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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D56 | E7 | F17 |
| 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 25, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 7, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 7, 2026 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Apr 15, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 28, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 14, 2025 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Feb 14, 2025 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Jan 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 4, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 13, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 6, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 8, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 8, 2024 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Oct 10, 2023 violation Aug 26, 2023 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $120,000 | Death relatedAppealed Open | 910019248 |
| Sep 14, 2023 violation Aug 26, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Record | $3,000 | Closed | 910019166 |
| May 5, 2021 violation Dec 24, 2020 | Class B |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D56 | E7 | F17 |
| Minimal | A· | B· | C5 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 25, 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 Jul 20, 2026 | Complaint |
| Jun 25, 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 Jul 20, 2026 |
“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 reports the legal business name as not available.
Not part of a CMS-reported chain.
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avalon Villa Care Center 12029 Avalon Blvd, Los Angeles, CA 90061 CCN 05602311 state class AA/ASFF Candidate | 0.5 km | 131 | Jun 6, 2026 | 1671 IJ2 harm | $87k | |
| Rosecrans Care Center 1140 West Rosecrans Avenue, Gardena, CA 90247 CCN 0550722 state class AA/A | 2.6 km | 106 | Jun 5, 2026 | 612 harm | — | |
| Gardena Convalescent Center 14819 S. Vermont, Gardena, CA 90247 CCN 0560192 state class AA/A | 3 km | 74 | May 29, 2026 | 59 | — | |
| Kei-Ai South Bay Healthcare Center 15115 S Vermont Ave, Gardena, CA 90247 CCN 5553064 state class AA/A | 3.3 km | 98 | Aug 28, 2026 | 771 harm | $17k | |
| Memorial Hospital of Gardena D/P SNF 1145 W. Redondo Beach, Gardena, CA 90247 CCN 5554411 state class AA/A | 4 km | 69 | Apr 10, 2026 | 481 harm | $13k | |
| Lighthouse Healthcare Center 2222 Santa Ana Blvd., Los Angeles, CA 90059 CCN 0564785 state class AA/A | 4.2 km | 149 | Aug 25, 2026 | 953 harm1 open | $114k | |
| West Gardena Post Acute 16530 S Broadway Street, Gardena, CA 90248 CCN 5554104 state class AA/A | 4.2 km | 50 | Nov 20, 2025 | 552 harm | $35k | |
| Clear View Convalescent Center 15823 So. Western Ave., Gardena, CA 90247 CCN 555880 | 4.4 km | 99 | Mar 27, 2026 | 19 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056417 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056417 | 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 | 940000025 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Oct 16, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Citation Citation B (HSC 1424) |
| Patient Care |
| $1,800 initial $2,000 |
| Appealed Closed |
| 910016473 |
| Jan 14, 2021 violation Sep 1, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,250 initial $2,000 | Death relatedAppealed Closed | 910016241 |
| Jan 8, 2021 violation Sep 1, 2020 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $70,750 initial $100,000 | Death relatedAppealed Closed | 910016231 |
| Dec 16, 2020 violation Sep 16, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,100 initial $2,000 | Appealed Open | 910016197 |
| Sep 3, 2020 violation Sep 11, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Open | 910016018 |
| Sep 19, 2018 violation Dec 23, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 910014421 |
| Nov 3, 2017 violation Jul 5, 2017 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $40,278 initial $100,000 | Death relatedAppealed Closed | 940013554 |
| Aug 27, 2014 violation Jun 13, 2013 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 940010963 |
| Nov 28, 2012 violation May 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,800 | Closed | 940009627 |
| Apr 3, 2012 violation Feb 2, 2012 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940009093 |
| Mar 2, 2012 violation Feb 2, 2012 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $2,000 | Closed | 940009066 |
| Mar 25, 2011 violation Jul 8, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 940007797 |
| Sep 19, 2007 violation Mar 9, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 940004286 |
| Sep 19, 2007 violation Mar 9, 2007 | Class B | Citation Citation B (HSC 1424) | Other · Abuse | $500 initial $1,000 | Appealed Closed | 940004285 |
| Jul 9, 2007 violation May 17, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights · Abuse | $500 initial $1,000 | Appealed Closed | 940004082 |
| Nov 28, 2006 violation Nov 8, 2005 | Class B | Citation Citation B (HSC 1424) | Medication | $500 initial $1,000 | Appealed Closed | 940003514 |
| Nov 8, 2006 violation Oct 7, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 940003467 |
| Jun 21, 2005 violation Feb 24, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,050 initial $1,000 | Closed | 940001503 |
| May 7, 2026 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2026 |
| May 7, 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 Jun 12, 2026 |
