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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 | D106 | E42 | F15 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 21, 2026 | Health | Health Complaint | 1 | Potential harm | 1 | Open → |
| Aug 13, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 9, 2026 | Health | Health Complaint | 1 | Minimal | 1 | Open → |
| Apr 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 9, 2026 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Apr 9, 2026 | Health | Health Complaint, Health Standard | 20 | Potential harm | — | Open → |
| Mar 26, 2026 | Fire safety | Fire Safety Complaint | 1 | Minimal | — | Open → |
| Mar 11, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 11, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 16, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 12, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 3, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 26, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 19, 2025 | Fire safety | Fire Safety Complaint | 1 | Minimal | — | Open → |
| Aug 21, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 15, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 1, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 6, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 12, 2024 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Dec 12, 2024 | Health | Health Complaint, Health Standard | 27 | Potential harm | — | Open → |
| Dec 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 23, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 14, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 21, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 18, 2024 | Fire safety | Fire Safety Complaint | 4 | Potential harm | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 28, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 19, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 18, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 16, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 15, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 9, 2022 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Dec 9, 2022 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 20, 2024 | Civil money penalty (fine) | $4,938 | — | 055201|Fine|130005 |
| Feb 12, 2024 | Civil money penalty (fine) | $7,527 | — | 055201|Fine|129951 |
| Jan 22, 2024 | Civil money penalty (fine) | $19,107 | — | 055201|Fine|129736 |
| Dec 26, 2023 | Civil money penalty (fine) | $8,711 | — | 055201|Fine|129594 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 10, 2024 violation Nov 29, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $50,000 | Closed | 990020180 |
| Aug 23, 2023 violation Jun 9, 2023 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $3,000 | Closed | 990019073 |
| Aug 8, 2023 violation Apr 25, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 990019021 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D106 | E42 | F15 |
| Minimal | A· | B· | C7 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 21, 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 | No plan of correction | Complaint |
| Aug 13, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 3, 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.
22 facilities in 1 states. CMS chain ID 566.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sapphire Operations, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sapphire Operations, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2024 |
| Martha Glavan-Martinez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 21, 2013 |
| Rafileiry Jimenez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 13, 2025 |
| Atul Verma | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 14, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Elk Grove Post Acute 9461 Batey Avenue, Elk Grove, CA 95624 CCN 0553085 state class AA/AAbuse icon | 136 | May 14, 2026 | 1013 harm | $8,824 | |
| River City Post Acute |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Fulton Gardens Post Acute, LLC 537 E. Fulton Street, Stockton, CA 95204 CCN 0558332 state class AA/A | 1.3 km | 116 | May 1, 2026 | 70 | — | |
| Riverwood Health Care 5320 Carrington Circle, Stockton, CA 95210 CCN 5554965 state class AA/A | 1.6 km | 99 | Jul 15, 2026 | 752 harm | $18k | |
| Crestwood Manor - 104 1130 Monaco Court, Stockton, CA 95207 CCN 05A3401 state class AA/A | 1.8 km | 190 | Apr 13, 2026 | 51 | — | |
| Brookside Care Center 1221 Rosemarie Lane, Stockton, CA 95207 CCN 055304Abuse icon | 1.9 km | 99 | Aug 28, 2026 | 1743 harm | — | |
| Noble Care Center 2740 North California Street, Stockton, CA 95204 CCN 5551051 state class AA/AAbuse icon | 2 km | 99 | Jul 29, 2026 | 1141 harm | — | |
| Hampton Post Acute 442 Hampton Street, Stockton, CA 95204 CCN 0563247 state class AA/AAbuse icon | 2.2 km | 120 | Aug 26, 2026 | 1734 harm | $22k | |
| Delta Oaks Post Acute 6940 Pacific Avenue, Stockton, CA 95207 CCN 0557352 state class AA/AAbuse icon | 2.8 km | 128 | Aug 25, 2026 | 1853 harm34 open | — | |
| Good Samaritan Rehab and Care Center 1630 N. Edison Street, Stockton, CA 95204 CCN 055039 | 3 km | 98 | Jun 19, 2026 | 81 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055201 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055201 | 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 | 100000073 | 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
| Nov 4, 2022 violation Sep 20, 2022 |
| Class B |
| Citation Citation B (HSC 1424) |
| Patient Care |
| $3,000 |
Closed |
| 990018123 |
| Jul 27, 2022 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Closed | 030017805 |
| Aug 13, 2021 violation Jun 17, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Closed | 030016796 |
| Jan 28, 2020 violation Sep 27, 2019 | Class B | Citation Citation B (HSC 1424) | Other · Not notifying ombudsman | $1,000 | Closed | 030015698 |
| Dec 23, 2019 violation Aug 2, 2019 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $80,000 initial $100,000 | Death relatedAppealed Closed | 030015623 |
| Apr 14, 2017 violation Mar 3, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 030013126 |
| Jul 3, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 030009986 |
| Jun 27, 2007 violation Jul 22, 2006 | Class B | Citation Citation AA (HSC 1424) | Patient Care · Physical Environment | $5,000 initial $80,000 | Death relatedAppealed Closed | 030004050 |
| Jun 27, 2007 violation Jul 23, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care · Physical Environment | $20,000 | Appealed Closed | 030004048 |
