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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 | J2 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D95 | E63 | F5 |
| Minimal | A· | B2 | C |
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 20, 2026 | Health | Health Complaint | 1 | Potential harm | 1 | Open → |
| Jul 31, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 31, 2026 | Health | Health Standard | 27 | Potential harm | 1 | Open → |
| Jul 7, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 30, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| May 26, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 26, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 20, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 11, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jan 9, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 24, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 22, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 11, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 25, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Apr 25, 2025 | Health | Health Complaint, Health Standard | 31 | Potential harm | — | Open → |
| Apr 3, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Feb 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 13, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 28, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 8, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 3, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 3, 2024 | Health | Health Complaint, Health Standard | 34 | Actual harm | — | Open → |
| Apr 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 4, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jan 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 27, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 9, 2023 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 12, 2024 | Civil money penalty (fine) | $27,706 | — | 055932|Fine|131021 |
| May 3, 2024 | Civil money penalty (fine) | $35,783 | — | 055932|Fine|131043 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 14, 2024 violation May 2, 2024 | Class A | Citation Citation A (HSC 1424) | Patient Care | $75,000 initial $25,000 | Appealed Open | 920020321 |
| Nov 22, 2023 violation Oct 4, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 920019399 |
| Mar 17, 2022 violation Jul 21, 2021 | Class B | Citation Citation B (HSC 1424) |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D95 | E63 | F5 |
| Minimal | A· | B2 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 20, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | No plan of correction | Complaint |
| Jul 31, 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” 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.
40 facilities in 1 states. CMS chain ID 863.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Four Seasons Wellness Gp LLC | Organization | Partner | GENERAL PARTNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Shlomo Rechnitz | Individual | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Jul 1, 2011 |
| Corporate Interface Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 18, 2024 |
| Rockport Administrative Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2011 |
| Roberto Beaton | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Eureka Rehabilitation & Wellness Center, LP 2353 Twenty Third St, Eureka, CA 95501 CCN 05500312 state class AA/A | 99 | Aug 19, 2026 | 772 harm1 open | $17k | |
| Pine Grove Healthcare & Wellness Centre, LP |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Sherman Village Hcc 12750 Riverside Drive, North Hollywood, CA 91607 CCN 0561593 state class AA/A | 1.4 km | 108 | Aug 5, 2026 | 1201 IJ | — | |
| Valley Village Care Center 13000 Victory Blvd, North Hollywood, CA 91606 CCN 5550126 state class AA/A | 2.8 km | 99 | Jun 2, 2026 | 91 | — | |
| Vineland Post Acute 10830 Oxnard Street, North Hollywood, CA 91606 CCN 5550111 state class AA/A | 3.1 km | 49 | Aug 12, 2026 | 72 | — | |
| Valley Vista Nursing and Transitional Care LLC 6120 N. Vineland Ave, North Hollywood, CA 91606 CCN 5551323 state class AA/AAbuse icon | 3.2 km | 72 | Aug 26, 2026 | 1421 IJ1 harm | $36k | |
| Studio City Rehabilitation Center 11429 Ventura Blvd, Studio City, CA 91604 CCN 5556863 state class AA/ASFF Candidate | 3.6 km | 181 | May 5, 2026 | 1173 harm2 open | $46k | |
| Imperial Care Center 11441 Ventura Blvd, Studio City, CA 91604 CCN 5557078 state class AA/ASFF Candidate | 3.6 km | 130 | Aug 19, 2026 | 1244 IJ4 harm1 open | $213k | |
| Providence St Elizabeth Care Center 10425 Magnolia Blvd, North Hollywood, CA 91601 CCN 055192SFF Candidate | 3.7 km | 52 | Apr 2, 2026 | 874 IJ | $54k | |
| Valley Palms Care Center 13400 Sherman Way, N Hollywood, CA 91605 CCN 0552871 state class AA/A | 4.2 km | 99 | May 18, 2026 | 1371 IJ1 harm | $34k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055932 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055932 | 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 | 920000004 | 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
| Problem Transfer |
| $2,000 |
Closed |
| 920017498 |
| Aug 23, 2021 violation Jul 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 810016821 |
| Apr 6, 2020 violation Feb 20, 2020 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 920015829 |
| Apr 6, 2020 violation Feb 20, 2020 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 920015828 |
| Apr 6, 2020 violation Feb 20, 2020 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 920015827 |
| Apr 6, 2020 violation Feb 20, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Record | $2,000 | Closed | 920015826 |
| Jun 10, 2019 violation Jun 1, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920015139 |
