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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· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D51 | E24 | F14 |
| Minimal | A· | B· |
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 | |
|---|---|---|---|---|---|---|
| Feb 12, 2026 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Feb 12, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Feb 4, 2026 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Oct 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 24, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 3, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 28, 2024 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Jun 25, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 29, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 27, 2023 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Jun 27, 2023 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Aug 29, 2022 violation Feb 18, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Open | 220017940 |
| Feb 10, 2020 violation Dec 16, 2018 | Class B | Citation Citation A (HSC 1424) | Patient Care | $12,000 initial $20,000 | Appealed Closed | 220015732 |
| May 1, 2008 violation Mar 4, 2008 | Class B |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D51 | E24 | F14 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 12, 2026 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 18, 2026 | |
| Feb 12, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 18, 2026 | |
| Feb 12, 2026 | K-0355 |
“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 2 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hebrew Home for Aged Disabled | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Apr 25, 1980 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hebrew Home for Aged Disabled | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Apr 25, 1980 |
| Kevin Beutler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 4, 2021 |
| Rosabella Bray | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2011 |
| Edwin Cabigao | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 3, 2025 |
| Elaine Gecht | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | License type | Capacity | State rating |
|---|---|---|---|
| Lynne & Roy M Frank Residences One Avalon Avenue, San Francisco, CA 94112 | Residential care facility | 220 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| San Francisco Post Acute 5767 Mission Street, San Francisco, CA 94112 CCN 0564491 state class AA/A | 2.7 km | 53 | Aug 27, 2026 | 46 | — | |
| Laguna Honda Hospital & Rehabilitation Ctr 375 Laguna Honda Blvd, San Francisco, CA 94116 State license only15 state class AA/A | 3.2 km | 769 lic. | Not CMS rated | — | No inspections in window | — |
| Laguna Honda Hospital & Rehabilitation Ctr D/P SNF 375 Laguna Honda Blvd., San Francisco, CA 94116 CCN 555929 | 3.3 km | 769 | Aug 19, 2026 | 716 harm | $55k | |
| Zuckerberg San Francisco General Hosp & Trauma SNF 1001 Potrero Avenue, San Francisco, CA 94110 CCN 5556601 state class AA/A | 3.5 km | 30 | Jan 16, 2026 | 21 | — | |
| Lawton Skilled Nursing & Rehabilitation Center 1575 7th Avenue, San Francisco, CA 94122 CCN 0551751 state class AA/A | 4.3 km | 68 | Apr 17, 2026 | 401 open | — | |
| California Pacific Medical Ctr- Davies Campus Hosp 601 Duboce Ave, San Francisco, CA 94117 CCN 0562452 state class AA/A | 4.5 km | 38 | Jan 9, 2026 | 23 | — | |
| The Avenues Transitional Care Center 2043 19th Avenue, San Francisco, CA 94116 CCN 055963 | 5 km | 140 | Oct 2, 2025 | 461 harm | $13k | |
| Hayes Convalescent Hospital 1250 Hayes Street, San Francisco, CA 94117 CCN 05A3151 state class AA/A | 5.2 km | 34 | Nov 7, 2025 | 21 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055169 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055169 | 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 | 220000518 | 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 |
| $500 initial $1,000 |
| Appealed Closed |
| 220004974 |
| May 9, 2007 violation Feb 25, 2007 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Appealed Closed | 220003947 |
| May 9, 2007 violation Feb 25, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 initial $1,000 | Appealed Closed | 220003942 |
| May 9, 2007 violation Mar 7, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 initial $1,000 | Appealed Closed | 220003936 |
| Apr 28, 2006 violation Apr 22, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 220003068 |
| Jul 18, 2002 violation Mar 14, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 220001522 |
| Mar 27, 2002 violation Nov 20, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 220001510 |
| Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Mar 18, 2026 |
| Feb 12, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2026 |
| Feb 12, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 18, 2026 |
| Feb 12, 2026 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 18, 2026 |
| Feb 12, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 17, 2026 |
| Feb 12, 2026 | K-0908 | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 17, 2026 |
| Feb 12, 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 Mar 18, 2026 |
| Feb 12, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 17, 2026 |
| Feb 12, 2026 | 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 Mar 17, 2026 |
| Feb 12, 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 Mar 13, 2026 |
| Feb 12, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Feb 12, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 24, 2026 |
| Feb 4, 2026 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 11, 2026 | Complaint |
| Oct 3, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 2, 2025 | Complaint |
| Aug 8, 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 Sep 26, 2025 | Complaint |
| Jul 24, 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 | E · Potential harm Pattern | Corrected Aug 24, 2025 | Complaint |
| Jul 24, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 24, 2025 | Complaint |
| Dec 3, 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 Feb 14, 2025 | Complaint |
| Dec 3, 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 Feb 14, 2025 | Complaint |
| Dec 3, 2024 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 14, 2025 | Complaint |
| Aug 28, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 28, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 28, 2024 | 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 Sep 27, 2024 |
