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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 | K1 | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D54 | E48 | F2 |
| Minimal | A· | B1 | C1 |
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 14, 2026 | Fire safety | Fire Safety Standard | 17 | Potential harm | — | Open → |
| Aug 14, 2026 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Jun 18, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 26, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 8, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 8, 2025 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Jun 26, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| May 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 10, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Feb 26, 2025 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Aug 16, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Aug 2, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Aug 2, 2024 | Health | Health Complaint, Health Standard | 24 | Actual harm | — | Open → |
| Jun 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 26, 2024 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 26, 2025 | Civil money penalty (fine) | $14,505 | — | 056079|Fine|134203 |
| Apr 10, 2025 | Civil money penalty (fine) | $33,040 | — | 056079|Fine|131261 |
| Feb 26, 2025 | Civil money penalty (fine) | $30,167 | — | 056079|Fine|131135 |
| Aug 2, 2024 | Civil money penalty (fine) | $45,056 | — | 056079|Fine|130755 |
| Apr 26, 2024 | Denial of payment for new admissions | — | May 25, 2024 · 37 days | 056079|Payment Denial|2024-05-25 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 7, 2024 violation Apr 24, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 950020285 |
| Jun 3, 2024 violation Apr 19, 2024 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $120,000 | Death related Open | 950020258 |
| Jul 21, 2023 violation Jun 8, 2023 | Class B | Citation Citation B (HSC 1424) | Physical Environment |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K1 | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D54 | E48 | F2 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 14, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 14, 2026 | |
| Aug 14, 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 | E · Potential harm Pattern | Corrected Aug 21, 2026 | |
| Aug 14, 2026 | K-0342 |
“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.
8 facilities in 1 states. CMS chain ID 456.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Glendora Grand, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 11, 2009 |
| William Nelson | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 11, 2009 |
| Vicki Rollins | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 11, 2009 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Glendora Grand, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 11, 2009 |
| William Nelson | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 11, 2009 |
| Vicki Rollins | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Dec 11, 2009 |
| Gladys Lazo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2015 |
| Lakshman Makandura |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Torrance Care Center West, Inc 4333 Torrance Blvd, Torrance, CA 90503 CCN 0559521 state class AA/A | 195 | Jun 25, 2026 | 911 IJ2 harm | $45k | |
| Centinela Grand Inc |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Emanate Health Inter-Community Hospital- D/P SNF 210 W. San Bernardino Rd., Covina, CA 91723 CCN 5556101 state class AA/A | 2 km | 25 | May 28, 2026 | 30 | — | |
| Gladstone Sub-Acute and Rehab Center 435 E. Gladstone St, Glendora, CA 91740 CCN 0561181 state class AA/A | 2.1 km | 118 | Aug 14, 2026 | 1161 harm | — | |
| Covina Rehabilitation Center 261 W. Badillo Street, Covina, CA 91723 CCN 0554491 state class AA/A | 2.3 km | 99 | Jun 18, 2026 | 811 IJ1 harm | $29k | |
| Arbor Glen Care Center 1033 E. Arrow Highway, Glendora, CA 91740 CCN 0563607 state class AA/A | 2.8 km | 98 | Jul 30, 2026 | 981 harm | — | |
| Harvard Creek Post Acute 519 W. Badillo St., Covina, CA 91722 CCN 0555442 state class AA/A | 2.8 km | 59 | Mar 4, 2026 | 55 | — | |
| Mesa Glen Care Center 638 E Colorado Avenue, Glendora, CA 91740 CCN 5558542 state class AA/ASFFAbuse icon | 3 km | 96 | Not rated | Aug 26, 2026 | 1783 harm2 open | $103k |
| Glendora Canyon Transitional Care Unit 401 W. Ada Ave., Glendora, CA 91741 CCN 5554165 state class AA/A | 3.1 km | 120 | Mar 27, 2026 | 811 harm | — | |
| Citrus Heights Health Center 161 S. Reeder Ave, Covina, CA 91724 CCN 555932 | 3.5 km | 32 | Jul 22, 2026 | 35 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056079 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056079 | 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 | 950000009 | 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
| Apr 26, 2024 | Civil money penalty (fine) | $45,422 | — | 056079|Fine|130573 |
| $3,000 |
Closed |
| 950018989 |
| Jul 21, 2023 violation May 13, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950018986 |
| Jul 20, 2023 violation Jun 8, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Record | $3,000 | Closed | 950018980 |
| Jul 20, 2023 violation May 3, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 950018978 |
| Jan 19, 2023 violation Oct 7, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Death related Closed | 950018326 |
| Dec 29, 2022 violation Sep 2, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Closed | 950018278 |
| May 8, 2019 violation Dec 10, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 950015043 |
| Jun 23, 2018 violation Feb 5, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Open | 950014182 |
| Feb 2, 2018 violation Feb 9, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $60,000 initial $20,000 | Appealed Open | 950013771 |
| Jan 18, 2017 violation Jul 13, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950012894 |
| Jan 18, 2017 violation Jan 12, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950012893 |
| Jan 18, 2017 violation Jan 12, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950012892 |
