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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D36 | E3 | F5 |
| Minimal | A· | B· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Sep 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 9, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 9, 2025 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Oct 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 6, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 6, 2022 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Aug 9, 2019 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Aug 9, 2019 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Dec 15, 2022 violation Jul 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810018184 |
| Jul 13, 2022 violation Jul 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 810017762 |
| Dec 28, 2018 violation Apr 1, 2018 | Class AA | Citation Citation AA (HSC 1424) | Medication | $30,000 | Death related |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D36 | E3 | F5 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 22, 2025 | 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 Oct 4, 2025 | Complaint |
| May 9, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 9, 2025 | |
| May 9, 2025 |
“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 9, 2025 |
| Kip Mcmillan | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 17, 2018 |
| Daljinder Takhar | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 29, 2016 |
| Kip Mcmillan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 17, 2018 |
| Daljinder Takhar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 29, 2016 |
| Adam Willits | 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 |
|---|---|---|---|---|---|---|
| Villa Mesa Care Center 867 E. 11th St, Upland, CA 91786 CCN 056136 | 0.4 km | 99 | Jan 23, 2026 | 451 harm | — | |
| Heritage Park Nursing Center 275 Garnet Way, Upland, CA 91786 CCN 5555142 state class AA/A | 1 km | 70 | May 13, 2026 | 491 harm | — | |
| Ontario Grove Healthcare & Wellness Centre, LP 933 E Deodar St, Ontario, CA 91764 CCN 0556932 state class AA/A | 1.5 km | 59 | Dec 23, 2025 | 41 | — | |
| Las Colinas Post Acute 800 E 5th St, Ontario, CA 91764 CCN 0556192 state class AA/A | 2 km | 216 | May 5, 2026 | 601 IJ | $71k | |
| Rancho Mesa Care Center 9333 La Mesa Dr, Alta Loma, CA 91701 CCN 555521 | 4.5 km | 59 | Sep 18, 2025 | 43 | — | |
| Community Extended Care Hospital of Montclair 9620 Fremont Ave, Montclair, CA 91763 CCN 0564442 state class AA/A | 5.1 km | 140 | Feb 26, 2026 | 38 | — | |
| Montclair Manor Care Center 5119 Bandera St, Montclair, CA 91763 CCN 0557181 state class AA/A | 6 km | 59 | Apr 30, 2025 | 35 | — | |
| Ontario Healthcare Center 1661 S Euclid Ave, Ontario, CA 91762 CCN 0557071 state class AA/A | 6.3 km | 59 | May 19, 2026 | 51 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055374 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055374 | 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 | 240000289 | 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
| 240014652 |
| Oct 5, 2016 violation Oct 13, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 240012618 |
| Aug 1, 2016 violation Oct 4, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Care | $10,000 | Appealed Closed | 240012418 |
| Aug 21, 2015 violation Jun 30, 2014 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 240011656 |
| Mar 9, 2012 violation Jun 1, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 240009054 |
| Jan 18, 2012 violation May 31, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 240008919 |
| Jan 12, 2012 violation Jul 30, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 240008902 |
| Jan 4, 2012 violation Jan 23, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 240008877 |
| Jun 27, 2011 violation Aug 2, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 240008335 |
| Mar 9, 2009 violation Aug 3, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 240005942 |
| Oct 12, 2004 violation Sep 23, 2003 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Appealed Closed | 240001825 |
| 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 Jun 9, 2025 |
| May 9, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2025 |
| May 9, 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 | F · Potential harm Widespread | Corrected Jun 9, 2025 |
| May 9, 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 Jun 6, 2025 |
| May 9, 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 | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 9, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 9, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 9, 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 | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 9, 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 Jun 6, 2025 |
| May 9, 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 Jun 6, 2025 |
| May 9, 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 Jun 6, 2025 |
| May 9, 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 Jun 6, 2025 |
| May 9, 2025 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 9, 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 | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 9, 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 Jun 6, 2025 |
| May 9, 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 Jun 6, 2025 |
| May 9, 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 Jun 6, 2025 |
| May 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| Oct 1, 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 10, 2024 | Complaint |
| Sep 20, 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 Oct 18, 2024 | Complaint |
| Sep 19, 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 Oct 1, 2024 | Complaint |
| Jul 2, 2024 | 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 Jul 20, 2024 | Complaint |
| Jun 27, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 23, 2024 | Complaint |
| May 1, 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 16, 2024 | Complaint |
| May 6, 2022 | 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 Jul 14, 2022 |
| May 6, 2022 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 14, 2022 |
| May 6, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2022 |
| May 6, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2022 |
| May 6, 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 May 31, 2022 |
| May 6, 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 May 31, 2022 |
| May 6, 2022 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2022 |
| May 6, 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 | F · Potential harm Widespread | Corrected May 31, 2022 |
| May 6, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 31, 2022 |
| May 6, 2022 | 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 May 31, 2022 |
| Aug 9, 2019 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Sep 19, 2019 |
| Aug 9, 2019 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Sep 19, 2019 |
| Aug 9, 2019 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Sep 19, 2019 |
| Aug 9, 2019 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 19, 2019 |
| Aug 9, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 19, 2019 |
| Aug 9, 2019 | 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 Aug 29, 2019 |
| Aug 9, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 29, 2019 |
| Aug 9, 2019 | 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 Aug 29, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.53 (case-mix index 1.67).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jan 1, 2023 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 24, 2018 |
| Jeremy Jergensen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| 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 | Aug 6, 2005 |
| Caretrust Reit Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 6, 2005 |
| Cedar Avenue Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 6, 2005 |
| Ctr Partnership LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 6, 2005 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 25, 2002 |
| Kip Mcmillan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 2025 |
| Daljinder Takhar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 9, 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 | — |