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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 | D54 | E32 | F5 |
| Minimal | A· | B2 |
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 24, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| May 8, 2026 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| May 8, 2026 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Apr 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 17, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 16, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 6, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 6, 2025 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Feb 19, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 15, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 17, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 19, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 23, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Feb 23, 2024 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| Dec 26, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 31, 2024 violation Apr 17, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Open | 950020249 |
| May 23, 2023 violation Apr 10, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950018789 |
| Apr 27, 2018 violation Oct 13, 2017 | Class B | Citation Citation A (HSC 1424) | Patient Care | $24,000 initial $20,000 | Death related |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D54 | E32 | F5 |
| Minimal | A· | B2 | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 24, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 31, 2026 | Complaint |
| Aug 24, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 25, 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.
50 facilities in 2 states. CMS chain ID 851.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Country Oaks Partners LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2008 |
| Thomas Chambers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 10, 2008 |
| David Johnson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 10, 2008 |
| Frank Johnson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 10, 2008 |
| Eli Marmur | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 10, 2008 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Country Oaks Partners LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2008 |
| Thomas Chambers | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 10, 2008 |
| David Johnson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 10, 2008 |
| Frank Johnson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 10, 2008 |
| Eli Marmur |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Spring Valley Post Acute LLC 14973 Hesperia Rd, Victorville, CA 92395 CCN 0550762 state class AA/A | 126 | Aug 5, 2026 | 511 IJ1 harm | $21k | |
| Sunset Manor Conv Hosp |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pomona Vista Care Center 651 N Main St, Pomona, CA 91768 CCN 0552823 state class AA/A | 0.1 km | 59 | Aug 21, 2026 | 78 | — | |
| Park Avenue Healthcare & Wellness Center 1550 North Park Avenue, Pomona, CA 91768 CCN 5558527 state class AA/AAbuse icon | 1.1 km | 231 | Aug 7, 2026 | 1151 IJ2 harm | $84k | |
| Inland Valley Care and Rehabilitation Center 250 W. Artesia Street, Pomona, CA 91768 CCN 0564316 state class AA/ASFF CandidateAbuse icon | 1.4 km | 221 | Aug 21, 2026 | 2332 IJ4 harm | $135k | |
| Laurel Park Behavioral Health Center 1425 Laurel Avenue, Pomona, CA 91768 CCN 05A137 | 1.8 km | 43 | Jun 30, 2026 | 641 IJ | — | |
| Landmark Medical Center 2030 N. Garey Ave., Pomona, CA 91767 CCN 05A1344 state class AA/AAbuse icon | 2.2 km | 95 | Aug 28, 2026 | 653 IJ | — | |
| Claremont Heights Post Acute 590 S. Indian Hill Blvd., Claremont, CA 91711 CCN 0553443 state class AA/A | 3.6 km | 99 | Apr 15, 2026 | 1011 harm | — | |
| Mount San Antonio Gardens 900 E. Harrison Ave, Pomona, CA 91767 CCN 0550161 state class AA/A | 3.9 km | 64 | Jun 24, 2026 | 25 | — | |
| Claremont Manor Care Center 621 W Bonita Ave, Claremont, CA 91711 CCN 5550851 state class AA/A | 4 km | 59 | Mar 13, 2026 | 551 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055247 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055247 | 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 | 950000040 | 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
| 950014032 |
| Jul 25, 2001 violation Jul 13, 2001 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $600 | Closed | 950001399 |
| Aug 24, 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 Aug 28, 2026 | Complaint |
| Aug 24, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 25, 2026 | Complaint |
| Aug 24, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 24, 2026 | Complaint |
| May 8, 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 May 18, 2026 |
| May 8, 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 May 18, 2026 |
| May 8, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2026 |
| May 8, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2026 |
| May 8, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2026 |
| May 8, 2026 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2026 |
| May 8, 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 18, 2026 |
| May 8, 2026 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2026 |
| May 8, 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 May 26, 2026 |
| May 8, 2026 | 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 May 26, 2026 |
| May 8, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 26, 2026 |
| May 8, 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 May 26, 2026 |
| May 8, 2026 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 26, 2026 |
| May 8, 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 May 26, 2026 |
| May 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 26, 2026 |
| May 8, 2026 | 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 May 26, 2026 |
| May 8, 2026 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected May 18, 2026 |
| May 8, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected May 18, 2026 |
| Apr 16, 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 22, 2026 | Complaint |
| Mar 24, 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 15, 2026 | Complaint |
| Jul 17, 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 7, 2025 | Complaint |
| Jul 17, 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 Aug 8, 2025 | Complaint |
| Jul 17, 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 | E · Potential harm Pattern | Corrected Aug 7, 2025 | Complaint |
| Apr 16, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2025 | Complaint |
| Apr 16, 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 | E · Potential harm Pattern | Corrected Apr 23, 2025 | Complaint |
| Apr 16, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 17, 2025 | Complaint |
| Mar 6, 2025 | 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 Mar 4, 2025 |
| Mar 6, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 5, 2025 |
| Mar 6, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 4, 2025 |
| Mar 6, 2025 | 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 Mar 4, 2025 |
| Mar 6, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Mar 6, 2025 | 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 7, 2025 |