| Apr 12, 2019 violation Jan 11, 2019 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 920014955 |
| Apr 12, 2019 violation Jun 1, 2018 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920014954 |
| Apr 24, 2017 violation Jan 7, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 920013129 |
| Dec 21, 2016 violation Dec 13, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 920012826 |
| Nov 1, 2016 violation Mar 11, 2016 | Class B | Citation Citation B (HSC 1424) | Administration | $2,000 | Closed | 920012714 |
| Jun 20, 2013 violation Mar 19, 2012 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 920009955 |
| Mar 16, 2012 violation Jan 11, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 | Closed | 920009122 |
| Mar 4, 2009 violation Jan 14, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 920005931 |
| Feb 4, 2009 violation Jan 21, 2009 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 920005857 |
| Feb 13, 2008 violation Jul 12, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $5,000 initial $20,000 | Appealed Closed | 920004587 |
| Dec 7, 2007 violation Oct 3, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 920004508 |
| Sep 10, 2007 violation Aug 30, 2007 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 920004267 |
| Aug 9, 2007 violation Jun 2, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 920004170 |
| Jul 9, 2007 violation Jun 12, 2007 | RD | Citation Citation Retaliation/Discrimination (HSC 1432) | Administration · Retaliation | $1,000 | Closed | 920004081 |
| Jul 9, 2007 violation Jun 12, 2007 | RD | Citation Citation Retaliation/Discrimination (HSC 1432) | Administration · Retaliation | $1,000 | Closed | 920004080 |
| Aug 21, 2006 violation Mar 1, 2006 | Class B | Citation Citation B (HSC 1424) | Administration | $500 initial $1,000 | Appealed Closed | 920003303 |
| Aug 21, 2006 violation Mar 1, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 initial $1,000 | Appealed Closed | 920003302 |
| Aug 21, 2006 violation Apr 1, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 initial $1,000 | Appealed Closed | 920003301 |
| Nov 23, 2004 violation Sep 6, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 initial $1,000 | Appealed Closed | 920001208 |
| Aug 20, 2004 violation Aug 3, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 920001206 |
| Feb 19, 2003 violation Jan 24, 2003 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 920001174 |
| Dec 12, 2002 violation Nov 22, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 920001171 |
| Dec 11, 2002 violation Nov 13, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 920001170 |
| Sep 20, 2002 violation Aug 26, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 920001163 |
| Nov 3, 2000 violation Oct 30, 2000 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 920001093 |
| Feb 4, 2000 violation Jan 27, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 920001061 |
| Corrected Aug 6, 2026 |
| Jul 31, 2026 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 6, 2026 |
| Jul 31, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 6, 2026 |
| Jul 31, 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 Aug 6, 2026 |
| Jul 31, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 6, 2026 |
| Jul 31, 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 | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 20, 2026 |
| Jul 31, 2026 | 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 Aug 20, 2026 |
| Jul 31, 2026 | 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 Aug 20, 2026 |
| Jul 31, 2026 | 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 | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 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 Aug 20, 2026 |
| Jul 31, 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 Aug 20, 2026 |
| Jul 31, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | No plan of correction |
| Jul 31, 2026 | 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 Aug 20, 2026 |
| Jul 31, 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 | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 20, 2026 |
| Jul 31, 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 Aug 20, 2026 |
| Jul 31, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 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 Aug 20, 2026 |
| Jul 31, 2026 | 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 Aug 20, 2026 |
| Jul 31, 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 Aug 20, 2026 |
| Jul 31, 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 | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 20, 2026 |
| Jul 31, 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 Aug 20, 2026 |
| Jul 31, 2026 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 20, 2026 |
| Jul 31, 2026 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 20, 2026 |
| Jul 7, 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 18, 2026 | Complaint |
| Jul 7, 2026 | 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 Jul 18, 2026 | Complaint |
| Jun 30, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 22, 2026 | Complaint |
| Jun 30, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 22, 2026 | Complaint |
| Jun 30, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 22, 2026 | Complaint |
| Jun 30, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 22, 2026 | Complaint |
| May 26, 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 5, 2026 | Complaint |
| Mar 26, 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 Apr 3, 2026 | Complaint |
| Feb 20, 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 5, 2026 | Complaint |
| Feb 20, 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 Mar 6, 2026 | Complaint |
