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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 | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D70 | E21 | F12 |
| Minimal | A· | B3 | C |
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 | |
|---|---|---|---|---|---|---|
| Jul 23, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 12, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 15, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 5, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Dec 5, 2025 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 4, 2024 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Oct 4, 2024 | Health | Health Standard | 21 | Potential harm | — | Open → |
| Aug 19, 2024 | Health | Health Complaint | 1 | Minimal | — | Open → |
| Jul 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 12, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 22, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Apr 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 15, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 5, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 21, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 20, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Oct 2, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Oct 2, 2023 | Health | Health Standard | 13 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 22, 2024 | Denial of payment for new admissions | — | Jun 21, 2024 · 45 days | 055253|Payment Denial|2024-06-21 |
| May 22, 2024 | Civil money penalty (fine) | $14,050 | — | 055253|Fine|130704 |
| Nov 20, 2023 | Civil money penalty (fine) | $95,479 | — | 055253|Fine|130165 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 15, 2024 violation Mar 12, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 910020190 |
| Feb 6, 2024 violation Dec 12, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Open | 910019700 |
| Jan 25, 2024 violation Dec 12, 2023 | Class B | Citation Citation B (HSC 1424) | Other · Infection Control | $3,000 | Closed | 910019639 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D70 | E21 | F12 |
| Minimal | A· | B3 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 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 21, 2026 | Complaint |
| Jul 23, 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 Aug 14, 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 3 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| St. John of God Retirement and Care Center | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Nov 30, 1989 |
| Jose De La Rosa | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| St. John of God Retirement and Care Center | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Nov 30, 1989 |
| Jose De La Rosa | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2024 |
| St. John of God Retirement and Care Center | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 27, 2024 |
| Bro Michael Bassemier | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | License type | Capacity | State rating |
|---|---|---|---|
| St John of God Residence 2468 So. St. Andrews Place, Los Angeles, CA 90018 | Residential care facility | 40 | — |
| St. Richard Pampuri 2458 S. St. Andrews Place, Los Angeles, CA 90018 | Residential care facility | 70 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| East Terrace Rehabilitation & Wellness Centre, LP 2415 South Western Avenue, Los Angeles, CA 90018 CCN 0561144 state class AA/A | 0.1 km | 99 | Jul 8, 2026 | 912 IJ2 harm | $158k | |
| St Andrews 2300 W. Washington Blvd., Los Angeles, CA 90018 CCN 5552181 state class AA/A | 0.7 km | 59 | Jun 5, 2026 | 65 | — | |
| Western Convalescent Hospital 2190 W Adams Blvd, Los Angeles, CA 90018 CCN 5550694 state class AA/A | 0.9 km | 129 | Aug 11, 2026 | 88 | — | |
| Sunnyview Care Center 2000 W Washington Bl, Los Angeles, CA 90018 CCN 5550713 state class AA/A | 1.2 km | 93 | Mar 25, 2026 | 611 harm | $39k | |
| Sunray Healthcare Center 3210 W Pico Blvd, Los Angeles, CA 90019 CCN 0558704 state class AA/ASFF | 1.5 km | 99 | Not rated | May 21, 2026 | 1034 IJ2 harm | $148k |
| The Rehabilitation Center on Pico 3233 W. Pico Boulevard, Los Angeles, CA 90019 CCN 0563774 state class AA/A | 1.5 km | 99 | Jun 9, 2026 | 711 IJ3 harm | $194k | |
| Alcott Rehabilitation Hospital 3551 West Olympic Blvd., Los Angeles, CA 90019 CCN 0562933 state class AA/A | 2.3 km | 121 | Dec 23, 2025 | 622 harm | $8,824 | |
| Los Angeles Post Acute 915 S. Crenshaw Blvd., Los Angeles, CA 90019 CCN 0561945 state class AA/A | 2.7 km | 98 | Apr 16, 2026 | 973 harm | $38k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055253 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055253 | 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 | 970000043 | 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
| Jan 3, 2024 violation Nov 13, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,300 initial $20,000 | Closed | 910019565 |
| Nov 3, 2023 violation Sep 30, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 910019341 |
| Feb 14, 2023 violation Dec 2, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910018407 |
| Feb 10, 2023 violation Mar 23, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Death related Closed | 910018402 |
| Mar 2, 2022 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 | 810017377 |
| Jul 16, 2021 violation May 25, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910016730 |
| Jun 17, 2021 violation Mar 25, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910016617 |
| Apr 23, 2021 violation Oct 3, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910016438 |
| Mar 14, 2019 violation Dec 17, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910014883 |
| Sep 6, 2018 violation Apr 18, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910014386 |
| Nov 22, 2017 violation Mar 17, 2017 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $19,900 initial $100,000 | Death relatedAppealed Closed | 910013610 |
| Jun 16, 2016 violation Mar 5, 2011 | Class A | Citation Citation A (HSC 1424) | Patient Rights | $20,000 | Closed | 910012328 |
| Nov 7, 2013 violation Aug 30, 2012 | Class A | Citation Citation A (HSC 1424) | Medication | $0 initial $20,000 | Appealed Closed | 910010242 |
| Apr 19, 2013 violation Jan 11, 2010 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 | Closed | 910009825 |
| Feb 27, 2008 violation Feb 16, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 970003777 |
| Jul 11, 2001 violation Feb 13, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 970001361 |
| Mar 9, 2001 violation Aug 8, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 | Closed | 970001353 |
| Jun 12, 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 Jul 10, 2026 | Complaint |
| Jun 12, 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 Jul 10, 2026 | Complaint |
| Feb 24, 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 Mar 12, 2026 | Complaint |
| Jan 15, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 30, 2026 | Complaint |
| Jan 15, 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 Jan 30, 2026 | Complaint |
| Jan 15, 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 Jan 30, 2026 | Complaint |
| Dec 5, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2025 |
| Dec 5, 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 Dec 24, 2025 |
| Dec 5, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2025 |
| Dec 5, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2025 |
| Dec 5, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2025 |
