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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 | J3 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D102 | E27 | F11 |
| Minimal | A· | B1 | C |
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 28, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 13, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Aug 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 15, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 20, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| May 1, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 16, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 20, 2026 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Mar 20, 2026 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Feb 3, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 17, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 14, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Mar 5, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 27, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 5, 2025 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Jan 5, 2025 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| Dec 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 14, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Oct 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 17, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 1, 2024 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Mar 28, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 8, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 19, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 10, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 22, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 20, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 14, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 14, 2023 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Nov 16, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 17, 2025 | Civil money penalty (fine) | $42,321 | — | 555139|Fine|138659 |
| Oct 30, 2024 | Denial of payment for new admissions | — | Dec 11, 2024 · 3 days | 555139|Payment Denial|2024-12-11 |
| Oct 30, 2024 | Civil money penalty (fine) | $68,903 | — | 555139|Fine|131006 |
| Sep 19, 2024 | Denial of payment for new admissions | — | Oct 17, 2024 · 10 days | 555139|Payment Denial|2024-10-17 |
| Sep 19, 2024 | Civil money penalty (fine) | $65,148 | — | 555139|Fine|130917 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 13, 2024 violation Apr 26, 2024 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $3,500 | Closed | 920020309 |
| Jun 6, 2024 violation Apr 10, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Death related Open | 920020273 |
| Jun 6, 2024 violation Sep 7, 2023 | Class B | Citation Citation B (HSC 1424) | Administration | $3,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D102 | E27 | F11 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 28, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 18, 2026 | Complaint |
| Aug 28, 2026 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 18, 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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Phillip Chase Irrevocable Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 30, 2024 |
| Phillip Chase | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Phillip Chase Irrevocable Trust | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jan 30, 2024 |
| Phillip Chase | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2020 |
| Renew Health Consulting Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2022 |
| Phillip Chase | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Guardian Rehabilitation Hospital 533 S. Fairfax Ave, Los Angeles, CA 90036 CCN 0560082 state class AA/A | 1 km | 93 | Mar 17, 2026 | 60 | $32k | |
| West Pico Terrace Healthcare & Wellness Centre LP 6070 W. Pico Boulevard, Los Angeles, CA 90035 CCN 0551193 state class AA/A | 1.1 km | 49 | Apr 17, 2026 | 56 | — | |
| Pavilion on Pico Healthcare & Wellness Centre, LP 5916 W. Pico Boulevard, Los Angeles, CA 90035 CCN 0551601 state class AA/A | 1.1 km | 59 | Mar 26, 2026 | 64 | — | |
| Beverly Hills Rehabilitation Centre 580 S San Vicente Blvd., Los Angeles, CA 90048 CCN 5557003 state class AA/A | 1.4 km | 150 | Aug 20, 2026 | 891 harm2 open | — | |
| Sharon Care Center 8167 West Third St., Los Angeles, CA 90048 CCN 0557558 state class AA/A | 1.9 km | 86 | Aug 19, 2026 | 1481 IJ2 harm1 open | $18k | |
| Flower Villa, Inc 1480 S. La Cienega Bl, Los Angeles, CA 90035 CCN 0564382 state class AA/A | 2 km | 41 | Apr 12, 2026 | 561 harm | $18k | |
| Crenshaw Nursing Home 1900 S Longwood Ave, Los Angeles, CA 90016 CCN 0555255 state class AA/A | 2.2 km | 55 | Aug 24, 2026 | 692 IJ | $48k | |
| Longwood Manor Conv.hospital 4853 W. Washington Bl., Los Angeles, CA 90016 CCN 0557537 state class AA/A | 2.2 km | 198 | Aug 18, 2026 | 901 harm3 open | $24k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555139 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555139 | 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 | 910000322 | 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 1, 2024 | Denial of payment for new admissions | — | May 30, 2024 · 39 days | 555139|Payment Denial|2024-05-30 |
| May 1, 2024 | Civil money penalty (fine) | $97,811 | — | 555139|Fine|130494 |
Open |
| 920020271 |
| Jun 4, 2024 violation Apr 21, 2024 | Class B | Citation Citation B (HSC 1424) | Staffing | $3,000 | Open | 920020257 |
| Apr 15, 2024 violation Mar 21, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 | Open | 920020008 |
