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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 | G· | H· | I· |
| Potential harm | D49 | E24 | F1 |
| Minimal | A· | B1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 26, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 26, 2026 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Mar 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 26, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 28, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 30, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jan 30, 2025 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Nov 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 5, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 29, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 8, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Mar 8, 2024 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Jan 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 22, 2023 | Health | Health Complaint, Infection Control | 1 | Potential harm | — | Open → |
| Nov 1, 2023 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 22, 2024 violation Apr 29, 2023 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $3,000 | Closed | 950019898 |
| Aug 4, 2023 violation Jul 25, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,400 initial $3,000 | Closed | 950019032 |
| Oct 20, 2022 violation Sep 7, 2022 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $2,500 | Closed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D49 | E24 | F1 |
| Minimal | A· | B1 | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 20, 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 | D · Potential harm Isolated | Corrected Sep 9, 2026 | Complaint |
| Aug 5, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 25, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Thomas Lam | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | Oct 15, 2010 |
| Kenneth Sim | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | Oct 15, 2010 |
| Lakhi Sakhrani | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Aug 2, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Thomas Lam | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | Oct 15, 2010 |
| Kenneth Sim | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | Oct 15, 2010 |
| Lakhi Sakhrani | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Aug 2, 2019 |
| Dennis Chan | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 1, 2026 |
| 4angels Nursing and Care Services LLC | Organization |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Royal Gardens Healthcare 2339 W. Valley Blvd., Alhambra, CA 91803 CCN 0558181 state class AA/A | 0.9 km | 43 | Aug 27, 2026 | 84 | — | |
| Alhambra Hospital Med Ctr Dp/SNF 100 S Raymond Ave, Alhambra, CA 91801 CCN 555850 | 1.5 km | 26 | Jul 17, 2026 | 30 | — | |
| Atherton Baptist Home 214 South Atlantic Blvd., Alhambra, CA 91801 CCN 5552721 state class AA/A | 1.6 km | 113 | Jan 16, 2026 | 48 | — | |
| Heritage Manor 610 North Garfield Avenue, Monterey Park, CA 91754 CCN 055989 | 2.1 km | 99 | May 1, 2026 | 911 IJ1 harm | $18k | |
| Monterey Park Conv Hosp 416 N Garfield Ave, Monterey Park, CA 91754 CCN 055162 | 2.2 km | 89 | Aug 24, 2026 | 54 | — | |
| Alhambra Healthcare & Wellness Centre, LP 415 South Garfield, Alhambra, CA 91801 CCN 0557601 state class AA/A | 2.4 km | 97 | Aug 13, 2026 | 652 IJ | $17k | |
| Royal Vista Care Center 909 W. Santa Anita Ave, San Gabriel, CA 91776 CCN 0551052 state class AA/A | 3.4 km | 99 | Aug 28, 2026 | 1131 harm4 open | — | |
| Live Oak Rehab Center 537 W Live Oak, San Gabriel, CA 91776 CCN 0561275 state class AA/AAbuse icon | 3.8 km | 99 | Aug 11, 2026 | 1071 IJ1 harm | $27k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055203 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055203 | 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 | 950000061 | 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
| 950018101 |
| Jun 12, 2018 violation Oct 2, 2017 | Class B | Citation Citation B (HSC 1424) | Other · Unusual Occurrence | $2,000 | Death related Closed | 950014141 |
| Apr 30, 2013 violation Jul 6, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950009866 |
| Feb 1, 2012 violation Jul 11, 2011 | Class B | Citation Citation B (HSC 1424) | Dietary | $2,000 | Closed | 950008968 |
| Feb 1, 2012 violation Jul 11, 2011 | Class B | Citation Citation B (HSC 1424) | Dietary | $2,000 | Closed | 950008966 |
| Jul 12, 2002 violation Apr 11, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $950 | Closed | 950001416 |
| Mar 29, 2002 violation Feb 25, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 950001411 |
| Dec 15, 2000 violation Oct 15, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 950001379 |
| Nov 30, 2000 violation Jun 6, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $8,000 | Closed | 950001374 |
| Mar 26, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 26, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 26, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 26, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2026 |
| Mar 26, 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 Apr 17, 2026 |
| Mar 26, 2026 | 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 Apr 17, 2026 |
| Mar 26, 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 17, 2026 |
| Mar 26, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 17, 2026 |
| Mar 26, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 17, 2026 |
| Mar 26, 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 17, 2026 |
| Mar 26, 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 17, 2026 |
| Mar 26, 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 Apr 17, 2026 |
| Mar 26, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 17, 2026 |
| Mar 26, 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 Apr 17, 2026 |
| Mar 26, 2026 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 17, 2026 |
| Mar 26, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 17, 2026 |
| Mar 26, 2026 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 15, 2026 |
