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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 | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D45 | E20 | F5 |
| Minimal | A· | B1 | 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 | |
|---|---|---|---|---|---|---|
| Jun 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Feb 6, 2026 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Jan 13, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Aug 23, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Aug 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 29, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Feb 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 27, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Dec 27, 2024 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Dec 29, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Dec 29, 2023 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 29, 2025 | Denial of payment for new admissions | — | Jul 29, 2025 · 55 days | 055157|Payment Denial|2025-07-29 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jul 14, 2023 violation Jun 7, 2023 | Class B | Citation Citation B (HSC 1424) | Administration | $9,000 initial $3,000 | Closed | 920018954 |
| Apr 4, 2023 violation Feb 15, 2023 | Class B | Citation Citation B (HSC 1424) | Administration | $3,250 initial $3,000 | Closed | 920018602 |
| Mar 1, 2023 violation Jan 5, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D45 | E20 | F5 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 22, 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 Jul 2, 2026 | Complaint |
| Feb 6, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 25, 2026 | |
| Feb 6, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Rushabh Modi | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 10, 2016 |
| Shruti Modi | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 10, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Rushabh Modi | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 10, 2016 |
| Shruti Modi | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 10, 2016 |
| Brittany Brinley | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2021 |
| Teresita Antonio | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 16, 2018 |
| Brittany Brinley | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Hollywood Presbyterian Medical Center D/P SNF 4636 Fountain Avenue, Los Angeles, CA 90029 CCN 0563111 state class AA/A | 0.7 km | 89 | Dec 4, 2025 | 811 open | — | |
| Garden Crest Rehabilitation Center 909 Lucile Ave., Los Angeles, CA 90026 CCN 0551613 state class AA/A | 1.1 km | 72 | May 12, 2026 | 621 harm | — | |
| The Meadows on Sunset Post Acute 5154 Sunset Blvd, Los Angeles, CA 90027 CCN 0560569 state class AA/A | 1.4 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 | 1.4 km | 177 | Jul 1, 2026 | 1281 open | — | |
| Palazzo Post Acute 5400 Fountain Ave, Los Angeles, CA 90029 CCN 0564564 state class AA/A | 2 km | 99 | Jul 22, 2026 | 65 | — | |
| Hollywood Premier Healthcare Center 5401 Fountain Ave., Los Angeles, CA 90029 CCN 0564894 state class AA/A | 2 km | 99 | May 22, 2026 | 1101 IJ1 harm | $17k | |
| Fountain View Subacute and Nursing Center 5310 Fountain Ave, Los Angeles, CA 90029 CCN 0551119 state class AA/A | 2 km | 99 | Aug 5, 2026 | 911 IJ | $25k | |
| Temple Park Convalescent Hospital 2411 W. Temple Street, Los Angeles, CA 90026 CCN 5550193 state class AA/A | 2.7 km | 99 | Jun 18, 2026 | 811 IJ | $145k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055157 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055157 | 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 | 970000103 | 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
| 920018457 |
| Dec 31, 2019 violation Oct 2, 2019 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920015649 |
| Feb 12, 2018 violation Oct 5, 2017 | Class B | Citation Citation A (HSC 1424) | Patient Care | $2,000 initial $16,000 | Appealed Closed | 920013805 |
| Feb 12, 2018 violation Dec 21, 2017 | Class B | Citation Citation A (HSC 1424) | Patient Care | $2,000 initial $18,000 | Appealed Closed | 920013804 |
| Aug 5, 2015 violation Feb 11, 2013 | Class A | Citation Citation A (HSC 1424) | Patient Care | $8,500 initial $20,000 | Appealed Closed | 920011654 |
| Dec 27, 2011 violation Feb 26, 2011 | Class B | Citation Citation B (HSC 1424) | Other · Misappropriation of funds | $1,000 | Closed | 920008857 |
| Dec 27, 2005 violation Jun 14, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 970001459 |
| Nov 14, 2003 violation Oct 23, 2003 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Closed | 970001448 |
| Aug 17, 2001 violation Jul 26, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 | Closed | 970001362 |
| Apr 4, 2000 violation Jan 2, 2000 | Class B | Citation Citation AA (HSC 1424) | Patient Care | $10,000 initial $20,000 | Death relatedAppealed Closed | 970001004 |
| 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 Feb 25, 2026 |
| Feb 6, 2026 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 25, 2026 |
| Feb 6, 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 Feb 25, 2026 |
| Feb 6, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 25, 2026 |
| Feb 6, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 25, 2026 |
| Feb 6, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 25, 2026 |
| Feb 6, 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 Feb 25, 2026 |
| Feb 6, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 25, 2026 |
| Feb 6, 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 Feb 26, 2026 |
| Feb 6, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 26, 2026 |