| Mar 15, 2024 violation Feb 4, 2024 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $3,050 initial $3,000 | Open | 920019875 |
| Feb 8, 2024 violation Dec 25, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 | Closed | 920019712 |
| Feb 8, 2024 violation Dec 25, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 | Closed | 920019711 |
| Sep 28, 2023 violation Aug 13, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Appealed Open | 920019210 |
| Sep 13, 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 | Closed | 810019263 |
| Apr 25, 2023 violation Jan 23, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 920018684 |
| Apr 25, 2023 violation Jan 23, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 920018683 |
| Mar 10, 2023 violation Feb 2, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 920018488 |
| Mar 10, 2023 violation Feb 2, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 920018487 |
| Jun 30, 2022 violation May 7, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $75,000 initial $25,000 | Appealed Open | 920017755 |
| May 13, 2022 violation Jul 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Open | 810017605 |
| Nov 18, 2021 violation Aug 30, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920017101 |
| Aug 26, 2021 violation Jun 19, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $41,150 initial $20,000 | Appealed Closed | 920016842 |
| Nov 13, 2020 violation Jul 2, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $14,000 initial $20,000 | Appealed Closed | 920016148 |
| Oct 21, 2020 violation Aug 14, 2020 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Appealed Open | 920016109 |
| Oct 16, 2020 violation May 21, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care · infection control | $2,200 initial $2,000 | Appealed Open | 920016102 |
| Apr 15, 2020 violation Aug 31, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920015847 |
| Nov 7, 2019 violation Aug 26, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920015515 |
| Dec 19, 2018 violation Nov 1, 2018 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 910014674 |
| Dec 19, 2018 violation Nov 2, 2018 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 910014673 |
| Dec 19, 2018 violation Oct 27, 2018 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 910014671 |
| Jun 15, 2018 violation Apr 1, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Closed | 950014157 |
| Jun 15, 2018 violation Apr 1, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 950014155 |
| Jun 15, 2018 violation Jan 12, 2018 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Appealed Closed | 910014166 |
| Jun 15, 2018 violation May 2, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Closed | 910014165 |
| Jun 15, 2018 violation Apr 1, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Closed | 910014164 |
| Jan 11, 2018 violation Dec 21, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 910013730 |
| Oct 20, 2017 violation Aug 19, 2017 | Class B | Citation Citation B (HSC 1424) | Administration | $2,000 | Appealed Closed | 910013559 |
| Oct 20, 2017 violation Aug 17, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Appealed Closed | 910013558 |
| Sep 28, 2017 violation Aug 17, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Closed | 910013520 |
| Dec 10, 2013 violation Apr 17, 2012 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910010265 |
| Feb 25, 2013 violation May 6, 2009 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Closed | 910007214 |
| Mar 21, 2012 violation Jun 29, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $19,500 | Closed | 910009168 |
| Jun 4, 2002 violation May 17, 2002 | Class B | Citation Citation B (HSC 1424) | Other · INFECTION CONTROL P/ | $350 | Closed | 910001475 |
| Apr 17, 2000 violation Mar 17, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 910001350 |
| Complaint |
| Aug 28, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 18, 2026 | Complaint |
| Aug 13, 2026 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 9, 2026 | Complaint |
| Aug 13, 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 Sep 9, 2026 | Complaint |
| Aug 13, 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 Sep 9, 2026 | Complaint |
| Aug 6, 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 | D · Potential harm Isolated | Corrected Sep 6, 2026 | Complaint |
| Jul 20, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 20, 2026 | Complaint |
| Jul 15, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 15, 2026 | Complaint |
| Jul 15, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 15, 2026 | Complaint |
| May 20, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2026 | Complaint |
| May 20, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2026 | Complaint |
| May 20, 2026 | 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 Jun 20, 2026 | Complaint |
| May 20, 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 Jun 20, 2026 | Complaint |
| May 1, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 1, 2026 | Complaint |
| Apr 16, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2026 | Complaint |
| Apr 16, 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 Apr 30, 2026 | Complaint |
| Apr 8, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 25, 2026 | Complaint |
| Mar 20, 2026 | 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 23, 2026 |
| Mar 20, 2026 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 23, 2026 |
| Mar 20, 2026 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 23, 2026 |
| Mar 20, 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 Apr 23, 2026 |
| Mar 20, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 23, 2026 |
