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 | D33 | E19 | F5 |
| Minimal | A· | B· | C3 |
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 23, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Aug 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 24, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Mar 6, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 18, 2023 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| May 18, 2023 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Mar 21, 2019 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 21, 2019 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 6, 2019 violation Feb 12, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 020015131 |
| Oct 29, 2010 violation Sep 10, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $350 initial $650 | Appealed Closed | 020007678 |
| Dec 20, 2004 violation Nov 2, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $600 | Closed | 020002825 |
| Sep 15, 2004 violation May 4, 2004 | Class A | Citation Citation A (HSC 1424) | Patient Care | $5,250 initial $18,000 | Appealed Closed | 020002815 |
| Oct 29, 2003 violation Jul 7, 2003 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $12,000 | Appealed Closed | 020002779 |
| Jan 28, 2000 violation Oct 12, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 020002480 |
| Jan 19, 2000 violation Nov 18, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,100 initial $600 | Closed | 020002477 |
| Jan 19, 2000 violation Nov 25, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,200 initial $700 | Closed | 020002476 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D33 | E19 | F5 |
| Minimal | A· | B· | C3 |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.78 (case-mix index 1.41).
CMS legal business name of the certified provider. Operates this facility only.
22 facilities in 1 states. CMS chain ID 566.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Antelope Holdings I, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Antelope Realty Holdings I, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Nov 8, 2024 |
| Windsor Norcal 13 Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2007 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Antelope Holdings I, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Antelope Realty Holdings I, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Nov 8, 2024 |
| Windsor Norcal 13 Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2007 |
| Dorothy Couto | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 20, 2024 |
| Pamela Shaw | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2023 |
| Htay Win | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2024 |
| Aaron Robin | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 14, 2023 |
| Avrohom Tress | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 14, 2023 |
| Newgen Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Dorothy Couto | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 20, 2024 |
| Pamela Shaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 23, 2023 |
| Htay Win | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Oak Grove Post Acute 4545 Shelley Court, Stockton, CA 95207 CCN 0552013 state class AA/AAbuse icon | 119 | Aug 21, 2026 | 1711 harm2 open | $40k | |
| Elk Grove Post Acute 9461 Batey Avenue, Elk Grove, CA 95624 CCN 0553085 state class AA/AAbuse icon | 136 | May 14, 2026 | 1013 harm | $8,824 | |
| River City Post Acute 2540 Carmichael Way, Carmichael, CA 95608 CCN 05540210 state class AA/AAbuse icon | 178 | Aug 25, 2026 | 1345 open | — | |
| South Coast Post Acute 1030 W Warner Ave, Santa Ana, CA 92707 CCN 055653Abuse icon | 255 | Jul 31, 2026 | 120 | — | |
| Delta Oaks Post Acute 6940 Pacific Avenue, Stockton, CA 95207 CCN 0557352 state class AA/AAbuse icon | 128 | Aug 25, 2026 | 1853 harm34 open | — | |
| Coastal Post Acute 348 Iris Drive, Salinas, CA 93906 CCN 0558712 state class AA/A | 80 | Apr 9, 2025 | 681 IJ | $64k | |
| National City Post Acute 220 East 24th Street, National City, CA 91950 CCN 055954 | 98 | Jun 22, 2026 | 602 harm2 open | $16k | |
| Monterey Post Acute 1575 Skyline Drive, Monterey, CA 93940 CCN 0559622 state class AA/A | 78 | Mar 10, 2026 | 78 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Crestwood Treatment Center 2171 Mowry Avenue, Fremont, CA 94538 CCN 05A408 | 0.1 km | 88 | May 22, 2026 | 25 | — | |
| We Care Skilled Nursing - Fremont 2100 Parkside Drive, Fremont, CA 94536 CCN 0562981 state class AA/A | 0.1 km | 99 | Mar 23, 2026 | 48 | — | |
| Mission Valley Post Acute 2400 Parkside Drive, Fremont, CA 94536 CCN 0552761 state class AA/A | 0.2 km | 85 | Jun 11, 2026 | 611 open | — | |
| Niles Canyon Post Acute 38650 Mission Boulevard, Fremont, CA 94536 CCN 055562 | 1.6 km | 73 | Feb 23, 2026 | 37 | — | |
| Fremont Healthcare Center 39022 Presidio Way, Fremont, CA 94538 CCN 0564221 state class AA/A | 1.7 km | 115 | Aug 13, 2026 | 601 IJ1 open | $12k | |
| Crestwood Manor - Fremont 4303 Stevenson Boulevard, Fremont, CA 94538 CCN 05A4273 state class AA/A | 2.3 km | 126 | Jun 10, 2025 | 27 | — | |
| Masonic Home 34400 Mission Blvd, Union City, CA 94587 CCN 5558431 state class AA/A | 5.5 km | 125 | Jun 2, 2026 | 36 | — | |
| Eden Healthcare Center 27350 Tampa Avenue, Hayward, CA 94544 CCN 0560523 state class AA/A | 12.2 km | 121 | May 29, 2026 | 971 IJ1 harm | $31k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055885 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055885 | 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 | 020000020 | 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