Loading facility…
California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D66 | E23 | F1 |
| Minimal | A· | B1 |
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 | |
|---|---|---|---|---|---|---|
| Jun 2, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 8, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| May 8, 2026 | Health | Health Standard | 22 | Potential harm | — | Open → |
| May 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 17, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 17, 2025 | Health | Health Standard | 28 | Potential harm | — | Open → |
| Jan 9, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 14, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 19, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 8, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 8, 2024 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 3, 2022 violation Mar 24, 2022 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $3,000 | Closed | 920017613 |
| Mar 23, 2022 violation Dec 17, 2021 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 920017519 |
| Sep 10, 2021 violation Jun 15, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920016908 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D66 | E23 | F1 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 2, 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 Jun 16, 2026 | Complaint |
| Jun 2, 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 Jun 16, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
19 facilities in 1 states. CMS chain ID 4.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kenneth Lehmann | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | Feb 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Kenneth Lehmann | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | Feb 1, 2021 |
| Alexandrea Ang | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 16, 2024 |
| Abraham Bak | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 7, 2021 |
| Menachem Gastwirth | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 7, 2021 |
| Kenneth Lehmann | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Advanced Rehab Center of Tustin 2210 E. First Street, Santa Ana, CA 92705 CCN 0553301 state class AA/A | 99 | Jul 30, 2026 | 1432 harm | $37k | |
| Gem Tcu 716 South Fair Oaks Ave, Pasadena, CA 91105 CCN 055341 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Valley Palms Care Center 13400 Sherman Way, N Hollywood, CA 91605 CCN 0552871 state class AA/A | 1.6 km | 99 | May 18, 2026 | 1371 IJ1 harm | $34k | |
| Grand Valley Health Care Center 13524 Sherman Way, Van Nuys, CA 91405 CCN 056363 | 1.9 km | 99 | Jun 12, 2026 | 891 IJ | $79k | |
| The Care Center on Hazeltine, LLC 6835 Hazeltine Ave., Van Nuys, CA 91405 CCN 555519 | 2 km | 58 | Dec 18, 2025 | 452 harm | $73k | |
| Four Seasons Healthcare & Wellness Center, LP 5335 Laurel Canyon Blvd., North Hollywood, CA 91607 CCN 0559324 state class AA/ASFF CandidateAbuse icon | 2.8 km | 201 | Aug 20, 2026 | 1692 IJ2 harm2 open | $63k | |
| Sherman Village Hcc 12750 Riverside Drive, North Hollywood, CA 91607 CCN 0561593 state class AA/A | 3.4 km | 108 | Aug 5, 2026 | 1201 IJ | — | |
| All Saints Healthcare Subacute 11810 Saticoy Street, North Hollywood, CA 91605 CCN 0564075 state class AA/A | 3.7 km | 128 | Jan 29, 2026 | 1053 IJ1 harm | $100k | |
| Sherman Oaks Hospital SNF Dp 4929 Van Nuys Blvd, Sherman Oaks, CA 91403 CCN 555885 | 4.1 km | 22 | Jun 4, 2026 | 42 | — | |
| Sherman Oaks Health & Rehab 14401 Huston St., Sherman Oaks, CA 91423 CCN 0562502 state class AA/A | 4.1 km | 120 | Jul 2, 2026 | 1191 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555012 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555012 | 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 | 920000058 | 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
| Sep 3, 2021 violation Jun 8, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920016887 |
| Jun 4, 2021 violation Mar 4, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 initial $20,000 | Appealed Open | 920016560 |
| May 9, 2018 violation Jan 9, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Death relatedAppealed Closed | 920014036 |
| Sep 22, 2017 violation Apr 13, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,500 initial $20,000 | Appealed Closed | 920013487 |
| Dec 6, 2016 violation Jun 15, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 920012785 |
| Oct 28, 2016 violation Jun 21, 2016 | Class B | Citation Citation A (HSC 1424) | Patient Care | $15,000 | Appealed Closed | 920012680 |
| Sep 23, 2014 violation Jan 28, 2013 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $75,000 | Death relatedAppealed Closed | 920010859 |
| Jun 29, 2010 violation May 7, 2010 | Class A | Citation Citation A (HSC 1424) | Medication | $10,000 initial $20,000 | Appealed Closed | 920007336 |
| Jan 12, 2010 violation Jul 31, 2009 | Class A | Citation Citation A (HSC 1424) | Administration | $7,000 initial $12,000 | Appealed Closed | 920006864 |
| Jun 22, 2006 violation Jun 2, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $530 initial $1,000 | Appealed Closed | 920003175 |
| Apr 11, 2002 violation Mar 9, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 920001150 |
| Jun 2, 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 Jun 16, 2026 | Complaint |
| May 8, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 3, 2026 |
| May 8, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 3, 2026 |
| May 8, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 3, 2026 |
| May 8, 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 Jun 3, 2026 |
| May 8, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 3, 2026 |
| May 8, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 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 | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| May 8, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 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 Jun 1, 2026 |
