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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· | L1 |
| Actual harm | G· | H· | I· |
| Potential harm | D28 | E13 | F7 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 22, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 7, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Nov 7, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Oct 26, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Standard | 8 | Immediate jeopardy | — | Open → |
| Oct 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 11, 2022 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Aug 11, 2022 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 26, 2023 | Civil money penalty (fine) | $13,033 | — | 555113|Fine|130130 |
| Oct 26, 2023 | Civil money penalty (fine) | $4,963 | — | 555113|Fine|130131 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jan 3, 2024 violation Oct 24, 2023 | Class B | Citation Citation B (HSC 1424) | Dietary · Dietary | $2,000 | Closed | 020019535 |
| Jan 26, 2023 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Open | 810018445 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L1 |
| Actual harm | G· | H· | I· |
| Potential harm | D28 | E13 | F7 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 23, 2026 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 11, 2026 | Complaint |
| Jan 22, 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 | D · Potential harm Isolated | Corrected Mar 3, 2026 |
“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.
35 facilities in 2 states. CMS chain ID 50.
Chain average overall rating (CMS): 3.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Aoas, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 12, 2023 |
| Peter Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Eric Elsner | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Jared Kirkwood | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Craig Orgill | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Rajesh Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Shruty Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Marcus Paxman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Aoas, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Sep 12, 2023 |
| Peter Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Eric Elsner | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Jared Kirkwood | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Craig Orgill | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| South Marin Health & Wellness Center 1220 South Eliseo Drive, Greenbrae, CA 94904 CCN 055093 | 72 | Jan 23, 2026 | 57 | — | |
| Berkley West Healthcare Center 1623 Arizona Avenue, Santa Monica, CA 90404 CCN 055136 | 54 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| St Paul's Towers 100 Bay Place, Oakland, CA 94610 CCN 055156 | 0.7 km | 43 | Jul 28, 2026 | 43 | — | |
| Lake Merritt Healthcare Center LLC 309 Macarthur Boulevard, Oakland, CA 94610 CCN 0563501 state class AA/A | 1.3 km | 53 | Apr 15, 2026 | 72 | — | |
| Bay Area Healthcare Center 1833 10th Avenue, Oakland, CA 94606 CCN 5558511 state class AA/A | 1.5 km | 99 | Feb 9, 2026 | 31 | — | |
| Oakland Healthcare & Wellness Center 3030 Webster Street, Oakland, CA 94609 CCN 0552151 state class AA/A | 1.5 km | 98 | Jan 15, 2026 | 51 | — | |
| Medical Hill Healthcare Center 475 29th Street, Oakland, CA 94609 CCN 5552541 state class AA/A | 1.6 km | 124 | Jul 6, 2026 | 46 | — | |
| Mcclure Post Acute 2910 Mcclure Street, Oakland, CA 94609 CCN 555067 | 1.6 km | 60 | Apr 9, 2026 | 40 | — | |
| The Rehabilitation Center of Oakland 210 40th Street Way, Oakland, CA 94611 CCN 5553131 state class AA/A | 2.4 km | 70 | Jun 12, 2026 | 891 IJ1 harm | $23k | |
| Piedmont Gardens Health Facility 110 41st Street, Oakland, CA 94611 CCN 056096 | 2.5 km | 94 | Jun 25, 2026 | 38 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555113 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555113 | 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 | 020000114 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Oct 16, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jan 22, 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 Mar 3, 2026 | Complaint |
| Nov 7, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 21, 2024 |
| Nov 7, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2024 |
| Nov 7, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 21, 2024 |
| Nov 7, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 20, 2024 |
| Nov 7, 2024 | 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 Nov 22, 2024 |
| Nov 7, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 21, 2024 |
| Nov 7, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 20, 2024 |
| Nov 7, 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 Nov 13, 2024 |
| Nov 7, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 13, 2024 |
| Nov 7, 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 | E · Potential harm Pattern | Corrected Nov 22, 2024 |
| Nov 7, 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 22, 2024 |
| Nov 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 22, 2024 |
| Nov 7, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 13, 2024 |
| Oct 26, 2023 | 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 | L · Immediate jeopardy Widespread | Corrected Jan 18, 2024 |