| Jan 18, 2017 violation Jul 13, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950012891 |
| Jan 18, 2017 violation Jul 13, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950012890 |
| Jan 18, 2017 violation Jul 13, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950012889 |
| Dec 22, 2016 violation Aug 17, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 950012831 |
| Nov 23, 2016 violation Aug 17, 2016 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $2,000 | Closed | 950012772 |
| Mar 18, 2016 violation Sep 24, 2014 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 950012127 |
| Mar 18, 2016 violation May 21, 2015 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 950012125 |
| Jun 19, 2015 violation May 25, 2014 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death related Closed | 950011518 |
| Aug 22, 2013 violation Oct 30, 2012 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $2,000 | Closed | 950010116 |
| May 1, 2013 violation Jun 6, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950009868 |
| Oct 20, 2011 violation Oct 14, 2009 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 950008652 |
| Dec 28, 2007 violation Aug 24, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 950004545 |
| Jan 22, 2002 violation Jan 3, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 950001409 |
| Jul 20, 2001 violation Jun 29, 2001 | Class B | Citation Citation B (HSC 1424) | Other · PATIENTS' MONIES | $800 | Closed | 950001398 |
| Apr 27, 2000 violation Mar 2, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $600 | Closed | 950001337 |
| 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 14, 2026 |
| Aug 14, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Aug 14, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 25, 2026 |
| Aug 14, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 4, 2026 |
| Aug 14, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 21, 2026 |
| Aug 14, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 4, 2026 |
| Aug 14, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 20, 2026 |
| Aug 14, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 27, 2026 |
| Aug 14, 2026 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 25, 2026 |
| Aug 14, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 18, 2026 |
| Aug 14, 2026 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 18, 2026 |
| Aug 14, 2026 | 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 Aug 14, 2026 |
| Aug 14, 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 Aug 14, 2026 |
| Aug 14, 2026 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 25, 2026 |
| Aug 14, 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 25, 2026 |
| Aug 14, 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 17, 2026 |
| Aug 14, 2026 | 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 31, 2026 |
| Aug 14, 2026 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 17, 2026 |
| Aug 14, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 31, 2026 |
| Aug 14, 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 Aug 17, 2026 |
| Aug 14, 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 | Corrected Aug 17, 2026 |
| Aug 14, 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 19, 2026 |
| Aug 14, 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 Aug 18, 2026 |
| Aug 14, 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 17, 2026 |
| Aug 14, 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 17, 2026 |
| Aug 14, 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 14, 2026 |
| Aug 14, 2026 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 17, 2026 |
| Aug 14, 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 Aug 20, 2026 |
| Aug 14, 2026 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 18, 2026 |
| Aug 14, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 18, 2026 |
| Aug 14, 2026 | 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 Aug 17, 2026 |
| Aug 14, 2026 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Aug 21, 2026 |
| Jun 18, 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 Jul 2, 2026 | Complaint |
| Jun 18, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 2, 2026 | Complaint |
| Nov 26, 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 Dec 5, 2025 | Complaint |
| Nov 26, 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 Dec 5, 2025 | Complaint |
| Nov 26, 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 Dec 5, 2025 | Complaint |
| Aug 8, 2025 | 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 Aug 29, 2025 |
| Aug 8, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Aug 8, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 8, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 8, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 8, 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 Aug 29, 2025 |
| Aug 8, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 25, 2025 |
| Aug 8, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 25, 2025 |
| Aug 8, 2025 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 20, 2025 |
| Aug 8, 2025 | 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 27, 2025 |
| Aug 8, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 25, 2025 |
| Aug 8, 2025 | 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 | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 8, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 26, 2025 |
| Aug 8, 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 Aug 25, 2025 |
| Aug 8, 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 Aug 10, 2025 |
| Aug 8, 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 Aug 25, 2025 |
| Aug 8, 2025 | 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 Aug 11, 2025 |
| Aug 8, 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 Aug 26, 2025 |
| Aug 8, 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 Aug 29, 2025 |
| Aug 8, 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 Aug 29, 2025 |
| Aug 8, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 27, 2025 |
| Aug 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Jun 26, 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 | G · Actual harm Isolated | Corrected Jul 16, 2025 | Complaint |
