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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 | D32 | E19 | F14 |
| 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 | |
|---|---|---|---|---|---|---|
| May 13, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 19, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jun 19, 2025 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Feb 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 18, 2023 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Dec 18, 2023 | Health | Health Complaint, Health Standard | 18 | Potential harm | — | Open → |
| Nov 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 28, 2022 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 28, 2022 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 13, 2026 | Civil money penalty (fine) | $8,492 | — | 555222|Fine|139108 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 12, 2024 violation Nov 29, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $50,000 | Closed | 030020265 |
| Jul 26, 2022 violation Feb 20, 2019 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death related Closed | 110015203 |
| Dec 21, 2021 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D32 | E19 | F14 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 13, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected May 26, 2026 | Complaint |
| Jun 19, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 8, 2025 | |
| Jun 19, 2025 |
“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 |
|---|---|---|---|---|---|
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| 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 |
| Jamison Feramisco | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 1, 2022 |
| Corbyn Ploeger | Individual | Managing employee | W-2 MANAGING EMPLOYEE |
| 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 |
|---|---|---|---|---|---|---|
| Rocky Point Care Center 625 16th Street, Lakeport, CA 95453 CCN 0554992 state class AA/AAbuse icon | 2 km | 90 | Aug 31, 2026 | 761 harm2 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555222 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555222 | 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 | 110001255 | 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
Closed |
| 810017189 |
| Oct 22, 2020 violation Jan 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 | 810016094 |
| May 2, 2019 violation Jan 1, 2018 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 110014999 |
| Jul 19, 2018 violation Jul 9, 2015 | Class A | Citation Citation A (HSC 1424) | Dietary · Dietary | $20,000 | Closed | 110014016 |
| Jul 19, 2018 violation Feb 9, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death related Closed | 110013619 |
| Jul 19, 2018 violation Feb 9, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Death related Closed | 110013517 |
| Mar 16, 2018 violation Aug 17, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 110013767 |
| Mar 16, 2018 violation Aug 17, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 110013766 |
| Nov 28, 2017 violation Mar 21, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 110013326 |
| Dec 29, 2016 violation Nov 16, 2013 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 110012048 |
| Mar 3, 2016 violation Nov 16, 2015 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 110011974 |
| May 16, 2013 violation Aug 8, 2011 | Class AA | Citation Citation AA (HSC 1424) | Medication | $65,000 initial $100,000 | Death relatedAppealed Closed | 110008617 |
| Mar 23, 2012 violation Jun 9, 2011 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 110009118 |
| Mar 29, 2011 violation Jun 15, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110007832 |
| Mar 17, 2011 violation Jul 8, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110007965 |
| Feb 19, 2010 violation Feb 8, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 110007005 |
| Dec 18, 2009 violation Oct 11, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 initial $1,000 | Appealed Closed | 110006437 |
| Oct 21, 2009 violation May 27, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 110006633 |
| Jan 21, 2009 violation Oct 25, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 initial $1,000 | Appealed Closed | 110005260 |
| Oct 24, 2008 violation Jan 2, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,800 initial $1,000 | Appealed Closed | 110004935 |
| Oct 16, 2008 violation Sep 19, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 110005528 |
| Oct 10, 2008 violation Feb 7, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 110005511 |
| Oct 10, 2008 violation Feb 7, 2008 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $500 initial $1,000 | Appealed Closed | 110005510 |
| Aug 21, 2008 violation Dec 17, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 110004570 |
| Jul 30, 2008 violation Jan 24, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 110004941 |
| Oct 26, 2007 violation Aug 16, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 initial $1,000 | Appealed Closed | 110004385 |
| Oct 26, 2007 violation Aug 16, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 initial $1,000 | Appealed Closed | 110004384 |
| Oct 26, 2007 violation Aug 16, 2007 | Class B | Citation Citation B (HSC 1424) | Other · C, S, AB | $650 initial $1,000 | Appealed Closed | 110004355 |
| Jul 26, 2007 violation Oct 14, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $20,000 | Appealed Closed | 110003501 |
| Jun 8, 2007 violation Jun 22, 2006 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $70,000 initial $80,000 | Death relatedAppealed Closed | 110003970 |
| May 21, 2007 violation Apr 28, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 initial $1,000 | Appealed Closed | 110003965 |
| Apr 10, 2007 violation Dec 8, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $650 initial $1,000 | Appealed Closed | 110003677 |
| Oct 17, 2006 violation Apr 27, 2006 | Class B | Citation Citation B (HSC 1424) | Other · c, pr | $650 initial $1,000 | Appealed Closed | 110003419 |
| Nov 29, 2005 violation Mar 5, 2005 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $650 initial $1,000 | Appealed Closed | 110002242 |
| Nov 29, 2005 violation Feb 25, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $600 initial $1,000 | Appealed Closed | 110002241 |
