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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 | D43 | E30 | F3 |
| Minimal | A· | B2 | C1 |
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 18, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jun 18, 2026 | Health | Health Standard | 11 | Potential harm | — | Open → |
| May 30, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Apr 19, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Apr 19, 2025 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Oct 21, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 2, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 29, 2024 | Health | Health Complaint | 10 | Potential harm | — | Open → |
| Jul 31, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 10, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 10, 2024 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Jan 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 1, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 30, 2025 | Civil money penalty (fine) | $9,110 | — | 055449|Fine|131335 |
| Apr 19, 2025 | Civil money penalty (fine) | $10,800 | — | 055449|Fine|131262 |
| Dec 1, 2023 | Denial of payment for new admissions | — | Dec 30, 2023 · 30 days | 055449|Payment Denial|2023-12-30 |
| Dec 1, 2023 | Civil money penalty (fine) | $9,318 | — | 055449|Fine|130020 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 22, 2024 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Open | 810020339 |
| Jan 12, 2024 violation Nov 22, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950019597 |
| Sep 20, 2023 violation Aug 11, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950019180 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D43 | E30 | F3 |
| Minimal | A· | B2 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 18, 2026 | 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 19, 2026 | |
| Jun 18, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 19, 2026 | |
| Jun 18, 2026 | K-0353 |
“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.
38 facilities in 1 states. CMS chain ID 323.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Friedman Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Ira D Friedman 1991 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Lehmann Family 1991 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| The Klavan Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| The Tzippy Friedman Notis 1990 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Friedman Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Ira D Friedman 1991 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Lehmann Family 1991 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| The Klavan Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Chino Valley Health Care Cente 2351 S Towne Avenue, Pomona, CA 91766 CCN 0551261 state class AA/AAbuse icon | 102 | Aug 28, 2026 | 701 IJ | $10k | |
| Montrose Healthcare Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Emanate Health Inter-Community Hospital- D/P SNF 210 W. San Bernardino Rd., Covina, CA 91723 CCN 5556101 state class AA/A | 0.4 km | 25 | May 28, 2026 | 30 | — | |
| Harvard Creek Post Acute 519 W. Badillo St., Covina, CA 91722 CCN 0555442 state class AA/A | 0.9 km | 59 | Mar 4, 2026 | 55 | — | |
| The Rowland 330 W. Rowland Street, Covina, CA 91723 CCN 0561174 state class AA/A | 1.2 km | 126 | Aug 21, 2026 | 912 IJ | $30k | |
| Glendora Grand, Inc 805 W. Arrow Hwy., Glendora, CA 91740 CCN 0560797 state class AA/A | 2.3 km | 342 | Aug 14, 2026 | 1133 IJ4 harm | $168k | |
| Citrus Heights Health Center 161 S. Reeder Ave, Covina, CA 91724 CCN 555932 | 3.7 km | 32 | Jul 22, 2026 | 35 | — | |
| Gladstone Sub-Acute and Rehab Center 435 E. Gladstone St, Glendora, CA 91740 CCN 0561181 state class AA/A | 4.1 km | 118 | Aug 14, 2026 | 1161 harm | — | |
| Arbor Glen Care Center 1033 E. Arrow Highway, Glendora, CA 91740 CCN 0563607 state class AA/A | 4.3 km | 98 | Jul 30, 2026 | 981 harm | — | |
| Clara Baldwin Stocker Home for Women 527 S Valinda Avenue, West Covina, CA 91790 CCN 555832 | 4.3 km | 48 | Aug 27, 2026 | 74 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055449 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055449 | 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 | 950000014 | 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
| Oct 7, 2022 violation Jul 20, 2022 |
| Class B |
| Citation Citation B (HSC 1424) |
| Patient Care |
| $3,000 |
Closed |
| 950018067 |
| Jun 2, 2022 violation Mar 3, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950017690 |
| May 4, 2022 violation Dec 18, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950017618 |
| Aug 21, 2019 violation Jul 1, 2017 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Open | 810015314 |
| Jan 31, 2012 violation Dec 10, 2009 | Class A | Citation Citation A (HSC 1424) | Patient Care | $6,500 initial $10,000 | Appealed Closed | 950008890 |
| Apr 29, 2004 violation Feb 4, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $700 initial $1,000 | Appealed Closed | 950001437 |
| Apr 11, 2002 violation Dec 11, 2001 | Class B | Citation Citation B (HSC 1424) | Other · NEGLECT/ABUSE | $1,000 | Closed | 950001412 |
| Feb 29, 2000 violation Feb 11, 2000 | Class B | Citation Citation B (HSC 1424) | Other · WMF | $1,000 | Closed | 950001330 |
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jun 30, 2026 |
| Jun 18, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 19, 2026 |
| Jun 18, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 30, 2026 |
| Jun 18, 2026 | 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 Jul 1, 2026 |
| Jun 18, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 1, 2026 |
| Jun 18, 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 Jun 30, 2026 |
| Jun 18, 2026 | 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 Jul 16, 2026 |
| Jun 18, 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 18, 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 1, 2026 |
| Jun 18, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 1, 2026 |
| Jun 18, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 29, 2026 |
| Jun 18, 2026 | 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 Jun 30, 2026 |
| Jun 18, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 29, 2026 |
| Jun 18, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 30, 2026 |
| Jun 18, 2026 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 19, 2026 |
| May 30, 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 20, 2025 | Complaint |
| May 30, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 19, 2025 | Complaint |
| May 30, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 20, 2025 | Complaint |
| Apr 19, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 12, 2025 |
| Apr 19, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 19, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 10, 2025 |
| Apr 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 | F · Potential harm Widespread | Corrected May 9, 2025 |
| Apr 19, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 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 May 12, 2025 |
