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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D49 | E25 | F7 |
| 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 | |
|---|---|---|---|---|---|---|
| Sep 12, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Sep 12, 2025 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Jul 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 10, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| May 10, 2024 | Health | Health Standard | 10 | Potential harm | — | Open → |
| May 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 18, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 30, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 29, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 20, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 3, 2022 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| May 3, 2022 | Health | Health Standard | 18 | Actual harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 29, 2024 violation Mar 8, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 070020151 |
| Mar 14, 2024 violation Nov 29, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810019834 |
| Dec 7, 2023 violation Mar 19, 2023 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $120,000 | Death related |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D49 | E25 | F7 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 12, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 25, 2025 | |
| Sep 12, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 25, 2025 | |
| Sep 12, 2025 | K-0711 |
“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 reports the legal business name as not available.
Not part of a CMS-reported chain.
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Milpitas Care Center 120 Corning Avenue, Milpitas, CA 95035 CCN 5557572 state class AA/A | 5.3 km | 35 | Jan 5, 2026 | 821 harm | $20k | |
| The Win Post-Acute 410 North Winchester Boulevard, Santa Clara, CA 95050 CCN 0556452 state class AA/A | 6.1 km | 133 | Mar 24, 2026 | 582 harm1 open | — | |
| Skyline Healthcare Center - San Jose 2065 Forest Avenue, San Jose, CA 95128 CCN 0553182 state class AA/A | 7 km | 253 | Aug 12, 2026 | 1322 IJ1 harm | $105k | |
| O'connor Hospital D/P SNF 2105 Forest Avenue, San Jose, CA 95128 CCN 5559161 state class AA/A | 7 km | 24 | Aug 29, 2025 | 35 | — | |
| Cedar Crest Nursing and Rehabilitation Center 797 E Fremont Avenue, Sunnyvale, CA 94087 CCN 555790 | 7.4 km | 99 | Aug 11, 2025 | 44 | — | |
| Courtyard Care Center 340 Northlake Drive, San Jose, CA 95117 CCN 5556351 state class AA/A | 7.7 km | 76 | Aug 20, 2026 | 761 harm2 open | — | |
| Sunnyvale Gardens Post Acute 1150 Tilton Drive, Sunnyvale, CA 94087 CCN 5554441 state class AA/A | 8 km | 140 | Mar 19, 2025 | 751 IJ1 harm | $43k | |
| San Jose Healthcare & Wellness Center 75 N. 13th Street, San Jose, CA 95112 CCN 0553883 state class AA/A | 8 km | 58 | Jun 19, 2025 | 591 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056069 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056069 | 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 | 220001018 | 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
| 070019198 |
| Jan 19, 2023 violation Feb 17, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Death relatedAppealed Closed | 070018212 |
| Jul 19, 2022 violation Jun 27, 2022 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 | Closed | 070017792 |
| May 23, 2022 violation Apr 12, 2022 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 070017657 |
| May 23, 2022 violation Apr 18, 2022 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 070017656 |
| May 23, 2022 violation Apr 26, 2022 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 070017654 |
| Apr 19, 2022 violation Oct 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 | 070017566 |
| Jan 27, 2022 violation Sep 1, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070017295 |
| Nov 23, 2021 violation Mar 31, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 070017124 |
| May 16, 2019 violation Nov 9, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $4,000 initial $20,000 | Death relatedAppealed Closed | 070015086 |
| May 16, 2019 violation Nov 9, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,600 initial $2,000 | Death relatedAppealed Closed | 070015082 |
| Feb 23, 2018 violation Jan 29, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $6,000 initial $2,000 | Closed | 070013840 |
| Jun 16, 2017 violation May 14, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070013287 |
| May 31, 2017 violation May 24, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070013236 |
| May 31, 2017 violation Apr 29, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070013208 |
| Jul 15, 2016 violation Jan 26, 2016 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 220012393 |
| Jun 9, 2010 violation Nov 30, 2009 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $3,000 initial $1,000 | Appealed Closed | 220007280 |
| Apr 22, 2009 violation Jan 5, 2009 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Appealed Closed | 220006116 |
| Apr 22, 2009 violation Dec 17, 2008 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Appealed Closed | 220006115 |
| Apr 22, 2009 violation Nov 4, 2008 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Appealed Closed | 220006113 |
| Jun 18, 2008 violation May 15, 2008 | Class B | Citation Citation A (HSC 1424) | Patient Care | $50,000 initial $20,000 | Appealed Closed | 220005152 |
| Apr 8, 2008 violation Jan 24, 2008 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Appealed Closed | 220004868 |
| Dec 17, 2007 violation May 23, 2007 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Appealed Closed | 220004524 |
| Jul 24, 2007 violation Mar 27, 2007 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Appealed Closed | 220004120 |
| Dec 15, 2000 violation Nov 9, 2000 | Class B | Citation Citation B (HSC 1424) | Medication | $800 | Appealed Closed | 220001209 |
