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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 | J2 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D61 | E21 | F4 |
| 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 14, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 24, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 8, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 8, 2026 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Mar 5, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 5, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jul 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 3, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 7, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Mar 7, 2025 | Health | Health Standard | 25 | Potential harm | — | Open → |
| Nov 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 23, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 17, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 1, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| May 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 8, 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 | 16 | Potential harm | — | Open → |
| Feb 14, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 23, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 5, 2026 | Civil money penalty (fine) | $30,135 | — | 555057|Fine|138751 |
| Dec 5, 2025 | Civil money penalty (fine) | $33,120 | — | 555057|Fine|137030 |
| Oct 17, 2024 | Denial of payment for new admissions | — | Nov 15, 2024 · 3 days | 555057|Payment Denial|2024-11-15 |
| Oct 17, 2024 | Civil money penalty (fine) | $31,811 | — | 555057|Fine|131000 |
| May 8, 2024 | Denial of payment for new admissions | — | Jun 27, 2024 · 4 days | 555057|Payment Denial|2024-06-27 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 21, 2024 violation Feb 2, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 910019894 |
| May 9, 2023 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Open | 810018681 |
| Feb 3, 2022 violation Dec 16, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910017313 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D61 | E21 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 14, 2026 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 28, 2026 | Complaint |
| Jul 24, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 4, 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.
15 facilities in 1 states. CMS chain ID 792.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Healthcare Holdings, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | Jan 1, 2006 |
| Aryen Greenspoon | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | Jan 1, 2006 |
| Tamar Rechnitz | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 51% | Jan 1, 2006 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Healthcare Holdings, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | Jan 1, 2006 |
| Aryen Greenspoon | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | Jan 1, 2006 |
| Tamar Rechnitz | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 51% | Jan 1, 2006 |
| Aryen Greenspoon | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jan 1, 2006 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Vernon Healthcare Center 1037 W. Vernon Avenue, Los Angeles, CA 90037 CCN 05516710 state class AA/AAbuse icon | 99 | Jul 31, 2026 | 1321 IJ3 harm |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Camino Healthcare 13922 Cerise Avenue, Hawthorne, CA 90250 CCN 0562671 state class AA/A | 1 km | 99 | May 5, 2026 | 721 harm | $9,110 | |
| Lawndale Healthcare & Wellness Centre LLC 15100 S Prairie, Lawndale, CA 90260 CCN 5558165 state class AA/AAbuse icon | 2 km | 59 | Jun 27, 2026 | 831 IJ1 harm | $62k | |
| Memorial Hospital of Gardena D/P SNF 1145 W. Redondo Beach, Gardena, CA 90247 CCN 5554411 state class AA/A | 2.1 km | 69 | Apr 10, 2026 | 481 harm | $13k | |
| Clear View Convalescent Center 15823 So. Western Ave., Gardena, CA 90247 CCN 555880 | 2.4 km | 99 | Mar 27, 2026 | 19 | — | |
| Clear View Sanitarium 15823 So. Western Ave., Gardena, CA 90247 CCN 555881 | 2.4 km | 73 | Aug 18, 2026 | 182 open | — | |
| Rosecrans Care Center 1140 West Rosecrans Avenue, Gardena, CA 90247 CCN 0550722 state class AA/A | 2.8 km | 106 | Jun 5, 2026 | 612 harm | — | |
| Gardena Convalescent Center 14819 S. Vermont, Gardena, CA 90247 CCN 0560192 state class AA/A | 2.8 km | 74 | May 29, 2026 | 59 | — | |
| Kei-Ai South Bay Healthcare Center 15115 S Vermont Ave, Gardena, CA 90247 CCN 5553064 state class AA/A | 2.9 km | 98 | Aug 28, 2026 | 771 harm | $17k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555057 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555057 | 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 | 910000053 | 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
| May 8, 2024 | Civil money penalty (fine) | $12,340 | — | 555057|Fine|130635 |
| Jul 20, 2021 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Open | 810016785 |
| Oct 29, 2020 violation Aug 3, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Open | 910016121 |
| Jul 27, 2020 violation Nov 21, 2019 | Class B | Citation Citation A (HSC 1424) | Patient Care | $17,500 initial $20,000 | Appealed Closed | 910015952 |
| Feb 12, 2020 violation Jul 2, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Closed | 910015736 |
| Dec 13, 2018 violation Oct 23, 2018 | Class A | Citation Citation A (HSC 1424) | Medication | $12,000 | Closed | 910014650 |
| Nov 21, 2018 violation Aug 5, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $45,000 initial $15,000 | Closed | 910014589 |
| Jul 26, 2018 violation Mar 3, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910014274 |
| Jun 22, 2018 violation Jun 4, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910014180 |
| May 18, 2018 violation Jan 14, 2018 | Class B | Citation Citation A (HSC 1424) | Patient Care | $8,000 initial $20,000 | Death relatedAppealed Closed | 910014080 |
| Apr 19, 2018 violation Dec 19, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910013970 |
| Jan 5, 2018 violation Nov 17, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Closed | 910013713 |
| May 6, 2015 violation Jun 6, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 | Closed | 910011287 |
| May 14, 2014 violation Nov 22, 2010 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,050 initial $1,000 | Closed | 910010701 |
| May 14, 2014 violation Nov 22, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,050 initial $1,000 | Closed | 910010700 |
| Jan 2, 2014 violation Apr 2, 2013 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Appealed Closed | 910010305 |
| May 23, 2012 violation Jul 13, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910009321 |
| Mar 29, 2012 violation May 6, 2009 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $20,000 | Appealed Closed | 910009196 |
| Mar 29, 2012 violation Dec 8, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,800 | Closed | 910009194 |
| Dec 10, 2010 violation Aug 24, 2010 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $900 | Closed | 910007767 |
| Jun 8, 2007 violation Oct 18, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $7,000 | Closed | 910003680 |
| Apr 25, 2007 violation Mar 30, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 910003919 |
| Jul 24, 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 4, 2026 | Complaint |
| Jul 24, 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 Aug 4, 2026 | Complaint |
| May 8, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 26, 2026 |
