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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D60 | E28 | F15 |
| Minimal | A· | B3 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 12, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 11, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 14, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 28, 2025 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Mar 28, 2025 | Health | Health Standard | 24 | Potential harm | — | Open → |
| May 13, 2024 | Fire safety | Fire Safety Complaint | 3 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 22, 2024 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Jan 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 27, 2023 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Oct 27, 2023 | Health | Health Complaint, Health Standard | 20 | Potential harm | — | Open → |
| Jan 10, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 10, 2022 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 14, 2025 | Civil money penalty (fine) | $8,428 | — | 055315|Fine|135535 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 22, 2024 violation Feb 17, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 070019917 |
| Jun 9, 2023 violation Feb 22, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Appealed Open | 070018765 |
| Dec 1, 2020 violation Nov 11, 2020 | Class B | Citation Citation B (HSC 1424) | Other · Reporting Of Outbreaks |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D60 | E28 | F15 |
| Minimal | A· | B3 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 12, 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 | G · Actual harm Isolated | Corrected Aug 14, 2026 | Complaint |
| Jul 21, 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 Aug 4, 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.
14 facilities in 1 states. CMS chain ID 703.
Chain average overall rating (CMS): 3.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Spyglass Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Aug 1, 2025 |
| Ryan Mccormack | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | Aug 1, 2025 |
| Brady O'shea | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Aug 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Spyglass Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Aug 1, 2025 |
| Ryan Mccormack | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | Aug 1, 2025 |
| Brady O'shea | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | Aug 1, 2025 |
| Matthew Awerbuck | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Grayson Brereton | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Cedarwood Post Acute 1090 Rio Lane, Sacramento, CA 95822 CCN 0552964 state class AA/A | 51 | Jun 17, 2026 | 76 | — | |
| Mountain View Healthcare Center 2530 Solace Place, Mountain View, CA 94040 CCN 0553161 state class AA/A |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Mountain View Healthcare Center 2530 Solace Place, Mountain View, CA 94040 CCN 0553161 state class AA/A | 0.7 km | 129 | Jul 15, 2026 | 732 harm | $55k | |
| Villa Siena 1855 Miramonte Avenue, Mountain View, CA 94040 CCN 05A364 | 0.9 km | 30 | Jul 28, 2025 | 54 | — | |
| Los Altos Post-Acute 809 Fremont Avenue, Los Altos, CA 94024 CCN 0561163 state class AA/A | 2.1 km | 152 | Aug 24, 2026 | 804 harm | $252k | |
| Sunnyvale Post-Acute Center 1291 S Bernardo Avenue, Sunnyvale, CA 94087 CCN 555792 | 2.9 km | 99 | Jul 1, 2026 | 90 | — | |
| Idylwood Care Center 1002 W. Fremont Avenue, Sunnyvale, CA 94087 CCN 055211 | 3 km | 185 | Jul 1, 2026 | 44 | — | |
| Health Care Ctr at the Forum at Rancho San Antonio 23600 Via Esplendor, Cupertino, CA 95014 CCN 555524 | 4 km | 48 | May 14, 2026 | 48 | — | |
| The Terraces at Los Altos Health Facility 373 Pine Lane, Los Altos, CA 94022 CCN 0552101 state class AA/A | 4.1 km | 30 | Aug 1, 2025 | 55 | — | |
| Sunnyvale Gardens Post Acute 1150 Tilton Drive, Sunnyvale, CA 94087 CCN 5554441 state class AA/A | 4.8 km | 140 | Mar 19, 2025 | 751 IJ1 harm | $43k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055315 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055315 | 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 | 220001054 | 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
| $1,000 |
Closed |
| 070016173 |
| Jun 19, 2020 violation Jun 12, 2020 | Class B | Citation Citation B (HSC 1424) | Other · Reporting Of Outbreaks | $1,000 | Closed | 070015904 |
| Aug 18, 2011 violation Jun 21, 2011 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Appealed Closed | 220008461 |
| Nov 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 Dec 10, 2025 | Complaint |
| Sep 11, 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 | G · Actual harm Isolated | Corrected Sep 25, 2025 | Complaint |
| Jul 14, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 2, 2025 | Complaint |
| Jul 14, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 2, 2025 | Complaint |
| Jul 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 2, 2025 | Complaint |
| Mar 28, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 22, 2025 |
| Mar 28, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Mar 28, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 21, 2025 |
| Mar 28, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 10, 2025 |
| Mar 28, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 22, 2025 |
| Mar 28, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 10, 2025 |
| Mar 28, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Mar 28, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 15, 2025 |
| Mar 28, 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 Apr 21, 2025 |
| Mar 28, 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 Apr 3, 2025 |
| Mar 28, 2025 | 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 22, 2025 |
| Mar 28, 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 Apr 15, 2025 |
| Mar 28, 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 Apr 16, 2025 |
| Mar 28, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | 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 | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 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 Apr 16, 2025 |
| Mar 28, 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 | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | 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 Apr 16, 2025 |
| Mar 28, 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 | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 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 | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 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 Apr 16, 2025 |
| Mar 28, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 16, 2025 |
| Mar 28, 2025 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Apr 16, 2025 |
| May 13, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 31, 2024 | Complaint |
| May 13, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 31, 2024 | Complaint |
| May 13, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 31, 2024 | Complaint |
