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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D40 | E10 | F10 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 20, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 20, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Mar 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 21, 2023 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Apr 21, 2023 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Aug 23, 2019 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Aug 23, 2019 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Oct 23, 2009 violation Jul 31, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 220006649 |
| Sep 10, 2009 violation Feb 16, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 220006544 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D40 | E10 | F10 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 25, 2025 | |
| Feb 20, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 25, 2025 | |
| Feb 20, 2025 | K-0920 |
“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.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bay Area Master Tenant LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bay Area Master Tenant LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 1, 2017 |
| Joshua Jergensen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2024 |
| John Mitchell | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2024 |
| Joshua Jergensen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Redlands Healthcare Center 1620 W Fern Ave, Redlands, CA 92373 CCN 0550011 state class AA/A | 78 | Apr 23, 2026 | 23 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Sequoias San Francisco Convalescent Hospital 1400 Geary Blvd, San Francisco, CA 94109 CCN 0560711 state class AA/A | 0.3 km | 50 | Feb 17, 2026 | 41 | — | |
| Central Gardens Post Acute 1355 Ellis Street, San Francisco, CA 94115 CCN 055280 | 0.6 km | 92 | Feb 20, 2025 | 47 | — | |
| Laurel Heights Community Care 2740 California St, San Francisco, CA 94115 CCN 555869 | 0.9 km | 32 | Jul 31, 2025 | 361 harm | $8,018 | |
| San Francisco Towers 1661 Pine Street, San Francisco, CA 94109 CCN 555728 | 0.9 km | 27 | Dec 4, 2025 | 32 | — | |
| Pacific Heights Transitional Care Center 2707 Pine Street, San Francisco, CA 94115 CCN 056176 | 0.9 km | 120 | Mar 13, 2026 | 421 open | $25k | |
| City View Post Acute 1359 Pine Street, San Francisco, CA 94109 CCN 0562035 state class AA/A | 0.9 km | 180 | May 1, 2026 | 73 | $43k | |
| San Francisco Health Care 1477 Grove Street, San Francisco, CA 94117 CCN 0562725 state class AA/A | 1.7 km | 168 | Aug 5, 2026 | 711 IJ2 harm | $152k | |
| Hayes Convalescent Hospital 1250 Hayes Street, San Francisco, CA 94117 CCN 05A3151 state class AA/A | 1.7 km | 34 | Nov 7, 2025 | 21 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055848 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055848 | 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 | 220000094 | 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
| Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Feb 25, 2025 |
| Feb 20, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Feb 20, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Feb 20, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 25, 2025 |
| Mar 8, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 5, 2024 | Complaint |
| Mar 7, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 5, 2024 | Complaint |
| Apr 21, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 11, 2023 |
| Apr 21, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 11, 2023 |
| Apr 21, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 11, 2023 |
| Apr 21, 2023 | 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 Jun 2, 2023 |
| Apr 21, 2023 | 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 2, 2023 |
| Apr 21, 2023 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | 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 2, 2023 |
| Apr 21, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | 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 | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Apr 21, 2023 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 2, 2023 |
| Aug 23, 2019 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 7, 2019 |
| Aug 23, 2019 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 7, 2019 |
| Aug 23, 2019 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Oct 15, 2019 |
| Aug 23, 2019 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 15, 2019 |
| Aug 23, 2019 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 15, 2019 |
| Aug 23, 2019 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 15, 2019 |
| Aug 23, 2019 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 15, 2019 |
| Aug 23, 2019 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 15, 2019 |
| Aug 23, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 15, 2019 |
| Aug 23, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 15, 2019 |
| Aug 23, 2019 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 15, 2019 |
| Aug 23, 2019 | 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 Nov 7, 2019 |
| Aug 23, 2019 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 7, 2019 |
| Aug 23, 2019 | 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 Nov 7, 2019 |
| Aug 23, 2019 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2019 |
| Aug 23, 2019 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Nov 7, 2019 |
| Aug 23, 2019 | 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 | E · Potential harm Pattern | Corrected Nov 7, 2019 |
| Aug 23, 2019 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 7, 2019 |
| Aug 23, 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 | F · Potential harm Widespread | Corrected Nov 7, 2019 |
| Aug 23, 2019 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2019 |
| Aug 23, 2019 | 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 | F · Potential harm Widespread | Waiver granted Nov 7, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.42 (case-mix index 1.57).
| John Mitchell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| David Portier | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| Matthew Russell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 7, 2019 |
| Providence Administrative Consulting Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2021 |
| David Portier | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2026 |
| Matthew Russell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 7, 2019 |
| 51 |
| Jul 6, 2026 |
51 |
| — |
| Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021 CCN 055064 | 96 | Aug 26, 2026 | 781 harm | $9,255 |
| Moraga Post Acute 348 Rheem Boulevard, Moraga, CA 94556 CCN 055085 | 49 | Apr 13, 2026 | 501 harm | — |
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 59 | Apr 1, 2026 | 62 | — |
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 190 | Aug 13, 2026 | 763 harm | $102k |
| Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A | 104 | Aug 11, 2026 | 751 IJ2 harm | $35k |
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 103 | Jul 2, 2026 | 71 | — |