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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 | J3 | K· | L· |
| Actual harm | G9 | H· | I· |
| Potential harm | D121 | E49 | F2 |
| 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 6, 2026 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Jul 8, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 30, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 15, 2026 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Apr 24, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 10, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Feb 10, 2026 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Jan 20, 2026 | Health | Health Complaint | 8 | Actual harm | — | Open → |
| Dec 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 8, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 22, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Aug 22, 2025 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Aug 9, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 30, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 11, 2025 | Health | Health Complaint | 6 | Actual harm | — | Open → |
| May 15, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 23, 2025 | Health | Health Complaint | 7 | Potential harm | — | Open → |
| Apr 3, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 28, 2025 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Mar 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 1, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 1, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 24, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Jan 8, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 29, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 23, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Oct 8, 2024 | Health | Health Complaint | 6 | Actual harm | — | Open → |
| Sep 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 2, 2024 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Jul 26, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jul 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 14, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| May 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 18, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 30, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Mar 14, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 16, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 19, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 22, 2023 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Dec 6, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Nov 22, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 25, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 13, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 11, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 2, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 22, 2026 | Civil money penalty (fine) | $14,882 | — | 056487|Fine|139468 |
| Jan 20, 2026 | Civil money penalty (fine) | $82,250 | — | 056487|Fine|137765 |
| Jun 11, 2025 | Civil money penalty (fine) | $9,698 | — | 056487|Fine|133913 |
| Mar 1, 2025 | Denial of payment for new admissions | — | Mar 29, 2025 · 38 days | 056487|Payment Denial|2025-03-29 |
| Mar 1, 2025 | Civil money penalty (fine) | $129,784 | — | 056487|Fine|131241 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 10, 2024 violation Jan 22, 2024 | Class A | Citation Citation A (HSC 1424) | Patient Care | $60,000 | Death related Open | 950020169 |
| May 10, 2024 violation Jan 22, 2024 | Class B | Citation Citation B (HSC 1424) | Administration | $3,000 | Open | 950020167 |
| May 10, 2024 violation Mar 21, 2024 | Class B | Citation Citation B (HSC 1424) | Other · Nursing Service |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G9 | H· | I· |
| Potential harm | D121 | E49 | F2 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 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 Aug 25, 2026 | |
| Aug 6, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 25, 2026 | |
| Aug 6, 2026 | F-0605 |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.80 (case-mix index 1.69).
CMS legal business name of the certified provider. Operates this facility only.
183 facilities in 18 states. CMS chain ID 237.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ghc Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | Jun 1, 2020 |
| Sundance Rehabilitation Holdco Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Welltower Op LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Zac Properties Xi LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Steven Fishman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ghc Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | Jun 1, 2020 |
| Sundance Rehabilitation Holdco Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Welltower Op LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Zac Properties Xi LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Earlwood 20820 Earl Street, Torrance, CA 90503 CCN 0550328 state class AA/A | 87 | Aug 19, 2026 | 1073 harm3 open | $18k | |
| Fountain View Subacute and Nursing Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Montebello Care Center 1035 W Beverly Blvd, Montebello, CA 90640 CCN 0551534 state class AA/A | 1.9 km | 99 | May 15, 2026 | 77 | — | |
