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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 | G4 | H· | I· |
| Potential harm | D37 | E11 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Mar 6, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 6, 2026 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Sep 12, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 8, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 8, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| May 29, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 30, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 19, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 4, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 28, 2019 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 28, 2019 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 30, 2024 | Civil money penalty (fine) | $46,118 | — | 055839|Fine|130148 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jul 21, 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 | Closed | 810018885 |
| Oct 8, 2007 violation Aug 11, 2007 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported · Patiet Right/Patient Care | $500 initial $1,000 | Appealed Closed | 030004329 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D37 | E11 | F2 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 6, 2026 | 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 Mar 20, 2026 | |
| Mar 6, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2026 | |
| Mar 6, 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.
16 facilities in 5 states. CMS chain ID 57.
Chain average overall rating (CMS): 3.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avalon of California LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 9, 2003 |
| Avalon Care LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Sep 9, 2003 |
| Avalon Health Care Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2003 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avalon of California LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 9, 2003 |
| Avalon Care LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Sep 9, 2003 |
| Avalon Health Care Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 1, 2003 |
| David Dangerfield | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 5, 2007 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Franciscan Post-Acute Care Center 3169 M Street, Merced, CA 95348 CCN 055979 | 71 | Apr 20, 2026 | 373 harm | $9,110 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Main West Postacute Care 812 West Main Street, Turlock, CA 95380 CCN 055475 | 23.6 km | 99 | Feb 4, 2026 | 67 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055839 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055839 | 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 | 030000096 | 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
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Mar 20, 2026 |
| Mar 6, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2026 |
| Mar 6, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2026 |
| Mar 6, 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 Mar 30, 2026 |
| Mar 6, 2026 | 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 Mar 31, 2026 |
| Mar 6, 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 | D · Potential harm Isolated | Corrected Mar 30, 2026 |
| Mar 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 Mar 30, 2026 |
| Mar 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 Mar 30, 2026 |
| Mar 6, 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 30, 2026 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Mar 30, 2026 |
| Mar 6, 2026 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 30, 2026 |
| Mar 6, 2026 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 30, 2026 |
| Mar 6, 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 | D · Potential harm Isolated | Corrected Mar 30, 2026 |
| Mar 6, 2026 | 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 Mar 30, 2026 |
| Mar 6, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 30, 2026 |
| Mar 6, 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 Mar 30, 2026 |
| Mar 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 30, 2026 |
| Mar 6, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 30, 2026 |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Mar 30, 2026 |
| Sep 12, 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 | G · Actual harm Isolated | Corrected Oct 3, 2025 | Complaint |
| Aug 8, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 24, 2024 |
| Aug 8, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 24, 2024 |
| Aug 8, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 24, 2024 |
| Aug 8, 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 Aug 24, 2024 |
| Aug 8, 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 | D · Potential harm Isolated | Corrected Aug 26, 2024 |
| Aug 8, 2024 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 8, 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 Aug 26, 2024 |
| Aug 8, 2024 | 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 Aug 26, 2024 |
| Aug 8, 2024 | 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 Aug 26, 2024 |
| Aug 8, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 26, 2024 |
| Aug 8, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 24, 2024 |
| Aug 8, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 24, 2024 |
| May 29, 2024 | 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 | E · Potential harm Pattern | Corrected Jun 24, 2024 | Complaint |
| May 29, 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 Jun 24, 2024 | Complaint |
| May 6, 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 Jun 4, 2024 | Complaint |
| Jan 30, 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 | G · Actual harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Jan 30, 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 | G · Actual harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Dec 19, 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 Jan 15, 2024 | Complaint |
| Oct 4, 2023 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 14, 2023 | Complaint |
| May 28, 2019 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 15, 2019 |
| May 28, 2019 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 28, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 28, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 28, 2019 | 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 Jul 15, 2019 |
| May 28, 2019 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2019 |
| May 28, 2019 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2019 |
| May 28, 2019 | 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 15, 2019 |
| May 28, 2019 | 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 Jul 15, 2019 |
| May 28, 2019 | 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 Jul 15, 2019 |
| May 28, 2019 | 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 Jul 15, 2019 |
| May 28, 2019 | 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 Jul 15, 2019 |
| May 28, 2019 | 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 Jul 15, 2019 |
| May 28, 2019 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 15, 2019 |
| May 28, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 15, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.92 (case-mix index 1.35).
| Michael Derrick | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2026 |
| Byron Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
| Hyrum Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
| Spencer Kirton | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 27, 2024 |
| Robert Woltil | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 23, 2012 |
| Avalon Health Care Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2003 |
| Avalon Health Care Management Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2003 |
| Bradford Harris | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 16, 2026 |
| Alan Hash | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2017 |
| Rajbir Kaur | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 13, 2022 |
| Hyrum Kirton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 29, 2022 |
| Rose-Ann Sadje | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 5, 2024 |
| Nicole Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Nandeesh Veerappa | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| David Dangerfield | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 5, 2007 |
| Byron Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Hyrum Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Spencer Kirton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 27, 2024 |
| Robert Woltil | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 23, 2012 |
| Bradford Harris | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 16, 2026 |
| Alan Hash | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 15, 2017 |
| Hyrum Kirton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 29, 2022 |
| Nicole Smith | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2023 |
| Avalon Health Care Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 17, 2026 |
| Avalon Health Care Management Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2003 |
| Bradford Harris | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 16, 2026 |
| Alan Hash | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2017 |
| Rajbir Kaur | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 13, 2022 |
| Hyrum Kirton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 29, 2022 |
| Rose-Ann Sadje | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 5, 2024 |
| Nicole Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2023 |
| Nandeesh Veerappa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |