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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 | D97 | E58 | F6 |
| Minimal | A· | B6 | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 23, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jul 17, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 23, 2026 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Jun 11, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 12, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 24, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Apr 21, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 12, 2026 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Mar 12, 2026 | Health | Health Standard | 31 | Potential harm | — | Open → |
| Mar 4, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 31, 2026 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Jan 14, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 9, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 8, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 10, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Jan 31, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Dec 20, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 20, 2024 | Health | Health Complaint, Health Standard | 30 | Potential harm | — | Open → |
| Aug 12, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 20, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 22, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 7, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 17, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jan 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 29, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 28, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 14, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 14, 2023 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Nov 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 30, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 11, 2026 | Denial of payment for new admissions | — | Jul 23, 2026 · 28 days | 056129|Payment Denial|2026-07-23 |
| Jun 11, 2026 | Civil money penalty (fine) | $10,628 | — | 056129|Fine|141712 |
| Jan 14, 2026 | Civil money penalty (fine) | $14,425 | — | 056129|Fine|138702 |
| Jan 31, 2025 | Civil money penalty (fine) | $17,378 | — | 056129|Fine|131154 |
| Apr 17, 2024 | Denial of payment for new admissions | — | May 16, 2024 · 22 days | 056129|Payment Denial|2024-05-16 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 31, 2024 violation Dec 23, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Open | 920020250 |
| Oct 13, 2023 violation Sep 12, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 920019260 |
| Feb 28, 2023 violation Jan 6, 2023 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $3,500 | Closed | 920018443 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D97 | E58 | F6 |
| Minimal | A· | B6 | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 14, 2026 | Complaint |
| Jul 23, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2026 | Complaint |
“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.
38 facilities in 1 states. CMS chain ID 323.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Friedman Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| Ira D Friedman 1991 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| Lehmann Family 1991 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| The Klavan Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| The Tzippy Friedman Notis 1990 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| Aaron Friedman Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Devorah Danziger Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Elka Kaplan Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Esther Hoff Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Ira David Friedman Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Libby Friedman Lehmann Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Mordechai Notis Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Rachel Notis Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Ruchel Friedman Klavan Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Sarah Dunner Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Yehoshua Notis Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Yisroel Notis Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Friedman Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| Ira D Friedman 1991 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| Lehmann Family 1991 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| The Klavan Family Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Chino Valley Health Care Cente 2351 S Towne Avenue, Pomona, CA 91766 CCN 0551261 state class AA/AAbuse icon | 102 | Aug 28, 2026 | 701 IJ | $10k | |
| Montrose Healthcare Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Griffith Park Healthcare Center 201 Allen Ave., Glendale, CA 91201 CCN 0561116 state class AA/AAbuse icon | 0 km | 94 | Jul 23, 2026 | 1163 IJ | $54k | |
| Alameda Care Center 925 W. Alameda Ave., Burbank, CA 91506 CCN 5556902 state class AA/A | 0.1 km | 89 | Jun 18, 2026 | 113 | — | |
| Dreier's Nursing Care Center 1400 West Glenoaks Blvd, Glendale, CA 91201 CCN 555839 | 2.8 km | 53 | Jul 17, 2026 | 822 IJ1 harm | $49k | |
| Broadway Manor Care Center 605 West Broadway, Glendale, CA 91204 CCN 0556702 state class AA/A | 4.1 km | 78 | May 26, 2026 | 681 IJ1 harm | $36k | |
| Royal Palms Post Acute 630 W. Broadway, Glendale, CA 91204 CCN 05589910 state class AA/A | 4.1 km | 140 | Aug 21, 2026 | 1182 IJ | $80k | |
| Providence St Elizabeth Care Center 10425 Magnolia Blvd, North Hollywood, CA 91601 CCN 055192SFF Candidate | 4.6 km | 52 | Apr 2, 2026 | 874 IJ | $54k | |
| Golden Haven Care Center 409 W. Glenoaks Blvd., Glendale, CA 91202 CCN 0563174 state class AA/A | 4.6 km | 99 | Jul 10, 2026 | 813 IJ1 harm | $49k | |
| Chestnut Ridge Post Acute LLC 525 South Central Avenue, Glendale, CA 91204 CCN 0561901 state class AA/AAbuse icon | 5.3 km | 106 | Aug 21, 2026 | 941 IJ2 harm | $87k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056129 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056129 | 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 | 920000071 | 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
| Mar 2, 2022 violation Dec 11, 2021 |
| Class A |
| Citation Citation A (HSC 1424) |
| Patient Care |
| $20,000 |
Closed |
| 920017457 |
| Feb 24, 2022 violation Dec 13, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 920017423 |
| Nov 9, 2021 violation Aug 16, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920017088 |
| Aug 5, 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 | 810016775 |
| Jul 30, 2021 violation May 14, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920016769 |
| Jul 13, 2021 violation Apr 17, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920016712 |
| May 17, 2017 violation Sep 11, 2015 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 920013204 |
| Dec 22, 2015 violation Jul 29, 2015 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Appealed Closed | 920011898 |
| Jun 1, 2012 violation May 14, 2010 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Death relatedAppealed Closed | 920009039 |
| Sep 4, 2009 violation Jun 6, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $600 | Appealed Closed | 920006537 |
| Mar 4, 2009 violation Jan 8, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 initial $1,000 | Appealed Closed | 920005930 |