| Pico Rivera Healthcare Center 9140 Verner Street, Pico Rivera, CA 90660 CCN 0551702 state class AA/A | 2 km | 99 | Apr 9, 2026 | 621 harm | $27k | |
| El Rancho Vista Health Care Center 8925 Mines Avenue, Pico Rivera, CA 90660 CCN 5551123 state class AA/A | 2.4 km | 86 | Jun 10, 2026 | 57 | — | |
| Monterey Healthcare & Wellness Centre, LP 1267 San Gabriel Blvd, Rosemead, CA 91770 CCN 555897 | 3.2 km | 96 | Aug 12, 2026 | 811 IJ | $8,021 | |
| Green Acres Healthcare Center 8101 E Hill Drive, Rosemead, CA 91770 CCN 5557551 state class AA/A | 3.4 km | 85 | Jul 28, 2026 | 781 open | $57k | |
| San Gabriel Conv Center 8035 E Hill Drive, Rosemead, CA 91770 CCN 0551811 state class AA/A | 3.5 km | 151 | Jun 18, 2026 | 671 harm | — | |
| Colonial Gardens Nursing Home 7246 S. Rosemead Blvd., Pico Rivera, CA 90660 CCN 5557151 state class AA/A | 4 km | 99 | Aug 21, 2026 | 1251 IJ1 harm | $37k | |
| Socal Post-Acute Care 7931 S. Sorenson Ave., Whittier, CA 90606 CCN 0551682 state class AA/A | 4.3 km | 59 | Aug 21, 2026 | 67 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 056487 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 056487 | 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 | 940000094 | 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
| Jan 8, 2025 | Denial of payment for new admissions | — | Feb 7, 2025 · 3 days | 056487|Payment Denial|2025-02-07 |
| Jan 8, 2025 | Civil money penalty (fine) | $47,405 | — | 056487|Fine|131039 |
| Sep 27, 2024 | Denial of payment for new admissions | — | Nov 7, 2024 · 6 days | 056487|Payment Denial|2024-11-07 |
| Sep 27, 2024 | Civil money penalty (fine) | $45,625 | — | 056487|Fine|130896 |
| Mar 7, 2024 | Denial of payment for new admissions | — | Apr 27, 2024 · 6 days | 056487|Payment Denial|2024-04-27 |
| Mar 7, 2024 | Civil money penalty (fine) | $39,299 | — | 056487|Fine|130474 |
| $3,000 |
Open |
| 950020148 |
| Apr 18, 2024 violation Mar 6, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950020033 |
| Apr 18, 2024 violation Feb 8, 2024 | Class B | Citation Citation B (HSC 1424) | Administration | $3,000 | Closed | 950020032 |
| Mar 29, 2024 violation Feb 11, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 950019934 |
| Mar 29, 2024 violation Feb 12, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Open | 950019928 |
| Feb 27, 2024 violation Nov 19, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950019785 |
| Nov 15, 2023 violation Mar 20, 2023 | Class B | Citation Citation B (HSC 1424) | Medication | $3,000 | Closed | 950019372 |
| Oct 19, 2023 violation Jul 14, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950019281 |
| Oct 19, 2023 violation Aug 24, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950019278 |
| Oct 19, 2023 violation Aug 25, 2023 | Class B | Citation Citation B (HSC 1424) | Staffing | $3,000 | Closed | 950019276 |
| Oct 19, 2023 violation Aug 24, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Closed | 950019271 |
| Sep 21, 2023 violation Sep 2, 2023 | Class B | Citation Citation B (HSC 1424) | Administration | $3,000 | Closed | 950019187 |
| Jun 15, 2023 violation Apr 24, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Closed | 950018867 |
| Apr 28, 2023 violation Mar 13, 2023 | Class B | Citation Citation B (HSC 1424) | Medication | $9,000 initial $3,000 | Closed | 950018709 |
| Apr 28, 2023 violation Mar 13, 2023 | Class B | Citation Citation B (HSC 1424) | Medication | $9,000 initial $3,000 | Closed | 950018707 |
| Apr 28, 2023 violation Mar 13, 2023 | Class B | Citation Citation B (HSC 1424) | Medication | $9,000 initial $3,000 | Closed | 950018702 |
| Feb 17, 2023 violation Nov 16, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 950018421 |
| Feb 3, 2023 violation Dec 19, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Closed | 950018374 |
| Oct 5, 2021 violation Jul 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 | 810016963 |
| Aug 20, 2021 violation Nov 2, 2020 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death relatedAppealed Closed | 950016790 |
| Sep 12, 2018 violation May 13, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 940014406 |
| Jun 28, 2018 violation Sep 25, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death related Closed | 940014117 |
| Mar 8, 2018 violation Jan 23, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940013881 |
| Feb 4, 2016 violation Oct 18, 2015 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Closed | 940011999 |
| Feb 4, 2016 violation Oct 18, 2015 | Class A | Citation Citation A (HSC 1424) | Medication | $20,000 | Closed | 940011998 |
| May 6, 2003 violation Feb 22, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 940001489 |
| Feb 24, 2003 violation Dec 26, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Appealed Closed | 940001481 |
| Jun 4, 2001 violation Apr 14, 2001 | Class B | Citation Citation A (HSC 1424) | Physical Environment | $9,000 initial $10,000 | Closed | 940001420 |
| 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 Aug 25, 2026 |
| Aug 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 Aug 25, 2026 |
| Aug 6, 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 | E · Potential harm Pattern | Corrected Aug 25, 2026 |
