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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 | J2 | K· | L1 |
| Actual harm | G6 | H· | I· |
| Potential harm | D91 | E27 | F7 |
| Minimal | A· | B1 | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 14, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 6, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Aug 6, 2026 | Health | Health Standard | 16 | Potential harm | — | Open → |
| May 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 18, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 26, 2025 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jul 26, 2025 | Health | Health Standard | 24 | Immediate jeopardy | — | Open → |
| Jul 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 20, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 9, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 16, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 7, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 19, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 5, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Dec 3, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 8, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Sep 30, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 15, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Aug 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 1, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 5, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 5, 2024 | Health | Health Standard | 13 | Potential harm | — | Open → |
| May 1, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 19, 2024 | Health | Health Complaint | 3 | Actual harm | 3 | Open → |
| Dec 20, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 7, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 6, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 2, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 1, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 26, 2025 | Denial of payment for new admissions | — | Aug 23, 2025 · 9 days | 055461|Payment Denial|2025-08-23 |
| Jul 26, 2025 | Civil money penalty (fine) | $34,772 | — | 055461|Fine|136689 |
| Dec 3, 2024 | Denial of payment for new admissions | — | Jan 3, 2025 · 35 days | 055461|Payment Denial|2025-01-03 |
| Dec 3, 2024 | Civil money penalty (fine) | $105,329 | — | 055461|Fine|131212 |
| Dec 6, 2023 | Denial of payment for new admissions | — | Jan 5, 2024 · 4 days | 055461|Payment Denial|2024-01-05 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 22, 2024 violation Apr 5, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $9,000 initial $3,000 | Closed | 920020217 |
| Jan 2, 2024 violation Nov 19, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $9,000 initial $3,000 | Open | 920019531 |
| Dec 8, 2023 violation Oct 17, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L1 |
| Actual harm | G6 | H· | I· |
| Potential harm | D91 | E27 | F7 |
| Minimal | A· | B1 | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 14, 2026 | 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 Sep 2, 2026 | Complaint |
| Aug 14, 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 Sep 2, 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.
11 facilities in 1 states. CMS chain ID 659.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dov Jacobs | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jun 9, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dov Jacobs | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Jun 9, 2016 |
| Dov Jacobs | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 9, 2016 |
| Benjamin Landa | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 9, 2016 |
| Dov Jacobs | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 27, 2016 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rialto Post Acute Center 1471 S Riverside Ave, Rialto, CA 92376 CCN 0552137 state class AA/A | 177 | Aug 19, 2026 | 572 IJ2 open | $24k | |
| Monrovia Post Acute |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Alta View Post Acute 831 S Lake Street, Los Angeles, CA 90057 CCN 05607815 state class AA/A | 0.1 km | 99 | Jun 16, 2026 | 671 IJ2 harm | $164k | |
| Grand Park Convalescent Hospital 2312 West 8th Street, Los Angeles, CA 90057 CCN 0562442 state class AA/A | 0.2 km | 151 | Jul 23, 2026 | 657 open | — | |
| Olympia Convalescent Hospital 1100 S. Alvarado St, Los Angeles, CA 90006 CCN 0563213 state class AA/AAbuse icon | 0.4 km | 135 | Aug 6, 2026 | 641 IJ1 harm | $48k | |
| Alvarado Care Center 1154 S.alvarado St, Los Angeles, CA 90006 CCN 0561571 state class AA/A | 0.5 km | 72 | Apr 20, 2026 | 851 IJ | $91k | |
| Alden Terrace Convalescent Hospital 1240 S Hoover St, Los Angeles, CA 90006 CCN 056237 | 0.6 km | 210 | Nov 20, 2025 | 561 harm1 open | — | |
| Pih Health Good Samaritan Hospital D/P SNF 1225 Wilshire Blvd, Los Angeles, CA 90017 CCN 555927 | 0.9 km | 28 | Dec 4, 2025 | 37 | — | |
| Burlington Convalescent Hospital 845 S.burlington Avenue, Los Angeles, CA 90057 CCN 0563264 state class AA/A | 0.9 km | 124 | Jul 28, 2026 | 531 harm | $8,278 | |
| Mid-Wilshire Health Care Cntr 676 S. Bonnie Brae Street, Los Angeles, CA 90057 CCN 056174 | 1 km | 80 | May 15, 2026 | 701 IJ3 harm1 open | $72k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055461 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055461 | 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 | 970000131 | 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
| Dec 6, 2023 | Civil money penalty (fine) | $24,102 | — | 055461|Fine|130248 |
| 920019457 |
