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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 | D41 | E12 | F10 |
| Minimal | A· | B2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 10, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 17, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 17, 2025 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Dec 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 8, 2023 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Dec 8, 2023 | Health | Health Complaint, Health Standard | 17 | Potential harm | — | Open → |
| May 12, 2022 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 12, 2022 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Dec 20, 2022 violation Jul 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Open | 810018200 |
| Oct 18, 2018 violation Sep 18, 2018 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,600 initial $2,000 | Appealed Open | 020014507 |
| Jul 17, 2014 violation Apr 26, 2014 | Class B | Citation Citation B (HSC 1424) |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D41 | E12 | F10 |
| Minimal | A· | B2 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 10, 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 Apr 10, 2026 | Complaint |
| Mar 10, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 10, 2026 | Complaint |
“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 |
|---|---|---|---|---|---|
| Monique Shields | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | May 1, 2001 |
| Willie Shields | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Nov 1, 1991 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Monique Shields | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | May 1, 2001 |
| Willie Shields | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Nov 1, 1991 |
| Ruel Abiad | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| Darwin Antigua | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 19, 2020 |
| Whitney Booker | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Shields Nursing Center 3230 Carlson Boulevard, El Cerrito, CA 94530 CCN 555364 | 45 | Nov 20, 2025 | 49 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Richmond Post Acute Care 955 23rd Street, Richmond, CA 94804 CCN 555735 | 2.3 km | 35 | Jan 16, 2025 | 34 | — | |
| Vale Healthcare Center 13484 San Pablo Avenue, San Pablo, CA 94806 CCN 05638912 state class AA/A | 3.5 km | 202 | Jul 28, 2026 | 871 open | — | |
| Creekside Healthcare Center 1900 Church Lane, San Pablo, CA 94806 CCN 0550992 state class AA/AAbuse icon | 3.7 km | 80 | Aug 5, 2026 | 441 harm | — | |
| San Pablo Healthcare & Wellness Center 13328 San Pablo Avenue, San Pablo, CA 94806 CCN 0563594 state class AA/A | 3.7 km | 108 | Mar 30, 2026 | 761 IJ | $10k | |
| Shields Nursing Center 3230 Carlson Boulevard, El Cerrito, CA 94530 CCN 555364 | 5.1 km | 45 | Nov 20, 2025 | 49 | — | |
| Greenridge Post Acute 2150 Pyramid Drive, El Sobrante, CA 94803 CCN 0564572 state class AA/A | 5.9 km | 60 | Jun 18, 2026 | 30 | — | |
| Chaparral House 1309 Allston Way, Berkeley, CA 94702 CCN 5558722 state class AA/A | 8.4 km | 49 | Jul 23, 2026 | 60 | — | |
| Kyakameena Care Center 2131 Carleton Street, Berkeley, CA 94704 CCN 0557151 state class AA/A | 10 km | 60 | May 20, 2026 | 66 | $4,587 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055292 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055292 | 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 | 140000080 | 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
| Patient Care |
| $1,500 |
Closed |
| 020010865 |
| Nov 19, 2008 violation Mar 3, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $350 initial $700 | Appealed Closed | 020005625 |
| Sep 17, 2008 violation Aug 22, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $375 initial $750 | Appealed Closed | 020005430 |
| Oct 20, 2005 violation Jun 18, 2005 | Class B | Citation Citation A (HSC 1424) | Patient Care | $750 initial $10,000 | Appealed Closed | 140002761 |
| Oct 20, 2005 violation Nov 22, 2004 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $50,000 initial $90,000 | Death relatedAppealed Closed | 140002760 |
| Aug 10, 2005 violation Nov 26, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 140002752 |
| May 11, 2005 violation May 24, 2004 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 140002748 |
| May 11, 2005 violation Sep 16, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 140002746 |
| Dec 31, 2004 violation Apr 10, 2004 | Class B | Citation Citation B (HSC 1424) | Other · PATIENT RIGHTS/ABUSE | $1,000 | Appealed Closed | 140002737 |
| Dec 31, 2004 violation Sep 10, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 140002736 |
| May 6, 2003 violation Nov 5, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 | Appealed Closed | 140002676 |
| Mar 21, 2003 violation Jun 13, 2002 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 140002667 |
| Sep 21, 2000 violation Mar 17, 1999 | Class A | Citation Citation A (HSC 1424) | Patient Care | $3,500 initial $7,500 | Appealed Closed | 140002562 |
| Apr 14, 2000 violation Jan 9, 2000 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $14,000 initial $25,000 | Death relatedAppealed Closed | 140002511 |
| Mar 10, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 10, 2026 | Complaint |
| Apr 17, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 8, 2025 |
| Apr 17, 2025 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 17, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 17, 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 May 15, 2025 |
| Apr 17, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 14, 2025 |
| Apr 17, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 14, 2025 |
| Apr 17, 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 May 14, 2025 |
| Apr 17, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 17, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 17, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 14, 2025 |
