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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 | G3 | H· | I· |
| Potential harm | D60 | E28 | F7 |
| 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 | |
|---|---|---|---|---|---|---|
| May 14, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| May 14, 2026 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Mar 30, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 11, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 13, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 24, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 21, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 17, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 27, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Feb 27, 2025 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Jan 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 13, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Feb 16, 2024 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Feb 16, 2024 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Dec 22, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Nov 17, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 20, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 16, 2024 | Civil money penalty (fine) | $8,824 | — | 055308|Fine|130321 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 1, 2024 violation Feb 21, 2024 | Class A | Citation Citation A (HSC 1424) | Other · Quality of Care: Safety | $26,150 initial $25,000 | Open | 030019962 |
| Feb 20, 2024 violation Nov 3, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 030019674 |
| Jan 18, 2024 violation Nov 29, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D60 | E28 | F7 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 14, 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 22, 2026 | |
| May 14, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 19, 2026 | |
| May 14, 2026 | K-0372 |
“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.
22 facilities in 1 states. CMS chain ID 566.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Antelope Realty Holdings I, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jul 26, 2024 |
| Windsor Norcal 13 Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 4, 2007 |
| Antelope Holdings I, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Antelope Realty Holdings I, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jul 26, 2024 |
| Windsor Norcal 13 Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 4, 2007 |
| Antelope Holdings I, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Newgen Administrative Services, LLC | Organization | Operational / managerial control |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Oak Grove Post Acute 4545 Shelley Court, Stockton, CA 95207 CCN 0552013 state class AA/AAbuse icon | 119 | Aug 21, 2026 | 1711 harm2 open |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Bruceville Terrace - D/P SNF of Methodist Hospital 8151 Bruceville Road, Sacramento, CA 95823 CCN 5553445 state class AA/AAbuse icon | 7.5 km | 171 | Aug 18, 2026 | 551 open | — | |
| City Creek Post Acute 6248 66th Avenue, Sacramento, CA 95823 CCN 5551601 state class AA/A | 10.7 km | 99 | Jul 24, 2026 | 63 | — | |
| Bridgewood Post Acute 5901 Lemon Hill Avenue, Sacramento, CA 95824 CCN 0559562 state class AA/AAbuse icon | 13.4 km | 49 | Jul 10, 2026 | 1021 harm | — | |
| Double Tree Post Acute Care Center 7400 24th Street, Sacramento, CA 95822 CCN 0561773 state class AA/AAbuse icon | 13.4 km | 122 | Jan 23, 2026 | 801 IJ | $11k | |
| Capital Post Acute 6821 24th Street, Sacramento, CA 95822 CCN 5554423 state class AA/AAbuse icon | 14.4 km | 121 | Aug 26, 2026 | 112 | — | |
| Acc Care Center 7801 Rush River Drive, Sacramento, CA 95831 CCN 5552611 state class AA/A | 16.7 km | 99 | Aug 13, 2026 | 57 | $24k | |
| University Post-Acute Rehab 2120 Stockton Boulevard, Sacramento, CA 95817 CCN 5552651 state class AA/A | 18.3 km | 59 | May 22, 2025 | 50 | — | |
| Asbury Park Nursing and Rehabilitation Center 2257 Fair Oaks Boulevard, Sacramento, CA 95825 CCN 5556736 state class AA/A | 18.5 km | 139 | Aug 19, 2026 | 851 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055308 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055308 | 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 | 100000048 | 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
| 030019593 |
| May 29, 2013 violation Dec 13, 2011 | Class B | Citation Citation B (HSC 1424) | Other · FIRE SAFETY | $1,000 | Closed | 030009920 |
| Jun 7, 2012 violation Sep 13, 2009 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $500 initial $1,000 | Appealed Closed | 030009350 |
| Jun 7, 2012 violation Sep 13, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 initial $1,000 | Appealed Closed | 030009346 |
| Mar 28, 2012 violation Oct 14, 2009 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $850 initial $1,000 | Appealed Closed | 030009183 |
| Mar 28, 2012 violation Oct 16, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $850 initial $1,000 | Appealed Closed | 030009182 |
| Feb 23, 2012 violation Feb 25, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 initial $1,000 | Appealed Closed | 030009035 |
| Apr 15, 2008 violation May 11, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $11,500 initial $20,000 | Appealed Closed | 030004920 |
| Apr 15, 2008 violation May 11, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Appealed Closed | 030004918 |
| Jun 19, 2007 violation Jan 12, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 030004028 |
| Dec 1, 2006 violation Oct 1, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $600 | Appealed Closed | 030003510 |
| May 4, 2005 violation Mar 14, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $440 initial $800 | Appealed Closed | 100002289 |
| Jun 6, 2003 violation Dec 10, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $516 initial $900 | Appealed Closed | 100002222 |
| Oct 24, 2001 violation Sep 9, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $8,607 initial $15,000 | Appealed Closed | 100002117 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected May 19, 2026 |
| May 14, 2026 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 22, 2026 |
| May 14, 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 19, 2026 |
| May 14, 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 Jun 4, 2026 | Complaint |
| May 14, 2026 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 4, 2026 |
| May 14, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 4, 2026 |
| May 14, 2026 | 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 4, 2026 |
| May 14, 2026 | 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 Jun 4, 2026 |
| May 14, 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 Jun 4, 2026 |
| May 14, 2026 | 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 Jun 4, 2026 |
| May 14, 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 | E · Potential harm Pattern | Corrected Jun 4, 2026 |
| May 14, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 4, 2026 |
| May 14, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 4, 2026 |
| May 14, 2026 | 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 Jun 4, 2026 |
| Mar 30, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 2, 2026 | Complaint |
| Mar 11, 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 | Past non-compliance Feb 27, 2026 | Complaint |
| Feb 6, 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 | D · Potential harm Isolated | Corrected Feb 10, 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 10, 2026 | Complaint |
| Feb 5, 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 | D · Potential harm Isolated | Corrected Feb 6, 2026 | Complaint |
