Loading facility…
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 | D48 | E21 | F8 |
| Minimal | A· | B· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 25, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jul 25, 2025 | Health | Health Standard | 13 | Potential harm | — | Open → |
| May 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 8, 2024 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Jul 24, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 16, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jan 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 19, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 18, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 21, 2021 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Sep 21, 2021 | Health | Health Standard | 19 | Actual harm | — | Open → |
| Aug 7, 2019 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 7, 2019 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 12, 2024 violation Jul 1, 2021 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Open | 810020298 |
| Feb 21, 2024 violation Oct 21, 2016 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death relatedAppealed Open | 110013023 |
| Sep 14, 2018 violation Jan 5, 2017 | Class A | Citation |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D48 | E21 | F8 |
| Minimal | A· | B· | C8 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 2, 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 Jul 29, 2026 | Complaint |
| May 20, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 10, 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.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hudson River Opco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2021 |
| Bay Bridge Capital Partners, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hudson River Opco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2021 |
| Bay Bridge Capital Partners, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Nov 5, 2021 |
| Spencer Hadley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 5, 2021 |
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Redlands Healthcare Center 1620 W Fern Ave, Redlands, CA 92373 CCN 0550011 state class AA/A | 78 | Apr 23, 2026 | 23 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Napa Post Acute 705 Trancas St., Napa, CA 94558 CCN 0561535 state class AA/A | 0.2 km | 120 | Jun 1, 2026 | 861 IJ2 harm | $108k | |
| Napa Community Health Center 1800 Pueblo Ave, Napa, CA 94558 CCN 5552072 state class AA/A | 1.2 km | 49 | Jun 5, 2026 | 693 harm | $31k | |
| The Meadows of Napa Valley Care Center 1900 Atrium Parkway, Napa, CA 94559 CCN 5556391 state class AA/A | 5.2 km | 69 | Aug 13, 2026 | 301 harm | — | |
| Dept of State Hospitals - Napa D/P SNF 2100 Napa-Vallejo Highway, Napa, CA 94558 CCN 05A3571 state class AA/A | 6.1 km | 36 | May 15, 2026 | 44 | — | |
| Veterans Home of California - Yountville - SNF 100 California Drive, Yountville, CA 94599 CCN 5550952 state class AA/A | 10.1 km | 274 | Mar 26, 2026 | 59 | — | |
| Veterans Home of California - Yountville 100 California Dr, Yountville, CA 94599 State license only | 10.2 km | 72 lic. | Not CMS rated | — | No inspections in window | — |
| Sonoma Post Acute 678 2nd Street West, Sonoma, CA 95476 CCN 0552684 state class AA/A | 15.3 km | 83 | Jun 25, 2026 | 761 IJ1 harm | $12k | |
| Broadway Villa Post Acute 1250 Broadway, Sonoma, CA 95476 CCN 0559876 state class AA/A | 15.6 km | 144 | Aug 20, 2026 | 541 harm | $23k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555161 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555161 | 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 | 110000046 | 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
| Patient Care |
| $20,000 |
| Death related Closed |
| 110013195 |
| Sep 14, 2018 violation Jan 2, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 110013194 |
| Feb 7, 2017 violation Aug 12, 2016 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 110012906 |
| Mar 9, 2016 violation Dec 14, 2013 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,400 initial $20,000 | Closed | 110012047 |
| Oct 27, 2015 violation May 15, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 110011771 |
| Sep 18, 2015 violation May 13, 2015 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 110011524 |
| Oct 9, 2014 violation Aug 20, 2012 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 110011054 |
| Jul 3, 2014 violation Jul 28, 2013 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $20,000 | Appealed Closed | 110010226 |
| Apr 25, 2013 violation Aug 4, 2010 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 initial $20,000 | Appealed Closed | 110009855 |
| Jul 16, 2010 violation Aug 4, 2009 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 110006880 |
| Jul 16, 2010 violation Aug 4, 2009 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 110006879 |
| Dec 17, 2008 violation May 28, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110005617 |
| Nov 9, 2007 violation Oct 26, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110004434 |
| May 11, 2007 violation Jun 14, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $6,000 initial $15,000 | Appealed Closed | 110003914 |
| Dec 12, 2006 violation Jul 31, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 110003569 |
| Mar 13, 2006 violation Jan 17, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $600 | Closed | 110002897 |
| May 28, 2004 violation Aug 13, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110002198 |
| Mar 4, 2004 violation Jun 22, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110002185 |
| Feb 19, 2004 violation Sep 3, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110002183 |
| Aug 20, 2003 violation Jan 17, 2002 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $16,000 | Appealed Closed | 110002066 |
| Jun 9, 2003 violation Feb 18, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $750 | Closed | 110002057 |
| Apr 8, 2003 violation Nov 28, 2002 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 | Closed | 110002042 |
| Jan 9, 2003 violation Jul 11, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110002013 |
| Oct 28, 2002 violation Jun 27, 2002 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 110002009 |
| Jul 19, 2002 violation Mar 10, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 110001985 |
| Jun 20, 2002 violation Dec 11, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110001979 |
| Apr 25, 2002 violation Nov 3, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110001970 |
| Jul 31, 2001 violation Jul 20, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110001851 |
| Jul 6, 2001 violation Dec 18, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $700 | Closed | 110001848 |
| May 30, 2001 violation Oct 5, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Closed | 110001841 |
| Mar 27, 2001 violation Sep 13, 2000 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 110001834 |
| Dec 8, 2000 violation Mar 1, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110001807 |
| Jul 25, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 15, 2025 |
