Loading facility…
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 | G5 | H· | I· |
| Potential harm | D48 | E26 | F4 |
| 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 31, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 9, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Feb 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 9, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jan 9, 2026 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Oct 15, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Aug 27, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 8, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Oct 8, 2024 | Health | Health Complaint, Health Standard | 16 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 7 | Actual harm | — | Open → |
| Jun 28, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 28, 2023 | Health | Health Standard | 23 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 9, 2026 | Civil money penalty (fine) | $10,628 | — | 056346|Fine|140396 |
| Aug 27, 2025 | Civil money penalty (fine) | $10,358 | — | 056346|Fine|136072 |
| Mar 7, 2024 | Civil money penalty (fine) | $41,438 | — | 056346|Fine|130356 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Dec 20, 2023 violation Nov 29, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810019482 |
| Jul 28, 2021 violation Jul 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Appealed Closed | 230016746 |
| May 29, 2019 violation Jan 1, 2018 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D48 | E26 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 31, 2026 | 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 Sep 23, 2026 | Complaint |
| Aug 31, 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 Sep 23, 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.
9 facilities in 1 states. CMS chain ID 596.
Chain average overall rating (CMS): 3.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| West Harbor Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | Nov 1, 2018 |
| Valley Capital Investments LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | Nov 1, 2018 |
| Kevin Galbasini | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36% | Nov 1, 2018 |
| Daniel Gill | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36% | Nov 1, 2018 |
| Cameron Rosenhan | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% | Nov 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| West Harbor Healthcare LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | Nov 1, 2018 |
| Valley Capital Investments LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | Nov 1, 2018 |
| Kevin Galbasini | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36% | Nov 1, 2018 |
| Daniel Gill | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36% | Nov 1, 2018 |
| Cameron Rosenhan | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Brighton Post Acute 361 E. Grangeville Blvd, Hanford, CA 93230 CCN 055410 | 133 | Jun 22, 2026 | 541 harm | — | |
| Redding Post Acute 1836 Gold Street, Redding, CA 96001 CCN 0555101 state class AA/A |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 0.8 km | 59 | Apr 1, 2026 | 62 | — | |
| The Fountains 1260 Williams Way, Yuba City, CA 95991 CCN 555430 | 1 km | 145 | Dec 3, 2025 | 44 | — | |
| Marysville Post-Acute 1617 Ramirez Street, Marysville, CA 95901 CCN 5556822 state class AA/A | 3.5 km | 86 | Jun 25, 2025 | 641 harm | — | |
| River Valley Care Center 9000 Larkin Road, Live Oak, CA 95953 CCN 555535 | 12.4 km | 99 | Nov 6, 2025 | 751 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056346 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056346 | 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 | 230000284 | 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
| 230015105 |
| Jan 14, 2015 violation Sep 15, 2013 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,800 initial $2,000 | Appealed Closed | 230011172 |
| Jul 11, 2014 violation Sep 22, 2013 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Appealed Closed | 230010846 |
| Feb 7, 2014 violation Dec 6, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,400 initial $2,000 | Closed | 230010435 |
| Feb 7, 2014 violation Jan 11, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,400 initial $2,000 | Closed | 230010434 |
| Jan 31, 2014 violation Mar 8, 2013 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 230009805 |
| Jan 24, 2014 violation Dec 6, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Open | 230009466 |
| May 24, 2012 violation Mar 16, 2012 | Class B | Citation Citation B (HSC 1424) | Administration | $1,050 initial $1,000 | Closed | 230009276 |
| May 24, 2012 violation May 28, 2011 | Class B | Citation Citation B (HSC 1424) | Administration | $3,050 initial $1,000 | Closed | 230009241 |
| Jun 14, 2011 violation Feb 23, 2011 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 230008302 |
| Jun 14, 2011 violation Jan 28, 2011 | Class B | Citation Citation B (HSC 1424) | Administration | $3,000 initial $1,000 | Closed | 230008301 |