| Mar 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 | E · Potential harm Pattern | Corrected Mar 12, 2025 |
| Mar 6, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Mar 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 Mar 12, 2025 |
| Mar 6, 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 Mar 12, 2025 |
| Mar 6, 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 Mar 12, 2025 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 6, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 12, 2025 |
| Mar 6, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Mar 6, 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 Mar 10, 2025 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Mar 12, 2025 |
| Mar 6, 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 | D · Potential harm Isolated | Corrected Mar 12, 2025 |
| Mar 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 12, 2025 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Mar 12, 2025 |
| Mar 6, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Mar 14, 2025 |
| Feb 19, 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 Mar 13, 2025 | Complaint |
| Feb 19, 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 26, 2025 | Complaint |
| Oct 29, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 4, 2024 | Complaint |
| Oct 23, 2024 | F-0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Nov 12, 2024 | Complaint |
| Sep 25, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Oct 24, 2024 | Complaint |
| Aug 28, 2024 | 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 | E · Potential harm Pattern | Corrected Aug 29, 2024 | Complaint |
| Aug 28, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 29, 2024 | Complaint |
| Aug 28, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 29, 2024 | Complaint |
| Aug 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 | E · Potential harm Pattern | Corrected Aug 26, 2024 | Complaint |
| Aug 1, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 2, 2024 | Complaint |
| Jul 27, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 29, 2024 | Complaint |
| Jul 15, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 31, 2024 | Complaint |
| Jul 15, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2024 | Complaint |
| Jul 15, 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 | E · Potential harm Pattern | Corrected Jul 15, 2024 | Complaint |
| Jun 11, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 9, 2024 | Complaint |
| May 7, 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 May 31, 2024 | Complaint |
| Apr 17, 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 May 16, 2024 | Complaint |
| Apr 17, 2024 | 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 | E · Potential harm Pattern | Corrected May 16, 2024 | Complaint |
| Mar 19, 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 20, 2024 | Complaint |
| Mar 19, 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 | E · Potential harm Pattern | Corrected Mar 21, 2024 | Complaint |
| Mar 7, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 2, 2024 | Complaint |
| Feb 23, 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 Mar 15, 2024 |
| Feb 23, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 23, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 23, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 23, 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 Mar 15, 2024 |
| Feb 23, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 23, 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 Mar 18, 2024 |
| Feb 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 | E · Potential harm Pattern | Corrected Mar 18, 2024 |
| Feb 23, 2024 | 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 Mar 18, 2024 |
| Feb 23, 2024 | 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 Mar 18, 2024 |
| Feb 23, 2024 | 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 Mar 18, 2024 |
| Feb 23, 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 Mar 18, 2024 |
| Feb 23, 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 Mar 18, 2024 |
| Feb 23, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 18, 2024 |
| Feb 23, 2024 | 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 | E · Potential harm Pattern | Corrected Mar 18, 2024 |
| Feb 23, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 18, 2024 |
| Feb 23, 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 18, 2024 | Complaint |
| Feb 23, 2024 | 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 Mar 18, 2024 |
| Feb 23, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 15, 2024 |
| Feb 23, 2024 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Waiver granted Mar 18, 2024 |
| Dec 26, 2023 | 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 Jan 18, 2024 | Complaint |
| Dec 26, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.97 (case-mix index 1.49).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Jun 10, 2008 |
| Frank Johnson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 10, 2008 |
| Country Oaks Partners LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 5, 2008 |
| Adrian Dehghanmanesh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Frank Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 10, 2008 |
| Joshua Kochek | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2022 |
| Edwin Manzon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2024 |
| Micheal Oxford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 3, 2022 |
| Gary Sandhu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2016 |
| Kyle Selvig | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2022 |
| Micheal Oxford | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 3, 2022 |
| West Pearl Street, LP | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Feb 11, 2025 |
| Country Oaks Partners LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2008 |
| Sun Mar Management Services | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 12, 1989 |
| West Pearl Street, LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 11, 2025 |
| Adrian Dehghanmanesh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Mary Farrales | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Joshua Kochek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2022 |
| Edwin Manzon | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 23, 2024 |
| Micheal Oxford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 3, 2022 |
| Gary Sandhu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2016 |
| Kyle Selvig | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 5, 2022 |
| 81 |
| Aug 20, 2026 |
701 harm |
| — |
| Pelican Ridge Post Acute 466 Flagship Road, Newport Beach, CA 92663 CCN 0551211 state class AA/AAbuse icon | 167 | Aug 20, 2026 | 1232 open | — |
| North Valley Nursing Center 7660 Wyngate St, Tujunga, CA 91042 CCN 0551463 state class AA/AAbuse icon | 92 | Aug 7, 2026 | 641 IJ1 harm | $113k |
| Monterey Park Conv Hosp 416 N Garfield Ave, Monterey Park, CA 91754 CCN 055162 | 89 | Aug 24, 2026 | 54 | — |
| Madera Care Center 1700 Howard Road, Madera, CA 93637 CCN 0551911 state class AA/A | 64 | Mar 19, 2026 | 61 | $35k |
| Pomona Vista Care Center 651 N Main St, Pomona, CA 91768 CCN 0552823 state class AA/A | 59 | Aug 21, 2026 | 78 | — |
| Community Care and Rehabilitation Center 4070 Jurupa Avenue, Riverside, CA 92506 CCN 055409 | 162 | Jul 28, 2026 | 761 harm | — |