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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 | G1 | H· | I· |
| Potential harm | D49 | E14 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 13, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Aug 13, 2026 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Mar 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 27, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 17, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 25, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 25, 2025 | Health | Health Standard | 23 | Potential harm | — | Open → |
| May 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 22, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 18, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 27, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 27, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Oct 18, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 5, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Nov 9, 2023 violation Oct 1, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920019357 |
| Oct 31, 2019 violation Dec 30, 2013 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920015503 |
| May 26, 2015 violation Jan 4, 2014 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,800 | Closed | 910011439 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D49 | E14 | F5 |
| Minimal | A· | B3 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 18, 2026 | |
| Aug 13, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 26, 2026 | |
| Aug 13, 2026 | K-0363 |
“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.
19 facilities in 1 states. CMS chain ID 4.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kenneth Lehmann | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2021 |
| Aaron Moas | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | May 1, 2021 |
| Am Holdco, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | May 1, 2023 |
| Abe and Rachel Bak Family Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2021 |
| Rachel Bak | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kenneth Lehmann | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2021 |
| Aaron Moas | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | May 1, 2021 |
| Am Holdco, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | May 1, 2023 |
| Abe and Rachel Bak Family Trust | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2021 |
| Rachel Bak | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Advanced Rehab Center of Tustin 2210 E. First Street, Santa Ana, CA 92705 CCN 0553301 state class AA/A | 99 | Jul 30, 2026 | 1432 harm | $37k | |
| Gem Tcu 716 South Fair Oaks Ave, Pasadena, CA 91105 CCN 055341 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Ocean Park Healthcare 2828 Pico Boulevard, Santa Monica, CA 90405 CCN 555786 | 0 km | 41 | Aug 13, 2026 | 611 harm7 open | $13k | |
| Westwood Post Acute Care 12121 Santa Monica Boulevard, Los Angeles, CA 90025 CCN 0550608 state class AA/AAbuse icon | 1.8 km | 93 | Jul 7, 2026 | 982 harm | $111k | |
| Brentwood Health Care Center 1321 Franklin Street, Santa Monica, CA 90404 CCN 055711 | 1.9 km | 59 | Apr 21, 2026 | 55 | — | |
| Ocean Pointe Healthcare Center 1330 17th Street, Santa Monica, CA 90404 CCN 0551551 state class AA/A | 1.9 km | 72 | Jun 5, 2026 | 791 IJ | $55k | |
| Berkley West Healthcare Center 1623 Arizona Avenue, Santa Monica, CA 90404 CCN 055136 | 1.9 km | 54 | Jun 25, 2026 | 841 IJ | $101k | |
| Pacific Post Acute 1323 17th Street, Santa Monica, CA 90404 CCN 555054 | 1.9 km | 49 | Aug 3, 2026 | 55 | — | |
| Santa Monica Rehabilitation Center 1338 20th Street, Santa Monica, CA 90404 CCN 5558087 state class AA/ASFF Candidate | 1.9 km | 144 | Aug 31, 2026 | 1983 IJ4 harm5 open | $143k | |
| Santa Monica Health Care Center 1320 20th Street, Santa Monica, CA 90404 CCN 0555401 state class AA/A | 1.9 km | 59 | Jul 17, 2026 | 502 IJ1 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055748 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055748 | 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 | 910000076 | 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
| Feb 21, 2012 violation Dec 14, 2010 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Closed | 910009570 |
| Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Aug 26, 2026 |
| Aug 13, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 26, 2026 |
| Aug 13, 2026 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 26, 2026 |
| Aug 13, 2026 | 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 Sep 5, 2026 |
| Aug 13, 2026 | 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 Sep 5, 2026 |
| Aug 13, 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 Sep 5, 2026 |
| Aug 13, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2026 |
| Aug 13, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2026 |
| Aug 13, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2026 |
| Aug 13, 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 Sep 5, 2026 |
| Aug 13, 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 Sep 5, 2026 |
| Aug 13, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2026 |
| Aug 13, 2026 | 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 Sep 5, 2026 |
| Aug 13, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 5, 2026 |