| Apr 13, 2001 violation Apr 5, 2001 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 920001124 |
| Jan 12, 2001 violation Sep 25, 2000 | Class B | Citation Citation A (HSC 1424) | Patient Care | $5,000 initial $7,500 | Appealed Closed | 920001099 |
| Jul 23, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 14, 2026 | Complaint |
| Jul 23, 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 14, 2026 | Complaint |
| Jul 17, 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 7, 2026 | Complaint |
| Jul 17, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 7, 2026 | Complaint |
| Jun 23, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 17, 2026 | Complaint |
| Jun 23, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2026 | Complaint |
| Jun 23, 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 20, 2026 | Complaint |
| Jun 23, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 17, 2026 | Complaint |
| Jun 23, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 17, 2026 | Complaint |
| Jun 11, 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 Jul 1, 2026 | Complaint |
| Jun 11, 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 Jul 1, 2026 | Complaint |
| May 12, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 4, 2026 | Complaint |
| May 12, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 4, 2026 | Complaint |
| May 12, 2026 | 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 Jun 4, 2026 | Complaint |
| Apr 24, 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 May 15, 2026 | Complaint |
| Apr 24, 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 May 15, 2026 | Complaint |
| Apr 24, 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 May 15, 2026 | Complaint |
| Apr 24, 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 May 15, 2026 | Complaint |
| Apr 24, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 15, 2026 | Complaint |
| Apr 21, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 14, 2026 | Complaint |
| Apr 21, 2026 | 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 14, 2026 | Complaint |
| Apr 21, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 14, 2026 | Complaint |
| Apr 8, 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 Apr 28, 2026 | Complaint |
| Apr 6, 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 Apr 16, 2026 | Complaint |
| Mar 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 3, 2026 |
| Mar 12, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 3, 2026 |
| Mar 12, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 2026 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 2026 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 2026 | 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 Apr 3, 2026 |
| Mar 12, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 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 | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 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 | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 2026 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 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 | Corrected Apr 3, 2026 |
| Mar 12, 2026 | 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 Apr 3, 2026 |
| Mar 12, 2026 | 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 Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 2026 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 2026 | 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 Apr 3, 2026 |
| Mar 12, 2026 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 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 Apr 3, 2026 |
| Mar 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 3, 2026 |
| Mar 12, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 3, 2026 |
| Mar 12, 2026 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 3, 2026 |
| Mar 12, 2026 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 3, 2026 |
| Mar 12, 2026 | 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 Apr 3, 2026 |
| Mar 4, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 21, 2026 | Complaint |
| Mar 4, 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 Mar 21, 2026 | Complaint |
| Jan 31, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | J · Immediate jeopardy Isolated | Corrected Feb 20, 2026 | Complaint |
| Jan 31, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2026 | Complaint |
| Jan 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 | D · Potential harm Isolated | Corrected Feb 20, 2026 | Complaint |
| Jan 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 Feb 20, 2026 | Complaint |
| Jan 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 Jan 30, 2026 | Complaint |
| Jan 14, 2026 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 30, 2026 | Complaint |
| Jan 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 | D · Potential harm Isolated | Corrected Jan 30, 2026 | Complaint |
| Jan 14, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 30, 2026 | Complaint |
| Dec 9, 2025 | 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 Dec 10, 2025 | Complaint |
| Dec 9, 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 Dec 10, 2025 | Complaint |
| Dec 9, 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 10, 2025 | Complaint |
| Dec 8, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 9, 2025 | Complaint |
| Dec 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 9, 2025 | Complaint |
| Dec 8, 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 | B · Minimal Pattern | Corrected Dec 9, 2025 | Complaint |
| Nov 20, 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 Dec 11, 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 May 1, 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 | E · Potential harm Pattern | Corrected May 1, 2025 | Complaint |
| Apr 10, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 1, 2025 | Complaint |
| Apr 10, 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 1, 2025 | Complaint |
| Apr 10, 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 1, 2025 | Complaint |
| Jan 31, 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 | J · Immediate jeopardy Isolated | Corrected Feb 21, 2025 | Complaint |
| Dec 20, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 10, 2025 |
| Dec 20, 2024 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 10, 2025 |
| Dec 20, 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 Jan 10, 2025 |
| Dec 20, 2024 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 10, 2025 |
| Dec 20, 2024 | 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 Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 | Complaint |
| Dec 20, 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 | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 | Complaint |
| Dec 20, 2024 | 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 Jan 17, 2025 |
| Dec 20, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 2024 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 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 | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 2024 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Dec 20, 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 | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Dec 20, 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 | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Dec 20, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Dec 20, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 2024 | 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 Jan 17, 2025 |
