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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 | G4 | H· | I· |
| Potential harm | D104 | E50 | F13 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 26, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 12, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 29, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 27, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 11, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 3, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 9, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 24, 2025 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jul 24, 2025 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Jul 16, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 11, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 24, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Jun 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 8, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 1, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 27, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 16, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 7, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 10, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 20, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 18, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Jun 6, 2024 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint, Health Standard | 29 | Actual harm | — | Open → |
| May 20, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 15, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 20, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 3, 2024 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Feb 6, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Jan 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 8, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jun 8, 2023 | Health | Health Standard | 23 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 27, 2025 | Civil money penalty (fine) | $12,438 | — | 056324|Fine|131237 |
| Jan 7, 2025 | Civil money penalty (fine) | $9,110 | — | 056324|Fine|131064 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Oct 10, 2018 violation Jul 17, 2018 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 030014476 |
| Sep 7, 2018 violation Dec 29, 2017 | Class AA | Citation Citation AA (HSC 1424) | Medication | $100,400 initial $100,000 | Closed | 030014385 |
| Mar 23, 2018 violation Mar 25, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,400 initial $2,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D104 | E50 | F13 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 26, 2026 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 29, 2026 | Complaint |
| Aug 26, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 29, 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.
22 facilities in 1 states. CMS chain ID 566.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Windsor Norcal 13 Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 4, 2007 |
| Antelope Holdings I, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Windsor Norcal 13 Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 4, 2007 |
| Antelope Holdings I, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Newgen Administrative Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2023 |
| Pamela Shaw | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Oak Grove Post Acute 4545 Shelley Court, Stockton, CA 95207 CCN 0552013 state class AA/AAbuse icon | 119 | Aug 21, 2026 | 1711 harm2 open |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Noble Care Center 2740 North California Street, Stockton, CA 95204 CCN 5551051 state class AA/AAbuse icon | 0.2 km | 99 | Jul 29, 2026 | 1141 harm | — | |
| Fulton Gardens Post Acute, LLC 537 E. Fulton Street, Stockton, CA 95204 CCN 0558332 state class AA/A | 1 km | 116 | May 1, 2026 | 70 | — | |
| Good Samaritan Rehab and Care Center 1630 N. Edison Street, Stockton, CA 95204 CCN 055039 | 1.3 km | 98 | Jun 19, 2026 | 81 | — | |
| Lincoln Square Post Acute Care 1032 N. Lincoln Street, Stockton, CA 95203 CCN 5551864 state class AA/A | 1.8 km | 68 | May 19, 2026 | 62 | — | |
| Oak Grove Post Acute 4545 Shelley Court, Stockton, CA 95207 CCN 0552013 state class AA/AAbuse icon | 2.2 km | 119 | Aug 21, 2026 | 1711 harm2 open | $40k | |
| Brookside Care Center 1221 Rosemarie Lane, Stockton, CA 95207 CCN 055304Abuse icon | 2.9 km | 99 | Aug 28, 2026 | 1743 harm | — | |
| Crestwood Manor - 104 1130 Monaco Court, Stockton, CA 95207 CCN 05A3401 state class AA/A | 3 km | 190 | Apr 13, 2026 | 51 | — | |
| Riverwood Health Care 5320 Carrington Circle, Stockton, CA 95210 CCN 5554965 state class AA/A | 3.3 km | 99 | Jul 15, 2026 | 752 harm | $18k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056324 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056324 | 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 | 100000039 | 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
| 030013890 |
| Nov 10, 2016 violation Mar 12, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 030012720 |
| Aug 1, 2013 violation Jan 4, 2012 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Closed | 030010024 |
| Jul 25, 2013 violation Mar 22, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 030010007 |
| May 31, 2013 violation Feb 2, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 030009917 |
| Oct 16, 2012 violation Jul 1, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 | Closed | 030009548 |
| Sep 26, 2011 violation Mar 30, 2009 | Class A | Citation Citation A (HSC 1424) | Patient Care | $12,000 initial $20,000 | Appealed Closed | 030008583 |
| Aug 25, 2011 violation Nov 4, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 030008494 |
| Nov 18, 2008 violation Jun 11, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $525 initial $700 | Appealed Closed | 030005608 |
| Jun 19, 2008 violation Dec 29, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Appealed Closed | 030005162 |
| Apr 19, 2007 violation Mar 10, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 | Appealed Closed | 030003899 |
| Mar 19, 2004 violation Feb 3, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $400 initial $800 | Appealed Closed | 100002257 |
| Apr 3, 2003 violation Mar 5, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 100002211 |
| Sep 5, 2002 violation Jun 29, 2002 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 100002174 |
| Aug 7, 2002 violation May 15, 2002 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,903 initial $19,000 | Appealed Closed | 100002168 |
| Jul 25, 2002 violation Jun 22, 2002 | Class A | Citation Citation A (HSC 1424) | Patient Care | $9,181 initial $16,000 | Appealed Closed | 100002166 |
| Feb 14, 2002 violation Oct 31, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $900 | Closed | 100002135 |
