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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 | G3 | H· | I· |
| Potential harm | D100 | E16 | F5 |
| Minimal | A· | B3 | C4 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 31, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 8, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 30, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 10, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 15, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 6, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 5, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 28, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 9, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jan 9, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Dec 9, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Sep 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 1, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 5, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Apr 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 20, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 10, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 10, 2025 | Health | Health Standard | 21 | Potential harm | — | Open → |
| Dec 18, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 18, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 30, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 7, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 1, 2024 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Sep 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 15, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 12, 2024 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Aug 9, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 31, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 9, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jun 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 24, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Mar 13, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 14, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 15, 2023 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Dec 15, 2023 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 10, 2026 | Civil money penalty (fine) | $22,125 | — | 055167|Fine|143597 |
| Apr 10, 2025 | Civil money penalty (fine) | $17,345 | — | 055167|Fine|131314 |
| Jul 31, 2024 | Denial of payment for new admissions | — | Sep 7, 2024 · 45 days | 055167|Payment Denial|2024-09-07 |
| Jul 31, 2024 | Civil money penalty (fine) | $107,454 | — | 055167|Fine|130895 |
| May 24, 2024 | Denial of payment for new admissions | — | Jun 25, 2024 · 24 days | 055167|Payment Denial|2024-06-25 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 5, 2024 violation Feb 20, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 910019971 |
| Sep 19, 2023 violation Jul 25, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 910019177 |
| Oct 7, 2022 violation Jun 9, 2022 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 910018069 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D100 | E16 | F5 |
| Minimal | A· | B3 | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 31, 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 Aug 21, 2026 | Complaint |
| Jul 31, 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 Aug 21, 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.
15 facilities in 1 states. CMS chain ID 792.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Healthcare Holdings, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | Oct 1, 1993 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Healthcare Holdings, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | Oct 1, 1993 |
| Rockport Administrative Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2007 |
| Andrea Carlin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 23, 2023 |
| Kingsley Ofoegbu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Pavilion at Ocean Point 3202 Duke Street, San Diego, CA 92110 CCN 055322 | 133 | Aug 11, 2026 | 981 harm2 open | — | |
| Brighton Place Spring Valley 9009 Campo Road, Spring Valley, CA 91977 CCN 055685 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Maple Healthcare Center 2625 Maple Ave., Los Angeles, CA 90011 CCN 0550366 state class AA/AAbuse icon | 2.8 km | 59 | Jul 10, 2026 | 1072 IJ4 harm | $164k | |
| University Park Healthcare Center 230 E Adams Blvd, Los Angeles, CA 90011 CCN 0562068 state class AA/AAbuse icon | 2.9 km | 88 | Jul 2, 2026 | 1141 IJ7 harm | $231k | |
| St. John of God Retirement 2468 South St Andrews Place, Los Angeles, CA 90018 CCN 0552538 state class AA/A | 3.8 km | 156 | Jul 23, 2026 | 1101 IJ3 harm | $110k | |
| East Terrace Rehabilitation & Wellness Centre, LP 2415 South Western Avenue, Los Angeles, CA 90018 CCN 0561144 state class AA/A | 3.9 km | 99 | Jul 8, 2026 | 912 IJ2 harm | $158k | |
| Sunnyview Care Center 2000 W Washington Bl, Los Angeles, CA 90018 CCN 5550713 state class AA/A | 4.1 km | 93 | Mar 25, 2026 | 611 harm | $39k | |
| Western Convalescent Hospital 2190 W Adams Blvd, Los Angeles, CA 90018 CCN 5550694 state class AA/A | 4.2 km | 129 | Aug 11, 2026 | 88 | — | |
| St Andrews 2300 W. Washington Blvd., Los Angeles, CA 90018 CCN 5552181 state class AA/A | 4.4 km | 59 | Jun 5, 2026 | 65 | — | |
| View Park Convalescent Center 3737 Don Felipe Drive, Los Angeles, CA 90008 CCN 5550653 state class AA/A | 4.6 km | 99 | Jul 2, 2026 | 811 harm | $28k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055167 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055167 | 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 | 970000050 | 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
