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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 | G2 | H· | I· |
| Potential harm | D55 | E13 | F3 |
| 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 4, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 10, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 24, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 24, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Feb 12, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 27, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 20, 2025 | Health | Health Complaint | 8 | Potential harm | — | Open → |
| Jun 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 6, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Feb 21, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Feb 21, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jul 22, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Apr 5, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 8, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Feb 8, 2024 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 17, 2024 violation Mar 30, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 950020199 |
| May 5, 2023 violation Apr 8, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Open | 950018725 |
| May 5, 2023 violation Apr 8, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 950018724 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D55 | E13 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 4, 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 28, 2026 | Complaint |
| Aug 4, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 28, 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.
11 facilities in 1 states. CMS chain ID 659.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Monrovia Licensee 6 LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2016 |
| Bin Mendel LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Bl Cali Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Js Fenton LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Rgf Consulting LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Serrano Group LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Serrano Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Yaame LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Howard Fensterman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Jordan Fensterman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Robert Fensterman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Dov Jacobs | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Staci Leibson | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Judah Taub | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Monrovia Licensee 6 LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2016 |
| Bin Mendel LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Bl Cali Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Js Fenton LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rialto Post Acute Center 1471 S Riverside Ave, Rialto, CA 92376 CCN 0552137 state class AA/A | 177 | Aug 19, 2026 | 572 IJ2 open | $24k | |
| Long Beach Healthcare Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Monte Vista Healthcare Center 802 Buena Vista Street, Duarte, CA 91010 CCN 0558175 state class AA/A | 0.4 km | 69 | Aug 28, 2026 | 751 open | — | |
| Royal Terrace Healthcare 1340 Highland Ave., Duarte, CA 91010 CCN 0555412 state class AA/A | 0.9 km | 58 | Jun 26, 2026 | 46 | — | |
| Royal Oaks Manor-Bradbury Oaks 1763 Royal Oaks Drive, Duarte, CA 91010 CCN 5555033 state class AA/A | 1 km | 48 | Jan 2, 2026 | 512 harm | — | |
| Monrovia Gardens Healthcare Center 615 W. Duarte Rd., Monrovia, CA 91016 CCN 0553673 state class AA/A | 2.9 km | 96 | Jul 15, 2026 | 1191 harm | — | |
| Santa Fe Lodge 5053 Peck Rd., El Monte, CA 91732 CCN 5551061 state class AA/A | 4.7 km | 46 | Aug 25, 2026 | 671 IJ | — | |
| Mayflower Care Center 5043 Peck Rd, El Monte, CA 91732 CCN 5553741 state class AA/A | 4.7 km | 59 | Jul 17, 2026 | 55 | — | |
| Sierra View Care Center 14318 Ohio Street, Baldwin Park, CA 91706 CCN 0564662 state class AA/A | 5.2 km | 98 | Apr 24, 2026 | 51 | — | |
| Coast Care Convalescent Center 14518 E. Los Angeles St., Baldwin Park, CA 91706 CCN 555199 | 5.6 km | 48 | Jan 2, 2026 | 47 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055259 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055259 | 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 | 950000073 | 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
| Dec 21, 2022 violation Sep 25, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950018256 |
| Nov 6, 2020 violation Sep 20, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 950016143 |
| Sep 15, 2020 violation Jan 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Appealed Closed | 810015955 |
| Dec 21, 2018 violation Jul 7, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 950014678 |
| Aug 15, 2018 violation Dec 20, 2016 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 950014321 |
| Aug 2, 2018 violation Mar 21, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Death related Closed | 940014308 |
| Oct 24, 2017 violation Jul 14, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 950013566 |
| Jul 5, 2017 violation May 17, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Rights · Fin Occur/Fin Abuse Misap | $2,000 | Closed | 950013327 |
| Dec 21, 2016 violation Aug 31, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $12,000 initial $16,000 | Appealed Closed | 950012829 |
| Aug 9, 2000 violation May 5, 2000 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Patient Record | $400 | Closed | 950001349 |
| Jul 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 31, 2026 | Complaint |
| Jun 10, 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 | G · Actual harm Isolated | Corrected Jun 25, 2026 | Complaint |
| Apr 24, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2026 |
| Apr 24, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2026 |
| Apr 24, 2026 | 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 May 18, 2026 |
| Apr 24, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 24, 2026 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 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 May 18, 2026 |
| Apr 24, 2026 | 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 May 18, 2026 |
| Apr 24, 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 18, 2026 |
| Apr 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 | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 24, 2026 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 24, 2026 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 24, 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 | D · Potential harm Isolated | Corrected May 18, 2026 |
