California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D73 | E25 | F5 |
| 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 19, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 31, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 24, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 24, 2026 | Health | Health Standard | 22 | Potential harm | — | Open → |
| Feb 6, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Dec 17, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 30, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 31, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 29, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 1, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Mar 26, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 14, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Mar 14, 2025 | Health | Health Complaint, Health Standard | 26 | Actual harm | — | Open → |
| Feb 5, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Oct 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 30, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 8, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 8, 2024 | Health | Health Standard | 17 | Actual harm | — | Open → |
| Jan 31, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 3, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 6, 2026 | Civil money penalty (fine) | $16,149 | — | 056433|Fine|137484 |
| Oct 30, 2025 | Civil money penalty (fine) | $31,031 | — | 056433|Fine|136647 |
| May 1, 2025 | Civil money penalty (fine) | $12,438 | — | 056433|Fine|131257 |
| Feb 5, 2025 | Denial of payment for new admissions | — | Mar 7, 2025 · 33 days | 056433|Payment Denial|2025-03-07 |
| Feb 5, 2025 | Civil money penalty (fine) | $72,036 | — | 056433|Fine|131171 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 28, 2024 violation May 8, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 | Open | 910020371 |
| Jun 13, 2024 violation Apr 13, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 | Open | 910020320 |
| Apr 19, 2024 violation Feb 15, 2024 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D73 | E25 | F5 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 19, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 9, 2026 | Complaint |
| Jul 31, 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 Aug 21, 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 legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Moise Hendeles | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70% | Oct 1, 2014 |
| Alger Brion | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Oct 1, 2014 |
| Eliyahu Hendeles | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Oct 14, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Moise Hendeles | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70% | Oct 1, 2014 |
| Alger Brion | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Oct 1, 2014 |
| Eliyahu Hendeles | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Oct 14, 2014 |
| Alger Brion | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2014 |
| Eliyahu Hendeles | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Harbor Post Acute Care Center 21521 S. Vermont Avenue, Torrance, CA 90502 CCN 056192 | 0.6 km | 127 | Apr 2, 2026 | 62 | — | |
| Heritage Rehabilitation Center 21414 S. Vermont Avenue, Torrance, CA 90502 CCN 0563081 state class AA/A | 0.7 km | 161 | Aug 28, 2026 | 726 harm2 open | $147k | |
| Sunnyside Nursing Center 22617 S. Vermont Ave, Torrance, CA 90502 CCN 0564886 state class AA/ASFF Candidate | 0.8 km | 299 | Aug 28, 2026 | 1063 IJ7 harm2 open | $234k | |
| Lomita Post-Acute Care Center 1955 Lomita Blvd, Lomita, CA 90717 CCN 0552625 state class AA/A | 3.6 km | 71 | Aug 20, 2026 | 61 | — | |
| Beachside Post Acute 22520 Maple Avenue, Torrance, CA 90505 CCN 0555314 state class AA/A | 4.6 km | 110 | Aug 14, 2026 | 44 | — | |
| Torrance Memorial Med Ctr SNF/Dp 3330 West Lomita Blvd, Torrance, CA 90505 CCN 5555992 state class AA/A | 4.9 km | 40 | Mar 15, 2026 | 29 | — | |
| Palos Verdes Health Care Center 26303 Western Ave., Lomita, CA 90717 CCN 5550287 state class AA/A | 5.2 km | 48 | Aug 12, 2026 | 621 IJ2 harm | $97k | |
| Bay Crest Care Center 3750 Garnet Street, Torrance, CA 90503 CCN 0555595 state class AA/ASFF CandidateAbuse icon | 5.8 km | 80 | Aug 25, 2026 | 1452 IJ3 harm3 open | $124k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056433 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056433 | 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 | 910000016 | 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
| Mar 8, 2024 | Civil money penalty (fine) | $26,852 | — | 056433|Fine|130553 |
Closed |
| 910020043 |
| Mar 14, 2024 violation Jan 18, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 910019871 |
| Oct 18, 2023 violation Sep 4, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $7,200 initial $3,000 | Appealed Closed | 910019273 |
| May 19, 2023 violation Feb 21, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 910018774 |
| May 9, 2023 violation Feb 23, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Closed | 910018735 |
| Jan 12, 2023 violation Nov 9, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 910018308 |
| Mar 6, 2020 violation Dec 11, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,200 initial $2,000 | Closed | 910015790 |
| Jan 4, 2019 violation Oct 16, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910014699 |
| Aug 22, 2018 violation Mar 25, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Open | 910014352 |
| Jan 25, 2018 violation Oct 10, 2016 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 910013745 |
| Aug 2, 2017 violation Aug 16, 2016 | Class B | Citation Citation A (HSC 1424) | Patient Care | $14,000 initial $16,000 | Appealed Closed | 910013370 |
| Jun 10, 2016 violation Dec 16, 2010 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910012300 |
| Apr 21, 2014 violation Jan 10, 2014 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910010651 |
| Dec 11, 2007 violation Mar 1, 2007 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 910004514 |
| Dec 8, 2005 violation May 27, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 910001530 |
| Aug 11, 2003 violation Jun 23, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $900 | Closed | 910001505 |
| Nov 17, 2000 violation Oct 30, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 910001287 |
| Jul 31, 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 Aug 21, 2026 | Complaint |
| Jul 31, 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 Aug 21, 2026 | Complaint |
| Jul 31, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 21, 2026 | Complaint |
| Apr 24, 2026 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 24, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 24, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2026 |
| Apr 24, 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 20, 2026 |
| Apr 24, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2026 |
| Apr 24, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 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 May 20, 2026 |
| Apr 24, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 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 |
| Apr 24, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 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 May 20, 2026 |
| Apr 24, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2026 |
| Apr 24, 2026 | 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 May 20, 2026 |
| Apr 24, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 20, 2026 |