| Apr 17, 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 May 14, 2025 |
| Apr 17, 2025 | 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 | E · Potential harm Pattern | Corrected May 14, 2025 |
| Apr 17, 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 | E · Potential harm Pattern | Corrected May 14, 2025 |
| Apr 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 17, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 17, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected May 8, 2025 |
| Apr 17, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected May 14, 2025 |
| Dec 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 31, 2024 | Complaint |
| Jul 18, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Mar 7, 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 Apr 12, 2024 | Complaint |
| Dec 8, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | 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 Jan 12, 2024 |
| Dec 8, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | 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 12, 2024 |
| Dec 8, 2023 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 8, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 8, 2024 | Complaint |
| Dec 8, 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 |
| Dec 8, 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 8, 2024 |
| Dec 8, 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 | E · Potential harm Pattern | Corrected Jan 8, 2024 |
| Dec 8, 2023 | 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 Jan 8, 2024 |
| Dec 8, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 8, 2024 |
| Dec 8, 2023 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 8, 2024 |
| Dec 8, 2023 | 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 Jan 8, 2024 |
| Dec 8, 2023 | 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 Jan 8, 2024 |
| Dec 8, 2023 | 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 | F · Potential harm Widespread | Corrected Jan 8, 2024 |
| Dec 8, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 8, 2024 |
| Dec 8, 2023 | 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 Jan 8, 2024 |
| Dec 8, 2023 | 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 | F · Potential harm Widespread | Corrected Jan 8, 2024 |
| Dec 8, 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 | F · Potential harm Widespread | Corrected Jan 8, 2024 |
| Dec 8, 2023 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 8, 2024 |
| Dec 8, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 8, 2024 | Complaint |
| Dec 8, 2023 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 8, 2024 |
| May 12, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 6, 2022 |
| May 12, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 6, 2022 |
| May 12, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2022 |
| May 12, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2022 |
| May 12, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 6, 2022 |
| May 12, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2022 |
| May 12, 2022 | 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 Jul 12, 2022 |
| May 12, 2022 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 12, 2022 |
| May 12, 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 | D · Potential harm Isolated | Corrected Jul 12, 2022 |
| May 12, 2022 | 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 Jul 12, 2022 |
| May 12, 2022 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 12, 2022 |
| May 12, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 12, 2022 |
| May 12, 2022 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Jul 12, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.07 (case-mix index 1.30).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Nov 10, 2008 |
| Raphael Dela Cruz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 8, 2022 |
| Gurpreet Dhugga | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2017 |
| Aaron Gabriel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 26, 2017 |
| Angelina Goward | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 23, 2003 |
| Janice Hutson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 15, 2004 |
| Arkita Myers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 27, 2010 |
| Madelene Perdomo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 19, 2022 |
| Jacques Philogene | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 30, 2020 |
| Monique Shields | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2001 |
| Willie Shields | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 1991 |
| Donald Thorpe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 25, 2025 |
| Monique Shields | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2001 |
| Willie Shields | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 3, 2004 |
| Ruel Abiad | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Darwin Antigua | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 19, 2020 |
| Whitney Booker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 10, 2008 |
| Raphael Dela Cruz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 8, 2022 |
| Gurpreet Dhugga | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2017 |
| Aaron Gabriel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 26, 2017 |
| Angelina Goward | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 23, 2003 |
| Janice Hutson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 15, 2004 |
| Arkita Myers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 27, 2010 |
| Madelene Perdomo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 19, 2022 |
| Jacques Philogene | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 30, 2020 |
| Monique Shields | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2001 |
| Willie Shields | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 1991 |
| Donald Thorpe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 25, 2025 |