| Mar 21, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Past non-compliance Mar 19, 2024 | Complaint |
| Feb 22, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 22, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 22, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Feb 22, 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 15, 2024 | Complaint |
| Feb 22, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Jan 2, 2024 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 15, 2024 | Complaint |
| Oct 27, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 30, 2023 |
| Oct 27, 2023 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 30, 2023 |
| Oct 27, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 30, 2023 |
| Oct 27, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 30, 2023 |
| Oct 27, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 30, 2023 |
| Oct 27, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 30, 2023 |
| Oct 27, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 30, 2023 |
| Oct 27, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 30, 2023 |
| Oct 27, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 30, 2023 |
| Oct 27, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 30, 2023 |
| Oct 27, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 30, 2023 |
| Oct 27, 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 | F · Potential harm Widespread | Corrected Nov 30, 2023 |
| Oct 27, 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 Nov 30, 2023 |
| Oct 27, 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 Nov 30, 2023 |
| Oct 27, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 30, 2023 |
| Oct 27, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 2023 | 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 Nov 26, 2023 |
| Oct 27, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 2023 | 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 Nov 26, 2023 |
| Oct 27, 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 | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 2023 | 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 | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 2023 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 2023 | 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 Nov 26, 2023 |
| Oct 27, 2023 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 26, 2023 | Complaint |
| Oct 27, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 26, 2023 |
| Oct 27, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 26, 2023 |
| Oct 27, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 2023 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 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 | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 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 | E · Potential harm Pattern | Corrected Nov 26, 2023 |
| Oct 27, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 26, 2023 |
| Oct 27, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 26, 2023 |
| Oct 27, 2023 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Nov 26, 2023 |
| Jan 10, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Jan 10, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Jan 10, 2022 | 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 Feb 9, 2022 |
| Jan 10, 2022 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 9, 2022 |
| Jan 10, 2022 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2022 |
| Jan 10, 2022 | 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 Feb 9, 2022 |
| Jan 10, 2022 | 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 Feb 9, 2022 |
| Jan 10, 2022 | 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 Feb 9, 2022 |
| Jan 10, 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 Feb 9, 2022 |
| Jan 10, 2022 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 9, 2022 |
| Jan 10, 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 | D · Potential harm Isolated | Corrected Feb 9, 2022 |
| Jan 10, 2022 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 9, 2022 |
| Jan 10, 2022 | 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 Feb 9, 2022 |
| Jan 10, 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 Feb 9, 2022 |
| Jan 10, 2022 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 9, 2022 |
| Jan 10, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Feb 9, 2022 |
| Jan 10, 2022 | F-0886 | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 9, 2022 |
| Jan 10, 2022 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Feb 9, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.67 (case-mix index 1.51).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Aug 1, 2025 |
| Ah Cho | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Ryan Danco | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Kayla Duarte | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| James Keener | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Neha Padan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Guillermina Pruneda | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Renuma Raju | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Marites Cecilia Sabuco | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| John Taburnal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Avishai Oscherowitz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 1, 2025 |
| Matthew Awerbuck | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Grayson Brereton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Ah Cho | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Ryan Danco | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Kayla Duarte | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| James Keener | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Avishai Oscherowitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Neha Padan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Guillermina Pruneda | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Renuma Raju | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Marites Cecilia Sabuco | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| John Taburnal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| 129 |
| Jul 15, 2026 |
732 harm |
| $55k |
| The Win Post-Acute 410 North Winchester Boulevard, Santa Clara, CA 95050 CCN 0556452 state class AA/A | 133 | Mar 24, 2026 | 582 harm1 open | — |
| Palo Alto Post-Acute 911 Bryant Street, Palo Alto, CA 94301 CCN 055646 | 66 | May 30, 2025 | 73 | — |
| Bridgewood Post Acute 5901 Lemon Hill Avenue, Sacramento, CA 95824 CCN 0559562 state class AA/AAbuse icon | 49 | Jul 10, 2026 | 1021 harm | — |
| Pacific Hills Post Acute 370 Noble Court, Morgan Hill, CA 95037 CCN 0560372 state class AA/A | 99 | Jun 16, 2026 | 59 | — |
| Eden Healthcare Center 27350 Tampa Avenue, Hayward, CA 94544 CCN 0560523 state class AA/A | 121 | May 29, 2026 | 971 IJ1 harm | $31k |
| Blue Oak Post-Acute 850 Sonoma Ave, Santa Rosa, CA 95404 CCN 0560903 state class AA/AAbuse icon | 181 | Jul 29, 2026 | 1022 harm | $37k |