| Jul 25, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 11, 2025 |
| Jul 25, 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 Aug 5, 2025 |
| Jul 25, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 7, 2025 |
| Jul 25, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 6, 2025 |
| Jul 25, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 10, 2025 |
| Jul 25, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 10, 2025 |
| Jul 25, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 5, 2025 |
| Jul 25, 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 Aug 5, 2025 |
| Jul 25, 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 Aug 21, 2025 |
| Jul 25, 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 Aug 21, 2025 |
| Jul 25, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 25, 2025 | 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 Aug 21, 2025 |
| Jul 25, 2025 | 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 | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 25, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 25, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 25, 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 Aug 21, 2025 |
| Jul 25, 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 Aug 21, 2025 |
| Jul 25, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 21, 2025 |
| Jul 25, 2025 | 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 Aug 21, 2025 |
| Jul 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 21, 2025 |
| Jul 25, 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 Aug 21, 2025 |
| May 12, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2025 | Complaint |
| Apr 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 24, 2025 | Complaint |
| Feb 21, 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 Mar 11, 2025 | Complaint |
| Jan 9, 2025 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 10, 2025 | Complaint |
| Oct 8, 2024 | 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 Nov 13, 2024 | Complaint |
| Oct 8, 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 Nov 13, 2024 | Complaint |
| Oct 8, 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 Nov 13, 2024 | Complaint |
| Oct 8, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 13, 2024 | Complaint |
| Oct 8, 2024 | 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 Nov 13, 2024 | Complaint |
| Jul 24, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 20, 2024 | Complaint |
| Jul 24, 2024 | 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 Aug 20, 2024 | Complaint |
| Jul 24, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 21, 2024 | Complaint |
| Feb 16, 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 Apr 2, 2024 | Complaint |
| Feb 16, 2024 | 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 Apr 2, 2024 | Complaint |
| Feb 16, 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 Apr 2, 2024 | Complaint |
| Feb 16, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 2, 2024 | Complaint |
| Jan 10, 2024 | 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 Jan 24, 2024 | Complaint |
| Dec 19, 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 Jan 9, 2024 | Complaint |
| Oct 18, 2023 | 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 Nov 26, 2023 | Complaint |
| Oct 18, 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 | E · Potential harm Pattern | Corrected Nov 26, 2023 | Complaint |
| Sep 21, 2021 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 16, 2022 |
| Sep 21, 2021 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 2, 2021 |
| Sep 21, 2021 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 2, 2021 |
| Sep 21, 2021 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 2, 2021 |
| Sep 21, 2021 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 2, 2021 |
| Sep 21, 2021 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 2, 2021 |
| Sep 21, 2021 | 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 2, 2021 |
| Sep 21, 2021 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Sep 21, 2021 | 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 Feb 16, 2022 |
| Sep 21, 2021 | 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 | E · Potential harm Pattern | Corrected Feb 16, 2022 |
| Sep 21, 2021 | 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 Feb 16, 2022 |
| Sep 21, 2021 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Sep 21, 2021 | 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 | E · Potential harm Pattern | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 16, 2022 |
| Sep 21, 2021 | 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 Feb 16, 2022 |
| Sep 21, 2021 | 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 | E · Potential harm Pattern | Corrected Feb 16, 2022 |
| Sep 21, 2021 | 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 | E · Potential harm Pattern | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Feb 16, 2022 |
| Sep 21, 2021 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Feb 16, 2022 |
| Sep 21, 2021 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Nov 2, 2021 |
| Sep 21, 2021 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Nov 2, 2021 |
| Sep 21, 2021 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Nov 2, 2021 |
| Sep 21, 2021 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Nov 2, 2021 |
| Sep 21, 2021 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Nov 2, 2021 |
| Sep 21, 2021 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Nov 2, 2021 |
| Sep 21, 2021 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 2, 2021 |
| Sep 21, 2021 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 2, 2021 |
| Aug 7, 2019 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 9, 2019 |
| Aug 7, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 9, 2019 |
| Aug 7, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 9, 2019 |
| Aug 7, 2019 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 9, 2019 |
| Aug 7, 2019 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 9, 2019 |
| Aug 7, 2019 | 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 Oct 9, 2019 |
| Aug 7, 2019 | 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 Sep 18, 2019 |
| Aug 7, 2019 | 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 Sep 18, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.10 (case-mix index 1.29).
| Joshua Jergensen |
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Noel Serrano | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | May 11, 2023 |
| Spencer Hadley | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Nov 5, 2021 |
| 51 |
| Jul 6, 2026 |
51 |
| — |
| Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021 CCN 055064 | 96 | Aug 26, 2026 | 781 harm | $9,255 |
| Moraga Post Acute 348 Rheem Boulevard, Moraga, CA 94556 CCN 055085 | 49 | Apr 13, 2026 | 501 harm | — |
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 59 | Apr 1, 2026 | 62 | — |
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 190 | Aug 13, 2026 | 763 harm | $102k |
| Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A | 104 | Aug 11, 2026 | 751 IJ2 harm | $35k |
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 103 | Jul 2, 2026 | 71 | — |