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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D49 | E16 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| May 12, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Mar 13, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Mar 13, 2026 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Mar 11, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 21, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Oct 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 29, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 25, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 12, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Jun 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 8, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jan 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 15, 2022 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Feb 15, 2022 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 12, 2026 | Civil money penalty (fine) | $23,625 | — | 555068|Fine|140967 |
| Feb 8, 2024 | Civil money penalty (fine) | $73,427 | — | 555068|Fine|130111 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 8, 2024 violation Sep 22, 2023 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $120,000 | Death related Open | 070019629 |
| Mar 12, 2021 violation Apr 16, 2020 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 070016342 |
| Jun 4, 2012 violation Feb 1, 2012 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D49 | E16 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 12, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jun 6, 2026 | Complaint |
| May 12, 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 Jun 6, 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.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hudson River Opco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2019 |
| Bay Bridge Capital Partners, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Aug 15, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hudson River Opco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2019 |
| Bay Bridge Capital Partners, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Aug 15, 2014 |
| Robert Pierce | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2023 |
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Redlands Healthcare Center 1620 W Fern Ave, Redlands, CA 92373 CCN 0550011 state class AA/A | 78 | Apr 23, 2026 | 23 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Empress Care Center, LLC 1299 S. Bascom Avenue, San Jose, CA 95128 CCN 056026 | 1 km | 67 | Apr 28, 2025 | 68 | — | |
| A Grace Sub Acute & Skilled Care 1250 S. Winchester Boulevard, San Jose, CA 95128 CCN 0563763 state class AA/A | 2 km | 166 | Dec 10, 2025 | 80 | — | |
| The Redwoods Post-Acute 1267 Meridian Avenue, San Jose, CA 95125 CCN 0562122 state class AA/A | 2 km | 152 | Jul 28, 2026 | 891 IJ | — | |
| Skyline Healthcare Center - San Jose 2065 Forest Avenue, San Jose, CA 95128 CCN 0553182 state class AA/A | 2 km | 253 | Aug 12, 2026 | 1322 IJ1 harm | $105k | |
| O'connor Hospital D/P SNF 2105 Forest Avenue, San Jose, CA 95128 CCN 5559161 state class AA/A | 2 km | 24 | Aug 29, 2025 | 35 | — | |
| Creekside Post-Acute 3580 Payne Avenue, San Jose, CA 95117 CCN 0558842 state class AA/A | 2.9 km | 130 | Jul 24, 2026 | 791 harm | $20k | |
| The Win Post-Acute 410 North Winchester Boulevard, Santa Clara, CA 95050 CCN 0556452 state class AA/A | 3.2 km | 133 | Mar 24, 2026 | 582 harm1 open | — | |
| Courtyard Care Center 340 Northlake Drive, San Jose, CA 95117 CCN 5556351 state class AA/A | 3.8 km | 76 | Aug 20, 2026 | 761 harm2 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555068 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555068 | 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 | 070000036 | 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
| $1,900 initial $1,400 |
Closed |
| 070009349 |
| Sep 29, 2011 violation Aug 26, 2011 | Class A | Citation Citation A (HSC 1424) | Problem Transfer | $16,000 | Death relatedAppealed Closed | 070008576 |
| Apr 21, 2011 violation Feb 7, 2011 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Appealed Closed | 070008140 |
| Nov 16, 2010 violation Sep 17, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 | Closed | 070007714 |
| Oct 28, 2010 violation Jun 19, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $490 initial $700 | Appealed Closed | 070007686 |
| Mar 2, 2010 violation Feb 10, 2010 | Class B | Citation Citation B (HSC 1424) | Medication | $750 | Closed | 070007023 |
| Feb 18, 2009 violation Oct 14, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $700 | Closed | 070005881 |
| May 22, 2008 violation Apr 18, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 070005072 |
| Nov 2, 2006 violation Jul 31, 2006 | Class B | Citation Citation B (HSC 1424) | Medication | $900 | Closed | 070003461 |
| Nov 2, 2006 violation Jul 31, 2006 | Class A | Citation Citation A (HSC 1424) | Medication | $20,000 | Closed | 070003460 |
| Jun 8, 2004 violation May 12, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $600 | Closed | 070002583 |
| May 24, 2004 violation May 15, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 070002581 |
| Sep 18, 2003 violation Sep 2, 2003 | Class B | Citation Citation B (HSC 1424) | Administration | $500 | Closed | 070002531 |
| Sep 18, 2003 violation Sep 2, 2003 | Class B | Citation Citation B (HSC 1424) | Administration | $500 | Closed | 070002530 |
| Oct 11, 2002 violation Sep 29, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $700 | Appealed Closed | 070002478 |
| Jul 3, 2002 violation Apr 12, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $429 initial $700 | Appealed Closed | 070002461 |
| May 29, 2002 violation May 22, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $0 initial $600 | Appealed Closed | 070002454 |
| Apr 10, 2002 violation Mar 17, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $400 initial $600 | Appealed Closed | 070002444 |
| Dec 20, 2001 violation Nov 15, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $400 initial $600 | Appealed Closed | 070002424 |
| Apr 18, 2001 violation Aug 29, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 initial $1,000 | Closed | 070002383 |
