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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 | D27 | E10 | F· |
| 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 | |
|---|---|---|---|---|---|---|
| Jan 29, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 29, 2026 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Apr 11, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 10, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Oct 10, 2024 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Apr 13, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Apr 13, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Sep 29, 2021 violation Jul 27, 2020 | Class B | Citation Citation B (HSC 1424) | Other · Discharge Process | $1,500 | Closed | 100016966 |
| Jan 7, 2021 violation Mar 5, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,200 | Closed | 100016225 |
| Dec 20, 2018 violation Sep 25, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 100014665 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D27 | E10 | F· |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 29, 2026 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 10, 2026 | |
| Jan 29, 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 Mar 10, 2026 | |
| Jan 29, 2026 | F-0628 |
“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 |
|---|---|---|---|---|---|
| Flagstone Healthcare South LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 30, 2006 |
| The Ensign Group Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 30, 2006 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Flagstone Healthcare South LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 30, 2006 |
| The Ensign Group Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 30, 2006 |
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jun 21, 2025 |
| Pouya Afshar | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
| 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 |
|---|---|---|---|---|---|---|
| University Care Center 5602 University Ave, San Diego, CA 92105 CCN 055328 | 2.2 km | 87 | Aug 4, 2025 | 64 | — | |
| Jacob Healthcare Center 4075 54th St., San Diego, CA 92105 CCN 055508 | 2.4 km | 128 | Aug 27, 2026 | 621 harm1 open | — | |
| Brighton Place San Diego 1350 N. Euclid Avenue, San Diego, CA 92105 CCN 055795 | 2.7 km | 99 | May 27, 2026 | 74 | — | |
| Golden Hill Post Acute 1201 34th St., San Diego, CA 92102 CCN 056182 | 2.8 km | 99 | Aug 11, 2026 | 701 harm | — | |
| St. Pauls Health Care Center 235 Nutmeg Street, San Diego, CA 92103 CCN 555144Abuse icon | 5.6 km | 59 | Aug 12, 2026 | 771 harm | $29k | |
| Balboa Nursing & Rehabilitation Center 3520 Fourth Avenue, San Diego, CA 92103 CCN 0561051 state class AA/A | 5.6 km | 194 | Apr 23, 2026 | 721 harm2 open | — | |
| La Mesa Healthcare Center 3780 Massachusetts Avenue, La Mesa, CA 91941 CCN 055488 | 5.7 km | 94 | Jul 22, 2026 | 52 | — | |
| Castle Manor Nursing & Rehabilitation Center 541 V Avenue, National City, CA 91950 CCN 5552631 state class AA/A | 5.9 km | 99 | Mar 27, 2025 | 371 harm | $10k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055505 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055505 | 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 | 090000029 | 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
| C2 |
| Jun 21, 2018 violation Jan 4, 2017 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 090014160 |
| May 12, 2005 violation Mar 4, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 090002852 |
| Apr 18, 2002 violation Mar 31, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,700 initial $900 | Closed | 090002800 |
| Mar 7, 2002 violation Jan 28, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $900 | Closed | 090002797 |
| Feb 26, 2002 violation Feb 7, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $900 | Closed | 090002794 |
| Feb 13, 2002 violation Jan 23, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $900 | Closed | 090002789 |
| 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 Jan 31, 2026 |
| Jan 29, 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 Jan 31, 2026 |
| Jan 29, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 31, 2026 |
| Jan 29, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 31, 2026 |
| Jan 29, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 10, 2026 |
| Apr 11, 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 2, 2025 | Complaint |
| Apr 11, 2025 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 2, 2025 | Complaint |
| Apr 11, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 2, 2025 | Complaint |
| Oct 10, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Oct 10, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Oct 10, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Oct 10, 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 Nov 8, 2024 |
| Oct 10, 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 Nov 8, 2024 |
| Oct 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 Nov 8, 2024 |
| Oct 10, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 8, 2024 |
| Oct 10, 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 Nov 8, 2024 |
| Oct 10, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 8, 2024 |
| Oct 10, 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 Nov 8, 2024 |
| Oct 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 8, 2024 |
| Oct 10, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 8, 2024 |
| Oct 10, 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 Nov 8, 2024 |
| Oct 10, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Oct 18, 2024 |
| Apr 13, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 10, 2023 |
| Apr 13, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 10, 2023 |
| Apr 13, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 10, 2023 |
| Apr 13, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 10, 2023 |
| Apr 13, 2023 | K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 10, 2023 |
| Apr 13, 2023 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 10, 2023 |
| Apr 13, 2023 | 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 10, 2023 |
| Apr 13, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2023 |
| Apr 13, 2023 | 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 5, 2023 |
| Apr 13, 2023 | 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 May 5, 2023 |
| Apr 13, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 5, 2023 |
| Apr 13, 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 | E · Potential harm Pattern | Corrected May 5, 2023 |
| Apr 13, 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 May 5, 2023 |
| Apr 13, 2023 | 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 | D · Potential harm Isolated | Corrected May 5, 2023 |
| Apr 13, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 5, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.61 (case-mix index 1.65).
| Mar 9, 2016 |
| Ome Moore | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2017 |
| Vitawerks Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2003 |
| Pouya Afshar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 9, 2016 |
| Ome Moore | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2017 |
| Adam Willits | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 30, 2006 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2003 |
| Ohi Asset (Ca), LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2003 |
| Pouya Afshar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 9, 2016 |
| Ome Moore | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2017 |
| 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 | — |