| Dec 20, 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 | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Dec 20, 2024 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Dec 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 17, 2025 |
| Dec 20, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jan 17, 2025 |
| Dec 20, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jan 17, 2025 |
| Dec 20, 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 Jan 17, 2025 |
| Aug 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 | E · Potential harm Pattern | Corrected Sep 5, 2024 | Complaint |
| Aug 12, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 | Complaint |
| Jun 20, 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 Jul 13, 2024 | Complaint |
| Jun 20, 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 Jul 13, 2024 | Complaint |
| Jun 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 13, 2024 | Complaint |
| May 22, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| May 22, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| May 7, 2024 | 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 31, 2024 | Complaint |
| May 7, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 31, 2024 | Complaint |
| May 7, 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 31, 2024 | Complaint |
| Apr 17, 2024 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 11, 2024 | Complaint |
| Apr 17, 2024 | 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 May 11, 2024 | Complaint |
| Jan 22, 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 Feb 9, 2024 | Complaint |
| Jan 19, 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 Feb 2, 2024 | Complaint |
| Dec 29, 2023 | 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 Jan 8, 2024 | Complaint |
| Dec 29, 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 Jan 8, 2024 | Complaint |
| Dec 28, 2023 | 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 Jan 9, 2024 | Complaint |
| Dec 28, 2023 | 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 | Corrected Jan 9, 2024 | Complaint |
| Dec 28, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 9, 2024 | Complaint |
| Dec 14, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2024 |
| Dec 14, 2023 | 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 Jan 15, 2024 |
| Dec 14, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 15, 2024 |
| Dec 14, 2023 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2024 |
| Dec 14, 2023 | 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 Jan 15, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 11, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 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 Jan 11, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 2023 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 11, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 11, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 11, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 11, 2024 |
| Dec 14, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 11, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 2023 | 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 Jan 11, 2024 |
| Dec 14, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 11, 2024 |
| Dec 14, 2023 | 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 | Waiver granted Jan 11, 2024 |
| Nov 6, 2023 | 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 Nov 15, 2023 | Complaint |
| Oct 30, 2023 | 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 Nov 3, 2023 | Complaint |
| Oct 5, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 20, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.34 (case-mix index 1.28).
| The Tzippy Friedman Notis 1990 Trust | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | Jun 30, 2023 |
| Aaron Friedman Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Devorah Danziger Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Elka Kaplan Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Esther Hoff Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Ira David Friedman Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Libby Friedman Lehmann Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Mordechai Notis Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Rachel Notis Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Ruchel Friedman Klavan Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Sarah Dunner Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Yehoshua Notis Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Yisroel Notis Group a Business Assets Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2023 |
| Aaron Friedman | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 15, 2026 |
| Libby Lehmann | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 22, 2026 |
| Shmuel Notis | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | May 22, 2026 |
| Ermine Alaverdyan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 24, 2025 |
| Maria Nina Joy Ignacio | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 10, 2025 |
| Joshua Klavan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2022 |
| Garo Terzian | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2026 |
| Ira Friedman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 30, 2023 |
| Ira Friedman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 30, 2023 |
| Rachel Klavan | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 30, 2023 |
| Zaid Pervaiz | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 30, 2023 |
| Burbank Investments, LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Friedman Family Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Ira D Friedman 1991 Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Lehmann Family 1991 Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Longwood Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| The Tzippy Friedman Notis 1990 Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Ermine Alaverdyan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 24, 2025 |
| Aaron Friedman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Maria Nina Joy Ignacio | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2025 |
| Joshua Klavan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 16, 1986 |
| Zaid Pervaiz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2013 |
| Garo Terzian | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2026 |
| 59 |
| Jul 1, 2026 |
51 |
| — |
| Magnolia Gardens Convalescent Hospital 17922 San Fernando Mission Rd, Granada Hills, CA 91344 CCN 0551421 state class AA/A | 99 | Jul 21, 2026 | 90 | — |
| Pico Rivera Healthcare Center 9140 Verner Street, Pico Rivera, CA 90660 CCN 0551702 state class AA/A | 99 | Apr 9, 2026 | 621 harm | $27k |
| San Gabriel Conv Center 8035 E Hill Drive, Rosemead, CA 91770 CCN 0551811 state class AA/A | 151 | Jun 18, 2026 | 671 harm | — |
| Covina Rehabilitation Center 261 W. Badillo Street, Covina, CA 91723 CCN 0554491 state class AA/A | 99 | Jun 18, 2026 | 811 IJ1 harm | $29k |
| Intercommunity Healthcare & Rehabilitation Center 12627 Studebaker Road, Norwalk, CA 90650 CCN 0554574 state class AA/A | 86 | Aug 28, 2026 | 662 harm2 open | $38k |
| Crenshaw Nursing Home 1900 S Longwood Ave, Los Angeles, CA 90016 CCN 0555255 state class AA/A | 55 | Aug 24, 2026 | 692 IJ | $48k |