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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 | D51 | E30 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 27, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 29, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 21, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| May 21, 2026 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Apr 30, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 13, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 25, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 9, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 4, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 4, 2025 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Mar 27, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 19, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 31, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 12, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 12, 2024 | Health | Health Standard | 19 | Potential harm | — | Open → |
| Mar 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 11, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 24, 2024 violation Apr 1, 2024 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $10,000 | Open | 910020232 |
| May 10, 2024 violation Mar 14, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 910020166 |
| Nov 22, 2023 violation Oct 7, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 910019401 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D51 | E30 | F5 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 27, 2026 | 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 | E · Potential harm Pattern | Corrected Aug 14, 2026 | ComplaintIDR |
| Jun 29, 2026 | 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 |
“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.
50 facilities in 2 states. CMS chain ID 851.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bellflower Skilled LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Aug 16, 2022 |
| David Johnson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Frank Johnson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bellflower Skilled LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Aug 16, 2022 |
| David Johnson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Frank Johnson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Adrian Dehghanmanesh | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 1, 2021 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Spring Valley Post Acute LLC 14973 Hesperia Rd, Victorville, CA 92395 CCN 0550762 state class AA/A | 126 | Aug 5, 2026 | 511 IJ1 harm | $21k | |
| Sunset Manor Conv Hosp |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cerritos Vista Healthcare Center 17836 Woodruff Avenue, Bellflower, CA 90706 CCN 0564055 state class AA/A | 1.1 km | 140 | Jul 29, 2026 | 110 | — | |
| Bellflower Post Acute 9710 E. Artesia Ave, Bellflower, CA 90706 CCN 0554085 state class AA/A | 1.2 km | 59 | Apr 16, 2026 | 54 | — | |
| La Paz Geropsychiatric Center 8835 Vans Street, Paramount, CA 90723 CCN 05A3553 state class AA/AAbuse icon | 2.2 km | 173 | Aug 25, 2026 | 891 harm | — | |
| Rose Villa Health Care Center 9028 Rose Street, Bellflower, CA 90706 CCN 0561043 state class AA/A | 2.3 km | 53 | Aug 7, 2026 | 60 | — | |
| The Springs Post-Acute 10625 Leffingwell Road, Norwalk, CA 90650 CCN 0552973 state class AA/A | 2.8 km | 99 | Apr 23, 2026 | 802 IJ2 harm | $67k | |
| Artesia Christian Home Inc. 11614 E. 183rd St, Artesia, CA 90701 CCN 0555392 state class AA/A | 3.3 km | 66 | Jan 23, 2026 | 563 IJ2 harm | $98k | |
| Bay Vista Healthcare & Wellness Centre, LP 5901 Downey Ave, Long Beach, CA 90805 CCN 056042 | 3.4 km | 70 | Aug 24, 2026 | 613 harm | $33k | |
| Paramount Convalescent Hosp. 8558 East Rosecrans Avenue, Paramount, CA 90723 CCN 0564461 state class AA/A | 3.7 km | 59 | Dec 5, 2025 | 682 harm | $35k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055918 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055918 | 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 | 940000047 | 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
| Oct 30, 2023 violation Sep 8, 2023 | Class B | Citation Citation B (HSC 1424) | Other · Failure to report unusual | $3,000 | Closed | 910019318 |
| Jun 23, 2023 violation Dec 29, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 910018892 |
| Feb 8, 2022 violation Nov 7, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $4,800 initial $2,000 | Closed | 910017329 |
| Aug 14, 2020 violation May 6, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910015978 |
| Jun 12, 2020 violation Mar 2, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910015900 |
| Mar 13, 2020 violation Nov 29, 2019 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910015810 |
| Nov 2, 2018 violation May 17, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940014549 |
| Aug 30, 2018 violation Mar 13, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 940014353 |
| Sep 16, 2013 violation Jul 16, 2013 | Class B | Citation Citation B (HSC 1424) | Administration | $2,000 | Closed | 940010149 |
| Sep 12, 2013 violation Jul 16, 2013 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,200 initial $2,000 | Closed | 940010146 |
| Aug 20, 2012 violation Aug 9, 2011 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 940009447 |
| May 9, 2012 violation Feb 23, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Closed | 940009289 |
| Sep 26, 2011 violation May 18, 2011 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $500 | Closed | 940008590 |
| Aug 31, 2007 violation Jun 18, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 940004215 |
| Apr 10, 2002 violation Oct 27, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 | Closed | 940001457 |
| Corrected Jul 22, 2026 |
| Complaint |
| Jun 29, 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 | E · Potential harm Pattern | Corrected Jul 22, 2026 | Complaint |
| Jun 29, 2026 | 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 22, 2026 | Complaint |
| Jun 23, 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 Jul 14, 2026 | Complaint |
| May 21, 2026 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2026 |
| May 21, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2026 |
| May 21, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2026 |
| May 21, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 21, 2026 |
| May 21, 2026 | 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 21, 2026 |
| May 21, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2026 |
| May 21, 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 Jun 19, 2026 |
| May 21, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| May 21, 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 | E · Potential harm Pattern | Corrected Jun 19, 2026 |
| May 21, 2026 | 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 Jun 19, 2026 |
| May 21, 2026 | 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 Jun 19, 2026 |
| May 21, 2026 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| May 21, 2026 | 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 19, 2026 |
| May 21, 2026 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| May 21, 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 Jun 19, 2026 |
| May 21, 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 Jun 19, 2026 |
| May 21, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 19, 2026 |
| May 21, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 19, 2026 |
| May 21, 2026 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 8, 2026 |
| May 21, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 11, 2026 |
| Apr 30, 2026 | 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 May 13, 2026 | Complaint |
| Apr 13, 2026 | 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 13, 2026 | Complaint |