| Apr 19, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 12, 2025 |
| Apr 19, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2025 |
| Apr 19, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 9, 2025 |
| Apr 19, 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 May 10, 2025 |
| Apr 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 May 12, 2025 |
| Apr 19, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 12, 2025 |
| Apr 19, 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 12, 2025 |
| Apr 19, 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 May 10, 2025 |
| Apr 19, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 12, 2025 |
| Apr 19, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 19, 2025 |
| Apr 19, 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 12, 2025 |
| Apr 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 12, 2025 |
| Apr 19, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected May 9, 2025 |
| Apr 19, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected May 12, 2025 |
| Oct 21, 2024 | 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 Nov 8, 2024 | Complaint |
| Oct 21, 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 Nov 8, 2024 | Complaint |
| Oct 8, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 25, 2024 | Complaint |
| Oct 2, 2024 | 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 Oct 24, 2024 | Complaint |
| Oct 2, 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 Oct 24, 2024 | Complaint |
| Sep 10, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 10, 2024 | Complaint |
| Aug 29, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 30, 2024 | Complaint |
| Aug 29, 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 | E · Potential harm Pattern | Corrected Sep 23, 2024 | Complaint |
| Aug 29, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Aug 29, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Aug 29, 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 Sep 1, 2024 | Complaint |
| Aug 29, 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 | D · Potential harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Aug 29, 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 | E · Potential harm Pattern | Corrected Sep 23, 2024 | Complaint |
| Aug 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 23, 2024 | Complaint |
| Aug 29, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Aug 29, 2024 | 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 Sep 23, 2024 | Complaint |
| Jul 31, 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 Aug 9, 2024 | Complaint |
| Jul 31, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 9, 2024 | Complaint |
| Jul 31, 2024 | 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 9, 2024 | Complaint |
| Jul 31, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 9, 2024 | Complaint |
| Jun 6, 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 Jun 6, 2024 | Complaint |
| May 10, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 30, 2024 |
| May 10, 2024 | 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 30, 2024 |
| May 10, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 14, 2024 |
| May 10, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2024 |
| May 10, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 29, 2024 |
| May 10, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 10, 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 | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 10, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 3, 2024 |
| May 10, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 3, 2024 |
| May 10, 2024 | 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 Jun 3, 2024 |
| May 10, 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 Jun 3, 2024 |
| May 10, 2024 | 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 Jun 3, 2024 |
| May 10, 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 Jun 3, 2024 |
| May 10, 2024 | 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 Jun 3, 2024 |
| May 10, 2024 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 3, 2024 |
| May 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 3, 2024 |
| Jan 10, 2024 | 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 | E · Potential harm Pattern | Corrected Jan 29, 2024 | Complaint |
| Dec 1, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jan 3, 2024 | Complaint |
| Dec 1, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 3, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.74 (case-mix index 1.81).
| The Tzippy Friedman Notis 1990 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Lizet Carrillo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 10, 2025 |
| Ira Friedman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2023 |
| Joshua Klavan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2022 |
| Shery Nessim | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 22, 2025 |
| Ira Friedman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 30, 2023 |
| Rachel Klavan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 30, 2023 |
| Ira Friedman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 30, 2023 |
| Joshua Klavan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2022 |
| Aaron Friedman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 30, 2023 |
| Ira Friedman | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 30, 2025 |
| Rachel Klavan | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 30, 2023 |
| Libby Lehmann | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 30, 2023 |
| Shmuel Notis | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 30, 2023 |
| Cliftonlarsonallen | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Longwood Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Lizet Carrillo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2025 |
| Aaron Friedman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Ira Friedman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Joshua Klavan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 16, 1986 |
| Shery Nessim | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 22, 2025 |
| Zaid Pervaiz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2025 |
| 59 |
| Jul 1, 2026 |
51 |
| — |
| Magnolia Gardens Convalescent Hospital 17922 San Fernando Mission Rd, Granada Hills, CA 91344 CCN 0551421 state class AA/A | 99 | Jul 21, 2026 | 90 | — |
| Pico Rivera Healthcare Center 9140 Verner Street, Pico Rivera, CA 90660 CCN 0551702 state class AA/A | 99 | Apr 9, 2026 | 621 harm | $27k |
| San Gabriel Conv Center 8035 E Hill Drive, Rosemead, CA 91770 CCN 0551811 state class AA/A | 151 | Jun 18, 2026 | 671 harm | — |
| Intercommunity Healthcare & Rehabilitation Center 12627 Studebaker Road, Norwalk, CA 90650 CCN 0554574 state class AA/A | 86 | Aug 28, 2026 | 662 harm2 open | $38k |
| Crenshaw Nursing Home 1900 S Longwood Ave, Los Angeles, CA 90016 CCN 0555255 state class AA/A | 55 | Aug 24, 2026 | 692 IJ | $48k |
| Broadway Manor Care Center 605 West Broadway, Glendale, CA 91204 CCN 0556702 state class AA/A | 78 | May 26, 2026 | 681 IJ1 harm | $36k |