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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· | L1 |
| Actual harm | G1 | H· | I· |
| Potential harm | D38 | E21 | F15 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 25, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 22, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 16, 2026 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Apr 16, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Nov 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 1, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 11, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jan 11, 2025 | Health | Health Standard | 0 | No citations | — | Open → |
| Jun 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 30, 2022 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Mar 30, 2022 | Health | Health Standard | 20 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 16, 2026 | Civil money penalty (fine) | $12,006 | — | 055268|Fine|140281 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 26, 2024 violation Nov 29, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $50,000 | Open | 810019881 |
| Mar 24, 2022 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Closed | 810017506 |
| Nov 14, 2019 violation Mar 8, 2019 | Class B | Citation Citation B (HSC 1424) | Financial Occurrence/Fac Not Self Reported | $1,000 | Closed | 110015499 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L1 |
| Actual harm | G1 | H· | I· |
| Potential harm | D38 | E21 | F15 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 25, 2026 | 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 17, 2026 | Complaint |
| Jun 25, 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 17, 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.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Providence Group Wine Country LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 16, 2016 |
| Providence Group Nh, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Providence Group Wine Country LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 16, 2016 |
| Providence Group Nh, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Jon Olson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 5, 2021 |
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Redlands Healthcare Center 1620 W Fern Ave, Redlands, CA 92373 CCN 0550011 state class AA/A | 78 | Apr 23, 2026 | 23 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Valley of the Moon Post Acute 347 Andrieux St, Sonoma, CA 95476 CCN 5552583 state class AA/AAbuse icon | 0.9 km | 27 | Jul 16, 2026 | 261 harm | $8,492 | |
| Broadway Villa Post Acute 1250 Broadway, Sonoma, CA 95476 CCN 0559876 state class AA/A | 1.2 km | 144 | Aug 20, 2026 | 541 harm | $23k | |
| The Meadows of Napa Valley Care Center 1900 Atrium Parkway, Napa, CA 94559 CCN 5556391 state class AA/A | 14 km | 69 | Aug 13, 2026 | 301 harm | — | |
| Veterans Home of California - Yountville 100 California Dr, Yountville, CA 94599 State license only | 14.1 km | 72 lic. | Not CMS rated | — | No inspections in window | — |
| Napa Community Health Center 1800 Pueblo Ave, Napa, CA 94558 CCN 5552072 state class AA/A | 14.2 km | 49 | Jun 5, 2026 | 693 harm | $31k | |
| Veterans Home of California - Yountville - SNF 100 California Drive, Yountville, CA 94599 CCN 5550952 state class AA/A | 14.6 km | 274 | Mar 26, 2026 | 59 | — | |
| Napa Valley Care Center 3275 Villa Lane, Napa, CA 94558 CCN 55516111 state class AA/A | 15.3 km | 130 | Jul 2, 2026 | 861 harm | — | |
| Vineyard Post Acute 101 Monroe Street, Petaluma, CA 94954 CCN 5551208 state class AA/A | 15.3 km | 99 | Mar 30, 2026 | 802 harm | $56k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055268 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055268 | 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 | 010000034 | 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
| Nov 14, 2019 violation Dec 12, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $14,000 initial $20,000 | Appealed Closed | 110015440 |
| Oct 22, 2019 violation Mar 23, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 110015441 |
| Jul 5, 2018 violation Mar 16, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 110014174 |
| Jul 5, 2018 violation Mar 16, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 110014173 |
| Jun 16, 2015 violation Mar 21, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 110011503 |
| Feb 6, 2013 violation Jan 8, 2013 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 110009712 |
| Apr 21, 2010 violation Jun 7, 2009 | Class A | Citation Citation A (HSC 1424) | Patient Care | $12,000 initial $18,000 | Appealed Closed | 110006900 |
| Jan 22, 2010 violation Apr 14, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110006657 |
| Jun 5, 2009 violation Dec 25, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 | Closed | 110005784 |
| May 8, 2009 violation Dec 25, 2008 | Class B | Citation Citation B (HSC 1424) | Other · Patient Care/Medication | $1,000 | Closed | 110005759 |
| Sep 4, 2008 violation Mar 9, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 initial $1,000 | Closed | 110004810 |
| May 8, 2008 violation Mar 13, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 110005004 |
| Apr 24, 2008 violation Mar 8, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 | Closed | 110004957 |
| Feb 25, 2008 violation May 19, 2007 | Class B | Citation Citation A (HSC 1424) | Patient Care | $6,850 initial $18,000 | Appealed Closed | 110004406 |
| Feb 25, 2008 violation Jul 13, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $4,000 initial $18,000 | Appealed Closed | 110004339 |
| Feb 13, 2008 violation Jun 25, 2007 | Class B | Citation Citation A (HSC 1424) | Patient Care | $10,800 initial $18,000 | Appealed Closed | 110004060 |
| Jan 31, 2008 violation Jul 19, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110004140 |
| Jun 6, 2007 violation Oct 1, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110004017 |