| Apr 13, 2026 | 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 May 13, 2026 | Complaint |
| Mar 25, 2026 | 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 | E · Potential harm Pattern | Corrected Apr 18, 2026 | Complaint |
| Mar 25, 2026 | 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 Apr 18, 2026 | Complaint |
| Mar 9, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 27, 2026 | Complaint |
| Dec 4, 2025 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2025 | Complaint |
| Aug 29, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 25, 2025 | Complaint |
| Jul 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 1, 2025 | Complaint |
| Jun 5, 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 28, 2025 | Complaint |
| May 29, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2025 | Complaint |
| Apr 4, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 4, 2025 |
| Apr 4, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 4, 2025 |
| Apr 4, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 4, 2025 |
| Apr 4, 2025 | 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 May 4, 2025 |
| Apr 4, 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 May 4, 2025 |
| Apr 4, 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 4, 2025 |
| Apr 4, 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 May 4, 2025 |
| Apr 4, 2025 | 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 May 4, 2025 |
| Apr 4, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 4, 2025 |
| Apr 4, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 4, 2025 |
| Apr 4, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 4, 2025 |
| Apr 4, 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 May 4, 2025 |
| Apr 4, 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 | D · Potential harm Isolated | Corrected May 4, 2025 |
| Apr 4, 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 May 4, 2025 |
| Apr 4, 2025 | 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 May 4, 2025 |
| Apr 4, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 4, 2025 |
| Apr 4, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 4, 2025 |
| Mar 27, 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 Apr 20, 2025 | Complaint |
| Mar 27, 2025 | 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 Apr 20, 2025 | Complaint |
| Mar 27, 2025 | 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 Apr 20, 2025 | Complaint |
| Nov 19, 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 Dec 18, 2024 | Complaint |
| Nov 19, 2024 | 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 Dec 18, 2024 | Complaint |
| Oct 31, 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 Nov 30, 2024 | Complaint |
| Sep 26, 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 Oct 20, 2024 | Complaint |
| Sep 18, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Apr 12, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2024 |
| Apr 12, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2024 |
| Apr 12, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2024 |
| Apr 12, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2024 |
| Apr 12, 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 May 18, 2024 |
| Apr 12, 2024 | 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 May 12, 2024 |
| Apr 12, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 12, 2024 |
| Apr 12, 2024 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 12, 2024 |
| Apr 12, 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 May 12, 2024 |
| Apr 12, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 12, 2024 |
| Apr 12, 2024 | 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 May 12, 2024 |
| Apr 12, 2024 | 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 May 12, 2024 |
| Apr 12, 2024 | 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 May 12, 2024 |
| Apr 12, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 12, 2024 |
| Apr 12, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 12, 2024 |
| Apr 12, 2024 | 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 May 12, 2024 |
| Apr 12, 2024 | 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 May 12, 2024 |
| Apr 12, 2024 | 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 May 12, 2024 |
| Apr 12, 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 May 12, 2024 |
| Apr 12, 2024 | 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 | E · Potential harm Pattern | Corrected May 12, 2024 |
| Apr 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 12, 2024 |
| Apr 12, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 12, 2024 |
| Apr 12, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 12, 2024 |
| Apr 12, 2024 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected May 18, 2024 |
| Mar 28, 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 Apr 27, 2024 | Complaint |
| Oct 11, 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 | D · Potential harm Isolated | Corrected Nov 5, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.24 (case-mix index 1.52).
| Mary Farrales | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| David Johnson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2022 |
| Frank Johnson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2022 |
| Joshua Kochek | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2022 |
| Micheal Oxford | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 3, 2022 |
| Bellflower Skilled LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 19, 2023 |
| Jared Bitton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 29, 2024 |
| Adrian Dehghanmanesh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| David Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2022 |
| Frank Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2022 |
| Joshua Kochek | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2022 |
| Micheal Oxford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 3, 2022 |
| Adrian Dehghanmanesh | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 16, 2022 |
| Vbn New York LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Aug 26, 2022 |
| Bellflower Property Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 16, 2022 |
| Bellflower Skilled LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 19, 2023 |
| Sun Meridian Management Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 22, 2021 |
| Vbn New York LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 16, 2022 |
| Jared Bitton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 29, 2024 |
| Glenda Coberly | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 16, 2023 |
| Adrian Dehghanmanesh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Mary Farrales | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| David Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2022 |
| Joshua Kochek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2022 |
| Micheal Oxford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 3, 2022 |
| Shivanand Pole | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 2, 2026 |
| 81 |
| Aug 20, 2026 |
701 harm |
| — |
| Pelican Ridge Post Acute 466 Flagship Road, Newport Beach, CA 92663 CCN 0551211 state class AA/AAbuse icon | 167 | Aug 20, 2026 | 1232 open | — |
| North Valley Nursing Center 7660 Wyngate St, Tujunga, CA 91042 CCN 0551463 state class AA/AAbuse icon | 92 | Aug 7, 2026 | 641 IJ1 harm | $113k |
| Monterey Park Conv Hosp 416 N Garfield Ave, Monterey Park, CA 91754 CCN 055162 | 89 | Aug 24, 2026 | 54 | — |
| Madera Care Center 1700 Howard Road, Madera, CA 93637 CCN 0551911 state class AA/A | 64 | Mar 19, 2026 | 61 | $35k |
| Country Oaks Care Center 215 W Pearl St, Pomona, CA 91768 CCN 055247 | 81 | Aug 24, 2026 | 96 | — |
| Pomona Vista Care Center 651 N Main St, Pomona, CA 91768 CCN 0552823 state class AA/A | 59 | Aug 21, 2026 | 78 | — |