| Feb 20, 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 Mar 5, 2026 | Complaint |
| Feb 11, 2026 | 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 Mar 2, 2026 | Complaint |
| Feb 11, 2026 | 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 Mar 2, 2026 | Complaint |
| Feb 11, 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 Mar 2, 2026 | Complaint |
| Feb 11, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 2, 2026 | Complaint |
| Jan 9, 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 Jan 30, 2026 | Complaint |
| Dec 23, 2025 | 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 Jan 12, 2026 | Complaint |
| Dec 12, 2025 | 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 Dec 24, 2025 | Complaint |
| Dec 4, 2025 | 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 Dec 11, 2025 | Complaint |
| Dec 2, 2025 | 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 Jan 17, 2026 | Complaint |
| Nov 13, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 21, 2025 | Complaint |
| Nov 13, 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 Nov 21, 2025 | Complaint |
| Oct 24, 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 Oct 31, 2025 | Complaint |
| Oct 24, 2025 | 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 Oct 31, 2025 | Complaint |
| Sep 15, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 25, 2025 | Complaint |
| Aug 22, 2025 | 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 Sep 15, 2025 | Complaint |
| Aug 22, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 15, 2025 | Complaint |
| Jul 2, 2025 | 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, 2025 | Complaint |
| Jun 13, 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 27, 2025 | Complaint |
| Jun 11, 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 30, 2025 | Complaint |
| Jun 11, 2025 | 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 30, 2025 | Complaint |
| Apr 25, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2025 |
| Apr 25, 2025 | 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 May 16, 2025 |
| Apr 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 May 16, 2025 |
| Apr 25, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 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 | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 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 | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 25, 2025 | 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 May 16, 2025 | Complaint |
| Apr 25, 2025 | 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 | D · Potential harm Isolated | Corrected May 16, 2025 |
| Apr 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 May 16, 2025 |
| Apr 25, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 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 May 16, 2025 |
| Apr 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 | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 16, 2025 |
| Apr 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 | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 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 | E · Potential harm Pattern | Corrected May 16, 2025 |
| Apr 25, 2025 | 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 May 16, 2025 |
| Apr 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 May 16, 2025 |
| Apr 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 | E · Potential harm Pattern | Corrected May 16, 2025 | Complaint |
| Apr 25, 2025 | 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 May 16, 2025 |
| Apr 25, 2025 | 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 | D · Potential harm Isolated | Corrected May 16, 2025 |
| Apr 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 May 16, 2025 |
| Apr 25, 2025 | 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 May 16, 2025 |
| Apr 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 16, 2025 |
| Apr 25, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 16, 2025 |
| Apr 3, 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 Apr 22, 2025 | Complaint |
| Apr 3, 2025 | 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 Apr 22, 2025 | Complaint |
| Mar 13, 2025 | 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 Apr 4, 2025 | Complaint |
| Mar 13, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 4, 2025 | Complaint |
| Mar 13, 2025 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 4, 2025 | Complaint |
| Mar 13, 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 Apr 4, 2025 | Complaint |
| Mar 13, 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 | E · Potential harm Pattern | Corrected Apr 4, 2025 | Complaint |
| Mar 13, 2025 | 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 Apr 4, 2025 | Complaint |
| Feb 11, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 28, 2025 | Complaint |
| Jan 13, 2025 | 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 Feb 3, 2025 | Complaint |
| Jan 13, 2025 | 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 Feb 3, 2025 | Complaint |
| Dec 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 | D · Potential harm Isolated | Corrected Dec 16, 2024 | Complaint |
| Nov 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 | G · Actual harm Isolated | Corrected Dec 18, 2024 | Complaint |
| Nov 12, 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 Nov 22, 2024 | Complaint |
| Oct 8, 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 Oct 31, 2024 | Complaint |
| Oct 8, 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 | D · Potential harm Isolated | Corrected Oct 31, 2024 | Complaint |
| Sep 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 Sep 30, 2024 | Complaint |
| Jul 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 14, 2024 | Complaint |