| Apr 8, 2011 violation Dec 2, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230008101 |
| Apr 8, 2011 violation Nov 16, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230008100 |
| Apr 8, 2011 violation Nov 6, 2010 | Class B | Citation Citation B (HSC 1424) | Administration | $1,000 | Closed | 230008099 |
| Apr 8, 2011 violation Feb 4, 2011 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 230008098 |
| May 14, 2010 violation Feb 6, 2010 | Class B | Citation Citation B (HSC 1424) | Administration | $3,000 initial $1,000 | Closed | 230007205 |
| Dec 8, 2009 violation Oct 24, 2009 | Class B | Citation Citation B (HSC 1424) | Administration | $650 initial $1,000 | Appealed Closed | 230006745 |
| Apr 10, 2009 violation Mar 24, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 230006080 |
| Apr 10, 2009 violation Feb 28, 2009 | Class A | Citation Citation A (HSC 1424) | Other · care plan & accidents | $2,000 | Appealed Closed | 230006075 |
| Mar 7, 2008 violation Dec 6, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 initial $1,000 | Appealed Closed | 230004750 |
| Nov 30, 2007 violation Jun 1, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 initial $1,000 | Closed | 230004464 |
| Nov 30, 2007 violation Aug 27, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230004454 |
| Oct 23, 2007 violation May 20, 2007 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 initial $1,000 | Closed | 230004366 |
| May 23, 2007 violation Aug 2, 2006 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 230003967 |
| Apr 11, 2007 violation May 30, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230003882 |
| Apr 4, 2007 violation Mar 10, 2007 | Class B | Citation Citation B (HSC 1424) | Other · report incidents 24 hrs | $1,000 | Closed | 230003856 |
| Apr 4, 2007 violation Dec 1, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230003855 |
| Mar 27, 2007 violation Jan 17, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230003818 |
| Dec 9, 2003 violation Oct 6, 2002 | Class A | Citation Citation A (HSC 1424) | Medication | $8,000 | Closed | 230001056 |
| Aug 5, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2026 | Complaint |
| Jul 17, 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 Aug 3, 2026 | Complaint |
| Jun 9, 2026 | 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 | G · Actual harm Isolated | Corrected Jun 15, 2026 | Complaint |
| Jun 9, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 15, 2026 | Complaint |
| Feb 10, 2026 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 24, 2026 | Complaint |
| Jan 9, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 26, 2026 |
| Jan 9, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 26, 2026 |
| Jan 9, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 26, 2026 |
| Jan 9, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 26, 2026 |
| Jan 9, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 4, 2026 |
| Jan 9, 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 Jan 16, 2026 |
| Jan 9, 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 Feb 4, 2026 |
| Jan 9, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 29, 2026 |
| Jan 9, 2026 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 29, 2026 |
| Jan 9, 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 Jan 29, 2026 |
| Jan 9, 2026 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 16, 2026 |
| Jan 9, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 2, 2026 |
| Jan 9, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 30, 2026 |
| Jan 9, 2026 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 2, 2026 |
| Jan 9, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 2, 2026 |
| Jan 9, 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 | F · Potential harm Widespread | Corrected Feb 2, 2026 |
| 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 Feb 2, 2026 |
| Oct 15, 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 Nov 12, 2025 | Complaint |
| Oct 15, 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 12, 2025 | Complaint |
| Oct 15, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 12, 2025 | Complaint |
| Oct 15, 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 Nov 12, 2025 | Complaint |
| Aug 27, 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 Sep 22, 2025 | Complaint |
| Jun 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 | E · Potential harm Pattern | Corrected Jun 22, 2025 | Complaint |
| Jan 15, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 22, 2025 | Complaint |
| Oct 8, 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 | D · Potential harm Isolated | Corrected Oct 11, 2024 |
| Oct 8, 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 Oct 11, 2024 |
| Oct 8, 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 Oct 28, 2024 | Complaint |
| Oct 8, 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 Oct 26, 2024 | Complaint |
| Oct 8, 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 Oct 24, 2024 | Complaint |
| Oct 8, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 24, 2024 | Complaint |
