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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D77 | E38 | F2 |
| Minimal | A· | B2 |
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 28, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 9, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 5, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 26, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 14, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 23, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 23, 2026 | Health | Health Standard | 32 | Potential harm | — | Open → |
| Apr 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 16, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 6, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 8, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Standard | 31 | Potential harm | — | Open → |
| Mar 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 23, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 20, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 29, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 30, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| May 30, 2024 | Health | Health Standard | 12 | Potential harm | — | Open → |
| May 14, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 30, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 16, 2023 violation Mar 9, 2023 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death relatedAppealed Open | 920018748 |
| Feb 24, 2022 violation Oct 7, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920017351 |
| Jan 29, 2021 violation Dec 3, 2020 | Class B |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D77 | E38 | F2 |
| Minimal | A· | B2 | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 28, 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 Aug 20, 2026 | Complaint |
| Jul 24, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 17, 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 |
|---|---|---|---|---|---|
| Rachel Klavan | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Rachel Klavan | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | Jun 30, 2023 |
| Nemia Agustin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2003 |
| Daud Alemi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 16, 2021 |
| Ashwani Bhardwaj | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 23, 2008 |
| Joshua Klavan | Individual |
| 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 |
|---|---|---|---|---|---|---|
| Berkley Post-Acute 6600 Sepulveda Blvd, Van Nuys, CA 91411 CCN 056253 | 0.2 km | 125 | Jul 30, 2026 | 70 | — | |
| Terrace Post Acute 7447 Sepulveda Blvd, Van Nuys, CA 91405 CCN 5557387 state class AA/A | 1.5 km | 133 | Jun 4, 2026 | 1083 harm | $94k | |
| Lake Balboa Care Center 16955 Vanowen Street, Van Nuys, CA 91406 CCN 056180 | 2.8 km | 50 | Jul 23, 2026 | 41 | — | |
| The Care Center on Hazeltine, LLC 6835 Hazeltine Ave., Van Nuys, CA 91405 CCN 555519 | 2.8 km | 58 | Dec 18, 2025 | 452 harm | $73k | |
| The Meadows Post Acute 14857 Roscoe Boulevard, Panorama City, CA 91402 CCN 0561371 state class AA/A | 3.4 km | 98 | Mar 24, 2026 | 591 IJ1 harm | $21k | |
| Grand Valley Health Care Center 13524 Sherman Way, Van Nuys, CA 91405 CCN 056363 | 3.8 km | 99 | Jun 12, 2026 | 891 IJ | $79k | |
| Sherman Oaks Hospital SNF Dp 4929 Van Nuys Blvd, Sherman Oaks, CA 91403 CCN 555885 | 4 km | 22 | Jun 4, 2026 | 42 | — | |
| Sherman Oaks Health & Rehab 14401 Huston St., Sherman Oaks, CA 91423 CCN 0562502 state class AA/A | 4.1 km | 120 | Jul 2, 2026 | 1191 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056149 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056149 | 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 | 920000050 | 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
| Citation Citation B (HSC 1424) |
| Physical Environment |
| $2,000 |
Closed |
| 920016254 |
| Nov 14, 2007 violation May 16, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $600 initial $1,000 | Appealed Closed | 920004445 |
| Nov 14, 2007 violation May 12, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $400 initial $1,000 | Appealed Closed | 920004444 |
| Jun 9, 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 Jul 2, 2026 | Complaint |
| Jun 5, 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 Jun 22, 2026 | Complaint |
| Jun 5, 2026 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 22, 2026 | Complaint |
| May 26, 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 | D · Potential harm Isolated | Corrected Jun 22, 2026 | Complaint |
| May 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 Jun 5, 2026 | Complaint |
| Apr 23, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 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 May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected May 15, 2026 |
| Apr 23, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 2026 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 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 | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 2026 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 23, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 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 15, 2026 |
| Apr 23, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 23, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 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 | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 23, 2026 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 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 | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 23, 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 May 15, 2026 |
| Apr 23, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 23, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 23, 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 | C · Minimal Widespread | Corrected May 15, 2026 |
| Apr 16, 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 7, 2026 | Complaint |
| Mar 16, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Mar 16, 2026 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Jan 6, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 30, 2026 | Complaint |
| Jan 6, 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 |
| Nov 18, 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 Dec 11, 2025 | Complaint |
| Jul 21, 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 Aug 13, 2025 | Complaint |
| May 21, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 5, 2025 | Complaint |
| May 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 May 29, 2025 |
| May 8, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 29, 2025 |
| May 8, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 29, 2025 |
| May 8, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 29, 2025 |
| May 8, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 29, 2025 |
| May 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 May 29, 2025 |
| May 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 May 29, 2025 |
| May 8, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | 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 May 30, 2025 |
| May 8, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | 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 May 30, 2025 |
| May 8, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 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 | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 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 | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | 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 May 30, 2025 |
| May 8, 2025 | 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 May 30, 2025 |
| May 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 May 30, 2025 |
| May 8, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 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 May 30, 2025 |
| May 8, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 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 | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0907 | Provide enough space and equipment to meet each resident's needs Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 8, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2025 |
| Mar 12, 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 Mar 28, 2025 | Complaint |
| Jan 23, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 14, 2025 | Complaint |
| Jan 23, 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 Feb 14, 2025 | Complaint |
| Dec 23, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Nov 19, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 14, 2024 | Complaint |
| Sep 18, 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 Oct 11, 2024 | Complaint |
| Aug 20, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Aug 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 | E · Potential harm Pattern | Corrected Sep 13, 2024 | Complaint |
| Aug 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Jul 29, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 22, 2024 | Complaint |
| Jul 29, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 22, 2024 | Complaint |
| Jul 29, 2024 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 22, 2024 | Complaint |
| May 30, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 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 | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 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 Jun 21, 2024 |
| May 30, 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 Jun 21, 2024 |
| May 30, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 21, 2024 |
| May 30, 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 Jun 21, 2024 |
| May 30, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 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 21, 2024 |
| May 30, 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 | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 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 | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 21, 2024 |
| May 30, 2024 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 21, 2024 |
| May 30, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jun 21, 2024 |
| May 30, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jun 21, 2024 |
| May 30, 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 Jun 21, 2024 |
| May 14, 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 Jun 7, 2024 | Complaint |
| Oct 30, 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 Nov 16, 2023 | Complaint |
| Oct 30, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.25 (case-mix index 2.06).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Dec 1, 2022 |
| Ira Friedman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 30, 2023 |
| Rachel Klavan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 30, 2023 |
| Ira Friedman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 30, 2023 |
| 6700 Sepulveda LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 22, 2023 |
| Beneficial Health Care LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 28, 2025 |
| 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 |
| The Klavan Family Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| The Tzippy Friedman Notis 1990 Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Nemia Agustin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2003 |
| Daud Alemi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 16, 2021 |
| Ashwani Bhardwaj | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 23, 2008 |
| 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 |
| 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 |