| Jun 26, 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 Jul 16, 2025 | Complaint |
| May 15, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 22, 2025 | Complaint |
| Apr 10, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 30, 2025 | Complaint |
| Apr 10, 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 30, 2025 | Complaint |
| Apr 10, 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 Apr 30, 2025 | Complaint |
| Feb 26, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 14, 2025 | Complaint |
| Feb 26, 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 Mar 14, 2025 | Complaint |
| Feb 26, 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 Mar 14, 2025 | Complaint |
| Feb 26, 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 Mar 14, 2025 | Complaint |
| Feb 26, 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 Mar 14, 2025 | Complaint |
| Aug 16, 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 | J · Immediate jeopardy Isolated | Corrected Aug 17, 2024 | Complaint |
| Aug 2, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 15, 2024 |
| Aug 2, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 26, 2024 |
| Aug 2, 2024 | 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 Aug 26, 2024 |
| Aug 2, 2024 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 2, 2024 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 2, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 2, 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 Aug 26, 2024 |
| Aug 2, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 2, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 26, 2024 |
| Aug 2, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 2, 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 Aug 5, 2024 |
| Aug 2, 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 Aug 8, 2024 |
| Aug 2, 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 Aug 8, 2024 |
| Aug 2, 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 Aug 8, 2024 |
| Aug 2, 2024 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| Aug 2, 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 Aug 9, 2024 |
| Aug 2, 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 Aug 9, 2024 |
| Aug 2, 2024 | 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 8, 2024 |
| Aug 2, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| Aug 2, 2024 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| Aug 2, 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 | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 2, 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 Aug 26, 2024 |
| Aug 2, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 2, 2024 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 5, 2024 |
| Aug 2, 2024 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Aug 2, 2024 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 26, 2024 |
| Aug 2, 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 | E · Potential harm Pattern | Corrected Aug 9, 2024 |
| Aug 2, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 9, 2024 | Complaint |
| Aug 2, 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 Aug 20, 2024 |
| Aug 2, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Aug 2, 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 | B · Minimal Pattern | Corrected Aug 9, 2024 |
| Jun 25, 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 Jul 1, 2024 | Complaint |
| Apr 26, 2024 | 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 | K · Immediate jeopardy Pattern | Corrected May 20, 2024 | Complaint |
| Apr 26, 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 | J · Immediate jeopardy Isolated | Corrected May 20, 2024 | Complaint |
| Apr 26, 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 20, 2024 | Complaint |
| Apr 26, 2024 | 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 | E · Potential harm Pattern | Corrected May 20, 2024 | Complaint |
| Apr 26, 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 May 20, 2024 | Complaint |
| Apr 26, 2024 | 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 | D · Potential harm Isolated | Corrected Jul 1, 2024 | Complaint |
| Mar 21, 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 Mar 25, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.76 (case-mix index 1.23).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jul 22, 2010 |
| Karen Pagela-Zambrano | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2022 |
| William Nelson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 11, 2009 |
| Vicki Rollins | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 11, 2009 |
| Glendora Grand Property, LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Dec 11, 2009 |
| William Nelson | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Dec 11, 2009 |
| Vicki Rollins | Individual | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Dec 11, 2009 |
| Glendora Grand Property, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2009 |
| Gladys Lazo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2015 |
| Lakshman Makandura | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 22, 2010 |
| William Nelson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2009 |
| Karen Pagela-Zambrano | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2022 |
| Vicki Rollins | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2009 |
| 109 |
| Aug 27, 2026 |
561 harm1 open |
| — |
| Long Beach Care Center, Inc 2615 Grand Avenue, Long Beach, CA 90815 CCN 0561886 state class AA/AAbuse icon | 163 | Jul 12, 2026 | 891 IJ2 harm | $55k |
| Pacific Villa, Inc 3501 Cedar Avenue, Long Beach, CA 90807 CCN 0563137 state class AA/AAbuse icon | 95 | Feb 27, 2026 | 1032 harm1 open | $29k |
| Flower Villa, Inc 1480 S. La Cienega Bl, Los Angeles, CA 90035 CCN 0564382 state class AA/A | 41 | Apr 12, 2026 | 561 harm | $18k |
| Century Villa, Inc 301 Centinela Ave, Inglewood, CA 90302 CCN 5553684 state class AA/A | 99 | Apr 10, 2026 | 421 harm | $19k |
| West Covina Medical Center D/P SNF 725 S. Orange Avenue, West Covina, CA 91790 CCN 555649 | 33 | Jul 1, 2026 | 48 | — |