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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 | D49 | E20 | 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 | |
|---|---|---|---|---|---|---|
| Aug 12, 2026 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Aug 12, 2026 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| May 11, 2026 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Feb 7, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 26, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 26, 2025 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Jun 10, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 7, 2023 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Apr 7, 2023 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 11, 2026 | Civil money penalty (fine) | $29,179 | — | 555144|Fine|142305 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 8, 2021 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 810016544 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D49 | E20 | F7 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 12, 2026 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 3, 2026 | |
| Aug 12, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 3, 2026 | |
| Aug 12, 2026 | K-0345 |
“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 3 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| St Paul's Episcopal Home Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1980 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| St Paul's Episcopal Home Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1980 |
| Sophia Lukas | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 20, 2023 |
| Ronald Ellenich | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 20, 2025 |
| Sophia Lukas | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 20, 2023 |
| Michael Mchale | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 11, 2022 |
| Facility | License type | Capacity | State rating |
|---|---|---|---|
| St Paul's Manor 2635 Second Ave, San Diego, CA 92103 | Residential care facility | 200 | — |
| St. Paul's Villa 2340 Fourth Avenue, San Diego, CA 92101 | Residential care facility | 200 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Balboa Nursing & Rehabilitation Center 3520 Fourth Avenue, San Diego, CA 92103 CCN 0561051 state class AA/A | 0.9 km | 194 | Apr 23, 2026 | 721 harm2 open | — | |
| Mission Hills Post Acute Care 3680 Reynard Way, San Diego, CA 92103 CCN 056401 | 1.6 km | 75 | Aug 13, 2026 | 571 harm | — | |
| Hillcrest Heights Healthcare Center 4033 Sixth Avenue Ext, San Diego, CA 92103 CCN 555630 | 2 km | 96 | Nov 25, 2025 | 59 | — | |
| Golden Hill Post Acute 1201 34th St., San Diego, CA 92102 CCN 056182 | 4.1 km | 99 | Aug 11, 2026 | 701 harm | — | |
| Villa Coronado D/P SNF 233 Prospect Place, Coronado, CA 92118 CCN 0550741 state class AA/A | 4.4 km | 122 | Jul 30, 2026 | 35 | — | |
| Arroyo Vista Nursing Center 3022 45th Street, San Diego, CA 92105 CCN 055505 | 5.6 km | 53 | Jan 29, 2026 | 39 | — | |
| The Pavilion at Ocean Point 3202 Duke Street, San Diego, CA 92110 CCN 055322 | 6 km | 133 | Aug 11, 2026 | 981 harm2 open | — | |
| The Shores Post-Acute 2828 Meadowlark Drive, San Diego, CA 92123 CCN 5555851 state class AA/A | 6.8 km | 305 | Jul 15, 2026 | 1011 IJ | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555144 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555144 | 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 | 090000084 | 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
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Sep 3, 2026 |
| Aug 12, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2026 |
| Aug 12, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 3, 2026 |
| Aug 12, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 3, 2026 |
| Aug 12, 2026 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2026 |
| Aug 12, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 21, 2026 |
| Aug 12, 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 Sep 21, 2026 |
| Aug 12, 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 Sep 21, 2026 |
| Aug 12, 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 Sep 21, 2026 | Complaint |
| Aug 12, 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 21, 2026 | Complaint |
| Aug 12, 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 Sep 21, 2026 |
| Aug 12, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 21, 2026 |
| Aug 12, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 21, 2026 |
| Aug 12, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 21, 2026 |
| Aug 12, 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 Sep 21, 2026 |
| Aug 12, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 21, 2026 |
| May 11, 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 9, 2026 | Complaint |
| May 11, 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 Jun 9, 2026 | Complaint |
| May 11, 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 9, 2026 | Complaint |
| Feb 7, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 6, 2026 | Complaint |
| Feb 7, 2026 | 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 Mar 6, 2026 | Complaint |
| Feb 7, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 6, 2026 | Complaint |
| Dec 9, 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 Dec 19, 2025 | Complaint |
| Sep 4, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 4, 2025 | Complaint |
| Sep 4, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 4, 2025 | Complaint |
| Jun 26, 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 Jul 18, 2025 |
| Jun 26, 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 Jul 26, 2025 |
| Jun 26, 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 Jul 26, 2025 |
| Jun 26, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 26, 2025 |
| Jun 26, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 26, 2025 |
| Jun 26, 2025 | 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 Jul 26, 2025 |
