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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 | D48 | E25 | F10 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 23, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 16, 2025 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| May 16, 2025 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Jan 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 10, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 21, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 2, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 25, 2024 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Dec 19, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 8, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 25, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 3, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 21, 2021 | Fire safety | Fire Safety Standard | 19 | Potential harm | — | Open → |
| May 21, 2021 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jan 4, 2024 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 070019540 |
| Aug 31, 2023 violation Feb 24, 2023 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $3,000 | Open | 070018929 |
| Jun 17, 2021 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Closed | 810016561 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D48 | E25 | F10 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 24, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 7, 2026 | Complaint |
| Dec 23, 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 Jan 9, 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.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hudson River Opco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2021 |
| Bay Bridge Capital Partners, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hudson River Opco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2021 |
| Bay Bridge Capital Partners, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2021 |
| Matthew Howard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2023 |
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Redlands Healthcare Center 1620 W Fern Ave, Redlands, CA 92373 CCN 0550011 state class AA/A | 78 | Apr 23, 2026 | 23 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Monterey Post Acute 1575 Skyline Drive, Monterey, CA 93940 CCN 0559622 state class AA/A | 0.2 km | 78 | Mar 10, 2026 | 78 | — | |
| Canterbury Woods 651 Sinex Avenue, Pacific Grove, CA 93950 CCN 0553031 state class AA/A | 2.4 km | 24 | Mar 24, 2026 | 49 | — | |
| Forest Hill Manor Health Center 551 Gibson Avenue, Pacific Grove, CA 93950 CCN 555867 | 2.4 km | 26 | Apr 10, 2026 | 571 harm | $8,278 | |
| Oceanview Post Acute 200 Lighthouse Avenue, Pacific Grove, CA 93950 CCN 0553561 state class AA/A | 2.9 km | 51 | Dec 12, 2025 | 711 harm | — | |
| Westland House 100 Barnet Segal Lane, Monterey, CA 93940 CCN 555143 | 3 km | 28 | Sep 5, 2025 | 19 | — | |
| Carmel Hills Care Center 23795 W. R. Holman Highway, Monterey, CA 93940 CCN 0560552 state class AA/A | 6.3 km | 99 | Apr 17, 2026 | 71 | — | |
| Carmel Valley Manor 8545 Carmel Valley Rd, Carmel, CA 93923 State license only | 10.9 km | 36 lic. | Not CMS rated | — | No inspections in window | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056437 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056437 | 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 | 070000074 | 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 9, 2020 violation Feb 29, 2020 |
| Class B |
| Citation Citation B (HSC 1424) |
| Patient Rights |
| $2,000 |
Closed |
| 070015789 |
| Oct 10, 2018 violation Sep 28, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 070014472 |
| May 7, 2018 violation Mar 26, 2018 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 070014050 |
| Feb 12, 2018 violation Oct 9, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 070013808 |
| Jan 22, 2018 violation Jan 11, 2018 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 070013749 |
| Aug 7, 2017 violation Jul 26, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070013408 |
| Jun 1, 2017 violation Apr 24, 2017 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 070013241 |
| Dec 12, 2016 violation Sep 20, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070012806 |
| Jul 26, 2016 violation May 20, 2016 | Class B | Citation Citation B (HSC 1424) | Other · Improper Discharge | $1,000 | Closed | 070012424 |
| Jul 20, 2016 violation Jul 11, 2016 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 070012423 |
| Dec 30, 2010 violation Dec 18, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $600 | Closed | 070007804 |
| Aug 31, 2009 violation Aug 15, 2009 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $600 | Closed | 070006514 |
| Aug 31, 2009 violation Aug 15, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 070006513 |
| Mar 17, 2009 violation Feb 13, 2009 | Class A | Citation Citation A (HSC 1424) | Patient Care | $21,000 initial $7,000 | Closed | 070005970 |
| Sep 5, 2008 violation Aug 28, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $12,000 | Closed | 070005379 |
| May 5, 2008 violation Apr 9, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $350 initial $700 | Appealed Closed | 070004988 |
| May 5, 2008 violation Apr 9, 2008 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $350 initial $700 | Appealed Closed | 070004987 |
| May 5, 2008 violation Apr 9, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $400 initial $800 | Appealed Closed | 070004951 |
| Mar 12, 2008 violation Feb 16, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 070004759 |
| Mar 12, 2008 violation Nov 19, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 070004727 |
| Mar 12, 2008 violation Nov 19, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Closed | 070004726 |
| Mar 15, 2006 violation Mar 5, 2006 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $850 | Closed | 070002935 |
