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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D69 | E32 | F6 |
| Minimal | A· | B· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 12, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jun 12, 2026 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Jun 2, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 26, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 14, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 4, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Feb 24, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 22, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 26, 2025 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Oct 28, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Sep 17, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 20, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 25, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 25, 2025 | Health | Health Complaint, Health Standard | 22 | Potential harm | — | Open → |
| Feb 19, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 29, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 26, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 7, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 13, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| May 31, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 26, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 26, 2024 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| Apr 12, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 20, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 27, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 24, 2026 | Denial of payment for new admissions | — | Apr 1, 2026 · 8 days | 056166|Payment Denial|2026-04-01 |
| Feb 24, 2026 | Civil money penalty (fine) | $22,126 | — | 056166|Fine|138518 |
| Jul 13, 2024 | Civil money penalty (fine) | $8,976 | — | 056166|Fine|130748 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 13, 2024 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810019826 |
| Nov 3, 2022 violation Sep 19, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 910018138 |
| Dec 4, 2020 violation Sep 10, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death related |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D69 | E32 | F6 |
| Minimal | A· | B· | C5 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 12, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 22, 2026 | |
| Jun 12, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2026 | |
| Jun 12, 2026 | F-0604 |
“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.
32 facilities in 2 states. CMS chain ID 318.
Chain average overall rating (CMS): 3.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Links Healthcare Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Links Support Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Mary Beardsley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Victoria Bernholz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Melissa Carter | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Antonette Frojelin | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Riverbank Post-Acute 2649 Topeka Street, Riverbank, CA 95367 CCN 0550844 state class AA/A | 99 | Jul 22, 2026 | 1071 IJ1 harm | $73k | |
| The Vineyards Healthcare Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Sunset Villa Post Acute 3232 E. Artesia Blvd., Long Beach, CA 90805 CCN 5553758 state class AA/A | 2.4 km | 199 | Jun 23, 2026 | 1002 IJ5 harm | $224k | |
| Paramount Convalescent Hosp. 8558 East Rosecrans Avenue, Paramount, CA 90723 CCN 0564461 state class AA/A | 3.2 km | 59 | Dec 5, 2025 | 682 harm | $35k | |
| La Paz Geropsychiatric Center 8835 Vans Street, Paramount, CA 90723 CCN 05A3553 state class AA/AAbuse icon | 3.7 km | 173 | Aug 25, 2026 | 891 harm | — | |
| Downey Post Acute 13007 S. Paramount Blvd., Downey, CA 90242 CCN 0555195 state class AA/A | 3.8 km | 99 | Jul 30, 2026 | 671 harm | $14k | |
| North Long Beach Post Acute 260 E Market St, Long Beach, CA 90805 CCN 0559953 state class AA/AAbuse icon | 4 km | 120 | Aug 30, 2026 | 1185 harm7 open | $69k | |
| Bay Vista Healthcare & Wellness Centre, LP 5901 Downey Ave, Long Beach, CA 90805 CCN 056042 | 4 km | 70 | Aug 24, 2026 | 613 harm | $33k | |
| Rose Villa Health Care Center 9028 Rose Street, Bellflower, CA 90706 CCN 0561043 state class AA/A | 4.3 km | 53 | Aug 7, 2026 | 60 | — | |
| Santa Fe Heights Healthcare Center, LLC 2309 N Santa Fe Ave, Compton, CA 90222 CCN 5557327 state class AA/AAbuse icon | 4.6 km | 99 | Jul 21, 2026 | 1351 IJ3 harm2 open | $113k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056166 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056166 | 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 | 940000049 | 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
| 910016185 |
| Oct 2, 2018 violation Jan 3, 2017 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $2,000 | Appealed Closed | 940014453 |
| Oct 2, 2018 violation Feb 28, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 initial $20,000 | Death relatedAppealed Closed | 940014442 |
| Aug 23, 2018 violation Nov 17, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Appealed Open | 940014358 |
| Apr 20, 2018 violation Dec 26, 2017 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $60,000 initial $100,000 | Death relatedAppealed Closed | 940013975 |
| Dec 1, 2017 violation Nov 28, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $40,000 initial $20,000 | Appealed Closed | 940013664 |
| Mar 6, 2017 violation Jan 19, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,800 | Closed | 940013017 |