| Feb 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 5, 2026 | Complaint |
| Feb 6, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 26, 2026 | Complaint |
| Feb 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 26, 2026 | Complaint |
| Jan 6, 2026 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 26, 2026 | Complaint |
| Oct 27, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 23, 2025 | Complaint |
| Oct 27, 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 Nov 23, 2025 | Complaint |
| Aug 20, 2025 | 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 Sep 12, 2025 | Complaint |
| Aug 20, 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 Sep 12, 2025 | Complaint |
| Aug 20, 2025 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 12, 2025 | Complaint |
| Aug 20, 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 Sep 12, 2025 | Complaint |
| Aug 20, 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 Sep 12, 2025 | Complaint |
| Aug 20, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 12, 2025 | Complaint |
| Aug 20, 2025 | 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 Sep 12, 2025 | Complaint |
| Aug 20, 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 Sep 12, 2025 | Complaint |
| Jun 10, 2025 | 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 Jun 30, 2025 | Complaint |
| May 15, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| May 15, 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 Jun 6, 2025 | Complaint |
| May 15, 2025 | 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 Jun 5, 2025 | Complaint |
| May 15, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| Mar 20, 2025 | 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 Apr 11, 2025 | Complaint |
| Mar 20, 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 Apr 11, 2025 | Complaint |
| 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 Apr 16, 2025 | Complaint |
| Mar 6, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 7, 2025 | Complaint |
| 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 Apr 7, 2025 | Complaint |
| Mar 6, 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 Apr 8, 2025 | Complaint |
| Mar 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 7, 2025 | Complaint |
| Feb 21, 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 Feb 23, 2025 |
| Feb 21, 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 | E · Potential harm Pattern | Corrected Feb 27, 2025 |
| Feb 21, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 23, 2025 |
| Feb 21, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 27, 2025 |
| Feb 21, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 24, 2025 |
| Feb 21, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 25, 2025 |
| Feb 21, 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 Mar 6, 2025 |
| Feb 21, 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 Mar 12, 2025 |
| 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 6, 2025 |
| Feb 21, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 21, 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 7, 2025 |
| Feb 21, 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 Mar 11, 2025 |
| Jul 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 Aug 15, 2024 | Complaint |
| Jul 22, 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 | D · Potential harm Isolated | Corrected Aug 15, 2024 | Complaint |
| Apr 5, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 26, 2024 | Complaint |
| Apr 5, 2024 | 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 Apr 29, 2024 | Complaint |
| Feb 8, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 9, 2024 |
| Feb 8, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 9, 2024 |
| Feb 8, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 9, 2024 |
| Feb 8, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 9, 2024 |
| Feb 8, 2024 | K-0925 | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 9, 2024 |
| Feb 8, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 26, 2024 |
| Feb 8, 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 Mar 26, 2024 |
| Feb 8, 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 Mar 26, 2024 |
| Feb 8, 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 Mar 26, 2024 |
| Feb 8, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2024 |
| Feb 8, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2024 |
| Feb 8, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Feb 8, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2024 |
| Feb 8, 2024 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 26, 2024 |
| Feb 8, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 26, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.18 (case-mix index 1.49).
| Jan 1, 2016 |
| Rgf Consulting LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Serrano Group LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Serrano Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Yaame LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Howard Fensterman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Jordan Fensterman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Robert Fensterman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Dov Jacobs | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Staci Leibson | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Judah Taub | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2016 |
| Monrovia Licensee 6 LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2016 |
| Yolanda Wise | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2016 |
| Dov Jacobs | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2016 |
| 154 |
| Jul 30, 2026 |
1434 harm |
| $75k |
| California Post Acute 909 S Lake Street, Los Angeles, CA 90006 CCN 0554612 state class AA/A | 66 | Aug 14, 2026 | 1373 IJ6 harm3 open | $164k |
| Royal Terrace Healthcare 1340 Highland Ave., Duarte, CA 91010 CCN 0555412 state class AA/A | 58 | Jun 26, 2026 | 46 | — |
| Royal Gardens Healthcare 2339 W. Valley Blvd., Alhambra, CA 91803 CCN 0558181 state class AA/A | 43 | Aug 27, 2026 | 84 | — |
| Royal Palms Post Acute 630 W. Broadway, Glendale, CA 91204 CCN 05589910 state class AA/A | 140 | Aug 21, 2026 | 1182 IJ | $80k |
| Palazzo Post Acute 5400 Fountain Ave, Los Angeles, CA 90029 CCN 0564564 state class AA/A | 99 | Jul 22, 2026 | 65 | — |
| Hollywood Premier Healthcare Center 5401 Fountain Ave., Los Angeles, CA 90029 CCN 0564894 state class AA/A | 99 | May 22, 2026 | 1101 IJ1 harm | $17k |