| Mar 26, 2026 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 15, 2026 |
| Mar 26, 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 | C · Minimal Widespread | Corrected Apr 17, 2026 |
| Mar 17, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 30, 2026 | Complaint |
| Jan 23, 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 Feb 10, 2026 | Complaint |
| Dec 23, 2025 | 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 20, 2026 | Complaint |
| Nov 26, 2025 | 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 Dec 18, 2025 | Complaint |
| Aug 28, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 12, 2025 | Complaint |
| Jul 29, 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 Aug 20, 2025 | Complaint |
| Jan 30, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 21, 2025 |
| Jan 30, 2025 | 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 Feb 21, 2025 |
| Jan 30, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 21, 2025 |
| Jan 30, 2025 | 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 | E · Potential harm Pattern | Corrected Feb 21, 2025 |
| Jan 30, 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 Feb 21, 2025 |
| Jan 30, 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 | E · Potential harm Pattern | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | 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 Feb 21, 2025 |
| Jan 30, 2025 | 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 21, 2025 |
| Jan 30, 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 Feb 21, 2025 |
| Jan 30, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | 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 Feb 21, 2025 |
| Jan 30, 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 Feb 21, 2025 |
| Jan 30, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Jan 30, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Nov 26, 2024 | 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 18, 2024 | Complaint |
| Oct 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 Oct 21, 2024 | Complaint |
| Oct 2, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Sep 5, 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 26, 2024 | Complaint |
| Sep 5, 2024 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Sep 26, 2024 | Complaint |
| Jul 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 | D · Potential harm Isolated | Corrected Aug 16, 2024 | Complaint |
| Jul 29, 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 Aug 16, 2024 | Complaint |
| Jun 27, 2024 | 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 Jul 9, 2024 | Complaint |
| Mar 8, 2024 | 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 1, 2024 |
| Mar 8, 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 | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 2024 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 1, 2024 |
| Mar 8, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Mar 8, 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 Mar 29, 2024 |
| Mar 8, 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 Mar 29, 2024 |
| Mar 8, 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 Mar 29, 2024 |
| Mar 8, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Mar 8, 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 Mar 29, 2024 |
| Mar 8, 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 Mar 29, 2024 |
| Mar 8, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 29, 2024 |
| Mar 8, 2024 | 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 29, 2024 | Complaint |
| Mar 8, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 29, 2024 |
| Mar 8, 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 | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Mar 8, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 3, 2024 |
| Jan 3, 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 Feb 2, 2024 | Complaint |
| Nov 22, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 4, 2023 | ComplaintInfection control |
| Nov 1, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.80 (case-mix index 1.32).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Sep 1, 2023 |
| Axiom Healthcare Group | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2012 |
| Dnw & Associates,Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2012 |
| Gateways Rehabilitation Center II LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2014 |
| Spectrum Registry | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Vitawerks Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Thomas Lam | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 15, 2010 |
| Justin Sagami | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 22, 2023 |
| Vatsala Sharma | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2014 |
| Kenneth Sim | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 15, 2010 |
| Eugene Tito | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2022 |
| Eric Wu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2012 |
| 4angels Nursing and Care Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 15, 2025 |
| Allied Pacific Holdings Investment Management, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 26, 2023 |
| Axiom Healthcare Group | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 3, 2025 |
| Dnw & Associates,Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 3, 2025 |
| Gateways Rehabilitation Center II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 3, 2025 |
| Spectrum Registry | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 15, 2025 |
| Vitawerks Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 15, 2025 |
| Thomas Lam | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2010 |
| Justin Sagami | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 12, 2025 |
| Vatsala Sharma | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2014 |
| Kenneth Sim | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2010 |
| Eugene Tito | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 11, 2025 |
| Eric Wu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2012 |