| Feb 6, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 26, 2026 |
| Feb 6, 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 Feb 26, 2026 |
| Feb 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 | D · Potential harm Isolated | Corrected Feb 26, 2026 |
| Feb 6, 2026 | 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 Feb 26, 2026 |
| Feb 6, 2026 | 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 Feb 26, 2026 |
| Feb 6, 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 Feb 26, 2026 |
| Feb 6, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 26, 2026 |
| Feb 6, 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 | E · Potential harm Pattern | Corrected Feb 26, 2026 |
| Feb 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 Feb 26, 2026 |
| Feb 6, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 26, 2026 |
| Feb 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 26, 2026 |
| Feb 6, 2026 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Feb 26, 2026 |
| Jan 13, 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 |
| Nov 20, 2025 | 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 28, 2025 | Complaint |
| Nov 20, 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 28, 2025 | Complaint |
| Nov 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 Nov 28, 2025 | Complaint |
| Nov 20, 2025 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 28, 2025 | Complaint |
| Aug 23, 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 | J · Immediate jeopardy Isolated | Corrected Sep 17, 2025 | Complaint |
| Aug 14, 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 29, 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 | G · Actual harm Isolated | Corrected Aug 25, 2025 | Complaint |
| Feb 13, 2025 | 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 Feb 25, 2025 | Complaint |
| Dec 27, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Dec 27, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 17, 2025 |
| Dec 27, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Dec 27, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Dec 27, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Dec 27, 2024 | 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 Jan 17, 2025 |
| Dec 27, 2024 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 26, 2025 |
| Dec 27, 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 Jan 26, 2025 |
| Dec 27, 2024 | 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 Jan 26, 2025 |
| Dec 27, 2024 | 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 Jan 26, 2025 |
| Dec 27, 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 Jan 26, 2025 |
| Dec 27, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 26, 2025 |
| Dec 27, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 26, 2025 |
| Dec 27, 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 | D · Potential harm Isolated | Corrected Jan 26, 2025 |
| Dec 27, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 26, 2025 |
| Dec 27, 2024 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Waiver granted Jan 26, 2025 |
| Dec 29, 2023 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2024 |
| Dec 29, 2023 | 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 | E · Potential harm Pattern | Corrected Feb 4, 2024 |
| Dec 29, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 4, 2024 |
| Dec 29, 2023 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 4, 2024 |
| Dec 29, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2024 |
| Dec 29, 2023 | 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 Feb 4, 2024 |
| Dec 29, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2024 |
| Dec 29, 2023 | 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 Feb 4, 2024 |
| Dec 29, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2024 |
| Dec 29, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 29, 2024 |
| Dec 29, 2023 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 29, 2024 |
| Dec 29, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 29, 2024 |
| Dec 29, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 29, 2024 |
| Dec 29, 2023 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 29, 2024 |
| Dec 29, 2023 | 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 Jan 29, 2024 |
| Dec 29, 2023 | 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 Jan 29, 2024 |
| Dec 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 Jan 29, 2024 |
| Dec 29, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jan 29, 2024 |
| Dec 29, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 29, 2024 |
| Dec 29, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 29, 2024 |
| Dec 29, 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 Jan 29, 2024 |
| Dec 29, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 29, 2024 |
| Dec 29, 2023 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Jan 29, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.06 (case-mix index 1.30).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Feb 1, 2021 |
| Jecery Ninonuevo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 12, 2023 |
| Elizabeth Austria | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 10, 2016 |
| Sagar Parikh | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2015 |
| Sagar Parikh | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2015 |
| Teresita Antonio | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2018 |
| Elizabeth Austria | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2016 |
| Brittany Brinley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2021 |
| Jecery Ninonuevo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 12, 2023 |