | 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 Jun 17, 2026 |
| Jun 5, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 5, 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 17, 2026 |
| Jun 5, 2026 | 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 Jun 17, 2026 |
| Jun 5, 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 Jun 17, 2026 |
| Jun 5, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 5, 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 Jun 17, 2026 |
| Jun 5, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 5, 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 Jun 17, 2026 |
| Jun 5, 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 17, 2026 |
| Jun 5, 2026 | F-0727 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 5, 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 17, 2026 |
| Jun 5, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 5, 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 Jun 17, 2026 |
| Jun 5, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 5, 2026 | 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 Jun 17, 2026 |
| Mar 24, 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 Apr 23, 2026 | Complaint |
| Dec 30, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 28, 2026 | Complaint |
| Dec 30, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 28, 2026 | Complaint |
| Nov 14, 2025 | F-0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 10, 2025 | Complaint |
| Nov 14, 2025 | 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 Dec 11, 2025 | Complaint |
| Nov 14, 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 Dec 11, 2025 | Complaint |
| Nov 13, 2025 | 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 Dec 13, 2025 | Complaint |
| Sep 30, 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 Oct 30, 2025 | Complaint |
| Mar 20, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 18, 2025 |
| Mar 20, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 18, 2025 |
| Mar 20, 2025 | 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 Apr 18, 2025 |
| Mar 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 18, 2025 |
| Mar 20, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 18, 2025 |
| Mar 20, 2025 | 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 Apr 18, 2025 |
| Mar 20, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2025 |
| Mar 20, 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 | D · Potential harm Isolated | Corrected May 9, 2025 |
| Mar 20, 2025 | 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 May 9, 2025 |
| Mar 20, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 5, 2025 |
| Mar 20, 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 Apr 11, 2025 |
| Mar 20, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 12, 2025 |
| Mar 20, 2025 | 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 | E · Potential harm Pattern | Corrected Apr 12, 2025 |
| Mar 20, 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 Mar 18, 2025 |
| Jan 24, 2025 | 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 Feb 20, 2025 | Complaint |
| Jan 24, 2025 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2025 | Complaint |
| Jan 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 Feb 20, 2025 | Complaint |
| Jun 24, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 24, 2024 | Complaint |
| Jun 24, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 24, 2024 | Complaint |
| Jun 24, 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 Jul 24, 2024 | Complaint |
| Jun 24, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 24, 2024 | Complaint |
| Mar 15, 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 | L · Immediate jeopardy Widespread | Corrected Apr 12, 2024 |
| Mar 15, 2024 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 17, 2024 |
| Mar 15, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 17, 2024 |
| Mar 15, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2024 |
| Mar 15, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2024 |
| Mar 15, 2024 | 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 Apr 17, 2024 |
| Mar 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2024 |
| Mar 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2024 |
| Mar 15, 2024 | 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 Apr 17, 2024 |
| Mar 15, 2024 | 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 Apr 12, 2024 |
| Mar 15, 2024 | 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 Apr 12, 2024 |
| Mar 15, 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 Apr 12, 2024 |
| Mar 15, 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 12, 2024 |
| Mar 15, 2024 | 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 Apr 12, 2024 |
| Mar 15, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 12, 2024 |
| Mar 15, 2024 | 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 Apr 12, 2024 |
| Mar 15, 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 Apr 12, 2024 |
| Mar 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 12, 2024 |
| Mar 15, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 12, 2024 |
| Mar 15, 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 | D · Potential harm Isolated | Corrected Apr 12, 2024 |
| Mar 15, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 17, 2024 |
| Mar 15, 2024 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 17, 2024 |
| Mar 15, 2024 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 17, 2024 |
| Mar 15, 2024 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 17, 2024 |
| Nov 28, 2023 | 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 Dec 14, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.21 (case-mix index 1.59).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Mar 11, 2020 |
| Rajesh Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Shruty Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 11, 2020 |
| Marcus Paxman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Timothy Caslmon | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Stephen Thompson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Asms, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 11, 2020 |
| Jeffrey Bradshaw | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Timothy Caslmon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| May Negapatan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Stephen Thompson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Andrew Yang | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 10, 2021 |
| 1330 17th Street, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 15, 2018 |
| Asms, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2020 |
| Aspen Healthcare Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| East West Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2020 |
| Jacaranda Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Moss Adams LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2020 |
| Jeffrey Bradshaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Vern Brady | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Ryan Case | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Timothy Caslmon | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Navid Darouian | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Frank Jurado | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| May Negapatan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Marcus Paxman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Stephen Thompson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Andrew Yang | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2021 |
| Jun 25, 2026 |
841 IJ |
| $101k |
| Woodlands Healthcare Center 14966 Terreno De Flores Lane, Los Gatos, CA 95032 CCN 0555172 state class AA/A | 65 | Sep 19, 2025 | 60 | — |
| Stonebrook Health and Rehabilitation 350 De Soto Drive, Los Gatos, CA 95032 CCN 0558002 state class AA/A | 73 | Mar 5, 2026 | 49 | — |
| The Avenues Transitional Care Center 2043 19th Avenue, San Francisco, CA 94116 CCN 055963 | 140 | Oct 2, 2025 | 461 harm | $13k |
| Petaluma Post-Acute Rehabilitation 1115 B Street, Petaluma, CA 94952 CCN 0560722 state class AA/A | 90 | Dec 19, 2025 | 36 | — |
| Cottonwood Healthcare Center 625 Cottonwood Street, Woodland, CA 95695 CCN 0560982 state class AA/A | 98 | Jul 24, 2026 | 50 | — |
| Woodland Post-Acute 678 3rd Street, Woodland, CA 95695 CCN 0561092 state class AA/A | 91 | Mar 20, 2026 | 1071 harm | $14k |