| Oct 26, 2023 violation Oct 3, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 920019304 |
| Oct 26, 2023 violation Sep 3, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 920019303 |
| Oct 19, 2023 violation Sep 21, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $9,000 initial $3,000 | Open | 920019275 |
| Sep 6, 2023 violation Jul 27, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 920019130 |
| Nov 23, 2022 violation Oct 9, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Open | 920018168 |
| Jul 21, 2022 violation Apr 15, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Open | 920017802 |
| May 25, 2022 violation Nov 5, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920017665 |
| May 25, 2022 violation Nov 5, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920017664 |
| Apr 27, 2022 violation Mar 9, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,100 initial $3,000 | Closed | 920017603 |
| Apr 27, 2022 violation Mar 9, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,100 initial $3,000 | Open | 920017602 |
| Mar 4, 2020 violation Nov 28, 2019 | Class B | Citation Citation A (HSC 1424) | Patient Care | $12,450 initial $20,000 | Appealed Closed | 920015778 |
| Feb 20, 2020 violation Sep 11, 2019 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920015757 |
| Feb 13, 2018 violation Mar 17, 2016 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Closed | 910013757 |
| May 21, 2015 violation Nov 30, 2014 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 910011476 |
| Mar 18, 2015 violation Mar 25, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Closed | 910011310 |
| Dec 30, 2013 violation Mar 4, 2013 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 910010327 |
| Nov 29, 2012 violation Apr 2, 2012 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 910009520 |
| Jul 27, 2011 violation Jul 1, 2011 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $10,050 initial $1,000 | Closed | 910008420 |
| Jan 21, 2011 violation Jan 19, 2010 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 910007859 |
| Jan 3, 2002 violation Dec 19, 2001 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,700 initial $1,000 | Closed | 970001370 |
| May 11, 2000 violation Apr 28, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 970001041 |
| Apr 18, 2000 violation Oct 8, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001039 |
| Apr 18, 2000 violation Oct 8, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001038 |
| Apr 18, 2000 violation Oct 8, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001037 |
| Apr 18, 2000 violation Oct 8, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001036 |
| Apr 18, 2000 violation Sep 16, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001035 |
| Apr 18, 2000 violation Oct 15, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001034 |
| Apr 18, 2000 violation Oct 15, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001033 |
| Apr 18, 2000 violation Mar 8, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001032 |
| Apr 18, 2000 violation Feb 29, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001031 |
| Apr 18, 2000 violation Feb 4, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001030 |
| Apr 18, 2000 violation Feb 3, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001029 |
| Apr 18, 2000 violation Sep 16, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Closed | 970001028 |
| Apr 18, 2000 violation Jun 23, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001027 |
| Apr 18, 2000 violation Mar 30, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001026 |
| Apr 18, 2000 violation Feb 14, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001025 |
| Apr 18, 2000 violation Sep 16, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001024 |
| Apr 18, 2000 violation Dec 10, 1998 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001023 |
| Apr 18, 2000 violation Oct 11, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001022 |
| Apr 18, 2000 violation Oct 8, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001021 |
| Apr 18, 2000 violation May 16, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001020 |
| Apr 18, 2000 violation Feb 25, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001019 |
| Apr 18, 2000 violation Nov 13, 1997 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001018 |
| Apr 18, 2000 violation Mar 16, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001017 |
| Apr 18, 2000 violation Dec 1, 1998 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001016 |
| Apr 18, 2000 violation Dec 31, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001015 |
| Apr 18, 2000 violation Feb 8, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001014 |
| Apr 18, 2000 violation Dec 10, 1998 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001013 |
| Apr 18, 2000 violation Feb 8, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001012 |
| Apr 18, 2000 violation Feb 26, 1998 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001011 |
| Apr 18, 2000 violation Feb 9, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001010 |
| Apr 18, 2000 violation Jan 4, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001009 |
| Apr 18, 2000 violation Mar 20, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $800 | Appealed Closed | 970001008 |
| Apr 18, 2000 violation Mar 20, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 initial $800 | Appealed Closed | 970001007 |
| Aug 6, 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 Aug 28, 2026 |