| Jul 11, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 5, 2024 | Complaint |
| Jun 26, 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 | E · Potential harm Pattern | Corrected Jul 23, 2024 | Complaint |
| May 9, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 25, 2024 | Complaint |
| May 3, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 30, 2024 |
| May 3, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 23, 2024 |
| May 3, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 23, 2024 |
| May 3, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 23, 2024 |
| May 3, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 23, 2024 |
| May 3, 2024 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 23, 2024 |
| May 3, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 23, 2024 |
| May 3, 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 30, 2024 |
| May 3, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 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 | E · Potential harm Pattern | Corrected May 30, 2024 | Complaint |
| May 3, 2024 | 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 30, 2024 |
| May 3, 2024 | 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 May 30, 2024 |
| May 3, 2024 | 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 May 30, 2024 |
| May 3, 2024 | 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 30, 2024 | Complaint |
| May 3, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 30, 2024 | Complaint |
| May 3, 2024 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 3, 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 30, 2024 |
| May 3, 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 May 30, 2024 |
| May 3, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 3, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 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 | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 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 May 30, 2024 |
| May 3, 2024 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 3, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 30, 2024 | Complaint |
| May 3, 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 30, 2024 |
| May 3, 2024 | 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 | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 3, 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 30, 2024 |
| May 3, 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 30, 2024 |
| May 3, 2024 | 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 May 30, 2024 |
| May 3, 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 30, 2024 |
| May 3, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 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 30, 2024 |
| May 3, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 3, 2024 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | B · Minimal Pattern | Corrected May 30, 2024 |
| May 3, 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 May 30, 2024 |
| Apr 11, 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 Apr 29, 2024 | Complaint |
| Mar 4, 2024 | 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 Mar 18, 2024 | Complaint |
| Mar 4, 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 Mar 18, 2024 | Complaint |
| Mar 4, 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 | D · Potential harm Isolated | Corrected Mar 18, 2024 | Complaint |
| Mar 4, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 18, 2024 | Complaint |
| Jan 12, 2024 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 29, 2024 | Complaint |
| Nov 27, 2023 | 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 Dec 6, 2023 | Complaint |
| Nov 27, 2023 | 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 Dec 6, 2023 | Complaint |
| Oct 9, 2023 | 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 | J · Immediate jeopardy Isolated | Corrected Nov 2, 2023 | Complaint |
| Oct 9, 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 | J · Immediate jeopardy Isolated | Corrected Nov 2, 2023 | Complaint |
| Oct 9, 2023 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Nov 2, 2023 | Complaint |
| Oct 9, 2023 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Nov 2, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.18 (case-mix index 1.48).
| not provided |
| Jan 5, 1984 |
| Simcha Cyrulnik | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 4, 2025 |
| Shlomo Rechnitz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2011 |
| Corporate Interface Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 18, 2024 |
| Eretz Laurel Properties LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 7, 2014 |
| Rockport Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2011 |
| Roberto Beaton | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 5, 1984 |
| Simcha Cyrulnik | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 4, 2025 |
| 75 |
| Apr 21, 2026 |
60 |
| — |
| Westwood Post Acute Care 12121 Santa Monica Boulevard, Los Angeles, CA 90025 CCN 0550608 state class AA/AAbuse icon | 93 | Jul 7, 2026 | 982 harm | $111k |
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| West Pico Terrace Healthcare & Wellness Centre LP 6070 W. Pico Boulevard, Los Angeles, CA 90035 CCN 0551193 state class AA/A | 49 | Apr 17, 2026 | 56 | — |
| Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard, Los Angeles, CA 90035 CCN 0551601 state class AA/A | 59 | Mar 26, 2026 | 64 | — |
| Montecito Heights Healthcare & Wellness Centre, LP 4585 N. Figueroa St., Los Angeles, CA 90065 CCN 055163 | 90 | Jun 25, 2026 | 63 | — |
| Plaza Healthcare Center 1209 Hemlock Way, Santa Ana, CA 92707 CCN 0552062 state class AA/AAbuse icon | 145 | Aug 6, 2026 | 1503 harm | $58k |