| Mar 20, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 23, 2026 |
| Mar 20, 2026 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 23, 2026 |
| Mar 20, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 23, 2026 |
| Mar 20, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 23, 2026 |
| Mar 20, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 23, 2026 |
| Mar 20, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 23, 2026 |
| Mar 20, 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 19, 2026 |
| Mar 20, 2026 | F-0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 19, 2026 |
| Mar 20, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 19, 2026 |
| Mar 20, 2026 | 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 Apr 19, 2026 |
| Mar 20, 2026 | 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 | E · Potential harm Pattern | Corrected Apr 19, 2026 |
| Mar 20, 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 Apr 19, 2026 |
| Mar 20, 2026 | 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 Apr 19, 2026 |
| Mar 20, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 19, 2026 |
| Mar 20, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 19, 2026 |
| Mar 20, 2026 | 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 19, 2026 |
| Mar 20, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 19, 2026 |
| Mar 20, 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 19, 2026 |
| Mar 20, 2026 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 19, 2026 |
| Mar 20, 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 Apr 19, 2026 |
| Mar 20, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 19, 2026 |
| Mar 20, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 19, 2026 |
| Mar 20, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 19, 2026 |
| Mar 20, 2026 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | No revisit needed |
| Feb 3, 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 | D · Potential harm Isolated | Corrected Mar 3, 2026 | Complaint |
| Feb 3, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 3, 2026 | Complaint |
| Feb 3, 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 3, 2026 | Complaint |
| Feb 3, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 3, 2026 | Complaint |
| Dec 11, 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 | G · Actual harm Isolated | Corrected Jan 7, 2026 | Complaint |
| Nov 17, 2025 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2025 | Complaint |
| Nov 17, 2025 | 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 Dec 12, 2025 | Complaint |
| Sep 16, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 26, 2025 | Complaint |
| Sep 15, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 26, 2025 | Complaint |
| Jun 5, 2025 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 19, 2025 | Complaint |
| Mar 14, 2025 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 10, 2025 | Complaint |
| Mar 14, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 10, 2025 | Complaint |
| Mar 14, 2025 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 10, 2025 | Complaint |
| Mar 14, 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 Apr 10, 2025 | Complaint |
| Mar 14, 2025 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 10, 2025 | Complaint |
| Mar 5, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Mar 5, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Jan 27, 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 Feb 22, 2025 | Complaint |
| Jan 27, 2025 | 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 Feb 22, 2025 | Complaint |
| Jan 5, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 5, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 5, 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 Jan 31, 2025 |
| Jan 5, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 5, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 5, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 5, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 5, 2025 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 5, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 5, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 5, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 31, 2025 |
| Jan 5, 2025 | 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 Jan 31, 2025 |
| Jan 5, 2025 | 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 Jan 31, 2025 |
| Jan 5, 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 Feb 2, 2025 |
| Jan 5, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 2, 2025 |
| Jan 5, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2025 |
| Jan 5, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2025 |
| Jan 5, 2025 | F-0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 2, 2025 |
| Jan 5, 2025 | 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 Feb 2, 2025 |
| Jan 5, 2025 | 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 Feb 2, 2025 |
| Jan 5, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 2, 2025 |
| Jan 5, 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 Feb 2, 2025 |
| Jan 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 2, 2025 |
| Jan 5, 2025 | F-0907 | Provide enough space and equipment to meet each resident's needs Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 2, 2025 |
| Jan 5, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 2, 2025 |
| Jan 5, 2025 | 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 Feb 2, 2025 | Complaint |
| Jan 5, 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 Feb 2, 2025 | Complaint |
| Dec 20, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 15, 2025 | Complaint |