| May 7, 2026 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| May 7, 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 Jun 12, 2026 |
| May 7, 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 12, 2026 |
| May 7, 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 Jun 12, 2026 |
| May 7, 2026 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| May 7, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| May 7, 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 Jun 12, 2026 |
| May 7, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| May 7, 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 12, 2026 |
| May 7, 2026 | 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 Jun 12, 2026 |
| May 7, 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 12, 2026 |
| May 7, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| May 7, 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 Jun 12, 2026 |
| May 7, 2026 | 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 Jun 12, 2026 |
| May 7, 2026 | 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 Jun 12, 2026 |
| May 7, 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 Jun 12, 2026 |
| May 7, 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 Jun 12, 2026 |
| May 7, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| May 7, 2026 | F-0910 | Ensure resident rooms meet each resident's needs. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| Apr 15, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 11, 2026 | Complaint |
| Apr 15, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 11, 2026 | Complaint |
| Nov 17, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 15, 2025 | Complaint |
| Jul 30, 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 Aug 15, 2025 | Complaint |
| Jul 17, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2025 | Complaint |
| Apr 28, 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 May 26, 2025 | Complaint |
| Feb 14, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 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 Mar 16, 2025 |
| Feb 14, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 16, 2025 |
| Feb 14, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 16, 2025 |
| Feb 14, 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 Mar 16, 2025 |
| Feb 14, 2025 | 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 Mar 16, 2025 |
| Feb 14, 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 Mar 16, 2025 |
| Feb 14, 2025 | 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 16, 2025 |
| Feb 14, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 16, 2025 |
| Feb 14, 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 Mar 16, 2025 |
| Feb 14, 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 16, 2025 |
| Feb 14, 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 Mar 16, 2025 |
| Feb 14, 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 16, 2025 |
| Feb 14, 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 Mar 16, 2025 |
| Feb 14, 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 16, 2025 |
| Feb 14, 2025 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 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 Mar 16, 2025 |
| Feb 14, 2025 | 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 | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | 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 Mar 16, 2025 |
| Feb 14, 2025 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 16, 2025 |
| Feb 14, 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 Mar 16, 2025 |
| Feb 14, 2025 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 16, 2025 |
| Feb 14, 2025 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | F-0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 16, 2025 |
| Feb 14, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 16, 2025 |
| Jan 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 7, 2025 | Complaint |
| Oct 4, 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 Nov 1, 2024 | Complaint |
| Oct 4, 2024 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2024 | Complaint |
| Aug 13, 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 Sep 6, 2024 | Complaint |
| Aug 13, 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 Sep 6, 2024 | Complaint |
| Aug 6, 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 Sep 5, 2024 | Complaint |
| Aug 6, 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 Sep 5, 2024 | Complaint |
| Aug 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 Sep 5, 2024 | Complaint |
| Feb 8, 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 7, 2024 |
| Feb 8, 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 Mar 7, 2024 |
| Feb 8, 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 Mar 7, 2024 |
| Feb 8, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 8, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 7, 2024 |
| Feb 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 Mar 7, 2024 |
| Feb 8, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 8, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 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 Mar 7, 2024 |
| Feb 8, 2024 | F-0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 7, 2024 |
| Feb 8, 2024 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 8, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 8, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 7, 2024 |
| Feb 8, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 7, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.79 (case-mix index 0.94).