| Oct 8, 2024 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 8, 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 Oct 30, 2024 |
| Oct 8, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 8, 2024 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 20, 2024 |
| Oct 8, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 8, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 25, 2024 |
| Oct 8, 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 Oct 9, 2024 |
| Oct 8, 2024 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 29, 2024 |
| Oct 8, 2024 | 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 Oct 8, 2024 |
| Oct 8, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 8, 2024 |
| Oct 8, 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 | F · Potential harm Widespread | Corrected Oct 8, 2024 |
| Mar 7, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 13, 2024 | Complaint |
| Mar 7, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 14, 2024 | Complaint |
| Mar 7, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 16, 2024 | Complaint |
| Mar 7, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 16, 2024 | Complaint |
| Mar 7, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Mar 16, 2024 | Complaint |
| Mar 7, 2024 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 16, 2024 | Complaint |
| Mar 7, 2024 | F-0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 16, 2024 | Complaint |
| Jun 28, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 21, 2023 |
| Jun 28, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 19, 2023 |
| Jun 28, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 27, 2023 |
| Jun 28, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 27, 2023 |
| Jun 28, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 27, 2023 |
| Jun 28, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 27, 2023 |
| Jun 28, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 28, 2023 |
| Jun 28, 2023 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 28, 2023 |
| Jun 28, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 26, 2023 |
| Jun 28, 2023 | 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 Jul 19, 2023 |
| Jun 28, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 19, 2023 |
| Jun 28, 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 | E · Potential harm Pattern | Corrected Jul 24, 2023 |
| Jun 28, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 28, 2023 |
| Jun 28, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 11, 2023 |
| Jun 28, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2023 |
| Jun 28, 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 | E · Potential harm Pattern | Corrected Jul 19, 2023 |
| Jun 28, 2023 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 8, 2023 |
| Jun 28, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2023 |
| Jun 28, 2023 | 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 Jul 26, 2023 |
| Jun 28, 2023 | 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 Jul 28, 2023 |
| Jun 28, 2023 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 11, 2023 |
| Jun 28, 2023 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 28, 2023 |
| Jun 28, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 26, 2023 |
| Jun 28, 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 | F · Potential harm Widespread | Corrected Jul 28, 2023 |
| Jun 28, 2023 | 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 | D · Potential harm Isolated | Corrected Jul 26, 2023 |
| Jun 28, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 10, 2023 |
| Jun 28, 2023 | 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 9, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.14 (case-mix index 1.35).
| Indirect owner |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| 18% |
| Nov 1, 2018 |
| West Harbor Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2018 |
| Kevin Galbasini | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2018 |
| Daniel Gill | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2018 |
| Cameron Rosenhan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2018 |
| Kevin Galbasini | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2018 |
| Daniel Gill | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2018 |
| Cameron Rosenhan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2018 |
| 89 |
| Feb 20, 2026 |
47 |
| — |
| Niles Canyon Post Acute 38650 Mission Boulevard, Fremont, CA 94536 CCN 055562 | 73 | Feb 23, 2026 | 37 | — |
| Alta View Post Acute 831 S Lake Street, Los Angeles, CA 90057 CCN 05607815 state class AA/A | 99 | Jun 16, 2026 | 671 IJ2 harm | $164k |
| Hillcrest Post Acute 450 Hayes Lane, Petaluma, CA 94952 CCN 555127 | 59 | Sep 11, 2025 | 51 | — |
| Quartz Hill Post Acute 2120 Benton Drive, Redding, CA 96003 CCN 555356 | 115 | May 27, 2026 | 65 | — |
| Stonebrook Post Acute 4367 Concord Boulevard, Concord, CA 94521 CCN 555421 | 120 | Jun 25, 2026 | 421 harm | $13k |
| Gridley Post Acute 246 Spruce Street, Gridley, CA 95948 CCN 555776 | 82 | Jul 31, 2026 | 33 | — |