| Dec 19, 2024 | 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 Jan 17, 2025 | Complaint |
| Nov 14, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Dec 14, 2024 | Complaint |
| Nov 14, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 14, 2024 | Complaint |
| Nov 14, 2024 | 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 | F · Potential harm Widespread | Corrected Dec 14, 2024 | Complaint |
| Oct 30, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 28, 2024 | Complaint |
| Sep 27, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 26, 2024 | Complaint |
| Sep 27, 2024 | 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 26, 2024 | Complaint |
| Sep 19, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 7, 2024 | Complaint |
| Jun 20, 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 Jul 3, 2024 | Complaint |
| Jun 19, 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 Jul 8, 2024 | Complaint |
| May 17, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 13, 2024 | Complaint |
| May 17, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 13, 2024 | Complaint |
| May 1, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected May 30, 2024 | Complaint |
| May 1, 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 | J · Immediate jeopardy Isolated | Corrected May 30, 2024 | Complaint |
| May 1, 2024 | 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 May 30, 2024 | Complaint |
| May 1, 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 Jul 8, 2024 | Complaint |
| May 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 30, 2024 | Complaint |
| Mar 28, 2024 | 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 Apr 15, 2024 | Complaint |
| Mar 28, 2024 | 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 Apr 15, 2024 | Complaint |
| Mar 26, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 5, 2024 | Complaint |
| Mar 8, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 30, 2024 | Complaint |
| Mar 8, 2024 | 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 Mar 30, 2024 | Complaint |
| Feb 29, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 9, 2024 | Complaint |
| Jan 19, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 11, 2024 | Complaint |
| Jan 19, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2024 | Complaint |
| Jan 19, 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 Feb 11, 2024 | Complaint |
| Jan 10, 2024 | 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 Feb 9, 2024 | Complaint |
| Jan 10, 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 Feb 9, 2024 | Complaint |
| Dec 22, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 21, 2024 | Complaint |
| Dec 22, 2023 | 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 Jan 21, 2024 | Complaint |
| Dec 20, 2023 | 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 Jan 19, 2024 | Complaint |
| Dec 20, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 19, 2024 | Complaint |
| Dec 14, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 13, 2024 |
| Dec 14, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 13, 2024 |
| Dec 14, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 13, 2024 |
| Dec 14, 2023 | 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 Jan 13, 2024 |
| Dec 14, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 13, 2024 |
| Dec 14, 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 Jan 13, 2024 |
| Dec 14, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 13, 2024 |
| Dec 14, 2023 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 13, 2024 |
| Dec 14, 2023 | 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 13, 2024 |
| Dec 14, 2023 | 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 Jan 13, 2024 |
| Dec 14, 2023 | 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 Jan 13, 2024 |
| Dec 14, 2023 | 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 Jan 13, 2024 |
| Dec 14, 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 Jan 13, 2024 |
| Dec 14, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 13, 2024 |
| Dec 14, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 13, 2024 |
| Dec 14, 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 | E · Potential harm Pattern | Corrected Jan 13, 2024 |
| Dec 14, 2023 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 13, 2024 |
| Nov 16, 2023 | 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 Dec 8, 2023 | Complaint |
| Nov 16, 2023 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 8, 2023 | Complaint |
| Oct 26, 2023 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Nov 17, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.42 (case-mix index 1.23).
| Jan 30, 2024 |
| Maria Magpantay | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 20, 2025 |
| Kingsley Ofoegbu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 21, 2021 |
| Darah Rubio | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 16, 2026 |
| Vatsala Sharma | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 29, 2022 |
| Eleos Health Care, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 2, 2025 |
| Gateways Rehabilitation Center II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 29, 2022 |
| Renew Health Consulting Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 29, 2022 |
| Phillip Chase | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 30, 2024 |
| Maria Magpantay | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 20, 2025 |
| Kingsley Ofoegbu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 21, 2021 |
| Darah Rubio | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2026 |
| Vatsala Sharma | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 29, 2022 |