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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 | G2 | H· | I· |
| Potential harm | D39 | E23 | F11 |
| 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 16, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 10, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Sep 10, 2025 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Jun 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 26, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Sep 26, 2024 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Sep 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 7, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 25, 2023 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Aug 25, 2023 | Health | Health Standard | 20 | Actual harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 6, 2024 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Open | 810020275 |
| Jun 24, 2021 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Open | 810016643 |
| Jun 25, 2020 violation Oct 8, 2018 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Open | 810016004 |
| Nov 14, 2013 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D39 | E23 | F11 |
| Minimal | A· | B· | C5 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 16, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 4, 2026 | ComplaintIDR |
| Jul 16, 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 |
“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.
13 facilities in 1 states. CMS chain ID 175.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Melissia Cardella | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 28, 2023 |
| Rosemarie Carino | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Martha Crane | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 5, 2024 |
| Ken Crawford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 9, 2023 |
| Negar Golshan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 8, 2024 |
| Doug Hawkins | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Sherwood Healthcare Center 4700 Elvas Ave, Sacramento, CA 95819 CCN 055305 | 62 | May 9, 2025 | 47 | — | |
| Saylor Lane Healthcare Center 3500 Folsom Boulevard, Sacramento, CA 95816 CCN 055417 | 42 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Western Slope Health Center 3280 Washington Street, Placerville, CA 95667 CCN 0562433 state class AA/A | 3.9 km | 99 | Jul 8, 2026 | 50 | — | |
| The Pines at Placerville Healthcare Center 1040 Marshall Way, Placerville, CA 95667 CCN 0554975 state class AA/A | 4.1 km | 99 | Jul 3, 2026 | 66 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555180 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555180 | 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 | 030000063 | 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
| Class B |
| Citation Citation B (HSC 1424) |
| Patient Care |
| $2,000 |
Closed |
| 030010251 |
| Dec 28, 2011 violation Oct 16, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 030008829 |
| Aug 26, 2011 violation Mar 3, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 030008501 |
| Sep 30, 2010 violation Jul 22, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,050 initial $1,000 | Closed | 030007604 |
| Sep 30, 2010 violation Sep 30, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 030007603 |
| Corrected Sep 4, 2026 |
| ComplaintIDR |
| Sep 10, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 30, 2025 |
| Sep 10, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 30, 2025 |
| Sep 10, 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 Oct 1, 2025 |
| Sep 10, 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 Oct 1, 2025 |
| Sep 10, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 1, 2025 |
| Sep 10, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 1, 2025 |
| Sep 10, 2025 | 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 Oct 1, 2025 |
| Sep 10, 2025 | 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 Oct 1, 2025 |
| Sep 10, 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 Oct 1, 2025 |
| Sep 10, 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 Oct 1, 2025 |
| Sep 10, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 1, 2025 |
| Sep 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 | E · Potential harm Pattern | Corrected Oct 1, 2025 |
| Sep 10, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 1, 2025 |
| Sep 10, 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 Oct 1, 2025 |
| Sep 10, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 1, 2025 |
| Sep 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 1, 2025 |
| Sep 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Sep 30, 2025 |
| Jun 13, 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 | No revisit needed Aug 15, 2025 | Complaint |
| Sep 26, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 22, 2024 |
| Sep 26, 2024 | 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 Oct 22, 2024 |
| Sep 26, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 22, 2024 |
| Sep 26, 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 Oct 10, 2024 |
| Sep 26, 2024 | 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 Oct 10, 2024 |
| Sep 26, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 26, 2024 | 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 Oct 10, 2024 |
| Sep 26, 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 Oct 10, 2024 |
| Sep 26, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 26, 2024 | 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 Oct 10, 2024 |
| Sep 26, 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 | F · Potential harm Widespread | Corrected Oct 10, 2024 |
| Sep 26, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 10, 2024 |
| Sep 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 26, 2024 | 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 Oct 10, 2024 |
| Sep 26, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 22, 2024 |
| Sep 10, 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 Sep 19, 2024 | Complaint |
| Mar 11, 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 Mar 11, 2024 | Complaint |
| Feb 7, 2024 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 17, 2024 | Complaint |
| Jan 2, 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 Feb 22, 2024 | Complaint |
| Nov 21, 2023 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 28, 2023 | Complaint |
| Aug 25, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 6, 2023 |
| Aug 25, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Oct 6, 2023 |
| Aug 25, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 15, 2023 |
| Aug 25, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 15, 2023 |
| Aug 25, 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 | F · Potential harm Widespread | Corrected Sep 15, 2023 |
| Aug 25, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2023 |
| Aug 25, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Aug 25, 2023 | 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 | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Aug 25, 2023 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Aug 25, 2023 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Aug 25, 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 Oct 6, 2023 |
| Aug 25, 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 Oct 6, 2023 |
| Aug 25, 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 Oct 6, 2023 |
| Aug 25, 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 Oct 6, 2023 |
| Aug 25, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Aug 25, 2023 | 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 Oct 6, 2023 |
| Aug 25, 2023 | 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 Oct 6, 2023 |
| Aug 25, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Aug 25, 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 | F · Potential harm Widespread | Corrected Oct 6, 2023 |
| Aug 25, 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 Oct 6, 2023 |
| Aug 25, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Aug 25, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Aug 25, 2023 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 6, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.07 (case-mix index 1.73).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Apr 1, 2023 |
| Matthew Jackson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Robert Jackson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Sandhya Mala | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 24, 2023 |
| Sheryce Purdue | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 11, 2024 |
| Gregory Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2023 |
| Matthew Jackson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2023 |
| Robert Jackson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2023 |
| Jack Sanofsky | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2023 |
| Melissia Cardella | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 28, 2023 |
| Rosemarie Carino | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Martha Crane | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 5, 2024 |
| Ken Crawford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 9, 2023 |
| Negar Golshan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2024 |
| Doug Hawkins | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Matthew Jackson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Robert Jackson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| Sandhya Mala | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2023 |
| Sheryce Purdue | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 11, 2024 |
| Gregory Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2023 |
| May 8, 2025 |
80 |
| — |
| Oak Ridge Healthcare Center 310 Oak Ridge Drive, Roseville, CA 95661 CCN 0554911 state class AA/A | 67 | Jun 8, 2026 | 54 | — |
| Spring Hill Manor 355 Joerschke Dr, Grass Valley, CA 95945 CCN 055640 | 86 | Aug 14, 2026 | 521 harm1 open | — |
| College Oak Nursing and Rehabilitation Center 4635 College Oak Drive, Sacramento, CA 95841 CCN 0561584 state class AA/A | 120 | Aug 12, 2026 | 401 IJ1 harm1 open | $9,814 |
| Manzanita Healthcare Center 5318 Manzanita Avenue, Carmichael, CA 95608 CCN 5550833 state class AA/A | 99 | Apr 15, 2026 | 671 harm | — |
| Greenhaven Healthcare Center 455 Florin Road, Sacramento, CA 95831 CCN 5550981 state class AA/AAbuse icon | 148 | Jun 11, 2026 | 1031 harm | — |
| Fair Oaks Healthcare Center 11300 Fair Oaks Boulevard, Fair Oaks, CA 95628 CCN 5551537 state class AA/A | 149 | Jul 2, 2026 | 832 harm | $8,990 |