| Aug 6, 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 Aug 25, 2026 |
| Aug 6, 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 Aug 25, 2026 |
| Aug 6, 2026 | 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 Aug 25, 2026 |
| Aug 6, 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 | E · Potential harm Pattern | Corrected Aug 25, 2026 |
| Aug 6, 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 Aug 25, 2026 |
| Aug 6, 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 Aug 25, 2026 |
| Aug 6, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 25, 2026 |
| Aug 6, 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 Aug 25, 2026 |
| Jul 8, 2026 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 14, 2026 | Complaint |
| Jul 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 14, 2026 | Complaint |
| Jun 30, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| Jun 30, 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 Jul 1, 2026 | Complaint |
| Jun 30, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| May 15, 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 | G · Actual harm Isolated | Corrected May 18, 2026 | Complaint |
| May 15, 2026 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2026 | Complaint |
| May 15, 2026 | 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 May 18, 2026 | Complaint |
| May 15, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 18, 2026 | Complaint |
| 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 Apr 25, 2026 | Complaint |
| Apr 22, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2026 | Complaint |
| Feb 10, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2026 |
| Feb 10, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 16, 2026 |
| Feb 10, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2026 |
| Feb 10, 2026 | 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 | E · Potential harm Pattern | Corrected Feb 16, 2026 |
| Feb 10, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 17, 2026 |
| Feb 10, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 16, 2026 |
| Feb 10, 2026 | 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 | E · Potential harm Pattern | Corrected Feb 16, 2026 |
| Feb 10, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 2026 | 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 Feb 16, 2026 |
| Feb 10, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 2026 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 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 Feb 16, 2026 |
| Feb 10, 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 | E · Potential harm Pattern | Corrected Feb 16, 2026 |
| Feb 10, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 16, 2026 |
| Feb 10, 2026 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 16, 2026 |
| Feb 10, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 16, 2026 |
| Jan 20, 2026 | 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 Feb 8, 2026 | Complaint |
| Jan 20, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 8, 2026 | Complaint |
| Jan 20, 2026 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 8, 2026 | Complaint |
| Jan 20, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 8, 2026 | Complaint |
| Jan 20, 2026 | 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 Feb 8, 2026 | Complaint |
| Jan 20, 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 Feb 8, 2026 | Complaint |
| Jan 20, 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 Feb 8, 2026 | Complaint |
| Jan 20, 2026 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 8, 2026 | Complaint |
| Dec 23, 2025 | 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 Dec 24, 2025 | Complaint |
| Dec 11, 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 Dec 17, 2025 | Complaint |
| Dec 8, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 17, 2025 | Complaint |
| Dec 8, 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 Dec 17, 2025 | Complaint |
| Dec 8, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 17, 2025 | Complaint |
| Dec 1, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 2, 2026 | Complaint |
| Nov 13, 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 Nov 14, 2025 | Complaint |
| Nov 13, 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 Nov 14, 2025 | Complaint |
| Nov 13, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Nov 14, 2025 | Complaint |
| Nov 7, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 8, 2025 | Complaint |
| Aug 22, 2025 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Aug 22, 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 Aug 29, 2025 |
| Aug 22, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 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 Aug 29, 2025 |
| Aug 22, 2025 | 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 Aug 29, 2025 |
| Aug 22, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 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 29, 2025 |
| Aug 22, 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 Aug 29, 2025 |
| Aug 22, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 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 | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 22, 2025 | 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 | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Aug 22, 2025 | 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 Aug 29, 2025 |