| Jan 29, 2026 | 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 30, 2026 | Complaint |
| Jan 20, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 26, 2026 | Complaint |
| Jan 13, 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 Jan 26, 2026 | Complaint |
| Nov 24, 2025 | 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 Nov 25, 2025 | Complaint |
| Nov 24, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 25, 2025 | Complaint |
| Nov 24, 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 Nov 25, 2025 | Complaint |
| Nov 13, 2025 | 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 Nov 16, 2025 | Complaint |
| Nov 13, 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 Nov 16, 2025 | Complaint |
| Jul 21, 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 | No revisit needed Aug 1, 2025 | Complaint |
| Jul 21, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | No revisit needed Aug 1, 2025 | Complaint |
| Jun 19, 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 Jul 3, 2025 | Complaint |
| Jun 12, 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 Jun 20, 2025 | Complaint |
| Jun 5, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2025 | Complaint |
| Jun 4, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 13, 2025 | Complaint |
| Jun 4, 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 Jun 13, 2025 | Complaint |
| May 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 12, 2025 | Complaint |
| 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 | D · Potential harm Isolated | Corrected Apr 25, 2025 | Complaint |
| Apr 17, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 25, 2025 | Complaint |
| Apr 8, 2025 | 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 9, 2025 | Complaint |
| Feb 27, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 27, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 11, 2025 |
| Feb 27, 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 Mar 14, 2025 |
| Feb 27, 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 Mar 21, 2025 |
| Feb 27, 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 19, 2025 |
| Feb 27, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 27, 2025 | 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 Mar 19, 2025 |
| Feb 27, 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 | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 27, 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 19, 2025 |
| Feb 27, 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 Mar 19, 2025 |
| Feb 27, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 27, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 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 Mar 19, 2025 |
| Feb 27, 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 Mar 19, 2025 |
| Feb 27, 2025 | 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 | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Feb 27, 2025 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 19, 2025 |
| Feb 27, 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 Mar 19, 2025 |
| Feb 27, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Feb 27, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Feb 27, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 19, 2025 |
| Feb 27, 2025 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 21, 2025 |
| Jan 14, 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 Jan 31, 2025 | Complaint |
| Jan 2, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 23, 2025 | Complaint |
| Nov 12, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 25, 2024 | Complaint |
| Jun 27, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 26, 2024 | Complaint |
| Mar 13, 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 Mar 13, 2024 | Complaint |
| Feb 16, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 16, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 16, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 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 Mar 12, 2024 |
| Feb 16, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 16, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 12, 2024 |
| Feb 16, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 12, 2024 |
| Feb 16, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 12, 2024 |
| Feb 16, 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 Mar 12, 2024 |
| Feb 16, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 12, 2024 |
| Feb 16, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 2024 | 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 Mar 12, 2024 |
| Feb 16, 2024 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 12, 2024 |
| Feb 16, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 2024 | 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 Mar 12, 2024 |
| Feb 16, 2024 | 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 Mar 12, 2024 |
| Feb 16, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 2024 | 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 | F · Potential harm Widespread | Corrected Mar 12, 2024 |
| Feb 16, 2024 | 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 Mar 12, 2024 |
| Feb 16, 2024 | 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 Mar 12, 2024 |
| Feb 16, 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 | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2024 |
| Feb 16, 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 Mar 12, 2024 |
| Feb 16, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 12, 2024 |
| Feb 16, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 12, 2024 |
| Dec 22, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance Dec 17, 2023 | Complaint |
| Dec 22, 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 Dec 22, 2023 | Complaint |
| Nov 17, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 17, 2023 | Complaint |
| Oct 20, 2023 | 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 Oct 27, 2023 | Complaint |
| Oct 20, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 27, 2023 | Complaint |
| Oct 20, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 27, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.84 (case-mix index 1.41).
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jun 30, 2023 |
| Kelly Chow | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 6, 2023 |
| Larry Feliciano | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 16, 2017 |
| Pamela Shaw | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2023 |
| Aaron Robin | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 14, 2023 |
| Avrohom Tress | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 14, 2023 |
| Pamela Shaw | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 30, 2023 |
| Newgen Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 19, 2025 |
| Kelly Chow | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 6, 2023 |
| Larry Feliciano | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 16, 2017 |
| Pamela Shaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| $40k |
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| South Coast Post Acute 1030 W Warner Ave, Santa Ana, CA 92707 CCN 055653Abuse icon | 255 | Jul 31, 2026 | 120 | — |
| Delta Oaks Post Acute 6940 Pacific Avenue, Stockton, CA 95207 CCN 0557352 state class AA/AAbuse icon | 128 | Aug 25, 2026 | 1853 harm34 open | — |
| Coastal Post Acute 348 Iris Drive, Salinas, CA 93906 CCN 0558712 state class AA/A | 80 | Apr 9, 2025 | 681 IJ | $64k |
| Country Drive Post Acute 2500 Country Drive, Fremont, CA 94536 CCN 0558852 state class AA/A | 126 | Feb 23, 2026 | 611 harm | — |
| National City Post Acute 220 East 24th Street, National City, CA 91950 CCN 055954 | 98 | Jun 22, 2026 | 602 harm2 open | $16k |
| Monterey Post Acute 1575 Skyline Drive, Monterey, CA 93940 CCN 0559622 state class AA/A | 78 | Mar 10, 2026 | 78 | — |