Nursing home · SNF / NF

Fairmont Rehabilitation Hospital

Federal · CMS State licenseActive CMS certificationCCN 055242CA lic. 100000039For profit CMS overall

950 S. Fairmont Avenue, Lodi, CA 95240 · Operated by Deergrass Healthcare, Inc · Chain The Ensign Group

Source: CMS Provider Data Catalog, release Oct 16, 2026 + state license · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

State actions

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 59 CMS-certified beds (not state-licensed beds)
Licensed beds: 59 state-licensed beds · California Department of Public Health
State license: 100000039 active · licensee DEERGRASS HEALTHCARE, INC.
Average residents per day: 56.1 CMS, MDS-derived
CMS Certification Number: 055242
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Corporation
Operator (legal business name): Deergrass Healthcare, Inc
CMS chain: The Ensign Group 347 facilities
Phone: (209) 368-0693
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

State enforcement · CA (historical)

Historical

State actions

2000–2024

Class AA / A

no class AA

Since 2019

$82k final penalties

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Inspection record · CMS window

Verified

Inspections

latest May 7, 2026

Citations

29 health · 23 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D26	E7	F11
Minimal	A·	B1	C7

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
May 7, 2026	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
May 7, 2026	Health	Health Standard	8	Potential harm	—	Open →
Jan 9, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jul 2, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 20, 2025	Health	Health Complaint	1	Potential harm	—	Open →
May 7, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jan 16, 2025	Fire safety	Fire Safety Standard	10	Potential harm	—	Open →
Jan 16, 2025	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Jan 12, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jan 12, 2024	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

State citations & penalties · historical

State enforcement · California

California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.

Issued	Class	Type	Category	Final amount	Flags	Record
Jan 17, 2024 violation Oct 1, 2020	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	$50,000	Closed	810019583
Dec 23, 2021 violation Oct 1, 2019	AP NHPPD	Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	$15,000	Closed	030017200
Apr 6, 2009 violation Sep 4, 2007	Class A	Citation Citation A (HSC 1424)	Patient Care	$10,000 initial $18,000	Appealed Closed	030006040
Oct 29, 2007 violation Jul 1, 2007	Class B	Citation Citation B (HSC 1424)	Patient Care	$1,000	Closed	030004395
Mar 8, 2000 violation Oct 17, 1999	Class A	Citation Citation A (HSC 1424)	Patient Care	$6,000 initial $10,000	Appealed Closed	100002001

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D26	E7	F11
Minimal	A·	B1	C7

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 7, 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 Jun 10, 2026
May 7, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 10, 2026
May 7, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 10, 2026
May 7, 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 May 28, 2026
May 7, 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 May 30, 2026
May 7, 2026	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 30, 2026
May 7, 2026	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	D · Potential harm Isolated	Corrected May 30, 2026
May 7, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 30, 2026
May 7, 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 May 30, 2026
May 7, 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 May 30, 2026
May 7, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 30, 2026
May 7, 2026	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Jun 10, 2026
May 7, 2026	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 10, 2026
May 7, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 10, 2026
May 7, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected May 30, 2026
Jan 9, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 6, 2026	Complaint
Jan 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	D · Potential harm Isolated	Corrected Mar 9, 2026	Complaint
Jul 2, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jul 8, 2025	Complaint
Jun 20, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 14, 2025	ComplaintIDR
May 7, 2025	F-0808	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jun 13, 2025	Complaint
Jan 16, 2025	K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 12, 2025
Jan 16, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 12, 2025
Jan 16, 2025	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 Feb 12, 2025
Jan 16, 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	D · Potential harm Isolated	Corrected Feb 12, 2025
Jan 16, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 12, 2025
Jan 16, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 12, 2025
Jan 16, 2025	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 16, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Feb 14, 2025
Jan 16, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 16, 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 14, 2025
Jan 16, 2025	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 16, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 16, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 14, 2025	Complaint
Jan 16, 2025	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Feb 14, 2025
Jan 16, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 14, 2025
Jan 16, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 16, 2025	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Feb 12, 2025
Jan 16, 2025	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Feb 12, 2025
Jan 16, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 12, 2025
Jan 16, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 12, 2025
Jan 12, 2024	E-0032	Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Feb 5, 2024
Jan 12, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 5, 2024
Jan 12, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 5, 2024
Jan 12, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 5, 2024
Jan 12, 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 Feb 5, 2024
Jan 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 Feb 5, 2024
Jan 12, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 2, 2024
Jan 12, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 2, 2024
Jan 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 Feb 2, 2024
Jan 12, 2024	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 2, 2024
Jan 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 Feb 2, 2024
Jan 12, 2024	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 2, 2024

“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.