| May 24, 2024 | Civil money penalty (fine) | $53,639 | — | 055167|Fine|130660 |
| Jul 22, 2022 violation Jun 15, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 910017813 |
| Jul 21, 2022 violation Jun 15, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 910017811 |
| Jul 19, 2022 violation Jun 15, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 910017797 |
| Jul 19, 2022 violation Apr 29, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 910017793 |
| Dec 30, 2021 violation Aug 25, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 910017240 |
| May 14, 2021 violation Feb 12, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910016501 |
| Jul 17, 2020 violation Apr 9, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Open | 910015940 |
| May 1, 2020 violation Feb 1, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910015870 |
| May 1, 2020 violation Feb 1, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910015869 |
| Jan 10, 2020 violation Nov 26, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910015678 |
| Sep 27, 2019 violation Jul 17, 2019 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $2,000 | Closed | 910015417 |
| Sep 27, 2019 violation Jul 3, 2019 | Class A | Citation Citation A (HSC 1424) | Patient Care | $60,000 initial $20,000 | Appealed Open | 910015416 |
| Sep 20, 2019 violation May 2, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,100 initial $2,000 | Closed | 910015402 |
| Aug 22, 2019 violation May 30, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910015340 |
| Jul 3, 2019 violation May 23, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 910015182 |
| Jun 28, 2019 violation Mar 30, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910015209 |
| Jun 14, 2019 violation Nov 20, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 910015162 |
| Nov 21, 2018 violation Aug 20, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 940014595 |
| Jun 15, 2018 violation Feb 14, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940014142 |
| Jan 19, 2018 violation Apr 26, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 940013731 |
| Mar 10, 2017 violation Jan 15, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Open | 940013040 |
| Mar 10, 2017 violation Jan 27, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Open | 940013039 |
| Mar 10, 2017 violation Jan 30, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Open | 940013038 |
| Mar 10, 2017 violation Jan 30, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Open | 940013037 |
| Mar 10, 2017 violation Oct 19, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Open | 940013036 |
| Mar 10, 2017 violation Jan 28, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Open | 940013035 |
| Mar 10, 2017 violation Dec 3, 2016 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Open | 940013034 |
| Mar 10, 2017 violation Dec 1, 2016 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Open | 940013033 |
| Mar 10, 2017 violation Dec 3, 2016 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Open | 940013032 |
| Mar 10, 2017 violation Jan 29, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Open | 940013031 |
| Mar 10, 2017 violation Jan 24, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Open | 940013027 |
| May 6, 2015 violation Sep 20, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 initial $20,000 | Appealed Closed | 940011435 |
| May 6, 2015 violation Jul 7, 2014 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Appealed Closed | 940011431 |
| Mar 31, 2015 violation May 19, 2013 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 940011362 |
| Aug 7, 2008 violation Aug 1, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $2,000 initial $20,000 | Appealed Closed | 970004713 |
| Sep 4, 2007 violation Apr 26, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 970004007 |
| Dec 21, 2006 violation Dec 8, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,500 initial $1,000 | Appealed Closed | 970003596 |
| Dec 21, 2006 violation Oct 4, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 initial $1,000 | Closed | 970003594 |
| Oct 27, 2006 violation Aug 14, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 970003452 |
| Oct 27, 2006 violation Aug 14, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 970003391 |
| Mar 17, 2006 violation Nov 23, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 970002967 |
| Jun 14, 2002 violation Feb 21, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 970001379 |
| Jun 14, 2002 violation Feb 21, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $100 initial $900 | Appealed Closed | 970001378 |
| Jul 31, 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 Aug 21, 2026 | Complaint |
| Jul 22, 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 Aug 7, 2026 | Complaint |
| Jul 17, 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 Aug 3, 2026 | Complaint |
| Jul 8, 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 | G · Actual harm Isolated | Corrected Jul 13, 2026 | Complaint |
| Jun 30, 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 25, 2026 | Complaint |
| Jun 30, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2026 | Complaint |
| Jun 30, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 | Complaint |
| Jun 10, 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 Jul 1, 2026 | Complaint |
| Jun 10, 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 Jul 1, 2026 | Complaint |
| Jun 10, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| May 15, 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 Jun 2, 2026 | Complaint |
| May 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 May 15, 2026 | Complaint |
