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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 | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D63 | E37 | F7 |
| Minimal | A· | B3 | C |
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 | |
|---|---|---|---|---|---|---|
| Jul 18, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 15, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 5, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 19, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Nov 19, 2025 | Health | Health Complaint, Health Standard | 16 | Potential harm | — | Open → |
| Aug 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 16, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| May 8, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 3, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 28, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 1, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 25, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 13, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 1, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Nov 1, 2024 | Health | Health Complaint, Health Standard | 12 | Potential harm | — | Open → |
| Sep 25, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Sep 23, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 24, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 5, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 26, 2023 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Oct 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 16, 2025 | Civil money penalty (fine) | $27,808 | — | 055341|Fine|131297 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Aug 25, 2023 violation Jun 10, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 950019098 |
| Feb 3, 2023 violation Jul 29, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950018377 |
| Jan 18, 2020 violation Jul 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Closed | 810018338 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D63 | E37 | F7 |
| Minimal | A· | B3 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 18, 2026 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 31, 2026 | Complaint |
| Jul 15, 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 Aug 13, 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 this facility only.
19 facilities in 1 states. CMS chain ID 4.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kenneth Lehmann | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | Aug 1, 2025 |
| Ahm Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Amc Family Holding LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Amm Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Asm Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Atr Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Zm Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Ychail Levine | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Akiva Mayer | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kenneth Lehmann | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | Aug 1, 2025 |
| Ahm Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Amc Family Holding LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Amm Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Advanced Rehab Center of Tustin 2210 E. First Street, Santa Ana, CA 92705 CCN 0553301 state class AA/A | 99 | Jul 30, 2026 | 1432 harm | $37k | |
| The Californian Pasadena Healthcare 120 Bellefontaine Street, Pasadena, CA 91105 CCN 055480 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Californian Pasadena Healthcare 120 Bellefontaine Street, Pasadena, CA 91105 CCN 055480 | 0.2 km | 82 | Aug 26, 2026 | 811 harm | — | |
| The Bellefontaine Healthcare Center 150 Bellefontaine St, Pasadena, CA 91105 CCN 0560801 state class AA/A | 0.2 km | 130 | Aug 6, 2026 | 681 IJ | $14k | |
| South Pasadena Care Center 904 Mission St, South Pasadena, CA 91030 CCN 55590813 state class AA/A | 2.2 km | 156 | Aug 20, 2026 | 10014 open | — | |
| Villa Gardens Health Care Unit 842 East Villa Street, Pasadena, CA 91101 CCN 555429 | 2.9 km | 54 | Dec 5, 2025 | 53 | — | |
| York Healthcare & Wellness Centre 6071 York Blvd., Los Angeles, CA 90042 CCN 0556645 state class AA/A | 4.1 km | 107 | Aug 31, 2026 | 792 IJ1 harm1 open | $99k | |
| Pasadena Grove Health Center 1470 N Fair Oaks Ave, Pasadena, CA 91103 CCN 055617 | 4.1 km | 71 | Aug 5, 2026 | 921 harm | — | |
| Foothill Heights Care Center 1515 North Fair Oaks Ave, Pasadena, CA 91103 CCN 555894 | 4.2 km | 49 | Aug 21, 2026 | 80 | $9,390 | |
| Pasadena Nursing Center 1570 North Fair Oaks Ave, Pasadena, CA 91103 CCN 5558931 state class AA/AAbuse icon | 4.3 km | 52 | Jul 16, 2026 | 1021 harm | $23k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055341 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055341 | 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 | 970000068 | 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
| Jan 10, 2019 violation Nov 28, 2018 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 950014718 |
| Nov 16, 2018 violation Aug 21, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 950014585 |
| Aug 30, 2011 violation Mar 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 950008519 |
| Jan 9, 2001 violation Dec 27, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $700 initial $1,000 | Appealed Closed | 970001066 |
| Aug 8, 2000 violation Jul 5, 2000 | Class B | Citation Citation B (HSC 1424) | Other · FAC.PRACTICES-ABUSE | $1,000 | Closed | 970001049 |
| May 17, 2000 violation Apr 5, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $9,000 | Closed | 970001042 |
| May 6, 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 | E · Potential harm Pattern | Corrected May 29, 2026 | Complaint |
| May 5, 2026 | 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 May 29, 2026 | Complaint |
| May 5, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 | Complaint |
| Dec 17, 2025 | 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 Jan 15, 2026 | Complaint |
| Nov 19, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 12, 2025 |
| Nov 19, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 12, 2025 |
| Nov 19, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Nov 19, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Nov 19, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Nov 19, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Nov 19, 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 | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Nov 19, 2025 | 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 Dec 12, 2025 |
| Nov 19, 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 Dec 12, 2025 |
| Nov 19, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Nov 19, 2025 | F-0571 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2025 | Complaint |
| Nov 19, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Nov 19, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Nov 19, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Nov 19, 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 12, 2025 |
| Nov 19, 2025 | 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 Dec 12, 2025 |
| Nov 19, 2025 | 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 Dec 12, 2025 |
| Nov 19, 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 Dec 12, 2025 |
| Nov 19, 2025 | 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 | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Nov 19, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Nov 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Nov 19, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Nov 19, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Dec 12, 2025 |
| Nov 19, 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 Dec 12, 2025 |
| Aug 5, 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 Aug 8, 2025 | Complaint |
| May 17, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 12, 2025 | Complaint |
| May 16, 2025 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jun 11, 2025 | Complaint |
| May 16, 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 | G · Actual harm Isolated | Corrected Jun 11, 2025 | Complaint |
| May 8, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 11, 2025 | Complaint |
| May 8, 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 | E · Potential harm Pattern | Corrected May 11, 2025 | Complaint |
| May 7, 2025 | 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 May 11, 2025 | Complaint |
| May 3, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 11, 2025 | Complaint |
| May 3, 2025 | 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 May 11, 2025 | Complaint |
| Apr 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 | D · Potential harm Isolated | Corrected May 9, 2025 | Complaint |
| Apr 28, 2025 | 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 May 9, 2025 | Complaint |
| Apr 1, 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 Apr 25, 2025 | Complaint |
| Apr 1, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 25, 2025 | Complaint |
| Apr 1, 2025 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 25, 2025 | Complaint |
| Mar 20, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 8, 2025 | Complaint |
| Feb 25, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2025 | Complaint |
| Feb 25, 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 Mar 21, 2025 | Complaint |
| Jan 29, 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 Feb 20, 2025 | Complaint |
| Jan 13, 2025 | 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 | E · Potential harm Pattern | Corrected Jan 31, 2025 | Complaint |
| Jan 13, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 31, 2025 | Complaint |
| Jan 13, 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 Jan 31, 2025 | Complaint |
| Jan 7, 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 Feb 1, 2025 | Complaint |
| Nov 1, 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 | E · Potential harm Pattern | Corrected Nov 1, 2024 |
| Nov 1, 2024 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 20, 2024 |
| Nov 1, 2024 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 20, 2024 |
| Nov 1, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2024 |
| Nov 1, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 25, 2024 |
| Nov 1, 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 Nov 25, 2024 |
| Nov 1, 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 Dec 1, 2024 |
| Nov 1, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 1, 2024 |
| Nov 1, 2024 | 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 | D · Potential harm Isolated | Corrected Dec 1, 2024 |
| Nov 1, 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 Dec 1, 2024 | Complaint |
| Nov 1, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 1, 2024 |
| Nov 1, 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 | E · Potential harm Pattern | Corrected Dec 1, 2024 |
| Nov 1, 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 Dec 1, 2024 |
| Nov 1, 2024 | 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 Dec 1, 2024 |
| Nov 1, 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 Dec 1, 2024 |
| Nov 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 1, 2024 |
| Nov 1, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 1, 2024 |
| Nov 1, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Dec 1, 2024 |
| Sep 25, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2024 | Complaint |
| Sep 25, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Oct 18, 2024 | Complaint |
| Sep 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 18, 2024 | Complaint |
| Sep 23, 2024 | 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 Oct 4, 2024 | Complaint |
| Sep 23, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 4, 2024 | Complaint |
| Sep 18, 2024 | 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 Oct 2, 2024 | Complaint |
| Aug 28, 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 Sep 19, 2024 | Complaint |
| Aug 28, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 19, 2024 | Complaint |
| Aug 21, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 30, 2024 | Complaint |
| Jul 24, 2024 | 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 Aug 6, 2024 | Complaint |
| Jul 24, 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 | D · Potential harm Isolated | Corrected Aug 6, 2024 | Complaint |
| May 7, 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 May 29, 2024 | Complaint |
| Jan 5, 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 Jan 15, 2024 | Complaint |
| Jan 5, 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 | D · Potential harm Isolated | Corrected Jan 15, 2024 | Complaint |
| Oct 26, 2023 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 15, 2023 |
| Oct 26, 2023 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 15, 2023 |
| Oct 26, 2023 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 15, 2023 |
| Oct 26, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 15, 2023 |
| Oct 26, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 15, 2023 |
| Oct 26, 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 Nov 15, 2023 |
| Oct 26, 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 15, 2023 |
| Oct 26, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 15, 2023 |
| Oct 26, 2023 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2023 |
| Oct 26, 2023 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 15, 2023 |
| Oct 26, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 26, 2023 | 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 Nov 10, 2023 |
| Oct 26, 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 10, 2023 |
| Oct 26, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 26, 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 | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 26, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 26, 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 10, 2023 |
| Oct 26, 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 Nov 10, 2023 |
| Oct 26, 2023 | 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 Nov 10, 2023 |
| Oct 26, 2023 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 26, 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 | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 26, 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 | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 26, 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 10, 2023 |
| Oct 26, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 26, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 26, 2023 | 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 Nov 10, 2023 |
| Oct 5, 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 Oct 31, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.12 (case-mix index 1.53).
| Asm Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Atr Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Zm Family Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Ychail Levine | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Akiva Mayer | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2025 |
| Helene Mayer | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 3, 2026 |
| Ronald Mayer | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 3, 2026 |
| Abraham Bak | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Kenneth Lehmann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Memphis Montag | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Lori Wynstock | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2025 |
| Abak Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Abe and Rachel Bak Family Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Am Holdco, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Fair Oaks Propco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Lighthouse United Partners LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Mayer 2012 Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Mayer Family 2016 Irrevocable Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Mcp 1 LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Mft 2020 Trust Dated November 12, 2020 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Mgaz Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Abraham Bak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| Rachel Bak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Menachem Gastwirth | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Kenneth Lehmann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Akiva Mayer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Memphis Montag | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Lori Wynstock | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Alexander Yuz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 20, 2025 |
| 82 |
| Aug 26, 2026 |
811 harm |
| — |
| Beachside Post Acute 22520 Maple Avenue, Torrance, CA 90505 CCN 0555314 state class AA/A | 110 | Aug 14, 2026 | 44 | — |
| Santa Clarita Post-Acute Care Center 23801 Newhall Avenue, Newhall, CA 91321 CCN 0557284 state class AA/A | 99 | Aug 27, 2026 | 1012 IJ1 harm1 open | $118k |
| Sunset Park Healthcare 2250 29th Street, Santa Monica, CA 90405 CCN 055748 | 44 | Aug 13, 2026 | 721 harm | — |
| Leisure Glen Post Acute Care Center 330 Mission Road, Glendale, CA 91205 CCN 0558453 state class AA/A | 108 | Jul 2, 2026 | 44 | — |
| Imperial Healthcare Center 11926 La Mirada Blvd, La Mirada, CA 90638 CCN 0561154 state class AA/A | 99 | Aug 27, 2026 | 78 | — |
| The Meadows Post Acute 14857 Roscoe Boulevard, Panorama City, CA 91402 CCN 0561371 state class AA/A | 98 | Mar 24, 2026 | 591 IJ1 harm | $21k |