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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 | D13 | E5 | F4 |
| Minimal | A· | B· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 21, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 6, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 6, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Dec 19, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 19, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Aug 30, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 30, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 2, 2016 violation Dec 30, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 040012057 |
| Feb 24, 2016 violation Oct 14, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,500 | Appealed Open | 040012044 |
| Aug 28, 2014 violation Jul 29, 2014 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D13 | E5 | F4 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 21, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 18, 2026 | Complaint |
| Aug 21, 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 Sep 18, 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 2 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Community Hospitals of Central California | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2009 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Community Hospitals of Central California | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2009 |
| Susan Abundis | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Lori Bennett | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 4, 2022 |
| Keith Boone | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Mark Coelho | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Burnett Extended Care Center 2715 Fresno St, Fresno, CA 93721 State license only | 154 lic. | Not CMS rated | — | No inspections in window | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 0.9 km | 103 | Jul 2, 2026 | 71 | — | |
| Covenant Post Acute 3408 East Shields Avenue, Fresno, CA 93726 CCN 055996 | 0.9 km | 121 | Apr 8, 2026 | 751 harm | — | |
| Keystone Post-Acute 3672 North First Street, Fresno, CA 93726 CCN 0562663 state class AA/A | 1.1 km | 65 | Jul 17, 2026 | 701 harm | $43k | |
| Healthcare Centre of Fresno 1665 M Street, Fresno, CA 93721 CCN 0556263 state class AA/A | 4 km | 155 | May 8, 2026 | 813 harm | $88k | |
| Burnett Extended Care Center 2715 Fresno St, Fresno, CA 93721 State license only | 4 km | 154 lic. | Not CMS rated | — | No inspections in window | — |
| The Terraces at San Joaquin Gardens Village 5551 N. Fresno St, Fresno, CA 93710 CCN 055846 | 4.5 km | 54 | Apr 23, 2025 | 391 harm | — | |
| North Point Healthcare & Wellness Centre LP 668 E. Bullard, Fresno, CA 93710 CCN 5551791 state class AA/A | 5 km | 99 | Mar 27, 2025 | 41 | — | |
| Fresno Postacute Care 1233 a Street, Fresno, CA 93706 CCN 5554266 state class AA/A | 5.7 km | 80 | Jul 29, 2026 | 651 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055258 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055258 | 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 | 040000474 | 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
| $2,000 |
Closed |
| 040010961 |
| Jan 6, 2010 violation Aug 20, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Appealed Closed | 040006887 |
| Jun 27, 2005 violation Jun 27, 2004 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $80,000 | Death related Closed | 040001374 |
| May 13, 2004 violation Jul 20, 2003 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 040001359 |
| Feb 11, 2003 violation Sep 26, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $900 | Closed | 040001328 |
| Jan 16, 2001 violation Aug 16, 2000 | Class A | Citation Citation A (HSC 1424) | Other · NURSING SERVICES | $8,000 | Closed | 040001202 |
| Aug 21, 2026 | 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 Sep 18, 2026 | Complaint |
| Feb 6, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 24, 2026 |
| Dec 19, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2026 |
| Dec 19, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 12, 2026 |
| Dec 19, 2025 | 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 Jan 20, 2026 |
| Dec 19, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 19, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 19, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 19, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jan 14, 2026 |
| Dec 19, 2025 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 14, 2026 |
| Dec 19, 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 Jan 14, 2026 |
| Dec 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 14, 2026 |
| Dec 19, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 9, 2026 |
| Aug 30, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Aug 30, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Aug 30, 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 | E · Potential harm Pattern | Corrected Sep 24, 2024 |
| Aug 30, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 24, 2024 |
| Aug 30, 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 | D · Potential harm Isolated | Corrected Sep 24, 2024 |
| Aug 30, 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 Sep 24, 2024 |
| Aug 30, 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 Sep 24, 2024 |
| Aug 30, 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 Sep 24, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.54 (case-mix index 1.85).
| Feb 7, 2023 |
| Gregory Copeland | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 25, 2025 |
| Nicholas Dugan | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 25, 2025 |
| Gregory Estep | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Fabiola Gonzalez | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 20, 2025 |
| Gerardo Hernandez | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 6, 2023 |
| Isabel Martinez | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Karen Mccaffrey | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Katherine Melendez | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Deborah Moffett | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Christopher Neuman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Leland Parnagian | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 7, 2023 |
| Roger Sturdevant | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 12, 2023 |
| Chandrasekar Venugopal | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2022 |
| Craig Wagoner | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 6, 2025 |
| Community Hospitals of Central California | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2009 |
| Susan Abundis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Cory Belliston | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 12, 2022 |
| Lori Bennett | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 4, 2022 |
| Keith Boone | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Mark Coelho | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2023 |
| Gregory Copeland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 25, 2025 |
| Nicholas Dugan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 25, 2025 |
| Gregory Estep | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Fabiola Gonzalez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 20, 2025 |
| Gerardo Hernandez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 6, 2023 |
| Isabel Martinez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Karen Mccaffrey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Katherine Melendez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Deborah Moffett | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2013 |
| Christopher Neuman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Leland Parnagian | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 7, 2023 |
| Amee Perla | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 5, 2026 |
| Kalbir Singh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2026 |
| Roger Sturdevant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 12, 2023 |
| Chandrasekar Venugopal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Craig Wagoner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Susan Abundis | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Lori Bennett | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 4, 2022 |
| Keith Boone | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Mark Coelho | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 7, 2023 |
| Gregory Copeland | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 25, 2025 |
| Nicholas Dugan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 25, 2025 |
| Gregory Estep | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Fabiola Gonzalez | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 20, 2025 |
| Gerardo Hernandez | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 6, 2023 |
| Isabel Martinez | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Karen Mccaffrey | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Katherine Melendez | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Leland Parnagian | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 7, 2023 |
| Roger Sturdevant | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Chandrasekar Venugopal | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Isabel Martinez | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Katherine Melendez | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Deborah Moffett | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| Christopher Neuman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Roger Sturdevant | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 12, 2023 |
| Craig Wagoner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 3, 2025 |
| Community Hospitals of Central California | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2009 |
| Susan Abundis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Cory Belliston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2022 |
| Lori Bennett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 4, 2022 |
| Keith Boone | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Mark Coelho | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2023 |
| Gregory Copeland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2025 |
| Nicholas Dugan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2025 |
| Gregory Estep | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Fabiola Gonzalez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Gerardo Hernandez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 6, 2023 |
| Isabel Martinez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Karen Mccaffrey | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Katherine Melendez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Deborah Moffett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Christopher Neuman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Leland Parnagian | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2023 |
| Amee Perla | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 5, 2026 |
| Kalbir Singh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Roger Sturdevant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 12, 2023 |
| Chandrasekar Venugopal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Craig Wagoner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 3, 2025 |