| Jan 29, 2002 violation Jun 25, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Closed | 100002129 |
| May 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 May 16, 2026 |
| Complaint |
| May 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 May 16, 2026 | Complaint |
| May 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 | D · Potential harm Isolated | Corrected May 16, 2026 | Complaint |
| Apr 29, 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 20, 2026 | Complaint |
| Apr 29, 2026 | F-0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 20, 2026 | Complaint |
| Apr 23, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 10, 2026 | Complaint |
| Apr 7, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 8, 2026 | Complaint |
| Mar 10, 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 Mar 11, 2026 | Complaint |
| Feb 27, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2026 | Complaint |
| Feb 11, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 14, 2026 | Complaint |
| Feb 11, 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 Feb 14, 2026 | Complaint |
| Feb 11, 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 Feb 14, 2026 | Complaint |
| Feb 3, 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 12, 2026 | Complaint |
| Jan 9, 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 12, 2026 | Complaint |
| Jan 9, 2026 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 12, 2026 | Complaint |
| Jan 9, 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 12, 2026 | Complaint |
| Nov 20, 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 Nov 25, 2025 | Complaint |
| Jul 24, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 24, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2025 |
| Jul 24, 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 | E · Potential harm Pattern | Corrected Aug 12, 2025 |
| Jul 24, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2025 |
| Jul 24, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 1, 2025 |
| Jul 24, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 12, 2025 |
| Jul 24, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 1, 2025 |
| Jul 24, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 24, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 11, 2025 |
| Jul 24, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 11, 2025 |
| Jul 24, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 11, 2025 |
| Jul 24, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 11, 2025 |
| Jul 24, 2025 | 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 Aug 11, 2025 |
| Jul 24, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 11, 2025 |
| Jul 24, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 11, 2025 |
| Jul 24, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 11, 2025 |
| Jul 24, 2025 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 11, 2025 |
| Jul 24, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 11, 2025 |
| Jul 24, 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 | F · Potential harm Widespread | Corrected Aug 11, 2025 |
| Jul 24, 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 Aug 11, 2025 |
| Jul 24, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 11, 2025 |
| Jul 24, 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 | F · Potential harm Widespread | Corrected Aug 11, 2025 |
| Jul 24, 2025 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 11, 2025 |
| Jul 24, 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 | E · Potential harm Pattern | Corrected Aug 11, 2025 |
| Jul 24, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 13, 2025 |
| Jul 24, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Aug 14, 2025 |
| Jul 16, 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 Jul 18, 2025 | Complaint |
| Jul 16, 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 Jul 18, 2025 | Complaint |
| Jul 15, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 25, 2025 | Complaint |
| Jul 11, 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 Jun 23, 2025 | Complaint |
| Jul 11, 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 Jun 23, 2025 | Complaint |
| Jun 24, 2025 | 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 Jul 7, 2025 | Complaint |
| Jun 24, 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 Jul 7, 2025 | Complaint |
| Jun 24, 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 Jul 7, 2025 | Complaint |
| Jun 24, 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 Jul 7, 2025 | Complaint |
| Jun 24, 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 Jul 7, 2025 | Complaint |
| Jun 13, 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 | D · Potential harm Isolated | Corrected Jul 16, 2025 | Complaint |
| Jun 6, 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 | D · Potential harm Isolated | Corrected Jun 16, 2025 | Complaint |
| May 30, 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 Jun 6, 2025 | Complaint |
| May 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 14, 2025 | Complaint |
| May 6, 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 | E · Potential harm Pattern | Corrected May 6, 2025 | Complaint |
| Apr 30, 2025 | F-0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 14, 2025 | Complaint |
| Apr 23, 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 | D · Potential harm Isolated | Corrected May 3, 2025 | Complaint |
| Apr 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 | G · Actual harm Isolated | Corrected May 2, 2025 | Complaint |
| Apr 1, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 25, 2025 | Complaint |
| Apr 1, 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 Apr 25, 2025 | Complaint |
| Mar 27, 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 Apr 25, 2025 | Complaint |
| Jan 16, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 11, 2025 | Complaint |
| Jan 7, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 1, 2025 | Complaint |
| Jan 7, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 1, 2025 | Complaint |
| Jan 7, 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 Mar 1, 2025 | Complaint |
| Jan 7, 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 | D · Potential harm Isolated | Corrected Mar 1, 2025 | Complaint |
| Dec 10, 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 Dec 20, 2024 | Complaint |
| Dec 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 20, 2024 | Complaint |
| Nov 20, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 27, 2024 | Complaint |
| Nov 20, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 27, 2024 | Complaint |
| Jul 18, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 22, 2024 | Complaint |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 5, 2024 |
| Jun 6, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jun 20, 2024 |
| Jun 6, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 6, 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 Jun 20, 2024 |
