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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 | G· | H· | I· |
| Potential harm | D44 | E13 | F17 |
| 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 20, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 21, 2026 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| May 21, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Apr 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Feb 6, 2025 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Jan 22, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Oct 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 30, 2023 | Health | Health Complaint, Infection Control | 1 | Potential harm | — | Open → |
| Nov 8, 2023 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Nov 8, 2023 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 26, 2024 violation Feb 3, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 250020040 |
| Jun 29, 2022 violation Dec 14, 2019 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 250015801 |
| Feb 11, 2021 violation Sep 9, 2019 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D44 | E13 | F17 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 20, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 12, 2026 | Complaint |
| Jul 20, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 12, 2026 | Complaint |
“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.
32 facilities in 1 states. CMS chain ID 98.
Chain average overall rating (CMS): 2.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ag Facilities Operations, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 11, 2003 |
| Ira E Smedra Living Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | Aug 11, 2003 |
| Win Win Enterprises, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | Aug 11, 2003 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ag Facilities Operations, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 11, 2003 |
| Ira E Smedra Living Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | Aug 11, 2003 |
| Win Win Enterprises, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | Aug 11, 2003 |
| Jennifer Caballero | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 1, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Madera Rehabilitation & Nursing Center 517 South a Street, Madera, CA 93638 CCN 0551471 state class AA/A | 176 | Feb 24, 2026 | 1001 IJ6 harm | $374k | |
| Watsonville Nursing Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Bayshire Rancho Mirage 72-201 Country Club Drive, Rancho Mirage, CA 92270 CCN 5557753 state class AA/A | 3.7 km | 45 | Nov 25, 2025 | 39 | — | |
| Monterey Palms Health Care Center 44610 Monterey Avenue, Palm Desert, CA 92260 CCN 555403 | 3.8 km | 99 | Jul 21, 2026 | 70 | — | |
| The Springs Healthcare Center at the Carlotta 41505 Carlotta Drive, Palm Desert, CA 92211 CCN 5552261 state class AA/A | 5.7 km | 59 | Jan 28, 2026 | 401 harm1 open | — | |
| Desert Springs Post Acute 74-350 Country Club Drive, Palm Desert, CA 92260 CCN 5553392 state class AA/AAbuse icon | 8 km | 178 | Jul 21, 2026 | 1484 harm | $74k | |
| Premier Care Center for Palm Springs 2990 East Ramon Road, Palm Springs, CA 92264 CCN 056328 | 12 km | 99 | Jul 16, 2026 | 871 IJ | $66k | |
| Palm Springs Healthcare & Rehabilitation Center 277 S Sunrise Way, Palm Springs, CA 92262 CCN 056229 | 13.8 km | 99 | Feb 11, 2026 | 45 | — | |
| Desert Regional Medical Center D/P SNF 1150 North Indian Canyon Drive, Palm Springs, CA 92262 CCN 5554171 state class AA/A | 16.5 km | 32 | Jun 11, 2026 | 441 IJ | $14k | |
| California Nursing & Rehabilitation Center 2299 North Indian Canyon Drive, Palm Springs, CA 92262 CCN 056428 | 17.2 km | 80 | Jul 9, 2026 | 982 IJ1 harm | $83k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555247 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555247 | 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 | 250000299 | 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
| 250015706 |
| Apr 18, 2019 violation Sep 2, 2018 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 250014942 |
| Feb 5, 2008 violation Jul 4, 2006 | Class B | Citation Citation A (HSC 1424) | Patient Care | $9,750 initial $15,000 | Appealed Closed | 250004642 |
| Feb 5, 2008 violation May 28, 2007 | Class A | Citation Citation A (HSC 1424) | Medication | $12,850 initial $20,000 | Appealed Closed | 250004638 |
| Oct 23, 2003 violation Sep 8, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $557 initial $1,000 | Closed | 250001512 |
| May 2, 2002 violation Jan 27, 2002 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,481 initial $18,000 | Appealed Closed | 250001497 |
| May 21, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2026 |
| May 21, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 11, 2026 |
| May 21, 2026 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2026 |
| May 21, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 11, 2026 |
| May 21, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2026 |
| May 21, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 11, 2026 |
| May 21, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 11, 2026 |
| May 21, 2026 | 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 Jun 11, 2026 |
| May 21, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 11, 2026 |
| May 21, 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 12, 2026 |
| May 21, 2026 | 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 | D · Potential harm Isolated | Corrected Jun 12, 2026 |
| May 21, 2026 | 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 Jun 12, 2026 |
| May 21, 2026 | 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 Jun 19, 2026 |
| May 21, 2026 | 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 Jun 12, 2026 |
| May 21, 2026 | 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 Jun 12, 2026 |
| May 21, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 19, 2026 |
| May 21, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 11, 2026 |
| Apr 17, 2026 | 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 24, 2026 | Complaint |
| Jan 16, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 23, 2026 | Complaint |
| Aug 11, 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 | Corrected Aug 22, 2025 | Complaint |
| Feb 25, 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 17, 2025 | Complaint |
| Feb 6, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 6, 2025 | 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 | E · Potential harm Pattern | Corrected Mar 21, 2025 |
| Feb 6, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 6, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 6, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 21, 2025 |