| Aug 13, 2026 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Sep 5, 2026 |
| Aug 13, 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 | F · Potential harm Widespread | Corrected Sep 5, 2026 |
| Aug 13, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 5, 2026 |
| Aug 13, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 8, 2026 |
| Aug 13, 2026 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 5, 2026 |
| Aug 13, 2026 | 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 Sep 5, 2026 |
| Mar 24, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 13, 2026 | Complaint |
| Feb 27, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2026 | Complaint |
| Oct 3, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 9, 2025 | Complaint |
| Jun 17, 2025 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 7, 2025 | Complaint |
| Jun 17, 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 Jul 7, 2025 | Complaint |
| May 25, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 2025 | 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 Jun 13, 2025 |
| May 25, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 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 Jun 13, 2025 |
| May 25, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 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 Jun 13, 2025 |
| May 25, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 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 Jun 13, 2025 |
| May 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 25, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 25, 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 Jun 13, 2025 |
| May 25, 2025 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Jun 13, 2025 |
| May 7, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 23, 2025 | Complaint |
| Apr 15, 2025 | 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 May 6, 2025 | Complaint |
| Apr 4, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 27, 2025 | Complaint |
| Apr 4, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 27, 2025 | Complaint |
| Nov 22, 2024 | 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 Dec 19, 2024 | Complaint |
| Nov 22, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 19, 2024 | Complaint |
| Aug 19, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Jun 18, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 18, 2024 | Complaint |
| Jun 18, 2024 | 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 Jul 18, 2024 | Complaint |
| May 27, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 21, 2024 |
| May 27, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 27, 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 Jun 21, 2024 |
| May 27, 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 Jun 14, 2024 |
| May 27, 2024 | F-0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Jun 14, 2024 |
| May 27, 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 Jun 14, 2024 |
| Oct 18, 2023 | 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 Nov 1, 2023 | Complaint |
| Oct 5, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 27, 2023 | Complaint |
| Oct 5, 2023 | 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 Oct 27, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.07 (case-mix index 1.57).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Mar 1, 2021 |
| Menachem Gastwirth | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 6, 2020 |
| Abraham Bak | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Menachem Gastwirth | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Kenneth Lehmann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Memphis Montag | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Keino Rutherford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Abraham Bak | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2021 |
| Abak Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 27, 2021 |
| Mgaz Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 27, 2021 |
| Abraham Bak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Menachem Gastwirth | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Chonoch Gewirtz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Kenneth Lehmann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Memphis Montag | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Keino Rutherford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| 75 |
| Jul 18, 2026 |
1121 IJ1 harm |
| $28k |
| The Californian Pasadena Healthcare 120 Bellefontaine Street, Pasadena, CA 91105 CCN 055480 | 82 | Aug 26, 2026 | 811 harm | — |
| Beachside Post Acute 22520 Maple Avenue, Torrance, CA 90505 CCN 0555314 state class AA/A | 110 | Aug 14, 2026 | 44 | — |
| Santa Clarita Post-Acute Care Center 23801 Newhall Avenue, Newhall, CA 91321 CCN 0557284 state class AA/A | 99 | Aug 27, 2026 | 1012 IJ1 harm1 open | $118k |
| Leisure Glen Post Acute Care Center 330 Mission Road, Glendale, CA 91205 CCN 0558453 state class AA/A | 108 | Jul 2, 2026 | 44 | — |
| Imperial Healthcare Center 11926 La Mirada Blvd, La Mirada, CA 90638 CCN 0561154 state class AA/A | 99 | Aug 27, 2026 | 78 | — |
| The Meadows Post Acute 14857 Roscoe Boulevard, Panorama City, CA 91402 CCN 0561371 state class AA/A | 98 | Mar 24, 2026 | 591 IJ1 harm | $21k |