| May 6, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2026 | Complaint |
| May 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 May 19, 2026 | Complaint |
| May 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 May 19, 2026 | Complaint |
| Jan 28, 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 Feb 13, 2026 | Complaint |
| Jan 9, 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 Jan 7, 2026 |
| Jan 9, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 7, 2026 |
| Jan 9, 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 Jan 7, 2026 |
| Jan 9, 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 Jan 21, 2026 |
| Jan 9, 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 Jan 21, 2026 |
| Jan 9, 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 Jan 21, 2026 |
| Jan 9, 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 Jan 21, 2026 |
| Jan 9, 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 Jan 21, 2026 |
| Jan 9, 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 Jan 21, 2026 |
| Jan 9, 2026 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 21, 2026 |
| Jan 9, 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 21, 2026 |
| Jan 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 21, 2026 |
| Jan 9, 2026 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jan 7, 2026 |
| Jan 9, 2026 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jan 7, 2026 |
| Jan 9, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jan 7, 2026 |
| Jan 9, 2026 | 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 Jan 21, 2026 |
| Dec 9, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 31, 2025 | Complaint |
| Dec 9, 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 Dec 31, 2025 | Complaint |
| Dec 9, 2025 | 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 Dec 31, 2025 | Complaint |
| Sep 12, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 18, 2025 | Complaint |
| Aug 1, 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 Aug 18, 2025 | Complaint |
| Aug 1, 2025 | 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 Aug 18, 2025 | Complaint |
| Aug 1, 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 Aug 18, 2025 | Complaint |
| Jun 6, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2025 | Complaint |
| May 5, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected May 6, 2025 | Complaint |
| Apr 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 | D · Potential harm Isolated | Corrected Apr 25, 2025 | Complaint |
| Mar 13, 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 Mar 27, 2025 | Complaint |
| Feb 20, 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 Mar 5, 2025 | Complaint |
| Feb 20, 2025 | 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 Mar 5, 2025 | Complaint |
| Jan 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 10, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 28, 2025 |
| Jan 10, 2025 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 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 Jan 27, 2025 |
| Jan 10, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 10, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 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 | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 10, 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 Jan 27, 2025 |
| Jan 10, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 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 | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 10, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 10, 2025 | 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 27, 2025 |
| Jan 10, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 10, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 10, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 27, 2025 |
| Jan 10, 2025 | 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 Jan 27, 2025 |
| Jan 10, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 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 | F · Potential harm Widespread | Corrected Jan 27, 2025 |
| Jan 10, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 10, 2025 | 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 Jan 27, 2025 |
| Jan 10, 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 Jan 27, 2025 |
| Jan 10, 2025 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 27, 2025 |
| Jan 10, 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 | Waiver granted Jan 27, 2025 |
| Dec 18, 2024 | 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 7, 2025 | Complaint |
| Dec 18, 2024 | 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 Jan 7, 2025 | Complaint |
| Nov 18, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 29, 2024 | Complaint |
| Nov 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 | D · Potential harm Isolated | Corrected Nov 29, 2024 | Complaint |
| Nov 18, 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 | D · Potential harm Isolated | Corrected Nov 29, 2024 | Complaint |
| Nov 12, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 19, 2024 | Complaint |
| Oct 30, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 12, 2024 | Complaint |
| Oct 30, 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 Nov 12, 2024 | Complaint |
| Oct 9, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 17, 2024 | Complaint |
| Oct 7, 2024 | 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 Oct 22, 2024 | Complaint |
| Oct 7, 2024 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 22, 2024 | Complaint |
| Oct 1, 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 Oct 11, 2024 | Complaint |
| Oct 1, 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 Oct 11, 2024 | Complaint |
