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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 | G2 | H· | I· |
| Potential harm | D67 | E21 | F11 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 11, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 6, 2026 | Health | Health Complaint | 9 | Potential harm | — | Open → |
| Apr 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 18, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 18, 2025 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Aug 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 4, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 27, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 13, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2024 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Nov 21, 2024 | Health | Health Complaint, Health Standard | 15 | Potential harm | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 14, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 3, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 30, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 6, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Apr 6, 2023 | Health | Health Standard | 19 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 27, 2025 | Denial of payment for new admissions | — | May 27, 2025 · 2 days | 055601|Payment Denial|2025-05-27 |
| Feb 27, 2025 | Civil money penalty (fine) | $59,560 | — | 055601|Fine|131223 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 15, 2024 violation Nov 2, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 120019794 |
| Dec 27, 2023 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $50,000 | Open | 810019516 |
| Jun 21, 2023 violation Apr 3, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 120018811 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D67 | E21 | F11 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 11, 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 26, 2026 | Complaint |
| May 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 Jun 1, 2026 |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Unison Healthcare, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 34% | Jan 1, 2018 |
| Rush Melliti | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | Feb 1, 2023 |
| Nathan Pease | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | Feb 1, 2023 |
| Moishe Frankel | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | Feb 1, 2023 |
| David Levy | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | Feb 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Unison Healthcare, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 34% | Jan 1, 2018 |
| Rush Melliti | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | Feb 1, 2023 |
| Nathan Pease | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | Feb 1, 2023 |
| Moishe Frankel | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | Feb 1, 2023 |
| David Levy | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Rosewood Health Facility 1401 New Stine Road, Bakersfield, CA 93309 CCN 5551162 state class AA/A | 4.2 km | 79 | Feb 12, 2026 | 531 harm | $8,278 | |
| Valley Healthcare Center 1205 8th Street, Bakersfield, CA 93304 CCN 5552296 state class AA/A | 4.6 km | 87 | Jul 23, 2026 | 984 harm | $105k | |
| The Orchards Post-Acute 730 34 Street, Bakersfield, CA 93301 CCN 5557027 state class AA/A | 6.8 km | 150 | Jun 18, 2026 | 1182 harm | $19k | |
| San Joaquin Nursing Center and Rehabilitation Cent 3601 San Dimas, Bakersfield, CA 93301 CCN 0562945 state class AA/A | 7.7 km | 99 | Aug 4, 2026 | 811 harm | $47k | |
| The Rehabilitation Center of Bakersfield 2211 Mount Vernon Avenue, Bakersfield, CA 93306 CCN 5552569 state class AA/A | 8.5 km | 160 | Jan 16, 2026 | 1255 harm | $24k | |
| Height Street Skilled Care 1611 Height Street, Bakersfield, CA 93305 CCN 5559025 state class AA/A | 9 km | 99 | Apr 27, 2026 | 934 harm | $13k | |
| Kern River Transitional Care 5151 Knudsen Drive, Bakersfield, CA 93308 CCN 555912 | 9.6 km | 140 | Apr 29, 2026 | 1091 harm | $78k | |
| Bakersfield Post Acute 6212 Tudor Way, Bakersfield, CA 93306 CCN 5552604 state class AA/A | 12.1 km | 99 | Aug 26, 2026 | 1302 harm | $26k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055601 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055601 | 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 | 120000365 | 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 17, 2022 violation Sep 22, 2022 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 120018034 |
| Sep 2, 2022 violation Aug 10, 2021 | Class A | Citation Citation A (HSC 1424) | Other · Dietary | $20,000 | Closed | 120017740 |
| Mar 10, 2021 violation Jul 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 810016319 |
| Sep 9, 2020 violation Feb 10, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 120015813 |
| Jul 25, 2016 violation May 21, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 120012398 |
| Jun 6, 2016 violation Mar 23, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 120012266 |
| Jun 6, 2016 violation Mar 23, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 120012265 |
| Aug 3, 2015 violation Apr 4, 2015 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 120011581 |
| Apr 8, 2014 violation Nov 26, 2012 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 120010337 |
| Feb 11, 2014 violation May 13, 2012 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 120010422 |
| Apr 13, 2011 violation Dec 11, 2010 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 120007889 |
| Aug 11, 2010 violation Mar 3, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $650 initial $1,000 | Appealed Closed | 120007243 |
| Aug 11, 2010 violation Mar 3, 2010 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $650 initial $1,000 | Appealed Closed | 120007242 |
| Aug 11, 2010 violation Oct 13, 2009 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $650 initial $1,000 | Appealed Closed | 120006898 |
| Mar 27, 2008 violation Jun 30, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 120004568 |
| Oct 17, 2006 violation Sep 18, 2005 | Class B | Citation Citation A (HSC 1424) | Patient Care | $10,350 initial $20,000 | Appealed Closed | 120003202 |
| Jan 19, 2006 violation Jul 19, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 120001841 |
| Oct 6, 2005 violation Aug 15, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 120001834 |
| Oct 6, 2005 violation Mar 5, 2005 | Class B | Citation Citation A (HSC 1424) | Patient Care | $3,000 initial $10,000 | Appealed Closed | 120001833 |
| Sep 10, 2002 violation Aug 11, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 | Closed | 120001559 |
| Dec 31, 2001 violation Dec 12, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $550 initial $500 | Appealed Closed | 120001543 |
| Mar 28, 2001 violation Nov 22, 2000 | Class B | Citation Citation A (HSC 1424) | Patient Care | $9,000 initial $18,000 | Appealed Closed | 120001448 |
| Mar 6, 2001 violation Nov 22, 2000 | Class B | Citation Citation A (HSC 1424) | Patient Care | $6,000 initial $12,000 | Appealed Closed | 120001445 |
| May 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 Jun 1, 2026 | Complaint |
| May 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 Jun 1, 2026 | Complaint |
| May 6, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2026 | Complaint |
| May 6, 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 1, 2026 | Complaint |
| May 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 Jun 1, 2026 | Complaint |
| May 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 Jun 1, 2026 | Complaint |
| May 6, 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 Jun 1, 2026 | Complaint |
