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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 | G2 | H· | I· |
| Potential harm | D34 | E23 | F22 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 6, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Mar 6, 2026 | Health | Health Standard | 13 | Actual harm | — | Open → |
| Feb 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 12, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Dec 24, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 24, 2024 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| May 24, 2024 | Health | Health Complaint, Health Standard | 19 | Potential harm | — | Open → |
| Dec 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 20, 2022 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| May 20, 2022 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 6, 2026 | Denial of payment for new admissions | — | Apr 4, 2026 · 32 days | 056483|Payment Denial|2026-04-04 |
| Mar 6, 2026 | Civil money penalty (fine) | $78,832 | — | 056483|Fine|138967 |
| Feb 12, 2025 | Denial of payment for new admissions | — | Mar 8, 2025 · 25 days | 056483|Payment Denial|2025-03-08 |
| Feb 12, 2025 | Civil money penalty (fine) | $8,970 | — | 056483|Fine|131114 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 8, 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 | Open | 810020089 |
| Nov 22, 2022 violation Mar 1, 2022 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 110018082 |
| Mar 4, 2022 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 | 810017368 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D34 | E23 | F22 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 21, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 11, 2026 | Complaint |
| Mar 6, 2026 | 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 Apr 23, 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 |
|---|---|---|---|---|---|
| Sherwood Oaks Post Acute Care, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 21, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sherwood Oaks Post Acute Care, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 21, 2022 |
| Dickman Weston Group | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2024 |
| Hansen Hunter LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 21, 2022 |
| Sherwood Oaks Post Acute Care, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 21, 2022 |
| Ronald Baldwin | Individual | Operational / managerial control |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056483 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056483 | 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 | 010000062 | 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
| Feb 18, 2022 violation Mar 18, 2021 |
| Class B |
| Citation Citation B (HSC 1424) |
| Problem Transfer |
| $2,000 |
Closed |
| 110017056 |
| Mar 26, 2021 violation Jun 29, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 110016362 |
| Mar 26, 2021 violation Nov 21, 2019 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 110016361 |
| Sep 15, 2020 violation Jul 1, 2018 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Open | 810016076 |
| Apr 18, 2019 violation Feb 5, 2018 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 110014953 |
| Apr 20, 2010 violation Dec 29, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110007001 |
| Apr 24, 2009 violation May 15, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110006099 |
| Apr 24, 2009 violation May 15, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Death related Closed | 110006098 |
| Apr 23, 2009 violation Jun 16, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Closed | 110006047 |
| Jan 31, 2008 violation Jun 4, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110004628 |
| Mar 16, 2007 violation Jun 1, 2006 | Class A | Citation Citation A (HSC 1424) | Other · pc, m | $15,000 | Closed | 110003782 |
| Dec 1, 2006 violation Jan 25, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 | Closed | 110003421 |
| Dec 1, 2006 violation Apr 18, 2006 | Class A | Citation Citation A (HSC 1424) | Medication | $18,000 | Closed | 110003276 |
| Jun 23, 2006 violation Jul 17, 2005 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Closed | 110003061 |
| Aug 25, 2003 violation Jul 10, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 | Closed | 010002050 |
| Oct 13, 2000 violation May 4, 2000 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $500 | Closed | 010001786 |
| Jun 9, 2000 violation Feb 18, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 010001754 |
| Jan 28, 2000 violation Mar 9, 1998 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 010001439 |
| Jan 28, 2000 violation Jun 1, 1999 | Class B | Citation Citation B (HSC 1424) | Other · PTCARE/PHYENVIRONMEN | $1,000 | Closed | 010001438 |
| E-0030 |
| List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness |
| F · Potential harm Widespread |
| Corrected Apr 2, 2026 |
| Mar 6, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 8, 2026 |
| Mar 6, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 8, 2026 |
| Mar 6, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 2, 2026 |
| Mar 6, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 10, 2026 |
| Mar 6, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 2, 2026 |
| Mar 6, 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 Apr 8, 2026 |
| Mar 6, 2026 | 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 Apr 2, 2026 |
| Mar 6, 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 Apr 23, 2026 |
| Mar 6, 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 Apr 23, 2026 |
| Mar 6, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 23, 2026 |
| Mar 6, 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 Apr 23, 2026 |
| Mar 6, 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 Apr 23, 2026 |
| Mar 6, 2026 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 6, 2026 |
| Mar 6, 2026 | 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 May 6, 2026 |
| Mar 6, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 23, 2026 |
| Mar 6, 2026 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 23, 2026 |
| Mar 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 23, 2026 |
| Mar 6, 2026 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 23, 2026 |
| Mar 6, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 23, 2026 |
| Feb 5, 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 Mar 4, 2026 | Complaint |
| Feb 12, 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 Feb 27, 2025 | Complaint |
| Feb 12, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2025 | Complaint |
| Feb 12, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2025 | Complaint |
| Dec 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 Jan 23, 2025 | Complaint |
| Dec 24, 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 Jan 23, 2025 | Complaint |
| May 24, 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 Jul 10, 2024 |
| May 24, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| May 24, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| May 24, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2024 |
| May 24, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| May 24, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2024 |
| May 24, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| May 24, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2024 |
| May 24, 2024 | 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 Jul 10, 2024 |
| May 24, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| May 24, 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 Jul 10, 2024 |
| May 24, 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 Jul 10, 2024 |
| May 24, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| May 24, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| May 24, 2024 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2024 |
| May 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 | E · Potential harm Pattern | Corrected Jul 27, 2024 | Complaint |
| May 24, 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 | E · Potential harm Pattern | Corrected Jul 27, 2024 | Complaint |
| May 24, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 27, 2024 | Complaint |
| May 24, 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 Jul 27, 2024 |
| May 24, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| May 24, 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 Jul 27, 2024 |
| May 24, 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 Jul 27, 2024 |
| May 24, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2024 |
| May 24, 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 Jul 27, 2024 |
| May 24, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| May 24, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| May 24, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 27, 2024 | Complaint |
| May 24, 2024 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jul 27, 2024 | Complaint |
| May 24, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| May 24, 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 Jul 27, 2024 | Complaint |
| May 24, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| May 24, 2024 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jul 27, 2024 |
| May 24, 2024 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jul 27, 2024 |
| May 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 27, 2024 |
| Dec 6, 2023 | 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 Dec 20, 2023 | Complaint |
| May 20, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2022 |
| May 20, 2022 | 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 Jul 8, 2022 |
| May 20, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2022 |
| May 20, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2022 |
| May 20, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2022 |
| May 20, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2022 |
| May 20, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2022 |
| May 20, 2022 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2022 |
| May 20, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2022 |
| May 20, 2022 | 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 Jul 8, 2022 |
| May 20, 2022 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 29, 2022 |
| May 20, 2022 | 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 | E · Potential harm Pattern | Corrected Jul 29, 2022 |
| May 20, 2022 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 29, 2022 |
| May 20, 2022 | 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 Jul 29, 2022 |
| May 20, 2022 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 29, 2022 |
| May 20, 2022 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 29, 2022 |
| May 20, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 29, 2022 |
| May 20, 2022 | 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 | E · Potential harm Pattern | Corrected Jul 29, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.99 (case-mix index 1.39).
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Feb 21, 2022 |
| Andrew Ng | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 21, 2022 |
| Qing Xie | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 21, 2022 |
| Dickman Weston Group | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Hansen Hunter LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Serenethos LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 21, 2022 |
| Sherwood Oaks Post Acute Care, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Ronald Baldwin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 18, 2022 |
| Andrew Ng | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2022 |
| Qing Xie | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 18, 2022 |