| Nov 29, 2005 violation Feb 25, 2005 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $650 initial $1,000 | Appealed Closed | 110002240 |
| Mar 23, 2004 violation Dec 28, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $750 initial $1,000 | Appealed Closed | 110002189 |
| Jul 17, 2003 violation Jul 14, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $488 initial $750 | Appealed Closed | 110002174 |
| Oct 25, 2001 violation Jul 14, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 110002173 |
| May 31, 2001 violation Sep 27, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Appealed Closed | 110002172 |
| Mar 10, 2000 violation Nov 10, 1999 | Class A | Citation Citation A (HSC 1424) | Patient Care | $5,000 initial $8,000 | Appealed Closed | 110002171 |
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jul 8, 2025 |
| Jun 19, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2025 |
| Jun 19, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 19, 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 30, 2025 |
| Jun 19, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 19, 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 Jul 10, 2025 |
| Jun 19, 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 Jul 10, 2025 |
| Jun 19, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 19, 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 | F · Potential harm Widespread | Corrected Jul 10, 2025 |
| Jun 19, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 19, 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 10, 2025 |
| Jun 19, 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 10, 2025 |
| Jun 19, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 10, 2025 |
| Jun 19, 2025 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jul 8, 2025 |
| Feb 25, 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 Mar 13, 2025 | Complaint |
| Dec 18, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 23, 2024 |
| Dec 18, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 23, 2024 |
| Dec 18, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 23, 2024 |
| Dec 18, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 23, 2024 |
| Dec 18, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 23, 2024 |
| Dec 18, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 23, 2024 |
| Dec 18, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 23, 2024 |
| Dec 18, 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 | Waiver granted Jan 23, 2024 |
| Dec 18, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 23, 2024 |
| Dec 18, 2023 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 18, 2024 | Complaint |
| Dec 18, 2023 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 18, 2024 | Complaint |
| Dec 18, 2023 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Jan 18, 2024 |
| Dec 18, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 18, 2024 |
| Dec 18, 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 Jan 18, 2024 |
| Dec 18, 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 | E · Potential harm Pattern | Corrected Jan 18, 2024 |
| Dec 18, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 18, 2024 |
| Dec 18, 2023 | 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 Jan 18, 2024 |
| Dec 18, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 18, 2024 |
| Dec 18, 2023 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 18, 2024 |
| Dec 18, 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 | D · Potential harm Isolated | Corrected Jan 18, 2024 |
| Dec 18, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 18, 2024 |
| Dec 18, 2023 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 18, 2024 |
| Dec 18, 2023 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 18, 2024 |
| Dec 18, 2023 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 18, 2024 |
| Dec 18, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Feb 1, 2024 |
| Dec 18, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 19, 2024 |
| Dec 18, 2023 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 18, 2024 |
| Dec 18, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jan 23, 2024 |
| Dec 18, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jan 23, 2024 |
| Nov 6, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 2, 2023 | Complaint |
| Oct 5, 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 Oct 25, 2023 | Complaint |
| Jun 28, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 28, 2022 |
| Jun 28, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 28, 2022 |
| Jun 28, 2022 | 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 Jul 28, 2022 |
| Jun 28, 2022 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 27, 2022 |
| Jun 28, 2022 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 27, 2022 |
| Jun 28, 2022 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 27, 2022 |
| Jun 28, 2022 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2022 |
| Jun 28, 2022 | 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 27, 2022 |
| Jun 28, 2022 | 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 Jul 27, 2022 |
| Jun 28, 2022 | 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 Jul 27, 2022 |
| Jun 28, 2022 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 27, 2022 |
| Jun 28, 2022 | 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 27, 2022 |
| Jun 28, 2022 | 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 Jul 27, 2022 |
| Jun 28, 2022 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 27, 2022 |
| Jun 28, 2022 | 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 Jul 27, 2022 |
| Jun 28, 2022 | 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 Jul 27, 2022 |
| Jun 28, 2022 | 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 Jul 27, 2022 |
| Jun 28, 2022 | 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 Jul 27, 2022 |
| Jun 28, 2022 | 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 | E · Potential harm Pattern | Corrected Jul 27, 2022 |
| Jun 28, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 27, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.55 (case-mix index 1.42).
| not provided |
| Feb 26, 2024 |
| 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 | — |