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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D44 | E12 | F2 |
| Minimal | A· | B· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 9, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 29, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Feb 5, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 17, 2025 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Apr 17, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Feb 22, 2024 | Fire safety | Fire Safety Complaint | 2 | Potential harm | — | Open → |
| Nov 16, 2023 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 16, 2023 | Health | Health Standard | 12 | Potential harm | — | Open → |
| May 7, 2021 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| May 7, 2021 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 29, 2026 | Civil money penalty (fine) | $20,033 | — | 555104|Fine|140346 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Feb 13, 2015 violation Jul 29, 2014 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 020011279 |
| Feb 13, 2015 violation Sep 13, 2014 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 020011276 |
| Oct 9, 2014 violation Apr 17, 2014 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,500 | Closed | 020011061 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D44 | E12 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 3, 2026 | Complaint |
| Jul 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 | F · Potential harm Widespread | Corrected Aug 7, 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 |
|---|---|---|---|---|---|
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| 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 |
| Vasili Dzerhachou | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Nov 28, 2022 |
| Forrest Allen | Individual | Managing employee | W-2 MANAGING EMPLOYEE |
| 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 |
|---|---|---|---|---|---|---|
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 2.2 km | 190 | Aug 13, 2026 | 763 harm | $102k | |
| Bayberry Skilled Nursing & Healthcare Center 1800 Adobe Street, Concord, CA 94520 CCN 0562602 state class AA/AAbuse icon | 2.4 km | 99 | Jul 16, 2026 | 371 harm1 open | — | |
| Willow Pass Healthcare Center 3318 Willow Pass Road, Concord, CA 94519 CCN 055241 | 2.9 km | 81 | Mar 26, 2026 | 972 harm | $46k | |
| Shadelands Post Acute 2765 Mitchell Dr, Walnut Creek, CA 94598 CCN 555926 | 3.1 km | 59 | May 14, 2026 | 42 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 | 3.7 km | 51 | Jul 6, 2026 | 51 | — | |
| Rosewood Post Acute 1911 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 056476 | 4.4 km | 113 | Aug 4, 2026 | 48 | — | |
| Stonebrook Post Acute 4367 Concord Boulevard, Concord, CA 94521 CCN 555421 | 4.8 km | 120 | Jun 25, 2026 | 421 harm | $13k | |
| La Casa Via Transitional Care Center 1449 Ygnacio Valley Road, Walnut Creek, CA 94598 CCN 0563992 state class AA/A | 5.3 km | 99 | Jun 5, 2025 | 55 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555104 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555104 | 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 | 140000136 | 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
| Oct 2, 2014 violation Jul 14, 2014 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,500 | Closed | 020011038 |
| Dec 6, 2013 violation Sep 14, 2013 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,200 | Closed | 020010295 |
| Mar 26, 2010 violation Mar 29, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 020007077 |
| Jan 7, 2010 violation Jul 30, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $750 | Closed | 020006881 |
| Aug 20, 2009 violation Jun 6, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $390 initial $600 | Appealed Closed | 020006479 |
| Sep 15, 2005 violation May 29, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 140002756 |
| Jan 5, 2005 violation Aug 11, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 140002738 |
| Aug 6, 2003 violation Jun 4, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Appealed Closed | 140002682 |
| May 29, 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 Jun 15, 2026 | Complaint |
| Feb 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 | E · Potential harm Pattern | Corrected Mar 2, 2026 | Complaint |
| Feb 5, 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 Mar 2, 2026 | Complaint |
| Feb 5, 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 2, 2026 | Complaint |
| Dec 11, 2025 | F-0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 26, 2025 | Complaint |
| Apr 17, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 23, 2025 |
| Apr 17, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 28, 2025 |
| Apr 17, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 21, 2025 |
| Apr 17, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2025 |
| Apr 17, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 2, 2025 |
| Apr 17, 2025 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 |
| Apr 17, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 22, 2025 |
| Apr 17, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 2, 2025 |
| Apr 17, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 6, 2025 |
| Apr 17, 2025 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 22, 2025 |
| Apr 17, 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 Jun 7, 2025 |
| Apr 17, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2025 |
| Apr 17, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2025 |
| Apr 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 Jun 7, 2025 |
| Apr 17, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected May 8, 2025 |
| Feb 22, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 9, 2024 | Complaint |
| Feb 22, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 9, 2024 | Complaint |
| Nov 16, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Nov 16, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 |
| Nov 16, 2023 | 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 Dec 5, 2023 |
| Nov 16, 2023 | 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 5, 2023 |
| Nov 16, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| Nov 16, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| Nov 16, 2023 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| Nov 16, 2023 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| Nov 16, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| Nov 16, 2023 | 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 16, 2023 |
| Nov 16, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| Nov 16, 2023 | 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 Dec 16, 2023 |
| Nov 16, 2023 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| Nov 16, 2023 | 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 Dec 16, 2023 |
| Nov 16, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| Nov 16, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 16, 2023 |
| May 7, 2021 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2021 |
| May 7, 2021 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2021 |
| May 7, 2021 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2021 |
| May 7, 2021 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2021 |
| May 7, 2021 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2021 |
| May 7, 2021 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 16, 2021 |
| May 7, 2021 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2021 |
| May 7, 2021 | 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 Aug 2, 2021 |
| May 7, 2021 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 2, 2021 |
| May 7, 2021 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 2, 2021 |
| May 7, 2021 | 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 Aug 2, 2021 |
| May 7, 2021 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 2, 2021 |
| May 7, 2021 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 2, 2021 |
| May 7, 2021 | 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 Aug 2, 2021 |
| May 7, 2021 | 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 Aug 2, 2021 |
| May 7, 2021 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 2, 2021 |
| May 7, 2021 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 2, 2021 |
| May 7, 2021 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 2, 2021 |
| May 7, 2021 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 2, 2021 |
| May 7, 2021 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 2, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.58 (case-mix index 1.20).
| not provided |
| Nov 30, 2022 |
| 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 | — |