| Aug 22, 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 Aug 29, 2025 |
| Aug 22, 2025 | 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 | E · Potential harm Pattern | Corrected Aug 29, 2025 |
| Aug 22, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 29, 2025 |
| Aug 22, 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 Aug 29, 2025 |
| Aug 22, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 29, 2025 |
| Aug 9, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 28, 2025 | Complaint |
| Aug 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 28, 2025 | Complaint |
| Jun 30, 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 Jul 1, 2025 | Complaint |
| Jun 30, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 1, 2025 | Complaint |
| Jun 11, 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 Jun 15, 2025 | Complaint |
| Jun 11, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 15, 2025 | Complaint |
| Jun 11, 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 15, 2025 | Complaint |
| Jun 11, 2025 | 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 Jun 15, 2025 | Complaint |
| Jun 11, 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 15, 2025 | Complaint |
| Jun 11, 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 Jun 15, 2025 | Complaint |
| May 15, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2025 | Complaint |
| May 15, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 18, 2025 | Complaint |
| Apr 23, 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 May 6, 2025 | Complaint |
| Apr 23, 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 | E · Potential harm Pattern | Corrected May 6, 2025 | Complaint |
| Apr 23, 2025 | 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 May 6, 2025 | Complaint |
| Apr 23, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 6, 2025 | Complaint |
| Apr 23, 2025 | 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 6, 2025 | Complaint |
| Apr 23, 2025 | 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 May 6, 2025 | Complaint |
| Apr 23, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 6, 2025 | Complaint |
| Apr 3, 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 | E · Potential harm Pattern | Corrected Apr 24, 2025 | Complaint |
| Apr 3, 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 24, 2025 | Complaint |
| Mar 28, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Apr 24, 2025 | Complaint |
| Mar 28, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 24, 2025 | Complaint |
| Mar 28, 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 Apr 24, 2025 | Complaint |
| Mar 28, 2025 | 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 Apr 24, 2025 | Complaint |
| Mar 28, 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 24, 2025 | Complaint |
| Mar 28, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 24, 2025 | Complaint |
| Mar 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 24, 2025 | Complaint |
| Mar 1, 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 Mar 24, 2025 | Complaint |
| Mar 1, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 17, 2025 |
| Mar 1, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 17, 2025 |
| Jan 24, 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 Feb 10, 2025 | Complaint |
| Jan 24, 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 Feb 10, 2025 | Complaint |
| Jan 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 10, 2025 | Complaint |
| Jan 8, 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 Feb 6, 2025 | Complaint |
| Dec 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 8, 2025 | Complaint |
| Dec 5, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 9, 2024 | Complaint |
| Nov 6, 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 Nov 8, 2024 | Complaint |
| Oct 29, 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 | E · Potential harm Pattern | Corrected Nov 13, 2024 | Complaint |
| Oct 29, 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 Nov 13, 2024 | Complaint |
| Oct 29, 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 Nov 13, 2024 | Complaint |
| Oct 23, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 6, 2024 | Complaint |
| Oct 23, 2024 | F-0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 6, 2024 | Complaint |
| Oct 23, 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 | E · Potential harm Pattern | Corrected Nov 6, 2024 | Complaint |
| Oct 23, 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 Nov 6, 2024 | Complaint |
| Oct 8, 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 | G · Actual harm Isolated | Corrected Oct 31, 2024 | Complaint |
| Oct 8, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 31, 2024 | Complaint |
| Oct 8, 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 Oct 31, 2024 | Complaint |
| Oct 8, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 31, 2024 | Complaint |
| Oct 8, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 31, 2024 | Complaint |
| Oct 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 Oct 31, 2024 | Complaint |
| Sep 27, 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 Sep 27, 2024 | Complaint |