| Oct 1, 2024 | 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 Oct 11, 2024 | Complaint |
| Oct 1, 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 Oct 11, 2024 | Complaint |
| Oct 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Sep 13, 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 Sep 30, 2024 | Complaint |
| Aug 28, 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 Sep 18, 2024 | Complaint |
| Aug 28, 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 Sep 18, 2024 | Complaint |
| Aug 15, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 27, 2024 | Complaint |
| Aug 12, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 27, 2024 | Complaint |
| Aug 12, 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 Aug 27, 2024 | Complaint |
| Aug 12, 2024 | 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 27, 2024 | Complaint |
| Aug 12, 2024 | 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 | D · Potential harm Isolated | Corrected Aug 27, 2024 | Complaint |
| Aug 12, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 27, 2024 | Complaint |
| Aug 9, 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 Aug 26, 2024 | Complaint |
| Aug 9, 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 Aug 26, 2024 | Complaint |
| Jul 31, 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 Aug 19, 2024 | Complaint |
| Jul 31, 2024 | 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 19, 2024 | Complaint |
| Jul 31, 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 Aug 19, 2024 | Complaint |
| Jul 9, 2024 | 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 Jul 19, 2024 | Complaint |
| Jul 9, 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 Jul 19, 2024 | Complaint |
| Jul 9, 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 Jul 19, 2024 | Complaint |
| Jul 9, 2024 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 19, 2024 | Complaint |
| Jun 10, 2024 | F-0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 14, 2024 | Complaint |
| Jun 4, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 14, 2024 | Complaint |
| May 24, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jun 14, 2024 | Complaint |
| May 24, 2024 | 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 14, 2024 | Complaint |
| May 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 Jun 14, 2024 | Complaint |
| Mar 13, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Mar 13, 2024 | 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 Mar 15, 2024 | Complaint |
| Feb 14, 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 Feb 28, 2024 | Complaint |
| Jan 4, 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 Jan 11, 2024 | Complaint |
| Dec 15, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 10, 2024 |
| Dec 15, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2024 |
| Dec 15, 2023 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 10, 2024 |
| Dec 15, 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 Jan 10, 2024 |
| Dec 15, 2023 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2024 |
| Dec 15, 2023 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2024 |
| Dec 15, 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 | E · Potential harm Pattern | Corrected Jan 10, 2024 |
| Dec 15, 2023 | 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 10, 2024 |
| Dec 15, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2024 |
| Dec 15, 2023 | K-0925 | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 10, 2024 |
| Dec 15, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 15, 2023 | 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 12, 2024 | Complaint |
| Dec 15, 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 12, 2024 | Complaint |
| Dec 15, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 12, 2024 |
| Dec 15, 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 12, 2024 |
| Dec 15, 2023 | 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 12, 2024 |
| Dec 15, 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 | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 15, 2023 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jan 10, 2024 |
| Dec 15, 2023 | 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 | Waiver granted Jan 12, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.77 (case-mix index 1.61).
| Jan 1, 2024 |
| Shlomo Rechnitz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 8, 2008 |
| Shlomo Rechnitz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 8, 2008 |
| Eretz Vhc Properties LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2007 |
| Rockport Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 2, 2025 |
| Andrea Carlin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 23, 2023 |
| Kingsley Ofoegbu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Shlomo Rechnitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 8, 2008 |
| 68 |
| Aug 13, 2026 |
61 |
| — |
| Brighton Place San Diego 1350 N. Euclid Avenue, San Diego, CA 92105 CCN 055795 | 99 | May 27, 2026 | 74 | — |
| Amaya Springs Health Care Center 8625 Lamar Street, Spring Valley, CA 91977 CCN 056062 | 50 | Aug 11, 2026 | 54 | — |
| Osage Healthcare & Wellness Centre 1001 South Osage Ave, Inglewood, CA 90301 CCN 0561435 state class AA/A | 53 | Feb 13, 2026 | 50 | — |
| Centinela Skilled Nursing & Wellness Centre West 950 Flower Street, Inglewood, CA 90301 CCN 056167 | 59 | Nov 21, 2025 | 49 | — |
| Montrose Springs Skilled Nursing & Wellness Center 2635 Honolulu Ave, Montrose, CA 91020 CCN 0563228 state class AA/A | 109 | Jul 24, 2026 | 933 harm | $32k |
| California Nursing & Rehabilitation Center 2299 North Indian Canyon Drive, Palm Springs, CA 92262 CCN 056428 | 80 | Jul 9, 2026 | 982 IJ1 harm | $83k |