| Jun 6, 2007 violation Oct 24, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110003576 |
| Sep 4, 2003 violation Aug 31, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $679 initial $500 | Appealed Closed | 010002051 |
| Nov 17, 2000 violation Oct 21, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Care | $250 | Appealed Closed | 010001797 |
| Apr 22, 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 May 13, 2026 | Complaint |
| Apr 16, 2026 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 21, 2026 |
| Apr 16, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 21, 2026 |
| Apr 16, 2026 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2026 |
| Apr 16, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 16, 2026 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 16, 2026 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2026 |
| Apr 16, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2026 |
| Apr 16, 2026 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 16, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2026 |
| Apr 16, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2026 |
| Apr 16, 2026 | 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 May 21, 2026 |
| Apr 16, 2026 | 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 May 8, 2026 |
| Apr 16, 2026 | 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 May 8, 2026 |
| Apr 16, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 8, 2026 |
| Apr 16, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 8, 2026 |
| Apr 16, 2026 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 8, 2026 |
| Apr 16, 2026 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 8, 2026 |
| Apr 16, 2026 | 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 May 8, 2026 |
| Apr 16, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 8, 2026 |
| Apr 16, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 8, 2026 |
| Apr 16, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2026 |
| Nov 14, 2025 | 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 Jan 5, 2026 | Complaint |
| Aug 1, 2025 | F-0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 14, 2025 | Complaint |
| Aug 1, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2025 | Complaint |
| Jul 22, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 31, 2025 | Complaint |
| Jul 18, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 8, 2025 | Complaint |
| May 16, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 16, 2025 | Complaint |
| Mar 20, 2025 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 7, 2025 | Complaint |
| Jan 30, 2025 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 5, 2025 | Complaint |
| Jan 11, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 3, 2025 |
| Jan 11, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 16, 2025 |
| Jan 11, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2025 |
| Jan 11, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2025 |
| Jan 11, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 16, 2025 |
| Jan 11, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 16, 2025 |
| Jan 11, 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 Jan 16, 2025 |
| Jun 13, 2024 | 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 Jun 20, 2024 | Complaint |
| Mar 30, 2022 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | L · Immediate jeopardy Widespread | Corrected Apr 24, 2022 |
| Mar 30, 2022 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2022 |
| Mar 30, 2022 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 24, 2022 |
| Mar 30, 2022 | 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 Apr 24, 2022 |
| Mar 30, 2022 | 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 Apr 24, 2022 |
| Mar 30, 2022 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Apr 24, 2022 |
| Mar 30, 2022 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 24, 2022 |
| Mar 30, 2022 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 24, 2022 |
| Mar 30, 2022 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 24, 2022 |
| Mar 30, 2022 | 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 Apr 24, 2022 |
| Mar 30, 2022 | 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 24, 2022 |
| Mar 30, 2022 | 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 | E · Potential harm Pattern | Corrected Apr 24, 2022 |
| Mar 30, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 24, 2022 |
| Mar 30, 2022 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 24, 2022 |
| Mar 30, 2022 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 24, 2022 |
| Mar 30, 2022 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 24, 2022 |
| Mar 30, 2022 | 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 Apr 24, 2022 |
| Mar 30, 2022 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 24, 2022 |
| Mar 30, 2022 | 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 | E · Potential harm Pattern | Corrected Apr 24, 2022 |
| Mar 30, 2022 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 24, 2022 |
| Mar 30, 2022 | 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 Apr 24, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.65 (case-mix index 1.37).
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Joshua Jergensen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Dominic Picetti | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Mar 1, 2024 |
| Jon Olson | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Nov 5, 2021 |
| 51 |
| Jul 6, 2026 |
51 |
| — |
| Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021 CCN 055064 | 96 | Aug 26, 2026 | 781 harm | $9,255 |
| Moraga Post Acute 348 Rheem Boulevard, Moraga, CA 94556 CCN 055085 | 49 | Apr 13, 2026 | 501 harm | — |
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 59 | Apr 1, 2026 | 62 | — |
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 190 | Aug 13, 2026 | 763 harm | $102k |
| Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A | 104 | Aug 11, 2026 | 751 IJ2 harm | $35k |
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 103 | Jul 2, 2026 | 71 | — |