| Aug 20, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 20, 2024 | Complaint |
| Aug 2, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Aug 2, 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 | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Aug 2, 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 Aug 23, 2024 | Complaint |
| Aug 2, 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 Aug 23, 2024 | Complaint |
| Aug 2, 2024 | 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 Aug 23, 2024 | Complaint |
| Aug 2, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 26, 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 21, 2024 | Complaint |
| Jul 26, 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 Aug 21, 2024 | Complaint |
| Jul 26, 2024 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 21, 2024 | Complaint |
| Jul 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 21, 2024 | Complaint |
| Jul 10, 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 12, 2024 | Complaint |
| Jul 2, 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 Jul 26, 2024 | Complaint |
| Jun 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 25, 2024 | Complaint |
| Jun 14, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 3, 2024 | Complaint |
| Jun 14, 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 3, 2024 | Complaint |
| Jun 14, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 3, 2024 | Complaint |
| Jun 14, 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 Jul 3, 2024 | Complaint |
| May 3, 2024 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 3, 2024 | Complaint |
| Apr 18, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 18, 2024 | Complaint |
| Apr 18, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 18, 2024 | Complaint |
| Mar 30, 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 | J · Immediate jeopardy Isolated | Corrected Apr 26, 2024 | Complaint |
| Mar 30, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected Apr 26, 2024 | Complaint |
| Mar 30, 2024 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 26, 2024 | Complaint |
| Mar 14, 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 Mar 30, 2024 | Complaint |
| Mar 14, 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 Mar 30, 2024 | Complaint |
| Mar 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 30, 2024 | Complaint |
| Feb 16, 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 Mar 5, 2024 | Complaint |
| Feb 16, 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 Mar 5, 2024 | Complaint |
| Feb 16, 2024 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 5, 2024 | Complaint |
| Jan 19, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2024 | Complaint |
| Jan 19, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2024 | Complaint |
| Jan 19, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 12, 2024 | Complaint |
| Jan 19, 2024 | F-0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 12, 2024 | Complaint |
| Dec 22, 2023 | 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 12, 2024 | Complaint |
| Dec 22, 2023 | 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 12, 2024 | Complaint |
| Dec 22, 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 Jan 12, 2024 | Complaint |
| Dec 22, 2023 | 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 Jan 12, 2024 | Complaint |
| Dec 22, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 12, 2024 | Complaint |
| Nov 22, 2023 | 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 Dec 22, 2023 | Complaint |
| Oct 25, 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 Nov 8, 2023 | Complaint |
| Oct 13, 2023 | 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 Nov 3, 2023 | Complaint |
| Oct 11, 2023 | 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 Nov 3, 2023 | Complaint |
| Oct 2, 2023 | 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 Oct 27, 2023 | Complaint |
| Oct 2, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 27, 2023 | Complaint |
| Jun 1, 2020 |
| Steven Fishman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2020 |
| Aaron Robin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 15, 2023 |
| Newgen Administrative Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2020 |
| Rahul Dhawan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Marie Dor-Oscar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 18, 2024 |
| Jessica Fung | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 23, 2024 |
| Pamela Shaw | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2020 |
| Avrohom Tress | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2020 |
| Newgen Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2020 |
| Powerback Rehabilitation LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2020 |
| Rahul Dhawan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2022 |
| Marie Dor-Oscar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 18, 2024 |
| Jessica Fung | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 23, 2024 |
| Pamela Shaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2020 |
| Avrohom Tress | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2020 |
| 99 |
| Aug 5, 2026 |
911 IJ |
| $25k |
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