| Jun 27, 2007 violation Jul 22, 2006 | Class B | Citation Citation A (HSC 1424) | Patient Care · Physical Environment | $5,000 initial $20,000 | Appealed Closed | 030004047 |
| Apr 14, 2005 violation Sep 24, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $900 | Closed | 100002287 |
| Aug 13, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 3, 2026 | Complaint |
| Aug 13, 2026 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2026 | Complaint |
| Jul 9, 2026 | F-0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Administration Deficiencies · Administration & records | C · Minimal Widespread | No plan of correction | Complaint |
| Apr 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 | E · Potential harm Pattern | Corrected Apr 23, 2026 | Complaint |
| Apr 9, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2026 |
| Apr 9, 2026 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2026 |
| Apr 9, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 17, 2026 |
| Apr 9, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 20, 2026 |
| Apr 9, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 22, 2026 |
| Apr 9, 2026 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 16, 2026 |
| Apr 9, 2026 | 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 Apr 15, 2026 |
| Apr 9, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 24, 2026 |
| Apr 9, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 20, 2026 |
| Apr 9, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 16, 2026 |
| Apr 9, 2026 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 20, 2026 |
| Apr 9, 2026 | 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 Apr 24, 2026 |
| Apr 9, 2026 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Apr 9, 2026 | 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 Apr 20, 2026 |
| Apr 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 Apr 24, 2026 |
| Apr 9, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 20, 2026 |
| Apr 9, 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 Apr 15, 2026 |
| Apr 9, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Apr 9, 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 Apr 28, 2026 |
| Apr 9, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 28, 2026 | Complaint |
| Apr 9, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 9, 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 Apr 28, 2026 |
| Apr 9, 2026 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 28, 2026 |
| Apr 9, 2026 | 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 Apr 28, 2026 |
| Apr 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 | E · Potential harm Pattern | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 9, 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 Apr 28, 2026 |
| Apr 9, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 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 | E · Potential harm Pattern | Corrected Apr 28, 2026 |
| Apr 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 | F · Potential harm Widespread | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 9, 2026 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Mar 26, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 27, 2026 | Complaint |
| Mar 11, 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 Mar 13, 2026 | Complaint |
| Mar 11, 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 Mar 13, 2026 | Complaint |
| Mar 4, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 6, 2026 | Complaint |
| Feb 20, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 23, 2026 | Complaint |
| Feb 11, 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 Feb 12, 2026 | Complaint |
| Feb 11, 2026 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2026 | Complaint |
| Feb 11, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 12, 2026 | Complaint |
| Jan 16, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 19, 2026 | Complaint |
| Jan 16, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 19, 2026 | Complaint |
| Dec 12, 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 16, 2025 | Complaint |
| Dec 12, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 16, 2025 | Complaint |
| Dec 8, 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 Dec 12, 2025 | Complaint |
| Dec 3, 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 5, 2025 | Complaint |
| Dec 3, 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 Dec 5, 2025 | Complaint |
| Dec 2, 2025 | 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 Dec 5, 2025 | Complaint |
| Nov 26, 2025 | F-0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 2, 2025 | Complaint |
| Nov 26, 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 Dec 2, 2025 | Complaint |
| Nov 26, 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 Dec 2, 2025 | Complaint |
| Nov 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 Nov 23, 2025 | Complaint |
| Nov 20, 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 Nov 23, 2025 | Complaint |
| Nov 19, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 20, 2025 | Complaint |
| Aug 21, 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 Aug 22, 2025 | Complaint |
| Aug 21, 2025 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 22, 2025 | Complaint |
| Aug 15, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 18, 2025 | Complaint |
| Aug 15, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 18, 2025 | Complaint |
| Aug 1, 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 | G · Actual harm Isolated | Corrected Aug 4, 2025 | Complaint |
| Jul 22, 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 Jul 24, 2025 | Complaint |
| Jul 16, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 27, 2025 | Complaint |
| Jun 24, 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 Jun 24, 2025 | Complaint |
| May 22, 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 | E · Potential harm Pattern | Corrected Jun 14, 2025 | Complaint |
| May 19, 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 | E · Potential harm Pattern | Corrected May 20, 2025 | Complaint |
| Apr 14, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2025 | Complaint |
| Mar 13, 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 | E · Potential harm Pattern | Corrected Mar 17, 2025 | Complaint |
| Mar 13, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 17, 2025 | Complaint |
| Feb 13, 2025 | F-0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 7, 2025 | Complaint |
| Jan 6, 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 8, 2025 | Complaint |
| Jan 6, 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 8, 2025 | Complaint |
| Dec 12, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2024 |