| Aug 6, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Aug 6, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Aug 6, 2026 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 28, 2026 |
| Aug 6, 2026 | 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 Aug 28, 2026 |
| Aug 6, 2026 | 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 Aug 28, 2026 |
| Aug 6, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Aug 6, 2026 | 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 Aug 28, 2026 |
| Aug 6, 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 Aug 28, 2026 |
| Aug 6, 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 Aug 28, 2026 |
| Aug 6, 2026 | 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 Aug 28, 2026 |
| Aug 6, 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 | D · Potential harm Isolated | Corrected Sep 3, 2026 |
| Aug 6, 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 Aug 28, 2026 |
| Aug 6, 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 Sep 3, 2026 |
| Aug 6, 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 | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Aug 6, 2026 | 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 Aug 28, 2026 |
| Aug 6, 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 Aug 28, 2026 |
| Aug 6, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 28, 2026 |
| Aug 6, 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 | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| Aug 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 28, 2026 |
| Aug 6, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 28, 2026 |
| May 20, 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 2, 2026 | Complaint |
| Feb 6, 2026 | 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 Feb 27, 2026 | Complaint |
| Feb 6, 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 Feb 27, 2026 | Complaint |
| Jan 21, 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 Feb 5, 2026 | Complaint |
| Dec 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 Jan 9, 2026 | Complaint |
| Dec 18, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 9, 2026 | Complaint |
| Nov 17, 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 Nov 20, 2025 | Complaint |
| Nov 13, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Nov 27, 2025 | Complaint |
| Aug 11, 2025 | 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 Sep 1, 2025 | Complaint |
| Jul 26, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 22, 2025 |
| Jul 26, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 21, 2025 |
| Jul 26, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 21, 2025 |
| Jul 26, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 26, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 26, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 21, 2025 |
| Jul 26, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 26, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 26, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 21, 2025 |
| Jul 26, 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 Aug 21, 2025 |
| Jul 26, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 21, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 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 | D · Potential harm Isolated | Corrected Aug 22, 2025 |
| Jul 26, 2025 | 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 Aug 22, 2025 |
| Jul 26, 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 | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Jul 26, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 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 | D · Potential harm Isolated | Corrected Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Jul 26, 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 | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 26, 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 22, 2025 |
| Jul 26, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Jul 26, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 22, 2025 |
| Jul 26, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 22, 2025 |
| Jul 26, 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 Aug 22, 2025 |
| Jul 1, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 17, 2025 | Complaint |
| May 20, 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 Jun 10, 2025 | Complaint |
| May 20, 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 Jun 10, 2025 | Complaint |
| 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 8, 2025 | Complaint |
| May 9, 2025 | 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 Jun 8, 2025 | Complaint |
| May 9, 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 | D · Potential harm Isolated | Corrected Jun 8, 2025 | Complaint |
| Mar 20, 2025 | 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 Apr 3, 2025 | Complaint |
| Mar 20, 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 Apr 3, 2025 | Complaint |
| Mar 20, 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 Apr 3, 2025 | Complaint |
| Jan 16, 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 Feb 7, 2025 | Complaint |
| Jan 10, 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 Jan 30, 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 | G · Actual harm Isolated | Corrected Jan 29, 2025 | Complaint |
| Dec 19, 2024 | 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 Jan 10, 2025 | Complaint |
| Dec 19, 2024 | 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 | D · Potential harm Isolated | Corrected Jan 10, 2025 | Complaint |
| Dec 5, 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 | G · Actual harm Isolated | Corrected Dec 29, 2024 | Complaint |