| Oct 25, 2016 violation Oct 15, 2015 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 940012686 |
| Jun 28, 2016 violation Jan 1, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940012357 |
| Dec 23, 2014 violation Mar 7, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $14,000 initial $20,000 | Appealed Closed | 940010999 |
| Dec 23, 2014 violation Jan 17, 2014 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $52,500 initial $75,000 | Death relatedAppealed Closed | 940010998 |
| Mar 27, 2012 violation Oct 3, 2011 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Appealed Open | 940009192 |
| Jul 23, 2001 violation Jun 22, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 940001424 |
| Mar 28, 2001 violation Jan 21, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 940001413 |
| Jul 21, 2000 violation Jun 16, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 940001400 |
| 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 Jun 17, 2026 |
| Jun 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 Jun 17, 2026 |
| Jun 12, 2026 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 12, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 17, 2026 |
| Jun 12, 2026 | 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 Jun 17, 2026 |
| Jun 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 Jun 17, 2026 |
| Jun 12, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jun 17, 2026 |
| Jun 12, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 17, 2026 |
| Jun 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 | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 12, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 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 | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Jun 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 17, 2026 |
| Jun 12, 2026 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 17, 2026 |
| Jun 12, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 12, 2026 |
| Jun 12, 2026 | 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 12, 2026 |
| Jun 12, 2026 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jun 12, 2026 |
| Jun 2, 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 Jun 5, 2026 | Complaint |
| Jun 2, 2026 | 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 Jun 5, 2026 | Complaint |
| Jun 2, 2026 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 5, 2026 | Complaint |
| May 26, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 2, 2026 | Complaint |
| Apr 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 Apr 17, 2026 | Complaint |
| Mar 23, 2026 | 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 Apr 9, 2026 | Complaint |
| 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 | G · Actual harm Isolated | Corrected Mar 30, 2026 | Complaint |
| Mar 4, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 30, 2026 | Complaint |
| Feb 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 Mar 23, 2026 | Complaint |
| Feb 24, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 23, 2026 | Complaint |
| Dec 22, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 16, 2026 | Complaint |
| Dec 22, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 16, 2026 | Complaint |
| Nov 26, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 3, 2025 | Complaint |
| Oct 28, 2025 | 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 Nov 20, 2025 | Complaint |
| Oct 28, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 20, 2025 | Complaint |
| Oct 28, 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 Nov 20, 2025 | Complaint |
| Oct 28, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 20, 2025 | Complaint |
| Sep 17, 2025 | 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 Oct 7, 2025 | Complaint |
| Sep 17, 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 Oct 7, 2025 | Complaint |
| Aug 8, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 7, 2025 | Complaint |
| May 20, 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 | E · Potential harm Pattern | Corrected Jun 14, 2025 | Complaint |
| May 20, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 14, 2025 | Complaint |
| May 20, 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 | E · Potential harm Pattern | Corrected Jun 14, 2025 | Complaint |
| Apr 25, 2025 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 19, 2025 |
| Apr 25, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 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 | F · Potential harm Widespread | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0572 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 19, 2025 | Complaint |
| Apr 25, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 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 May 19, 2025 | Complaint |
| Apr 25, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 19, 2025 | Complaint |
| Apr 25, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 25, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected May 19, 2025 |
| Feb 19, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 11, 2025 | Complaint |
| Feb 19, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 11, 2025 | Complaint |
| Feb 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 11, 2025 | Complaint |
| Jan 29, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 18, 2025 | Complaint |
| Jan 29, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Feb 18, 2025 | Complaint |
| Nov 26, 2024 | 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 | E · Potential harm Pattern | Corrected Dec 24, 2024 | Complaint |