| Jun 6, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 20, 2024 |
| Jun 6, 2024 | 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 Jun 20, 2024 |
| Jun 6, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 20, 2024 |
| Jun 6, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 20, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 5, 2024 |
| Jun 6, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 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 | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 2024 | 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 Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 2024 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 2024 | 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 Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 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 Jul 5, 2024 |
| Jun 6, 2024 | 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 Jul 5, 2024 | Complaint |
| Jun 6, 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 | E · Potential harm Pattern | Corrected Jul 5, 2024 |
| Jun 6, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 5, 2024 |
| May 20, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 19, 2024 | Complaint |
| May 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 Jun 19, 2024 | Complaint |
| Apr 19, 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 Apr 22, 2024 | Complaint |
| Apr 15, 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 | E · Potential harm Pattern | Corrected Apr 25, 2024 | Complaint |
| Mar 27, 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 Apr 8, 2024 | Complaint |
| Mar 20, 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 Mar 29, 2024 | Complaint |
| Mar 20, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 29, 2024 | Complaint |
| Mar 5, 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 Mar 20, 2024 | Complaint |
| Mar 3, 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 Jan 26, 2024 | Complaint |
| Mar 3, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Mar 3, 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 26, 2024 | Complaint |
| Mar 3, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Mar 3, 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 | E · Potential harm Pattern | Corrected Jan 26, 2024 | Complaint |
| Mar 3, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Feb 6, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 25, 2024 | Complaint |
| Jan 16, 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 Jan 30, 2024 | Complaint |
| Jan 2, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 26, 2024 | Complaint |
| Nov 6, 2023 | 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 Nov 14, 2023 | Complaint |
| Jun 8, 2023 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 8, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 8, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2023 |
| Jun 8, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 8, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 8, 2023 | 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 Jul 12, 2023 |
| Jun 8, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 8, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 8, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 8, 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 Jun 30, 2023 |
| Jun 8, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 30, 2023 |
| Jun 8, 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 Jun 30, 2023 |
| Jun 8, 2023 | 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 30, 2023 |
| Jun 8, 2023 | 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 Jun 30, 2023 |
| Jun 8, 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 | E · Potential harm Pattern | Corrected Jun 30, 2023 |
| Jun 8, 2023 | 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 Jun 30, 2023 |
| Jun 8, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2023 |
| Jun 8, 2023 | 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 Jun 30, 2023 |
| Jun 8, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2023 |
| Jun 8, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2023 |
| Jun 8, 2023 | 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 Jun 30, 2023 |
| Jun 8, 2023 | 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 Jun 30, 2023 |
| Jun 8, 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 Jun 30, 2023 |
| Jun 8, 2023 | 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 Jun 30, 2023 |
| Jun 8, 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 | D · Potential harm Isolated | Corrected Jun 30, 2023 |
| Jun 8, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 30, 2023 |
| Jun 8, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 30, 2023 |
| Jun 8, 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 Jun 30, 2023 |
| Jun 8, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 30, 2023 |
| Jun 8, 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 Jun 30, 2023 |
| Jun 8, 2023 | 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 Jun 30, 2023 |
| Jun 8, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 30, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.34 (case-mix index 1.31).
| Jun 30, 2023 |
| Kirti Solanki | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 10, 2012 |
| Pheng Thao | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 26, 2024 |
| Aaron Robin | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 14, 2023 |
| Avrohom Tress | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 14, 2023 |
| Antelope Realty Holdings I, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 22, 2025 |
| Newgen Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 24, 2025 |
| Pamela Shaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Kirti Solanki | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 10, 2012 |
| Pheng Thao | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 26, 2024 |
| $40k |
| Elk Grove Post Acute 9461 Batey Avenue, Elk Grove, CA 95624 CCN 0553085 state class AA/AAbuse icon | 136 | May 14, 2026 | 1013 harm | $8,824 |
| River City Post Acute 2540 Carmichael Way, Carmichael, CA 95608 CCN 05540210 state class AA/AAbuse icon | 178 | Aug 25, 2026 | 1345 open | — |
| South Coast Post Acute 1030 W Warner Ave, Santa Ana, CA 92707 CCN 055653Abuse icon | 255 | Jul 31, 2026 | 120 | — |
| Delta Oaks Post Acute 6940 Pacific Avenue, Stockton, CA 95207 CCN 0557352 state class AA/AAbuse icon | 128 | Aug 25, 2026 | 1853 harm34 open | — |
| Coastal Post Acute 348 Iris Drive, Salinas, CA 93906 CCN 0558712 state class AA/A | 80 | Apr 9, 2025 | 681 IJ | $64k |
| Country Drive Post Acute 2500 Country Drive, Fremont, CA 94536 CCN 0558852 state class AA/A | 126 | Feb 23, 2026 | 611 harm | — |
| National City Post Acute 220 East 24th Street, National City, CA 91950 CCN 055954 | 98 | Jun 22, 2026 | 602 harm2 open | $16k |