| Jun 26, 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 | E · Potential harm Pattern | Corrected Jul 26, 2025 |
| Jun 26, 2025 | F-0659 | Provide care by qualified persons according to each resident's written plan of care. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 26, 2025 |
| Jun 26, 2025 | 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 Jul 26, 2025 |
| Jun 26, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 26, 2025 |
| Jun 26, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 26, 2025 |
| Jun 26, 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 Jul 26, 2025 |
| Jun 26, 2025 | 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 | E · Potential harm Pattern | Corrected Jul 26, 2025 |
| Jun 26, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 26, 2025 |
| Jun 26, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 26, 2025 |
| Jun 26, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 26, 2025 |
| Jun 26, 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 | D · Potential harm Isolated | Corrected Jul 26, 2025 |
| Jun 26, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 26, 2025 |
| Jun 26, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 26, 2025 |
| Jun 10, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 3, 2025 | Complaint |
| Jun 10, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 3, 2025 | Complaint |
| Jun 3, 2025 | 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 Jul 3, 2025 | Complaint |
| Jun 3, 2025 | 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 Jul 3, 2025 | Complaint |
| May 2, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 18, 2025 | Complaint |
| Jun 20, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 20, 2024 | Complaint |
| Apr 7, 2023 | K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2023 |
| Apr 7, 2023 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2023 |
| Apr 7, 2023 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2023 |
| Apr 7, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2023 |
| Apr 7, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2023 |
| Apr 7, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2023 |
| Apr 7, 2023 | K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2023 |
| Apr 7, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2023 |
| Apr 7, 2023 | K-0771 | Ensure that smoke control systems are tested and documented in accordance with established engineering principles. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 16, 2023 |
| Apr 7, 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 | D · Potential harm Isolated | Corrected May 16, 2023 |
| Apr 7, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 5, 2023 |
| Apr 7, 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 | D · Potential harm Isolated | Corrected May 5, 2023 |
| Apr 7, 2023 | 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 | E · Potential harm Pattern | Corrected May 5, 2023 |
| Apr 7, 2023 | 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 May 5, 2023 |
| Apr 7, 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 May 5, 2023 |
| Apr 7, 2023 | 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 May 5, 2023 |
| Apr 7, 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 May 5, 2023 |
| Apr 7, 2023 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2023 |
| Apr 7, 2023 | F-0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 5, 2023 |
| Apr 7, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 5, 2023 |
| Apr 7, 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 | D · Potential harm Isolated | Corrected May 5, 2023 |
| Apr 7, 2023 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 5, 2023 |
| Apr 7, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 5, 2023 |
| Apr 7, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 5, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.65 (case-mix index 1.28).
| Saleem Rajper | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 26, 2026 |
| George Vieu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 17, 2023 |
| Kitty Dekieffer | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 23, 2025 |
| Patrick Edd | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 23, 2025 |
| Philip Greiner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 23, 2025 |
| Dan Gross | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 23, 2025 |
| Mary Keller | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 23, 2025 |
| David Marusiak | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 23, 2025 |
| Jacob Sutton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 23, 2025 |
| Ronald Ellenich | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 26, 2026 |
| Sophia Lukas | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 20, 2023 |
| Michael Mchale | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 11, 2022 |
| Saleem Rajper | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 26, 2026 |
| George Vieu | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 16, 2023 |
| Kitty Dekieffer | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 23, 2025 |
| Patrick Edd | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 23, 2025 |
| Philip Greiner | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 23, 2025 |
| Dan Gross | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 23, 2025 |
| Mary Keller | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 23, 2025 |
| David Marusiak | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 23, 2025 |
| Jacob Sutton | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 23, 2025 |
| St Paul's Episcopal Home Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 1980 |
| Ronald Ellenich | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 6, 2026 |
| Sophia Lukas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 20, 2023 |
| Michael Mchale | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 11, 2022 |
| Saleem Rajper | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 6, 2026 |
| George Vieu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 17, 2023 |