| Dec 17, 2002 violation Nov 9, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $200 | Closed | 070002488 |
| May 16, 2002 violation Apr 27, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 initial $1,000 | Closed | 070002452 |
| Jul 18, 2001 violation Jun 28, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 070002396 |
| Oct 20, 2000 violation Sep 3, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 070002358 |
| Aug 9, 2000 violation Jul 14, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 070002339 |
| Dec 23, 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 Jan 9, 2026 | Complaint |
| Dec 16, 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 Jan 2, 2026 | Complaint |
| May 16, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 16, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 16, 2025 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 16, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 16, 2025 | 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 12, 2025 |
| May 16, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2025 |
| May 16, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 16, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2025 |
| May 16, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 16, 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 Jun 12, 2025 |
| May 16, 2025 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| May 16, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2025 |
| May 16, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2025 |
| May 16, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| May 16, 2025 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| May 16, 2025 | 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 Jun 5, 2025 |
| May 16, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| May 16, 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 Jun 5, 2025 |
| May 16, 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 Jun 5, 2025 |
| May 16, 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 Jun 5, 2025 |
| May 16, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 5, 2025 |
| May 16, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 5, 2025 |
| May 16, 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 Jun 5, 2025 |
| May 16, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 5, 2025 |
| Jan 9, 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 23, 2025 | Complaint |
| Dec 10, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 27, 2024 | Complaint |
| Dec 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 27, 2024 | Complaint |
| Jul 9, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 29, 2024 | Complaint |
| Jun 4, 2024 | F-0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 27, 2024 | Complaint |
| May 21, 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 Jun 17, 2024 | Complaint |
| May 21, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 17, 2024 | Complaint |
| May 2, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 24, 2024 | Complaint |
| May 2, 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 May 24, 2024 | Complaint |
| Jan 25, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 29, 2024 |
| Jan 25, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 29, 2024 |
| Jan 25, 2024 | 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 Feb 24, 2024 |
| Jan 25, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 24, 2024 |
| Jan 25, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 24, 2024 |
| Jan 25, 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 Feb 24, 2024 |
| Jan 25, 2024 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 29, 2024 |
| Jan 25, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 29, 2024 |
| Jan 25, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 29, 2024 |
| Dec 19, 2023 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 15, 2024 | Complaint |
| Dec 19, 2023 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 15, 2024 | Complaint |
| Dec 8, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 29, 2023 | Complaint |
| Oct 25, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 15, 2023 | Complaint |
| Oct 3, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 20, 2023 | Complaint |
| May 21, 2021 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 12, 2021 |
| May 21, 2021 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | 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 Jul 12, 2021 |
| May 21, 2021 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2021 |
| May 21, 2021 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 21, 2021 |
| May 21, 2021 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 21, 2021 |
| May 21, 2021 | 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 21, 2021 |
| May 21, 2021 | 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 21, 2021 |
| May 21, 2021 | 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 | F · Potential harm Widespread | Corrected Jun 20, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.07 (case-mix index 1.87).
| Joshua Jergensen |
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Matthew Awerbuck | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Sep 1, 2021 |
| Matthew Howard | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 1, 2023 |
| 51 |
| Jul 6, 2026 |
51 |
| — |
| Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021 CCN 055064 | 96 | Aug 26, 2026 | 781 harm | $9,255 |
| Moraga Post Acute 348 Rheem Boulevard, Moraga, CA 94556 CCN 055085 | 49 | Apr 13, 2026 | 501 harm | — |
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 59 | Apr 1, 2026 | 62 | — |
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 190 | Aug 13, 2026 | 763 harm | $102k |
| Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A | 104 | Aug 11, 2026 | 751 IJ2 harm | $35k |
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 103 | Jul 2, 2026 | 71 | — |