| Dec 5, 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 Dec 29, 2024 | Complaint |
| Dec 5, 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 Dec 29, 2024 | Complaint |
| Dec 3, 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 31, 2024 | Complaint |
| Dec 3, 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 Dec 31, 2024 | Complaint |
| Oct 28, 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 Nov 13, 2024 | Complaint |
| Oct 24, 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 Nov 15, 2024 | Complaint |
| Oct 8, 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 | E · Potential harm Pattern | Corrected Oct 31, 2024 | Complaint |
| Oct 8, 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 Oct 31, 2024 | Complaint |
| Oct 8, 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 Oct 31, 2024 | Complaint |
| Sep 30, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2024 | Complaint |
| Sep 30, 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 Oct 18, 2024 | Complaint |
| Aug 30, 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 Sep 19, 2024 | Complaint |
| Aug 15, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 6, 2024 | Complaint |
| Aug 15, 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 Sep 6, 2024 | Complaint |
| Aug 15, 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 Sep 6, 2024 | Complaint |
| Aug 15, 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 Sep 6, 2024 | Complaint |
| Aug 7, 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 Aug 23, 2024 | Complaint |
| Aug 1, 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 15, 2024 | Complaint |
| Aug 1, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2024 | Complaint |
| Aug 1, 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 Aug 15, 2024 | Complaint |
| Jul 19, 2024 | 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 Aug 8, 2024 | Complaint |
| Jul 5, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jul 5, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jul 5, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jul 5, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 5, 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 Aug 2, 2024 |
| Jul 5, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 5, 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 Jul 30, 2024 |
| Jul 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 Jul 30, 2024 |
| Jul 5, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 30, 2024 |
| Jul 5, 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 Jul 30, 2024 |
| Jul 5, 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 Jul 30, 2024 |
| Jul 5, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 30, 2024 |
| Jul 5, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 30, 2024 |
| Jul 5, 2024 | 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 Jul 30, 2024 |
| Jul 5, 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 Jul 30, 2024 |
| Jul 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 30, 2024 |
| Jul 5, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 30, 2024 |
| Jul 5, 2024 | 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 | E · Potential harm Pattern | Corrected Jul 30, 2024 |
| Jul 5, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Aug 2, 2024 |
| Jul 5, 2024 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Aug 2, 2024 |
| May 1, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 18, 2024 | Complaint |
| May 1, 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 May 18, 2024 | Complaint |
| Apr 26, 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 17, 2024 | Complaint |
| Apr 19, 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 | G · Actual harm Isolated | Plan of correction, not yet verified | Complaint |
| Apr 19, 2024 | 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 | Plan of correction, not yet verified | Complaint |
| Apr 19, 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 | Plan of correction, not yet verified | Complaint |
| Dec 20, 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 Jan 9, 2024 | Complaint |
| Dec 7, 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 | L · Immediate jeopardy Widespread | Corrected Dec 28, 2023 | Complaint |
| Dec 7, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Dec 28, 2023 | Complaint |
| Dec 6, 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 Dec 18, 2023 | Complaint |
| Dec 6, 2023 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 18, 2023 | Complaint |
| Dec 6, 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 Dec 18, 2023 | Complaint |
| Nov 2, 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 3, 2023 | Complaint |
| Nov 1, 2023 | 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 Dec 1, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.95 (case-mix index 1.45).
| 82 |
| Aug 4, 2026 |
732 harm |
| — |
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| Royal Terrace Healthcare 1340 Highland Ave., Duarte, CA 91010 CCN 0555412 state class AA/A | 58 | Jun 26, 2026 | 46 | — |
| Royal Gardens Healthcare 2339 W. Valley Blvd., Alhambra, CA 91803 CCN 0558181 state class AA/A | 43 | Aug 27, 2026 | 84 | — |
| Royal Palms Post Acute 630 W. Broadway, Glendale, CA 91204 CCN 05589910 state class AA/A | 140 | Aug 21, 2026 | 1182 IJ | $80k |
| Palazzo Post Acute 5400 Fountain Ave, Los Angeles, CA 90029 CCN 0564564 state class AA/A | 99 | Jul 22, 2026 | 65 | — |
| Hollywood Premier Healthcare Center 5401 Fountain Ave., Los Angeles, CA 90029 CCN 0564894 state class AA/A | 99 | May 22, 2026 | 1101 IJ1 harm | $17k |