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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 | D36 | E3 | F3 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 4, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 4, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Apr 24, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Mar 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 26, 2022 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| May 26, 2022 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 15, 2022 violation Oct 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 | 810017552 |
| Aug 27, 2020 violation Aug 4, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 240015997 |
| Sep 26, 2016 violation Mar 5, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 initial $2,000 | Appealed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D36 | E3 | F3 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 4, 2026 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 19, 2026 | |
| Jun 4, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 19, 2026 | |
| Jun 4, 2026 | K-0353 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
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 |
|---|---|---|---|---|---|
| Soon Burnam | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2022 |
| Luther Mangoba | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Yamaliel Sanchez Gonzalez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2022 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2014 |
| Barry Port | Individual | Corporate officer / director |
| 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 |
|---|---|---|---|---|---|---|
| Medical Center Convalescent Hospital 467 E Gilbert St, San Bernardino, CA 92404 CCN 0564363 state class AA/A | 0.3 km | 99 | Feb 26, 2026 | 41 | — | |
| Valley Healthcare Center 1680 N Waterman Ave, San Bernardino, CA 92404 CCN 0561834 state class AA/A | 0.6 km | 109 | Aug 21, 2026 | 621 IJ3 open | $37k | |
| Waterman Canyon Post Acute 1850 N. Waterman Ave., San Bernardino, CA 92404 CCN 0555651 state class AA/A | 0.9 km | 166 | Feb 25, 2026 | 63 | — | |
| Haven Post Acute 1311 E Date St, San Bernardino, CA 92404 CCN 0560537 state class AA/A | 2.6 km | 99 | Aug 19, 2026 | 411 IJ2 harm5 open | $38k | |
| Del Rosa Villa 2018 N Del Rosa Ave, San Bernardino, CA 92404 CCN 5551952 state class AA/A | 3 km | 104 | Jun 24, 2026 | 491 IJ | $44k | |
| Community Convalescent Center of San Bernardino 1676 Medical Ctr Dr., San Bernardino, CA 92411 CCN 056107 | 3.7 km | 84 | Jul 24, 2026 | 191 IJ | $13k | |
| Community Hospital of San Bernardino D/P SNF 1805 Medical Center Dr, San Bernardino, CA 92411 CCN 5555224 state class AA/A | 3.8 km | 88 | Sep 3, 2026 | 322 harm | $9,110 | |
| Sierra Vista 3455 East Highland Ave, Highland, CA 92346 CCN 05A0275 state class AA/AAbuse icon | 4.8 km | 116 | Jun 25, 2026 | 51 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055708 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055708 | 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 | 240000097 | 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
| 240012597 |
| May 18, 2012 violation Jul 28, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $12,000 initial $20,000 | Appealed Closed | 240009312 |
| Jan 5, 2010 violation Aug 4, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 240006876 |
| Dec 16, 2009 violation Sep 21, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 240006777 |
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jun 19, 2026 |
| Jun 4, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Jun 4, 2026 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 2026 | 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 Jun 25, 2026 |
| Jun 4, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Jun 4, 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 | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Jun 4, 2026 | 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 | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Jun 4, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Apr 24, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 7, 2025 |
| Apr 24, 2025 | 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 May 16, 2025 | Complaint |
| Apr 24, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 16, 2025 | Complaint |
| Apr 24, 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 May 16, 2025 | Complaint |
| Apr 24, 2025 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 16, 2025 | Complaint |
| Apr 24, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 16, 2025 | Complaint |
| Apr 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 16, 2025 | Complaint |
| Mar 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 | D · Potential harm Isolated | Corrected Mar 17, 2025 | Complaint |
| Feb 12, 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 Feb 24, 2025 | Complaint |
| Nov 6, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 15, 2024 | Complaint |
| May 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 6, 2024 | Complaint |
| May 26, 2022 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 2022 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 2022 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 2022 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 6, 2022 |
| May 26, 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 Jul 6, 2022 |
| May 26, 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 Jun 22, 2022 |
| May 26, 2022 | 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 22, 2022 |
| May 26, 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 Jun 22, 2022 |
| May 26, 2022 | 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 22, 2022 |
| May 26, 2022 | 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 Jun 22, 2022 |
| May 26, 2022 | 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 Jun 22, 2022 |
| May 26, 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 Jun 22, 2022 |
| May 26, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 22, 2022 |
| May 26, 2022 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 22, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.69 (case-mix index 1.38).
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2019 |
| Adam Willits | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 29, 2021 |
| Alvarado Health Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Standard Bearer Healthcare Op, LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| The Ensign Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Luther Mangoba | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Yamaliel Sanchez Gonzalez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| 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 | — |