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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 | D24 | E15 | F5 |
| Minimal | A· | B2 |
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 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 28, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 15, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 15, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Mar 2, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 28, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Feb 28, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Aug 9, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 24, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 28, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Sep 28, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 11, 2024 violation Nov 29, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $50,000 | Closed | 810019954 |
| Jan 24, 2023 violation Oct 23, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 020018316 |
| Jul 27, 2022 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 810017800 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D24 | E15 | F5 |
| Minimal | A· | B2 | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 4, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 6, 2026 | Complaint |
| Jun 17, 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 Jul 31, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
22 facilities in 1 states. CMS chain ID 566.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Windsor Norcal 13 Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2007 |
| Antelope Holdings I, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Windsor Norcal 13 Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2007 |
| Antelope Holdings I, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jun 30, 2023 |
| Newgen Administrative Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2023 |
| Sri Vardhan Kooturu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Oak Grove Post Acute 4545 Shelley Court, Stockton, CA 95207 CCN 0552013 state class AA/AAbuse icon | 119 | Aug 21, 2026 | 1711 harm2 open |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 | 0.9 km | 51 | Jul 6, 2026 | 51 | — | |
| La Casa Via Transitional Care Center 1449 Ygnacio Valley Road, Walnut Creek, CA 94598 CCN 0563992 state class AA/A | 3 km | 99 | Jun 5, 2025 | 55 | — | |
| Tampico Healthcare Center 130 Tampico Street, Walnut Creek, CA 94598 CCN 0562133 state class AA/A | 3.1 km | 128 | Aug 19, 2026 | 51 | — | |
| Concord Post Acute 1050 San Miguel Road, Concord, CA 94518 CCN 555104Abuse icon | 4.4 km | 190 | Jul 9, 2026 | 601 harm | $20k | |
| Shadelands Post Acute 2765 Mitchell Dr, Walnut Creek, CA 94598 CCN 555926 | 4.4 km | 59 | May 14, 2026 | 42 | — | |
| Bayberry Skilled Nursing & Healthcare Center 1800 Adobe Street, Concord, CA 94520 CCN 0562602 state class AA/AAbuse icon | 5.5 km | 99 | Jul 16, 2026 | 371 harm1 open | — | |
| Walnut Creek Skilled Nursing & Rehabilitation Cent 1224 Rossmoor Parkway, Walnut Creek, CA 94595 CCN 0563278 state class AA/A | 6.2 km | 180 | Jul 22, 2026 | 70 | — | |
| Rossmoor Post Acute 1226 Rossmoor Parkway, Walnut Creek, CA 94595 CCN 555446 | 6.2 km | 155 | Jul 9, 2026 | 56 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056476 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056476 | 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 | 140000082 | 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
| Jul 2, 2020 violation Jan 1, 2019 |
| AP NHPPD |
| Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
| DHPPD: 1 Day (No Penalty) |
| $0 |
Open |
| 810016011 |
| Aug 14, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010086 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010085 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010084 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010082 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010081 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010080 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010079 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010078 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010077 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,300 initial $2,000 | Appealed Closed | 020010076 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010075 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010073 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010071 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010070 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010069 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010067 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010066 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010065 |
| Aug 13, 2013 violation Sep 16, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $2,000 | Appealed Closed | 020010062 |
| Apr 25, 2013 violation Jun 20, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009854 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009823 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009822 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009821 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009820 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 020009819 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009818 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009817 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009816 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009815 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009814 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009813 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009812 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009811 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009802 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009800 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009799 |
