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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 | D34 | E2 | F12 |
| Minimal | A· | B3 |
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 | |
|---|---|---|---|---|---|---|
| May 19, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 20, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Feb 20, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Oct 24, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Oct 24, 2024 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Feb 14, 2022 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Feb 14, 2022 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Feb 7, 2023 violation Jul 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810018350 |
| Jun 1, 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 | 240016540 |
| May 10, 2019 violation Mar 27, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $100 | Closed | 240015054 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D34 | E2 | F12 |
| Minimal | A· | B3 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 19, 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 22, 2026 | Complaint |
| Feb 20, 2026 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 11, 2026 | |
| Feb 20, 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.
32 facilities in 1 states. CMS chain ID 98.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kirkside Facilities Operations LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 22, 2010 |
| Ksnf LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 22, 2010 |
| Ksnf II LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | Jan 20, 2017 |
| Ira Smedra | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 22, 2010 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kirkside Facilities Operations LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 22, 2010 |
| Ksnf LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 22, 2010 |
| Ksnf II LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | Jan 20, 2017 |
| Ira Smedra | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Madera Rehabilitation & Nursing Center 517 South a Street, Madera, CA 93638 CCN 0551471 state class AA/A | 176 | Feb 24, 2026 | 1001 IJ6 harm | $374k | |
| Watsonville Nursing Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Inland Christian Home 1950 S Mountain Ave, Ontario, CA 91762 CCN 555108 | 1.9 km | 59 | Aug 20, 2026 | 5513 open | — | |
| Trellis Chino 5454 Walnut Ave, Chino, CA 91710 CCN 555910 | 4.1 km | 59 | Feb 12, 2026 | 31 | — | |
| Las Colinas Post Acute 800 E 5th St, Ontario, CA 91764 CCN 0556192 state class AA/A | 4.3 km | 216 | May 5, 2026 | 601 IJ | $71k | |
| Montclair Manor Care Center 5119 Bandera St, Montclair, CA 91763 CCN 0557181 state class AA/A | 4.4 km | 59 | Apr 30, 2025 | 35 | — | |
| Ontario Grove Healthcare & Wellness Centre, LP 933 E Deodar St, Ontario, CA 91764 CCN 0556932 state class AA/A | 4.9 km | 59 | Dec 23, 2025 | 41 | — | |
| Community Extended Care Hospital of Montclair 9620 Fremont Ave, Montclair, CA 91763 CCN 0564442 state class AA/A | 5.5 km | 140 | Feb 26, 2026 | 38 | — | |
| Heritage Park Nursing Center 275 Garnet Way, Upland, CA 91786 CCN 5555142 state class AA/A | 6 km | 70 | May 13, 2026 | 491 harm | — | |
| Upland Rehabilitation and Care Center 1221 E Arrow Hwy, Upland, CA 91786 CCN 0553743 state class AA/A | 6.3 km | 206 | Sep 22, 2025 | 44 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055707 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055707 | 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 | 240000090 | 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
| Jun 28, 2018 violation Jan 30, 2017 |
| AP NHPPD |
| Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
| DHPPD: 2 - 11 Days |
| $15,000 |
Closed |
| 240014177 |
| Oct 8, 2010 violation Apr 23, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 | Closed | 240007616 |
| Mar 19, 2007 violation Nov 4, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Closed | 240003811 |
| E-0039 |
| Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected Mar 11, 2026 |
| Feb 20, 2026 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Feb 20, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Feb 20, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 11, 2026 |
| Feb 20, 2026 | 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 Mar 11, 2026 |
| Feb 20, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2026 |
| Feb 20, 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 Mar 6, 2026 |
| Feb 20, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 6, 2026 |
| Feb 20, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 6, 2026 |
| Feb 20, 2026 | 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 Mar 6, 2026 |
| Oct 24, 2024 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 14, 2024 |
| Oct 24, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 14, 2024 |
| Oct 24, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2024 |
| Oct 24, 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 Nov 14, 2024 |
| Oct 24, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Oct 24, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Oct 24, 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 | F · Potential harm Widespread | Corrected Nov 13, 2024 |
| Oct 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Oct 24, 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 | B · Minimal Pattern | Corrected Nov 13, 2024 |
| Feb 14, 2022 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 28, 2022 |
| Feb 14, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 28, 2022 |
| Feb 14, 2022 | K-0361 | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | 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 Mar 28, 2022 |
| Feb 14, 2022 | 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 28, 2022 |
| Feb 14, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 28, 2022 |
| Feb 14, 2022 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 14, 2022 |
| Feb 14, 2022 | 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 Mar 14, 2022 |
| Feb 14, 2022 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 14, 2022 |
| Feb 14, 2022 | 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 Mar 14, 2022 |
| Feb 14, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 14, 2022 |
| Feb 14, 2022 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 14, 2022 |
| Feb 14, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 14, 2022 |
| Feb 14, 2022 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 14, 2022 |
| Feb 14, 2022 | 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 Mar 14, 2022 |
| Feb 14, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 14, 2022 |
| Feb 14, 2022 | F-0886 | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 14, 2022 |
| Feb 14, 2022 | 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 Mar 14, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.23 (case-mix index 1.27).
| Jan 22, 2010 |
| Sonia Cardenas | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 27, 2022 |
| Miguel Vidales | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2021 |
| Cambridge Healthcare Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2014 |
| Julie Butenko | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 24, 2023 |
| Heidi Capela | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2023 |
| Sonia Cardenas | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 27, 2022 |
| Lance Hassell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 25, 2022 |
| Linda Lutz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2012 |
| Sylvi Quadros | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 20, 2025 |
| Paulina Salazar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 14, 2020 |
| Ira Smedra | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 22, 2010 |
| Miguel Vidales | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Brittany Wertz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 15, 2024 |
| Jacob Wintner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 22, 2010 |
| 1661 South Euclid LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 25, 2007 |
| Cambridge Healthcare Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 4, 2025 |
| Julie Butenko | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 24, 2023 |
| Heidi Capela | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 3, 2023 |
| Sonia Cardenas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 4, 2025 |
| Lance Hassell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 25, 2022 |
| Linda Lutz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2012 |
| Paulina Salazar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 14, 2020 |
| Ira Smedra | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 22, 2010 |
| Miguel Vidales | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Brittany Wertz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 15, 2024 |
| Jacob Wintner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 22, 2010 |
| 87 |
| Jan 9, 2026 |
56 |
| — |
| Merced Nursing & Rehabilitation Ctr 510 West 26th Street, Merced, CA 95340 CCN 055249 | 79 | Jul 17, 2026 | 46 | — |
| La Sierra Care Center 2424 M Street, Merced, CA 95340 CCN 055271 | 68 | Jan 23, 2026 | 61 | — |
| Valley Palms Care Center 13400 Sherman Way, N Hollywood, CA 91605 CCN 0552871 state class AA/A | 99 | May 18, 2026 | 1371 IJ1 harm | $34k |
| Monrovia Gardens Healthcare Center 615 W. Duarte Rd., Monrovia, CA 91016 CCN 0553673 state class AA/A | 96 | Jul 15, 2026 | 1191 harm | — |
| Huntington Drive Health and Rehabilitation Center 400 W. Huntinton Dr., Arcadia, CA 91007 CCN 0553763 state class AA/A | 99 | Jul 24, 2026 | 99 | — |
| Buena Vista Care Center 1440 S Euclid Avenue, Anaheim, CA 92802 CCN 055459 | 99 | May 11, 2026 | 1011 open | — |