| May 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 1, 2026 | Complaint |
| Apr 21, 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 May 8, 2026 | Complaint |
| Jan 6, 2026 | 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 Jan 13, 2026 | Complaint |
| Dec 30, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 22, 2026 | Complaint |
| Dec 18, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 29, 2025 |
| Dec 18, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 30, 2025 |
| Dec 18, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 30, 2025 |
| Dec 18, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 12, 2026 |
| Dec 18, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 12, 2026 |
| Dec 18, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2026 |
| Dec 18, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 12, 2026 |
| Dec 18, 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 Jan 12, 2026 |
| Dec 18, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 5, 2026 |
| Dec 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 12, 2026 |
| 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 1, 2026 |
| Dec 18, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 2, 2026 |
| Aug 12, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 14, 2025 | Complaint |
| Jun 30, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 27, 2025 | Complaint |
| Apr 24, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 29, 2025 | Complaint |
| Mar 13, 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 | G · Actual harm Isolated | Corrected Apr 18, 2025 | Complaint |
| Mar 4, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 7, 2025 | Complaint |
| Feb 27, 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 Mar 3, 2025 | Complaint |
| Jan 30, 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 Jan 31, 2025 | Complaint |
| Jan 13, 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 Feb 6, 2025 | Complaint |
| Jan 13, 2025 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 6, 2025 | Complaint |
| Dec 24, 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 Jan 27, 2025 | Complaint |
| Dec 23, 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 | E · Potential harm Pattern | Corrected Feb 4, 2025 | Complaint |
| Dec 6, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Nov 21, 2024 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 5, 2024 |
| Nov 21, 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 Nov 27, 2024 |
| Nov 21, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 5, 2024 |
| Nov 21, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 9, 2024 |
| Nov 21, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2024 |
| Nov 21, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2024 |
| Nov 21, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 9, 2024 |
| Nov 21, 2024 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 9, 2024 |
| Nov 21, 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 Dec 9, 2024 |
| Nov 21, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 9, 2024 |
| Nov 21, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2024 |
| Nov 21, 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 Dec 9, 2024 |
| Nov 21, 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 Dec 5, 2024 | Complaint |
| Nov 21, 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 | F · Potential harm Widespread | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 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 Dec 5, 2024 | Complaint |
| Nov 21, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 2024 | 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 | F · Potential harm Widespread | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Jan 30, 2025 | Complaint |
| Nov 21, 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 | F · Potential harm Widespread | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 2024 | 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 Dec 5, 2024 | Complaint |
| Nov 21, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 2024 | 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 Dec 5, 2024 | Complaint |
| Nov 21, 2024 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 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 Dec 5, 2024 | Complaint |
| Nov 21, 2024 | 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 | E · Potential harm Pattern | Corrected Dec 5, 2024 | Complaint |
| Nov 21, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Dec 5, 2024 |
| Nov 21, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 5, 2024 |
| Jul 2, 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 | F · Potential harm Widespread | Corrected Jul 25, 2024 | Complaint |
| Jun 14, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 17, 2024 | Complaint |
| Jun 14, 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 Jul 17, 2024 | Complaint |
| Apr 3, 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 Apr 11, 2024 | Complaint |
| Apr 3, 2024 | 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 Apr 11, 2024 | Complaint |
| Mar 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 | D · Potential harm Isolated | Corrected Mar 29, 2024 | Complaint |
| Mar 4, 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 Mar 26, 2024 | Complaint |
| Jan 25, 2024 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 8, 2024 | Complaint |
| Jan 9, 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 Jan 17, 2024 | Complaint |
| Nov 30, 2023 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 25, 2023 | Complaint |
| Apr 6, 2023 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 6, 2023 |
| Apr 6, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2023 |
| Apr 6, 2023 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2023 |
| Apr 6, 2023 | 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 May 6, 2023 |
| Apr 6, 2023 | 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 May 6, 2023 |
| Apr 6, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2023 |
| Apr 6, 2023 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2023 |
| Apr 6, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 6, 2023 |
| Apr 6, 2023 | 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 6, 2023 |
| Apr 6, 2023 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 6, 2023 |
| Apr 6, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 6, 2023 |
| Apr 6, 2023 | 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 6, 2023 |
| Apr 6, 2023 | 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 May 6, 2023 |
| Apr 6, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 6, 2023 |
| Apr 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 | E · Potential harm Pattern | Corrected May 6, 2023 |
| Apr 6, 2023 | 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 May 6, 2023 |
| Apr 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 | E · Potential harm Pattern | Corrected May 6, 2023 |
| Apr 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 | F · Potential harm Widespread | Corrected May 6, 2023 |
| Apr 6, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 6, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.56 (case-mix index 1.53).
| Indirect owner |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| 17% |
| Feb 1, 2023 |
| Moishe Frankel | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2018 |
| David Levy | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2018 |
| Rush Melliti | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Nathan Pease | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Moishe Frankel | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Oct 25, 2019 |