| Apr 24, 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 May 20, 2026 |
| Apr 24, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 20, 2026 |
| Apr 24, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 20, 2026 |
| Apr 24, 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 20, 2026 |
| Apr 24, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 20, 2026 |
| Feb 6, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Mar 3, 2026 | Complaint |
| Dec 17, 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 Jan 7, 2026 | Complaint |
| Dec 17, 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 Jan 7, 2026 | Complaint |
| Oct 30, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 24, 2025 | Complaint |
| Jul 31, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 7, 2025 | Complaint |
| Jul 29, 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 7, 2025 | Complaint |
| Jul 29, 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 Aug 7, 2025 | Complaint |
| Jul 17, 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 Aug 1, 2025 | Complaint |
| May 1, 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 16, 2025 | Complaint |
| May 1, 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 May 16, 2025 | Complaint |
| Mar 26, 2025 | 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 Apr 9, 2025 | Complaint |
| Mar 26, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 9, 2025 | Complaint |
| Mar 14, 2025 | 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 Apr 7, 2025 |
| Mar 14, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 14, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 7, 2025 |
| Mar 14, 2025 | 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 Apr 7, 2025 |
| Mar 14, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 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 | E · Potential harm Pattern | Corrected Apr 7, 2025 | Complaint |
| Mar 14, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 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 Apr 7, 2025 |
| Mar 14, 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 7, 2025 |
| Mar 14, 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 Apr 7, 2025 |
| Mar 14, 2025 | 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 Apr 7, 2025 |
| Mar 14, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 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 Apr 7, 2025 |
| Mar 14, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 14, 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 7, 2025 |
| Mar 14, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 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 | F · Potential harm Widespread | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Apr 7, 2025 |
| Mar 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 | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 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 | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 7, 2025 |
| Mar 14, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 7, 2025 | Complaint |
| Mar 14, 2025 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 7, 2025 |
| Feb 5, 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 Mar 2, 2025 | Complaint |
| Feb 5, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 2, 2025 | Complaint |
| Feb 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 2, 2025 | Complaint |
| Oct 17, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 10, 2024 | Complaint |
| Sep 27, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 19, 2024 | Complaint |
| Aug 29, 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 20, 2024 | Complaint |
| Jul 25, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 16, 2024 | Complaint |
| May 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 7, 2024 | Complaint |
| May 15, 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 Jun 7, 2024 | Complaint |
| May 15, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 | Complaint |
| Apr 30, 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 May 24, 2024 | Complaint |
| Apr 30, 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 May 24, 2024 | Complaint |
| Apr 30, 2024 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 24, 2024 | Complaint |
| Mar 8, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 2024 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 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 Apr 1, 2024 |
| Mar 8, 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 | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 2024 | 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 Apr 1, 2024 |
| Mar 8, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 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 1, 2024 |
| Mar 8, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 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 Apr 1, 2024 |
| Mar 8, 2024 | 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 Apr 1, 2024 |
| Mar 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 Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 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 Apr 1, 2024 |
| Mar 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 Apr 1, 2024 |
| Mar 8, 2024 | 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 Apr 1, 2024 |
| Mar 8, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 1, 2024 |
| Jan 31, 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 Feb 23, 2024 | Complaint |
| Jan 17, 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 Feb 8, 2024 | Complaint |
| Oct 3, 2023 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 27, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.62 (case-mix index 1.72).
| Operational / managerial control |
| MANAGING CONTROL - GOVERNING BODY |
| not provided |
| Oct 1, 2014 |
| Moise Hendeles | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2014 |
| Fe Avila | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 4, 2016 |
| Alger Brion | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2014 |
| Reza Ghanian | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 5, 2022 |
| Curtis Hefner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Eliyahu Hendeles | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2014 |
| Moise Hendeles | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2014 |
| Prapaporn Jiratjintana | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2014 |
| Renalyn Pesquiza | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2015 |
| Ismael Ramirez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2014 |
| Migdalia Rivera | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2014 |
| Jojo Tandoc | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 23, 2023 |
| Fe Avila | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 4, 2016 |
| Alger Brion | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2014 |
| Reza Ghanian | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 5, 2022 |
| Curtis Hefner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Eliyahu Hendeles | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2014 |
| Moise Hendeles | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2014 |
| Prapaporn Jiratjintana | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2014 |
| Renalyn Pesquiza | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2015 |
| Ismael Ramirez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2014 |
| Migdalia Rivera | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2014 |
| Jojo Tandoc | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 23, 2023 |