| Dec 5, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 24, 2025 |
| Dec 5, 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 Dec 24, 2025 |
| Dec 5, 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 Dec 24, 2025 |
| Dec 5, 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 Dec 26, 2025 |
| Dec 5, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 26, 2025 |
| Dec 5, 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 26, 2025 |
| Dec 5, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 26, 2025 |
| Dec 5, 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 Dec 26, 2025 |
| Dec 5, 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 26, 2025 |
| Dec 5, 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 Dec 26, 2025 |
| Dec 5, 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 Dec 26, 2025 |
| Dec 5, 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 26, 2025 |
| Dec 5, 2025 | F-0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Dec 26, 2025 |
| Dec 5, 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 Dec 26, 2025 |
| Dec 5, 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 Dec 26, 2025 |
| Dec 5, 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 Dec 26, 2025 |
| Dec 5, 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 26, 2025 |
| Dec 5, 2025 | 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 Dec 26, 2025 |
| Dec 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 26, 2025 |
| Dec 5, 2025 | 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 Dec 26, 2025 |
| Dec 5, 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 Dec 26, 2025 |
| Dec 5, 2025 | 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 | B · Minimal Pattern | Corrected Dec 26, 2025 |
| Dec 5, 2025 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | B · Minimal Pattern | Corrected Dec 26, 2025 |
| Mar 13, 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 Mar 25, 2025 | Complaint |
| Feb 21, 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 | Complaint |
| Oct 4, 2024 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Oct 4, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Oct 4, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Oct 4, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Oct 4, 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 Oct 24, 2024 |
| Oct 4, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Oct 4, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Oct 4, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Oct 4, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Oct 4, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Oct 4, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Oct 4, 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 Oct 24, 2024 |
| Oct 4, 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 Oct 24, 2024 |
| Oct 4, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 24, 2024 |
| Oct 4, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 4, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 4, 2024 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 25, 2024 |
| Oct 4, 2024 | 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 | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 4, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 4, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 2024 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 4, 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 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 2024 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 4, 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 Oct 25, 2024 |
| Oct 4, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 25, 2024 |
| Aug 19, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Aug 29, 2024 | Complaint |
| Jul 22, 2024 | 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 5, 2024 | Complaint |
| Jul 3, 2024 | 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 Jul 31, 2024 | Complaint |
| Jun 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 | D · Potential harm Isolated | Corrected Jul 12, 2024 | Complaint |
| Jun 12, 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 Jul 12, 2024 | Complaint |
| May 22, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 21, 2024 | Complaint |
| May 22, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 21, 2024 | Complaint |
| Apr 26, 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 May 3, 2024 | Complaint |
| Apr 15, 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 Apr 24, 2024 | Complaint |
| Feb 16, 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 Feb 28, 2024 | Complaint |
| Jan 5, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 30, 2024 | Complaint |
| Jan 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 30, 2024 | Complaint |
| Dec 21, 2023 | 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 8, 2024 | Complaint |
| Nov 20, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Nov 20, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Oct 2, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Oct 26, 2023 |
| Oct 2, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 27, 2023 |
| Oct 2, 2023 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 27, 2023 |
| Oct 2, 2023 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 27, 2023 |
| Oct 2, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 27, 2023 |
| Oct 2, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 27, 2023 |
| Oct 2, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 27, 2023 |
| Oct 2, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 27, 2023 |
| Oct 2, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 27, 2023 |
| Oct 2, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 27, 2023 |
| Oct 2, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 26, 2023 |
| Oct 2, 2023 | F-0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 26, 2023 |
| Oct 2, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 26, 2023 |
| Oct 2, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 26, 2023 |
| Oct 2, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 26, 2023 |
| Oct 2, 2023 | 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 Oct 26, 2023 |
| Oct 2, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 26, 2023 |
| Oct 2, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 26, 2023 |
| Oct 2, 2023 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Oct 26, 2023 |
| Oct 2, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Oct 26, 2023 |
| Oct 2, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 26, 2023 |
| Oct 2, 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 Oct 26, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.90 (case-mix index 1.36).
| not provided |
| Feb 1, 2026 |
| Bro Michael Bassemier | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Jose De La Rosa | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 18, 2018 |
| Brother Ignatius | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Kirk Uomoto | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Jose De La Rosa | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| Bro Michael Bassemier | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 1, 2024 |
| Kirk Uomoto | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 1, 2024 |
| St. John of God Retirement and Care Center | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2025 |
| Bro Michael Bassemier | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2026 |
| Kirk Uomoto | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |