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 | D34 | E33 | F3 |
| Minimal | A· | B1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 25, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 25, 2026 | Health | Health Complaint, Health Standard | 15 | Potential harm | — | Open → |
| Jun 13, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 27, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 17, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 18, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 18, 2025 | Health | Health Complaint, Health Standard | 30 | Actual harm | — | Open → |
| Mar 4, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 14, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 14, 2024 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 18, 2025 | Civil money penalty (fine) | $41,629 | — | 055353|Fine|131310 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Nov 8, 2023 violation Aug 21, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 910019350 |
| Sep 26, 2023 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810019175 |
| Jul 5, 2023 violation Oct 7, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 910018925 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D34 | E33 | F3 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 25, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2026 | |
| Jun 25, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 25, 2026 | |
| Jun 25, 2026 | K-0918 |
“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.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 8, 2025 |
| Soon Burnam | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 30, 2006 |
| Sheilla Ortiz-Luis | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2017 |
| Ben Zandpour | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 1, 2015 |
| Ensign Services Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2002 |
| Sheilla Ortiz-Luis | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Fairfield Post Acute Rehabilitation 1255 Travis Blvd, Fairfield, CA 94533 CCN 0550145 state class AA/A | 99 | Jun 25, 2026 | 57 | — | |
| Palomar Vista Healthcare Center 201 N Fig Street, Escondido, CA 92025 CCN 055067 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Bel Vista Healthcare Center 5001 East Anaheim Street, Long Beach, CA 90804 CCN 5558051 state class AA/A | 0 km | 41 | Aug 21, 2026 | 681 harm | $30k | |
| Marlora Post Acute Rehab Hosp 3801 E Anaheim St, Long Beach, CA 90804 CCN 0562341 state class AA/A | 0.9 km | 99 | Aug 28, 2026 | 782 IJ2 open | $54k | |
| Pacific Palms Healthcare 1020 Termino Avenue, Long Beach, CA 90804 CCN 0561644 state class AA/A | 0.9 km | 133 | Apr 8, 2026 | 851 harm | — | |
| Coral Cove Post Acute 1730 Grand Ave, Long Beach, CA 90804 CCN 05507712 state class AA/ASFF Candidate | 1.1 km | 117 | Aug 27, 2026 | 1402 IJ4 harm | $146k | |
| Ocean Ridge Post Acute 3850 E. Esther St., Long Beach, CA 90804 CCN 0563784 state class AA/A | 1.2 km | 99 | Mar 26, 2026 | 102 | $58k | |
| Alamitos Belmont Health and Rehabilitation 3901 E Fourth Street, Long Beach, CA 90814 CCN 0561253 state class AA/A | 1.5 km | 94 | Jan 30, 2026 | 501 IJ2 harm | $33k | |
| Edgewater Skilled Nursing Center 2625 East Fourth Street, Long Beach, CA 90814 CCN 0553873 state class AA/A | 2.2 km | 81 | Aug 7, 2026 | 891 harm | $8,990 | |
| Long Beach Care Center, Inc 2615 Grand Avenue, Long Beach, CA 90815 CCN 0561886 state class AA/AAbuse icon | 2.6 km | 163 | Jul 12, 2026 | 891 IJ2 harm | $55k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055353 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055353 | 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 | 940000042 | 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
| Apr 26, 2021 violation Jan 4, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death related Closed | 910016440 |
| Apr 23, 2021 violation Jan 28, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910016439 |
| Dec 7, 2018 violation Aug 28, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 940014628 |
| Oct 24, 2018 violation Jun 27, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,500 | Closed | 940014526 |
| Dec 10, 2014 violation Nov 8, 2013 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 940011134 |
| Jul 29, 2009 violation May 26, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 940006426 |
| Dec 14, 2006 violation May 3, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 940003571 |
| Oct 11, 2002 violation Mar 9, 2002 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $800 | Closed | 940001473 |
| Oct 11, 2002 violation Mar 9, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 940001472 |
| Aug 7, 2002 violation Jul 31, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $700 | Closed | 940001469 |
| Jun 11, 2001 violation May 14, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 940001421 |
| 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 Jul 21, 2026 |
| Jun 25, 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 | E · Potential harm Pattern | Corrected Jul 16, 2026 | Complaint |
| Jun 25, 2026 | 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 Jul 16, 2026 |
| Jun 25, 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 Jul 16, 2026 |
| Jun 25, 2026 | 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 Jul 16, 2026 |
| Jun 25, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 16, 2026 |
| Jun 25, 2026 | 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 Jul 16, 2026 |
| Jun 25, 2026 | 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 Jul 16, 2026 |
| Jun 25, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 16, 2026 |
| Jun 25, 2026 | 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 Jul 16, 2026 |
| Jun 25, 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 | E · Potential harm Pattern | Corrected Jul 17, 2026 |
| Jun 25, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 16, 2026 |
| Jun 25, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 16, 2026 |
| Jun 25, 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 Jul 16, 2026 |
| Jun 25, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 21, 2026 |
| Jun 25, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 21, 2026 |
| Jun 25, 2026 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jul 1, 2026 |
| Jun 13, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 29, 2026 | Complaint |
| Apr 27, 2026 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 14, 2026 | Complaint |
| Feb 17, 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 Mar 2, 2026 | Complaint |
| Feb 17, 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 | E · Potential harm Pattern | Corrected Mar 2, 2026 | Complaint |
| May 2, 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 May 16, 2025 | Complaint |
| Apr 18, 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 | G · Actual harm Isolated | Corrected May 13, 2025 | Complaint |
| Apr 18, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 13, 2025 |
| Apr 18, 2025 | 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 | G · Actual harm Isolated | Corrected May 13, 2025 |
| Apr 18, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 6, 2025 |
| Apr 18, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 6, 2025 |
| Apr 18, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 6, 2025 |
| Apr 18, 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 May 6, 2025 |
| Apr 18, 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 | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 2025 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 2025 | 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 May 13, 2025 |
| Apr 18, 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 | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 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 13, 2025 | Complaint |
| Apr 18, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 13, 2025 | Complaint |
| Apr 18, 2025 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 13, 2025 |
| Apr 18, 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 May 13, 2025 |
| Apr 18, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 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 13, 2025 |
| Apr 18, 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 May 13, 2025 |
| Apr 18, 2025 | 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 | D · Potential harm Isolated | Corrected May 13, 2025 |
| Apr 18, 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 May 13, 2025 |
| Apr 18, 2025 | 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 | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 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 May 13, 2025 |
| Apr 18, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 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 May 13, 2025 |
| Apr 18, 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 13, 2025 |
| Apr 18, 2025 | 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 May 13, 2025 |
| Apr 18, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 13, 2025 |
| Apr 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 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 | E · Potential harm Pattern | Corrected May 13, 2025 |
| Apr 18, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected May 13, 2025 |
| Mar 4, 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 26, 2025 | Complaint |
| Mar 4, 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 Mar 26, 2025 | Complaint |
| Mar 4, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 26, 2025 | Complaint |
| Apr 14, 2024 | 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 May 3, 2024 |
| Apr 14, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 3, 2024 |
| Apr 14, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 3, 2024 |
| Apr 14, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 3, 2024 |
| Apr 14, 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 May 3, 2024 |
| Apr 14, 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 | E · Potential harm Pattern | Corrected May 3, 2024 |
| Apr 14, 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 May 3, 2024 |
| Apr 14, 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 May 3, 2024 |
| Apr 14, 2024 | 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 May 3, 2024 |
| Apr 14, 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 May 3, 2024 |
| Apr 14, 2024 | 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 May 3, 2024 |
| Apr 14, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 3, 2024 |
| Apr 14, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 3, 2024 |
| Apr 14, 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 | E · Potential harm Pattern | Corrected May 3, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.06 (case-mix index 1.51).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 2017 |
| Ben Zandpour | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2015 |
| Adam Willits | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 30, 2006 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Jesse Kim | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Ami Sato | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 9, 2024 |
| Caretrust Gp LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2002 |
| Caretrust Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2002 |
| Ctr Partnership LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2002 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 18, 2025 |
| Long Beach Health Associates LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2002 |
| Sheilla Ortiz-Luis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 8, 2025 |
| Ben Zandpour | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 8, 2025 |
| 74 |
| Jan 15, 2026 |
68 |
| — |
| Grand Terrace Health Care Center 12000 Mount Vernon Ave, Grand Terrace, CA 92313 CCN 0551291 state class AA/A | 59 | Mar 5, 2026 | 38 | — |
| Madera Post Acute Center 11900 Ramona Boulevard, El Monte, CA 91732 CCN 0551419 state class AA/A | 148 | Aug 3, 2026 | 741 IJ1 harm | $30k |
| Lemon Grove Care and Rehabilitation Center 8351 Broadway, Lemon Grove, CA 91945 CCN 0551822 state class AA/A | 158 | Dec 18, 2025 | 63 | — |
| Garden View Post Acute Rehabilitation 14475 Garden View Lane, Baldwin Park, CA 91706 CCN 0551872 state class AA/A | 97 | May 7, 2026 | 53 | — |
| Victoria Healthcare and Rehabilitation Center 340 Victoria Street, Costa Mesa, CA 92627 CCN 0552371 state class AA/A | 79 | Aug 14, 2026 | 38 | — |
| Fairmont Rehabilitation Hospital 950 S. Fairmont Avenue, Lodi, CA 95240 CCN 0552422 state class AA/A | 59 | May 7, 2026 | 52 | — |