| Aug 10, 2000 violation May 13, 2000 | Class B | Citation Citation B (HSC 1424) | Administration | $0 initial $1,000 | Appealed Closed | 070002341 |
| Aug 10, 2000 violation Mar 8, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $0 initial $1,000 | Appealed Closed | 070002340 |
| Mar 13, 2026 | 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 Mar 31, 2026 |
| Mar 13, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 31, 2026 |
| Mar 13, 2026 | 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, 2026 |
| Mar 13, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 31, 2026 |
| Mar 13, 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 Apr 6, 2026 |
| Mar 13, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Mar 13, 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 Apr 6, 2026 |
| Mar 13, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Mar 13, 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 Apr 6, 2026 |
| Mar 13, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 6, 2026 |
| Mar 13, 2026 | 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 Apr 6, 2026 |
| Mar 13, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Mar 13, 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 | D · Potential harm Isolated | Corrected Apr 6, 2026 |
| Mar 13, 2026 | 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 6, 2026 |
| Mar 13, 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 Apr 6, 2026 |
| Mar 13, 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 | F · Potential harm Widespread | Corrected Apr 6, 2026 |
| Mar 13, 2026 | 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 | F · Potential harm Widespread | Corrected Apr 6, 2026 |
| Mar 13, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 6, 2026 |
| Mar 13, 2026 | 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 | F · Potential harm Widespread | Corrected Apr 6, 2026 |
| Mar 11, 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 Mar 19, 2026 | Complaint |
| Jun 10, 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 Jun 27, 2025 | Complaint |
| May 15, 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 May 22, 2025 | Complaint |
| Nov 21, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 21, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 13, 2024 |
| Nov 21, 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 Dec 13, 2024 |
| Nov 21, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 21, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 21, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Oct 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 4, 2024 | Complaint |
| Aug 29, 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 Sep 19, 2024 | Complaint |
| Aug 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 19, 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 5, 2024 | Complaint |
| Jun 25, 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 Jul 19, 2024 | Complaint |
| Jun 25, 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 19, 2024 | Complaint |
| Jun 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 1, 2024 | Complaint |
| Jun 12, 2024 | 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 Jul 3, 2024 | Complaint |
| Jun 7, 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 Jun 28, 2024 | Complaint |
| Feb 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 | K · Immediate jeopardy Pattern | Corrected Mar 1, 2024 | Complaint |
| Jan 2, 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 Jan 23, 2024 | Complaint |
| Dec 5, 2023 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 21, 2023 | Complaint |
| Feb 15, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | 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 7, 2022 |
| Feb 15, 2022 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | 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 Mar 7, 2022 |
| Feb 15, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 15, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 7, 2022 |
| Feb 15, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 7, 2022 |
| Feb 15, 2022 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 7, 2022 |
| Feb 15, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 7, 2022 |
| Feb 15, 2022 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 15, 2022 |
| Feb 15, 2022 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 15, 2022 |
| Feb 15, 2022 | 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 Apr 15, 2022 |
| Feb 15, 2022 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2022 |
| Feb 15, 2022 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Feb 15, 2022 | 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 15, 2022 |
| Feb 15, 2022 | 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 15, 2022 |
| Feb 15, 2022 | 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 Apr 15, 2022 |
| Feb 15, 2022 | 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 Apr 8, 2022 |
| Feb 15, 2022 | 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 15, 2022 |
| Feb 15, 2022 | 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 15, 2022 |
| Feb 15, 2022 | 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 Apr 15, 2022 |
| Feb 15, 2022 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Feb 15, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 15, 2022 |
| Feb 15, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 15, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.16 (case-mix index 1.77).
| Joshua Jergensen |
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Matthew Awerbuck | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 1, 2022 |
| Robert Pierce | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 1, 2023 |
| 51 |
| Jul 6, 2026 |
51 |
| — |
| Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021 CCN 055064 | 96 | Aug 26, 2026 | 781 harm | $9,255 |
| Moraga Post Acute 348 Rheem Boulevard, Moraga, CA 94556 CCN 055085 | 49 | Apr 13, 2026 | 501 harm | — |
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 59 | Apr 1, 2026 | 62 | — |
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 190 | Aug 13, 2026 | 763 harm | $102k |
| Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A | 104 | Aug 11, 2026 | 751 IJ2 harm | $35k |
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 103 | Jul 2, 2026 | 71 | — |