| May 8, 2026 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 26, 2026 |
| May 8, 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 | F · Potential harm Widespread | Corrected May 26, 2026 |
| May 8, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 26, 2026 |
| May 8, 2026 | 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 May 27, 2026 |
| May 8, 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 May 27, 2026 |
| May 8, 2026 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 27, 2026 |
| May 8, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 27, 2026 |
| May 8, 2026 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 27, 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 May 27, 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 May 27, 2026 |
| May 8, 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 May 27, 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 | D · Potential harm Isolated | Corrected May 27, 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 | E · Potential harm Pattern | Corrected May 27, 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 | D · Potential harm Isolated | Corrected May 27, 2026 |
| Mar 5, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Mar 25, 2026 | Complaint |
| Dec 5, 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 Dec 26, 2025 | Complaint |
| Dec 5, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 26, 2025 | Complaint |
| Jul 29, 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 Jul 31, 2025 | Complaint |
| Jul 3, 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 Jul 24, 2025 | Complaint |
| Jul 3, 2025 | 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 Jul 24, 2025 | Complaint |
| Jul 3, 2025 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 24, 2025 | Complaint |
| Mar 7, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Mar 7, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Mar 7, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Mar 7, 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 31, 2025 |
| Mar 7, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Mar 7, 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 31, 2025 |
| Mar 7, 2025 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Mar 7, 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 31, 2025 |
| Mar 7, 2025 | 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 Mar 31, 2025 |
| Mar 7, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Mar 7, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Mar 7, 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 31, 2025 |
| Mar 7, 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 31, 2025 |
| Mar 7, 2025 | 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 Mar 31, 2025 |
| Mar 7, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Mar 7, 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 Mar 31, 2025 |
| Mar 7, 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 Mar 31, 2025 |
| Mar 7, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Mar 7, 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 Mar 31, 2025 |
| Mar 7, 2025 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 31, 2025 |
| Mar 7, 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 Mar 31, 2025 |
| Mar 7, 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 | F · Potential harm Widespread | Corrected Mar 31, 2025 |
| Mar 7, 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 | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Mar 7, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Mar 7, 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 31, 2025 |
| Mar 7, 2025 | 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 Mar 31, 2025 |
| Mar 7, 2025 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Mar 7, 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 31, 2025 |
| Mar 7, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Mar 7, 2025 | F-0907 | Provide enough space and equipment to meet each resident's needs Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 31, 2025 |
| Nov 1, 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 18, 2024 | Complaint |
| Oct 23, 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 | E · Potential harm Pattern | Corrected Nov 8, 2024 | Complaint |
| Oct 23, 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 Nov 8, 2024 | Complaint |
| Oct 17, 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 | J · Immediate jeopardy Isolated | Corrected Nov 3, 2024 | Complaint |
| Aug 28, 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 Sep 25, 2024 | Complaint |
| Jun 13, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 21, 2024 | Complaint |
| Jun 1, 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 Jul 1, 2024 | Complaint |
| Jun 1, 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 Jul 1, 2024 | Complaint |
| May 29, 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 Jun 26, 2024 | Complaint |
| May 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 May 29, 2024 | Complaint |
| Mar 8, 2024 | 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 27, 2024 |
| 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 Mar 27, 2024 |
| Mar 8, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 27, 2024 |
| Mar 8, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 27, 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 Mar 27, 2024 |
| Mar 8, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | 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-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 Apr 1, 2024 |
| Mar 8, 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 | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 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 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-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 Apr 1, 2024 |
| Mar 8, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | 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-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 1, 2024 |
| Mar 8, 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 Apr 1, 2024 |
| Mar 8, 2024 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Mar 8, 2024 | F-0910 | Ensure resident rooms meet each resident's needs. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 1, 2024 |
| Feb 14, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Feb 9, 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 1, 2024 | Complaint |
| Nov 6, 2023 | 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 Nov 30, 2023 | Complaint |
| Oct 23, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 15, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.08 (case-mix index 1.47).
| $201k |
| The Pavilion at Ocean Point 3202 Duke Street, San Diego, CA 92110 CCN 055322 | 133 | Aug 11, 2026 | 981 harm2 open | — |
| Brighton Place Spring Valley 9009 Campo Road, Spring Valley, CA 91977 CCN 055685 | 68 | Aug 13, 2026 | 61 | — |
| Brighton Place San Diego 1350 N. Euclid Avenue, San Diego, CA 92105 CCN 055795 | 99 | May 27, 2026 | 74 | — |
| Amaya Springs Health Care Center 8625 Lamar Street, Spring Valley, CA 91977 CCN 056062 | 50 | Aug 11, 2026 | 54 | — |
| Osage Healthcare & Wellness Centre 1001 South Osage Ave, Inglewood, CA 90301 CCN 0561435 state class AA/A | 53 | Feb 13, 2026 | 50 | — |
| Centinela Skilled Nursing & Wellness Centre West 950 Flower Street, Inglewood, CA 90301 CCN 056167 | 59 | Nov 21, 2025 | 49 | — |
| Montrose Springs Skilled Nursing & Wellness Center 2635 Honolulu Ave, Montrose, CA 91020 CCN 0563228 state class AA/A | 109 | Jul 24, 2026 | 933 harm | $32k |