Operating entity

Deergrass Healthcare, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

The Ensign Group

347 facilities in 17 states. CMS chain ID 507.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.3

Ownership disclosures

Disclosures

Organizations

Individuals

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Shiraz Buhari	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 1, 2023
Barry Port	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 26, 2018
Randy Tu	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 1, 2023
Shiraz Buhari	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2023
Randy Tu	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2023
Adam Willits	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 1, 2023
Soon Burnam	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 8, 2022
Chad Keetch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2011
Cory Monette	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2023
Ami Sato	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 9, 2024
Ensign Services Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 31, 2025
Shiraz Buhari	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2023
Randy Tu	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2023

Same chain in California

All 346 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Fairfield Post Acute Rehabilitation 1255 Travis Blvd, Fairfield, CA 94533 CCN 0550145 state class AA/A	99	Jun 25, 2026	57	—
Palomar Vista Healthcare Center 201 N Fig Street, Escondido, CA 92025 CCN 0550671 state class AA/A	74	Jan 15, 2026	68	—
Grand Terrace Health Care Center 12000 Mount Vernon Ave, Grand Terrace, CA 92313 CCN 0551291 state class AA/A	59	Mar 5, 2026	38	—
Madera Post Acute Center 11900 Ramona Boulevard, El Monte, CA 91732 CCN 0551419 state class AA/A	148	Aug 3, 2026	741 IJ1 harm	$30k
Lemon Grove Care and Rehabilitation Center 8351 Broadway, Lemon Grove, CA 91945 CCN 0551822 state class AA/A	158	Dec 18, 2025	63	—
Garden View Post Acute Rehabilitation 14475 Garden View Lane, Baldwin Park, CA 91706 CCN 0551872 state class AA/A	97	May 7, 2026	53	—
Victoria Healthcare and Rehabilitation Center 340 Victoria Street, Costa Mesa, CA 92627 CCN 0552371 state class AA/A	79	Aug 14, 2026	38	—
Lomita Post-Acute Care Center 1955 Lomita Blvd, Lomita, CA 90717 CCN 0552625 state class AA/A	71	Aug 20, 2026	61	—

Coordinates as published by CMS.

Address: 950 S. Fairmont Avenue, Lodi, CA 95240
ZIP: 95240
County: San Joaquin County FIPS 06077
State: California
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Lodi Nursing & Rehabilitation 1334 S. Ham Lane, Lodi, CA 95242 CCN 5550491 state class AA/A	0.6 km	74	Jul 2, 2026	75	—
Arbor Rehabilitation & Nursing Center 900 North Church Street, Lodi, CA 95240 CCN 5551644 state class AA/A	0.9 km	149	Jan 9, 2026	72	—
Vienna Nursing and Rehabilitation Center 800 So. Ham Lane, Lodi, CA 95242 CCN 0554811 state class AA/A	2.7 km	150	Jul 1, 2026	58	—
Lodi Creek Post Acute 321 West Turner Road, Lodi, CA 95240 CCN 0552892 state class AA/A	2.8 km	86	Jul 7, 2026	81	—
Creekside Center 9107 N. Davis Road, Stockton, CA 95209 CCN 5553873 state class AA/A	10.5 km	75	Jun 12, 2026	541 harm	—
Clearwater Healthcare Center 1517 East Knickerbocker Drive, Stockton, CA 95210 CCN 5553072 state class AA/A	10.8 km	120	Jul 24, 2026	891 harm	—
Crystal Creek Post-Acute 9289 Branstetter Place, Stockton, CA 95209 CCN 5554705 state class AA/A	11 km	152	Apr 16, 2026	921 harm	—
Meadowood a Health and Rehabilitation Center 3110 Wagner Heights Road, Stockton, CA 95209 CCN 555713	11.7 km	100	Jun 26, 2026	50	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	055242	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	055242	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	100000003	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Oct 16, 2026	Nov 7, 2026

Record-level source links for CCN 055242

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Fairmont Rehabilitation Hospital

Federal certification

State license

Penalties

State enforcement · California

All disclosed roles

Same chain in California

Nearby nursing homes

Fairmont Rehabilitation Hospital

Federal certification

State license

Penalties

State enforcement · California

All disclosed roles

Same chain in California

Nearby nursing homes