| Sep 11, 2000 violation Jun 14, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $2,000 initial $9,000 | Appealed Closed | 220001208 |
| Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Sep 25, 2025 |
| Sep 12, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 25, 2025 |
| Sep 12, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Sep 12, 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 Sep 30, 2025 |
| Sep 12, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 30, 2025 |
| Sep 12, 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 30, 2025 |
| Sep 12, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2025 |
| Sep 12, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2025 |
| Sep 12, 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 Sep 30, 2025 |
| Sep 12, 2025 | 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 Sep 30, 2025 |
| Sep 12, 2025 | 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 Sep 30, 2025 |
| Sep 12, 2025 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2025 |
| Sep 12, 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 Sep 30, 2025 |
| Sep 12, 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 Sep 30, 2025 |
| Sep 12, 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 | F · Potential harm Widespread | Corrected Sep 30, 2025 |
| Sep 12, 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 Sep 30, 2025 |
| Sep 12, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 30, 2025 |
| Sep 12, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 30, 2025 |
| Sep 12, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Sep 25, 2025 |
| Jul 1, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 10, 2025 | Complaint |
| Feb 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 6, 2025 | Complaint |
| Jun 18, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| May 10, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 23, 2024 |
| May 10, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 23, 2024 |
| May 10, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 23, 2024 |
| May 10, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 23, 2024 |
| May 10, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 23, 2024 |
| May 10, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 23, 2024 |
| May 10, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 23, 2024 |
| May 10, 2024 | 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 May 23, 2024 |
| May 10, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 10, 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 | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 10, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 10, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 10, 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 May 30, 2024 |
| May 10, 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 30, 2024 |
| May 10, 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 | F · Potential harm Widespread | Corrected May 30, 2024 |
| May 10, 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 | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 10, 2024 | 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 May 30, 2024 |
| May 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 2, 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 May 18, 2024 | Complaint |
| Apr 24, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 15, 2024 | Complaint |
| Jan 9, 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 | Past non-compliance Dec 27, 2023 | Complaint |
| Dec 18, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Dec 11, 2023 | 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 Jan 5, 2024 | Complaint |
| Dec 11, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 5, 2024 | Complaint |
| Nov 30, 2023 | 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 Dec 30, 2023 | Complaint |
| Nov 29, 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 | G · Actual harm Isolated | Corrected Dec 13, 2023 | Complaint |
| Nov 20, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 7, 2023 | Complaint |
| Oct 26, 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 Nov 17, 2023 | Complaint |
| May 3, 2022 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jun 16, 2022 |
| May 3, 2022 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 13, 2022 |
| May 3, 2022 | 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 May 13, 2022 |
| May 3, 2022 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 13, 2022 |
| May 3, 2022 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 13, 2022 |
| May 3, 2022 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 13, 2022 |
| May 3, 2022 | 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 May 13, 2022 |
| May 3, 2022 | 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 16, 2022 |
| May 3, 2022 | 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 Jun 16, 2022 |
| May 3, 2022 | 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 Jun 16, 2022 |
| May 3, 2022 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 16, 2022 |
| May 3, 2022 | 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 Jun 16, 2022 |
| May 3, 2022 | 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 Jun 16, 2022 |
| May 3, 2022 | 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 | E · Potential harm Pattern | Corrected Jun 16, 2022 |
| May 3, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 16, 2022 |
| May 3, 2022 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 16, 2022 |
| May 3, 2022 | 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 | F · Potential harm Widespread | Corrected Jun 16, 2022 |
| May 3, 2022 | 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 Jun 16, 2022 |
| May 3, 2022 | 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 Jun 16, 2022 |
| May 3, 2022 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 16, 2022 |
| May 3, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 16, 2022 |
| May 3, 2022 | F-0888 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 16, 2022 |
| May 3, 2022 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.33 (case-mix index 1.24).