| Dec 12, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2024 |
| Dec 12, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2024 |
| Dec 12, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 24, 2024 |
| Dec 12, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2024 |
| Dec 12, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 24, 2024 |
| Dec 12, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 24, 2024 |
| Dec 12, 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 Dec 24, 2024 |
| Dec 12, 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 Dec 24, 2024 |
| Dec 12, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 27, 2024 |
| Dec 12, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 27, 2024 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 | Complaint |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 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 3, 2025 | Complaint |
| Dec 12, 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 3, 2025 |
| Dec 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 Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 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 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 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 | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 24, 2024 |
| Dec 2, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 20, 2024 | Complaint |
| Nov 22, 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 Dec 10, 2024 | Complaint |
| Oct 23, 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 8, 2024 | Complaint |
| Oct 23, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 8, 2024 | Complaint |
| Aug 14, 2024 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 13, 2024 | Complaint |
| Jul 21, 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 Sep 12, 2024 | Complaint |
| Jul 21, 2024 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 12, 2024 | Complaint |
| Jul 18, 2024 | 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 Aug 5, 2024 | Complaint |
| Jul 18, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 5, 2024 | Complaint |
| Jul 18, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Aug 5, 2024 | Complaint |
| Jul 18, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 5, 2024 | Complaint |
| Jul 2, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 16, 2024 | Complaint |
| Jun 10, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 11, 2024 | Complaint |
| Jan 29, 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 Feb 2, 2024 | Complaint |
| Dec 28, 2023 | 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 Feb 14, 2024 | Complaint |
| Dec 19, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 14, 2024 | Complaint |
| Dec 19, 2023 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 20, 2023 | Complaint |
| Dec 19, 2023 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 11, 2024 | Complaint |
| Nov 18, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
| Nov 16, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Feb 14, 2024 | Complaint |
| Nov 15, 2023 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 27, 2023 | Complaint |
| Nov 15, 2023 | 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 Nov 27, 2023 | Complaint |
| Dec 9, 2022 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 9, 2023 |
| Dec 9, 2022 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 9, 2023 |
| Dec 9, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 9, 2023 |
| Dec 9, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 9, 2023 |
| Dec 9, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 9, 2023 |
| Dec 9, 2022 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 9, 2023 |
| Dec 9, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 9, 2023 |
| Dec 9, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 9, 2023 |
| Dec 9, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 9, 2023 |
| Dec 9, 2022 | 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 9, 2023 |
| Dec 9, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 9, 2023 |
| Dec 9, 2022 | 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 9, 2023 |
| Dec 9, 2022 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 9, 2023 |
| Dec 9, 2022 | 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 9, 2023 |
| Dec 9, 2022 | 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 Jan 9, 2023 |
| Dec 9, 2022 | 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 | E · Potential harm Pattern | Corrected Jan 9, 2023 |
| Dec 9, 2022 | 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 9, 2023 |
| Dec 9, 2022 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 9, 2023 |
| Dec 9, 2022 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 9, 2023 |
| Dec 9, 2022 | 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 9, 2023 |
| Dec 9, 2022 | 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 9, 2023 |
| Dec 9, 2022 | 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 9, 2023 |
| Dec 9, 2022 | 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 9, 2023 |
| Dec 9, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 9, 2023 |
| Dec 9, 2022 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 9, 2023 |
| Dec 9, 2022 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 9, 2023 |
| Dec 9, 2022 | 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 | C · Minimal Widespread | Corrected Jan 9, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.53 (case-mix index 1.25).
| Newgen Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2024 |
| Martha Glavan-Martinez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 21, 2013 |
| Rafileiry Jimenez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 13, 2025 |
| Atul Verma | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 14, 2024 |
| 178 |
| Aug 25, 2026 |
1345 open |
| — |
| South Coast Post Acute 1030 W Warner Ave, Santa Ana, CA 92707 CCN 055653Abuse icon | 255 | Jul 31, 2026 | 120 | — |
| Delta Oaks Post Acute 6940 Pacific Avenue, Stockton, CA 95207 CCN 0557352 state class AA/AAbuse icon | 128 | Aug 25, 2026 | 1853 harm34 open | — |
| Coastal Post Acute 348 Iris Drive, Salinas, CA 93906 CCN 0558712 state class AA/A | 80 | Apr 9, 2025 | 681 IJ | $64k |
| Country Drive Post Acute 2500 Country Drive, Fremont, CA 94536 CCN 0558852 state class AA/A | 126 | Feb 23, 2026 | 611 harm | — |
| National City Post Acute 220 East 24th Street, National City, CA 91950 CCN 055954 | 98 | Jun 22, 2026 | 602 harm2 open | $16k |
| Monterey Post Acute 1575 Skyline Drive, Monterey, CA 93940 CCN 0559622 state class AA/A | 78 | Mar 10, 2026 | 78 | — |