| Oct 26, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Oct 26, 2023 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 22, 2023 |
| Oct 26, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 22, 2023 |
| Oct 26, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 22, 2023 |
| Oct 26, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 22, 2023 |
| Oct 26, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 22, 2023 |
| Oct 26, 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 Nov 22, 2023 |
| Oct 26, 2023 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 22, 2023 |
| Oct 26, 2023 | 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 Nov 22, 2023 |
| Oct 26, 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 Nov 17, 2023 |
| Oct 26, 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 Nov 17, 2023 |
| Oct 26, 2023 | 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 Nov 17, 2023 |
| Oct 26, 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 | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 26, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 17, 2023 |
| Oct 5, 2023 | 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 Oct 25, 2023 | Complaint |
| Aug 11, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 30, 2022 |
| Aug 11, 2022 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 30, 2022 |
| Aug 11, 2022 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 30, 2022 |
| Aug 11, 2022 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 30, 2022 |
| Aug 11, 2022 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 30, 2022 |
| Aug 11, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 30, 2022 |
| Aug 11, 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 Aug 30, 2022 |
| Aug 11, 2022 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 30, 2022 |
| Aug 11, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 30, 2022 |
| Aug 11, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 30, 2022 |
| Aug 11, 2022 | 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 | E · Potential harm Pattern | Corrected Sep 1, 2022 |
| Aug 11, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 1, 2022 |
| Aug 11, 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 | D · Potential harm Isolated | Corrected Sep 1, 2022 |
| Aug 11, 2022 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 1, 2022 |
| Aug 11, 2022 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 1, 2022 |
| Aug 11, 2022 | F-0888 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 1, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.59 (case-mix index 1.88).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Sep 12, 2023 |
| Rajesh Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Shruty Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Marcus Paxman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 12, 2023 |
| Aoas, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 12, 2023 |
| Adam Brown | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 12, 2023 |
| Gurpreet Dhugga | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2025 |
| Colton Rawe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 12, 2023 |
| Jeffrey Bradshaw | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 18, 2022 |
| Vern Brady | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 18, 2022 |
| Ryan Case | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 18, 2022 |
| Colton Rawe | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 12, 2023 |
| Aoas, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Aspen Healthcare Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| East West Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Moss Adams LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Sequoia Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Wells Fargo Bank, National Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Jeffrey Bradshaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Vern Brady | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Adam Brown | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Ryan Case | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Gurpreet Dhugga | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2025 |
| Frank Jurado | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Marcus Paxman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Colton Rawe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 12, 2023 |
| Jun 25, 2026 |
841 IJ |
| $101k |
| Ocean Pointe Healthcare Center 1330 17th Street, Santa Monica, CA 90404 CCN 0551551 state class AA/A | 72 | Jun 5, 2026 | 791 IJ | $55k |
| Woodlands Healthcare Center 14966 Terreno De Flores Lane, Los Gatos, CA 95032 CCN 0555172 state class AA/A | 65 | Sep 19, 2025 | 60 | — |
| Stonebrook Health and Rehabilitation 350 De Soto Drive, Los Gatos, CA 95032 CCN 0558002 state class AA/A | 73 | Mar 5, 2026 | 49 | — |
| The Avenues Transitional Care Center 2043 19th Avenue, San Francisco, CA 94116 CCN 055963 | 140 | Oct 2, 2025 | 461 harm | $13k |
| Petaluma Post-Acute Rehabilitation 1115 B Street, Petaluma, CA 94952 CCN 0560722 state class AA/A | 90 | Dec 19, 2025 | 36 | — |
| Cottonwood Healthcare Center 625 Cottonwood Street, Woodland, CA 95695 CCN 0560982 state class AA/A | 98 | Jul 24, 2026 | 50 | — |