| Feb 6, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 21, 2025 |
| Feb 6, 2025 | 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 Mar 21, 2025 |
| Feb 6, 2025 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 6, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 14, 2025 | Complaint |
| Feb 6, 2025 | 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 Mar 14, 2025 | Complaint |
| Feb 6, 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 14, 2025 | Complaint |
| Feb 6, 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 Mar 14, 2025 | Complaint |
| Feb 6, 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 14, 2025 | Complaint |
| Feb 6, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 14, 2025 | Complaint |
| Feb 6, 2025 | 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 Mar 14, 2025 | Complaint |
| Feb 6, 2025 | 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 Mar 14, 2025 | Complaint |
| Jan 22, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2025 | Complaint |
| Jan 22, 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 Jan 31, 2025 | Complaint |
| Jan 22, 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 Jan 31, 2025 | Complaint |
| Oct 10, 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 Oct 19, 2024 | Complaint |
| Sep 30, 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 Oct 11, 2024 | Complaint |
| Mar 28, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 22, 2024 | Complaint |
| Mar 25, 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 Apr 5, 2024 | Complaint |
| Nov 30, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 16, 2023 | ComplaintInfection control |
| Nov 8, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 4, 2024 |
| Nov 8, 2023 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 4, 2024 |
| Nov 8, 2023 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 4, 2024 |
| Nov 8, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jan 26, 2024 |
| Nov 8, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 4, 2024 |
| Nov 8, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 26, 2024 |
| Nov 8, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 26, 2024 |
| Nov 8, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 26, 2024 |
| Nov 8, 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 4, 2024 |
| Nov 8, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 26, 2024 |
| Nov 8, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 26, 2024 |
| Nov 8, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 26, 2024 |
| Nov 8, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 4, 2024 |
| Nov 8, 2023 | 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 Jan 4, 2024 |
| Nov 8, 2023 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 26, 2024 |
| Nov 8, 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 Jan 26, 2024 |
| Nov 8, 2023 | 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 Jan 4, 2024 |
| Nov 8, 2023 | 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 Jan 26, 2024 |
| Nov 8, 2023 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 22, 2023 |
| Nov 8, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 22, 2023 |
| Nov 8, 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 Dec 22, 2023 |
| Nov 8, 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 | D · Potential harm Isolated | Corrected Dec 22, 2023 |
| Nov 8, 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 Dec 22, 2023 |
| Nov 8, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 22, 2023 |
| Nov 8, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 22, 2023 |
| Nov 8, 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 Dec 22, 2023 |
| Nov 8, 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 Dec 22, 2023 |
| Oct 26, 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 Nov 2, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.15 (case-mix index 1.42).
| Miguel Vidales | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2021 |
| Cambridge Healthcare Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2013 |
| Julie Butenko | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 24, 2023 |
| Jennifer Caballero | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Heidi Capela | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2023 |
| Lance Hassell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 25, 2022 |
| Rafal Kurzawa | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Linda Lutz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2012 |
| Glenora Mitchell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2023 |
| Paulina Salazar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 14, 2020 |
| Ira Smedra | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 11, 2003 |
| Miguel Vidales | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2021 |
| Jacob Wintner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 11, 2003 |
| 39950 Vista Del Sol, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 3, 2004 |
| Cambridge Healthcare Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2025 |
| Win Win Enterprises, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 3, 2004 |
| Julie Butenko | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 24, 2023 |
| Jennifer Caballero | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 5, 2025 |
| Heidi Capela | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 3, 2023 |
| Lance Hassell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 25, 2022 |
| Rafal Kurzawa | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Linda Lutz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2012 |
| Paulina Salazar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 14, 2020 |
| Ira Smedra | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 11, 2003 |
| Miguel Vidales | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2021 |
| Jacob Wintner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 11, 2003 |
| 87 |
| Jan 9, 2026 |
56 |
| — |
| Merced Nursing & Rehabilitation Ctr 510 West 26th Street, Merced, CA 95340 CCN 055249 | 79 | Jul 17, 2026 | 46 | — |
| La Sierra Care Center 2424 M Street, Merced, CA 95340 CCN 055271 | 68 | Jan 23, 2026 | 61 | — |
| Valley Palms Care Center 13400 Sherman Way, N Hollywood, CA 91605 CCN 0552871 state class AA/A | 99 | May 18, 2026 | 1371 IJ1 harm | $34k |
| Monrovia Gardens Healthcare Center 615 W. Duarte Rd., Monrovia, CA 91016 CCN 0553673 state class AA/A | 96 | Jul 15, 2026 | 1191 harm | — |
| Huntington Drive Health and Rehabilitation Center 400 W. Huntinton Dr., Arcadia, CA 91007 CCN 0553763 state class AA/A | 99 | Jul 24, 2026 | 99 | — |
| Buena Vista Care Center 1440 S Euclid Avenue, Anaheim, CA 92802 CCN 055459 | 99 | May 11, 2026 | 1011 open | — |