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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 | G3 | H· | I· |
| Potential harm | D26 | E12 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Mar 27, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 26, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 13, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Feb 13, 2025 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 3, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 9, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jun 9, 2023 | Health | Health Standard | 9 | Actual harm | — | Open → |
| Feb 6, 2020 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Feb 6, 2020 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 27, 2024 | Civil money penalty (fine) | $16,675 | — | 555189|Fine|130934 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Dec 21, 2023 violation Jun 9, 2023 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $2,000 | Open | 020019521 |
| Dec 21, 2023 violation Jun 9, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Open | 020019513 |
| Feb 1, 2022 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 | 020017277 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D26 | E12 | F4 |
| Minimal | A· | B· | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 27, 2026 | 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 Apr 28, 2026 | ComplaintIDR |
| Sep 23, 2025 | 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 |
“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 |
|---|---|---|---|---|---|
| Elder Care Alliance | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 17, 1985 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Elder Care Alliance | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 17, 1985 |
| Rahul Joglekar | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 19, 2009 |
| Lynn Katzmann | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 1, 2012 |
| Geraldine Mcgrath | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 1, 2020 |
| Christine Whelan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 1, 2011 |
| Marjorie Balley |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Garfield Neurobehavioral Center 1451 28th Avenue, Oakland, CA 94601 CCN 05A3963 state class AA/AAbuse icon | 0.9 km | 96 | Jul 2, 2026 | 511 IJ1 harm | — | |
| Fruitvale Healthcare Center 3020 East 15th Street, Oakland, CA 94601 CCN 5553581 state class AA/A | 1 km | 140 | Jul 23, 2026 | 491 harm | $46k | |
| Bellaken Skilled Nursing Center 2780 26th Avenue, Oakland, CA 94601 CCN 555767 | 1.2 km | 61 | Apr 16, 2026 | 37 | — | |
| Bay Marina Post Acute 2919 Fruitvale Ave, Oakland, CA 94602 CCN 0562801 state class AA/A | 1.2 km | 94 | Jul 22, 2026 | 112 | — | |
| Oakland Heights Nursing and Rehabilitation 2361 East 29th Street, Oakland, CA 94606 CCN 555570 | 1.6 km | 48 | Apr 10, 2025 | 59 | — | |
| Excell Health Care Center 3025 High Street, Oakland, CA 94619 CCN 0561701 state class AA/A | 1.8 km | 99 | May 13, 2026 | 311 harm | — | |
| Redwood Healthcare Center LLC 3145 High Street, Oakland, CA 94619 CCN 555499 | 1.8 km | 44 | Jun 15, 2026 | 56 | — | |
| Park Bridge Rehabilitation and Wellness Center 2401 Blanding Avenue, Alameda, CA 94501 State license only | 2 km | 120 lic. | Not CMS rated | — | No inspections in window | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555189 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555189 | 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 | 020000100 | 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
| Complaint |
| Aug 26, 2025 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 26, 2025 | Complaint |
| Apr 24, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 24, 2025 | Complaint |
| Apr 24, 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 24, 2025 | Complaint |
| Feb 13, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Feb 13, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Feb 13, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 22, 2025 |
| Feb 13, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Feb 13, 2025 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 21, 2025 |
| Feb 13, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 18, 2025 | Complaint |
| Feb 13, 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 Mar 18, 2025 |
| Feb 13, 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 | D · Potential harm Isolated | Corrected Mar 18, 2025 |
| Feb 13, 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 | D · Potential harm Isolated | Corrected Mar 18, 2025 |
| Feb 13, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 18, 2025 |
| Feb 13, 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 Mar 18, 2025 |
| Feb 13, 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 Mar 18, 2025 |
| Feb 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 18, 2025 |
| Feb 13, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 10, 2025 |
| Feb 13, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 5, 2025 |
| Feb 13, 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 | C · Minimal Widespread | Corrected Feb 21, 2025 |
| Sep 27, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 25, 2024 | Complaint |
| Oct 3, 2023 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 4, 2023 | Complaint |
| Jun 9, 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 | G · Actual harm Isolated | Corrected Jul 21, 2023 |
| Jun 9, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 21, 2023 |
| Jun 9, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2023 |
| Jun 9, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 12, 2023 |
| Jun 9, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2023 |
| Jun 9, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 9, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 12, 2023 |
| Jun 9, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2023 |
| Jun 9, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 12, 2023 |
| Jun 9, 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 Jul 21, 2023 |
| Jun 9, 2023 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 21, 2023 |
| Jun 9, 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 Jul 21, 2023 |
| Jun 9, 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 | D · Potential harm Isolated | Corrected Jul 21, 2023 |
| Jun 9, 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 Jul 21, 2023 |
| Jun 9, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 21, 2023 |
| Jun 9, 2023 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Jul 21, 2023 |
| Feb 6, 2020 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 7, 2020 |
| Feb 6, 2020 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 7, 2020 |
| Feb 6, 2020 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 7, 2020 |
| Feb 6, 2020 | 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 Apr 7, 2020 |
| Feb 6, 2020 | 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 Apr 7, 2020 |
| Feb 6, 2020 | 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 Mar 4, 2020 |
| Feb 6, 2020 | 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 Mar 4, 2020 |
| Feb 6, 2020 | 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 Mar 4, 2020 |
| Feb 6, 2020 | 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 Mar 4, 2020 |
| Feb 6, 2020 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 4, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.98 (case-mix index 1.35).
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Nov 9, 2013 |
| Robin Evitts | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 6, 2019 |
| Adriene Iverson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2015 |
| Raelynne Benham-Dwyer | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 11, 2022 |
| Nicole Foreman | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Sep 16, 2019 |
| Mark Krueger | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Nov 9, 2016 |
| Blaine Lyons | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 11, 2017 |