| Nov 26, 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 Dec 24, 2024 | Complaint |
| Nov 26, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 24, 2024 | Complaint |
| Oct 11, 2024 | 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 Nov 4, 2024 | Complaint |
| Aug 28, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 28, 2024 | Complaint |
| Aug 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 | G · Actual harm Isolated | Corrected Aug 30, 2024 | Complaint |
| Jul 26, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 | Complaint |
| Jul 13, 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 Aug 2, 2024 | Complaint |
| Jul 13, 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 Aug 2, 2024 | Complaint |
| Jul 13, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 | Complaint |
| Jul 13, 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 Aug 2, 2024 | Complaint |
| May 31, 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 24, 2024 | Complaint |
| May 16, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 3, 2024 | Complaint |
| Apr 26, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 31, 2024 |
| Apr 26, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 26, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 31, 2024 |
| Apr 26, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 31, 2024 |
| Apr 26, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 31, 2024 |
| Apr 26, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 24, 2024 | Complaint |
| Apr 26, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 24, 2024 |
| Apr 26, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 24, 2024 |
| Apr 26, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2024 |
| Apr 26, 2024 | 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 24, 2024 |
| Apr 26, 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 May 24, 2024 |
| Apr 26, 2024 | 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 24, 2024 | Complaint |
| Apr 26, 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 May 24, 2024 |
| Apr 26, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2024 |
| Apr 26, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2024 |
| Apr 26, 2024 | 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 24, 2024 |
| Apr 26, 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 May 24, 2024 |
| Apr 26, 2024 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 24, 2024 | Complaint |
| Apr 26, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 24, 2024 | Complaint |
| Apr 26, 2024 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected May 31, 2024 |
| Apr 12, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 2, 2024 | Complaint |
| Apr 12, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 2, 2024 | Complaint |
| Feb 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 | D · Potential harm Isolated | Corrected Mar 8, 2024 | Complaint |
| Feb 20, 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 Mar 8, 2024 | Complaint |
| Feb 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 8, 2024 | Complaint |
| Dec 27, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 18, 2024 | Complaint |
| Dec 27, 2023 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 18, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.63 (case-mix index 2.05).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jun 1, 2023 |
| Ethan Parmley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Curtis Rodriguez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Matilda Rogers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Toby Tilford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Malvin Yan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Curtis Rodriguez | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2023 |
| Toby Tilford | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2023 |
| Ctr Partnership LP | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jun 1, 2023 |
| Forbright Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jun 1, 2023 |
| Ctr Partnership LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Links Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 16, 2025 |
| Links Support Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 16, 2025 |
| Mary Beardsley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Victoria Bernholz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Melissa Carter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Antonette Frojelin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Ethan Parmley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Curtis Rodriguez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Matilda Rogers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Toby Tilford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| Malvin Yan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |
| 83 |
| Feb 6, 2026 |
38 |
| — |
| Lodi Creek Post Acute 321 West Turner Road, Lodi, CA 95240 CCN 0552892 state class AA/A | 86 | Jul 7, 2026 | 81 | — |
| The Springs Post-Acute 10625 Leffingwell Road, Norwalk, CA 90650 CCN 0552973 state class AA/A | 99 | Apr 23, 2026 | 802 IJ2 harm | $67k |
| The Grove Post-Acute 124 Walnut Street, Woodland, CA 95695 CCN 055438Abuse icon | 140 | May 8, 2026 | 70 | — |
| Jacob Healthcare Center 4075 54th St., San Diego, CA 92105 CCN 055508 | 128 | Aug 27, 2026 | 621 harm1 open | — |
| Westwood Post Acute 1601 Petersen Avenue, San Jose, CA 95129 CCN 0557503 state class AA/A | 258 | Aug 20, 2026 | 1152 harm | $32k |
| Encinitas Post-Acute 900 Santa Fe Drive, Encinitas, CA 92024 CCN 0557611 state class AA/A | 99 | Jun 22, 2026 | 632 open | — |