| May 8, 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 Jun 1, 2026 |
| May 8, 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 Jun 1, 2026 |
| May 8, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 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 Jun 1, 2026 |
| May 8, 2026 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 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 Jun 1, 2026 |
| May 8, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 2026 | 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 Jun 1, 2026 |
| May 8, 2026 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| May 8, 2026 | 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 Jun 1, 2026 |
| May 8, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 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 Jun 1, 2026 |
| May 8, 2026 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 1, 2026 |
| May 8, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 1, 2026 |
| May 8, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jun 1, 2026 |
| May 14, 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 May 30, 2025 | Complaint |
| Feb 17, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2025 |
| Feb 17, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2025 |
| Feb 17, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 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 Mar 20, 2025 |
| Feb 17, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 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 Mar 20, 2025 |
| Feb 17, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 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 Mar 20, 2025 |
| Feb 17, 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 Mar 20, 2025 |
| Feb 17, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 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 Mar 20, 2025 |
| Feb 17, 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 | E · Potential harm Pattern | Corrected Mar 20, 2025 |
| Feb 17, 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 | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 20, 2025 |
| Feb 17, 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 | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 20, 2025 |
| Feb 17, 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 Mar 20, 2025 |
| Feb 17, 2025 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 17, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Jan 9, 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 Jan 24, 2025 | Complaint |
| Jan 9, 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 Jan 24, 2025 | Complaint |
| Nov 14, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 4, 2024 | Complaint |
| Nov 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 Dec 4, 2024 | Complaint |
| Nov 4, 2024 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 15, 2024 | Complaint |
| Oct 17, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2024 | Complaint |
| Aug 19, 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 Sep 12, 2024 | Complaint |
| Aug 19, 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 12, 2024 | Complaint |
| Aug 19, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 12, 2024 | Complaint |
| May 30, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2024 | Complaint |
| Mar 8, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 2024 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 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 | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | 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 Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 1, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.95 (case-mix index 1.59).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Sep 7, 2021 |
| Nurit Ruber | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Abraham Bak | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2021 |
| 13000 Victory Boulevard Real Estate, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 22, 2020 |
| Abak Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 27, 2021 |
| Abe and Rachel Bak Family Trust | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 22, 2020 |
| Bagz Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 22, 2020 |
| Mgaz Consulting LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 27, 2021 |
| Alexandrea Ang | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 15, 2025 |
| Abraham Bak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 7, 2021 |
| Juda Bak | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 22, 2020 |
| Henry Gastwirth | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 22, 2020 |
| Menachem Gastwirth | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 7, 2021 |
| Chonoch Gewirtz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 7, 2021 |
| Kenneth Lehmann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 7, 2021 |
| 75 |
| Jul 18, 2026 |
1121 IJ1 harm |
| $28k |
| The Californian Pasadena Healthcare 120 Bellefontaine Street, Pasadena, CA 91105 CCN 055480 | 82 | Aug 26, 2026 | 811 harm | — |
| Beachside Post Acute 22520 Maple Avenue, Torrance, CA 90505 CCN 0555314 state class AA/A | 110 | Aug 14, 2026 | 44 | — |
| Santa Clarita Post-Acute Care Center 23801 Newhall Avenue, Newhall, CA 91321 CCN 0557284 state class AA/A | 99 | Aug 27, 2026 | 1012 IJ1 harm1 open | $118k |
| Sunset Park Healthcare 2250 29th Street, Santa Monica, CA 90405 CCN 055748 | 44 | Aug 13, 2026 | 721 harm | — |
| Leisure Glen Post Acute Care Center 330 Mission Road, Glendale, CA 91205 CCN 0558453 state class AA/A | 108 | Jul 2, 2026 | 44 | — |
| Imperial Healthcare Center 11926 La Mirada Blvd, La Mirada, CA 90638 CCN 0561154 state class AA/A | 99 | Aug 27, 2026 | 78 | — |