| Aug 28, 2024 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 28, 2024 | 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 Sep 27, 2024 |
| Aug 28, 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 Sep 27, 2024 |
| Aug 28, 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 Sep 27, 2024 |
| Aug 28, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 28, 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 Sep 27, 2024 |
| Aug 28, 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 Sep 27, 2024 |
| Aug 28, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 28, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 28, 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 Sep 27, 2024 |
| Aug 28, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 28, 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 | F · Potential harm Widespread | Corrected Sep 27, 2024 |
| Aug 28, 2024 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Sep 27, 2024 |
| Aug 28, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Aug 28, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2024 |
| Jun 25, 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 |
| Jun 25, 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 Jul 19, 2024 | Complaint |
| Jan 29, 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 Mar 1, 2024 | Complaint |
| Jan 29, 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 | E · Potential harm Pattern | Corrected Mar 1, 2024 | Complaint |
| Jan 29, 2024 | F-0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 1, 2024 | Complaint |
| Jan 25, 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 | G · Actual harm Isolated | Corrected Mar 1, 2024 | Complaint |
| Jun 27, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 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 Jul 31, 2023 |
| Jun 27, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 31, 2023 |
| Jun 27, 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 | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 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 Jul 31, 2023 |
| Jun 27, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 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 Jul 31, 2023 |
| Jun 27, 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 Jul 31, 2023 |
| Jun 27, 2023 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 27, 2023 | 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 Aug 4, 2023 |
| Jun 27, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 4, 2023 |
| Jun 27, 2023 | 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 | E · Potential harm Pattern | Corrected Aug 4, 2023 |
| Jun 27, 2023 | 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 | E · Potential harm Pattern | Corrected Aug 4, 2023 |
| Jun 27, 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 Aug 4, 2023 |
| Jun 27, 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 Aug 4, 2023 |
| Jun 27, 2023 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2023 |
| Jun 27, 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 Aug 4, 2023 |
| Jun 27, 2023 | 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 Aug 4, 2023 |
| Jun 27, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 4, 2023 |
| Jun 27, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 29, 2023 |
| Jun 27, 2023 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 29, 2023 |
| Jun 27, 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 Aug 29, 2023 |
| Jun 27, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 29, 2023 |
| Jun 27, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2023 |
| Jun 27, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 29, 2023 |
| Jun 27, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 29, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.49 (case-mix index 1.29).
| May 1, 2010 |
| Carl Gerlach | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 3, 2025 |
| Adrienne Green | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 18, 2023 |
| Stacey Palesky Lewis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2022 |
| Hanh Ta | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 11, 2024 |
| Yuk Ping Tang | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Michi Yukawa | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 16, 2023 |
| David Arrick | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| James Davis | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 17, 2015 |
| Susan Diamond | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Jessica Eisler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 17, 2015 |
| Steven Fayne | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 26, 2017 |
| Richard Fiedotin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Howard Fine | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 5, 2013 |
| Matthew Gershuny | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 24, 2018 |
| David Goldin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 25, 2019 |
| Adrienne Green | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 26, 2019 |
| Valerie Jahan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Laura Klapper | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 24, 2020 |
| David Lowi | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 26, 2012 |
| Alex Mann | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 8, 2011 |
| Judith Player | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 20, 2021 |
| Jason Secore | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2022 |
| Sophie Sharp | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 17, 2015 |
| Hanh Ta | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 11, 2024 |
| Kevin Beutler | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 4, 2021 |
| Edwin Cabigao | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 3, 2025 |
| Carl Gerlach | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 3, 2025 |
| Adrienne Green | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 18, 2023 |
| Stacey Palesky Lewis | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 30, 2022 |
| William Pomeranz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Yuk Ping Tang | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2021 |
| Elaine Gecht | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 15, 2025 |
| Hanh Ta | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 15, 2025 |
| Michi Yukawa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 15, 2025 |