| Apr 25, 2013 violation Jun 20, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 020009798 |
| Jul 17, 2002 violation Nov 25, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Care | $600 | Closed | 140002625 |
| May 28, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 10, 2026 | Complaint |
| May 28, 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 10, 2026 | Complaint |
| May 15, 2026 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 15, 2026 |
| May 15, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 15, 2026 | 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 8, 2026 |
| May 15, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 15, 2026 | 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 May 22, 2026 |
| May 15, 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 | E · Potential harm Pattern | Corrected May 22, 2026 |
| May 15, 2026 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 22, 2026 |
| Mar 2, 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 Mar 16, 2026 | Complaint |
| Mar 2, 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 Mar 16, 2026 | Complaint |
| Feb 17, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 24, 2026 | Complaint |
| Jan 5, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 29, 2026 | Complaint |
| Dec 19, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 22, 2025 | Complaint |
| Jun 20, 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 Jun 23, 2025 | Complaint |
| Feb 28, 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 | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Feb 28, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Feb 28, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Feb 28, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Feb 28, 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 14, 2025 |
| Feb 28, 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 Mar 14, 2025 |
| Feb 28, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 28, 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 | E · Potential harm Pattern | Corrected Mar 7, 2025 |
| Feb 28, 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 Mar 7, 2025 |
| Feb 28, 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 7, 2025 |
| Feb 28, 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 Mar 7, 2025 |
| Feb 28, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 7, 2025 |
| Feb 28, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 14, 2025 |
| Feb 28, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 14, 2025 |
| Feb 28, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Mar 7, 2025 |
| Aug 9, 2024 | 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 Aug 28, 2024 | Complaint |
| Aug 9, 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 Aug 28, 2024 | Complaint |
| Jul 24, 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 Aug 24, 2024 | Complaint |
| Jul 24, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 24, 2024 | Complaint |
| Sep 28, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Oct 16, 2023 |
| Sep 28, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 16, 2023 |
| Sep 28, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 16, 2023 |
| Sep 28, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 16, 2023 |
| Sep 28, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 16, 2023 |
| Sep 28, 2023 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 16, 2023 |
| Sep 28, 2023 | 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 Oct 16, 2023 |
| Sep 28, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 19, 2023 |
| Sep 28, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 19, 2023 |
| Sep 28, 2023 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 19, 2023 |
| Sep 28, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 19, 2023 |
| Sep 28, 2023 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Oct 19, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.50 (case-mix index 1.84).
| May 1, 2017 |
| Pamela Shaw | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 30, 2023 |
| Maggie Youssef | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 10, 2023 |
| Aaron Robin | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 14, 2023 |
| Avrohom Tress | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 14, 2023 |
| Antelope Realty Holdings I, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 16, 2025 |
| Newgen Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 21, 2025 |
| Sri Vardhan Kooturu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2017 |
| Pamela Shaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2023 |
| Maggie Youssef | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 10, 2023 |
| $40k |
| Elk Grove Post Acute 9461 Batey Avenue, Elk Grove, CA 95624 CCN 0553085 state class AA/AAbuse icon | 136 | May 14, 2026 | 1013 harm | $8,824 |
| River City Post Acute 2540 Carmichael Way, Carmichael, CA 95608 CCN 05540210 state class AA/AAbuse icon | 178 | Aug 25, 2026 | 1345 open | — |
| South Coast Post Acute 1030 W Warner Ave, Santa Ana, CA 92707 CCN 055653Abuse icon | 255 | Jul 31, 2026 | 120 | — |
| Delta Oaks Post Acute 6940 Pacific Avenue, Stockton, CA 95207 CCN 0557352 state class AA/AAbuse icon | 128 | Aug 25, 2026 | 1853 harm34 open | — |
| Coastal Post Acute 348 Iris Drive, Salinas, CA 93906 CCN 0558712 state class AA/A | 80 | Apr 9, 2025 | 681 IJ | $64k |
| Country Drive Post Acute 2500 Country Drive, Fremont, CA 94536 CCN 0558852 state class AA/A | 126 | Feb 23, 2026 | 611 harm | — |
| National City Post Acute 220 East 24th Street, National City, CA 91950 CCN 055954 | 98 | Jun 22, 2026 | 602 harm2 open | $16k |