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 | D67 | E11 | F1 |
| Minimal | A· | B7 |
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 | |
|---|---|---|---|---|---|---|
| Aug 26, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 14, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 14, 2026 | Health | Health Complaint, Health Standard | 20 | Potential harm | — | Open → |
| Oct 22, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 25, 2025 | Health | Health Complaint | 1 | Minimal | 1 | Open → |
| Feb 14, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 14, 2025 | Health | Health Complaint, Health Standard | 17 | Potential harm | — | Open → |
| Sep 6, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 9, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Nov 9, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 9, 2022 | Health | Health Standard | 26 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 29, 2015 violation Jan 18, 2015 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 060011418 |
| Mar 22, 2011 violation Feb 28, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 060008042 |
| Apr 17, 2007 violation Jan 20, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 initial $30,000 | Appealed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D67 | E11 | F1 |
| Minimal | A· | B7 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 26, 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 8, 2026 | Complaint |
| Jan 14, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 26, 2026 | |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
347 facilities in 17 states. CMS chain ID 507.
Chain average overall rating (CMS): 3.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Barry Port | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Jul 7, 2025 |
| Soon Burnam | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 30, 2006 |
| Michael Harrison | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Apr 24, 2017 |
| Joseph Nassir | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 21, 2023 |
| Twomagnets LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2003 |
| Michael Harrison | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Fairfield Post Acute Rehabilitation 1255 Travis Blvd, Fairfield, CA 94533 CCN 0550145 state class AA/A | 99 | Jun 25, 2026 | 57 | — | |
| Palomar Vista Healthcare Center 201 N Fig Street, Escondido, CA 92025 CCN 055067 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Beachside Nursing Center 7781 Garfield Avenue, Huntington Beach, CA 92648 CCN 555027 | 0.1 km | 59 | Jun 10, 2026 | 62 | — | |
| Huntington Valley Healthcare Center 8382 Newman Avenue, Huntington Beach, CA 92647 CCN 0558881 state class AA/A | 2.1 km | 144 | Aug 13, 2026 | 1453 harm | $28k | |
| Fountain Valley Post Acute 11680 Warner Avenue, Fountain Valley, CA 92708 CCN 555328 | 6.4 km | 151 | May 20, 2026 | 105 | — | |
| Mesa Verde Post Acute Care Center 661 Center Street, Costa Mesa, CA 92627 CCN 0563621 state class AA/A | 7.5 km | 80 | Jun 8, 2026 | 84 | $4,558 | |
| Stanley Healthcare Center 14102 Springdale Street, Westminster, CA 92683 CCN 555651 | 8.3 km | 30 | Apr 9, 2026 | 79 | — | |
| Victoria Healthcare and Rehabilitation Center 340 Victoria Street, Costa Mesa, CA 92627 CCN 0552371 state class AA/A | 8.4 km | 79 | Aug 14, 2026 | 38 | — | |
| Newport Nursing and Rehabilitation Center 1555 Superior Avenue, Newport Beach, CA 92663 CCN 0555182 state class AA/AAbuse icon | 8.4 km | 59 | Aug 11, 2026 | 54 | — | |
| Extended Care Hospital of Westminster 206 Hospital Circle, Westminster, CA 92683 CCN 555211 | 8.4 km | 99 | Jul 9, 2026 | 64 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555249 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555249 | 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 | 060000053 | 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
| 060003893 |
| Oct 8, 2003 violation Apr 3, 2003 | Class A | Citation Citation A (HSC 1424) | Patient Care | $8,607 initial $15,000 | Closed | 060001150 |
| Jul 8, 2003 violation May 16, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $574 initial $1,000 | Closed | 060001139 |
| May 22, 2003 violation Apr 23, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $574 initial $1,000 | Closed | 060001138 |
| 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 Feb 12, 2026 |
| Jan 14, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 12, 2026 |
| Jan 14, 2026 | 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 Feb 12, 2026 |
| Jan 14, 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 | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 14, 2026 | 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 Feb 12, 2026 | Complaint |
| Jan 14, 2026 | 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 Feb 12, 2026 |
| Jan 14, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2026 |
| Jan 14, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2026 |
| Jan 14, 2026 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2026 |
| Jan 14, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 14, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2026 |
| Jan 14, 2026 | 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 | D · Potential harm Isolated | Corrected Feb 12, 2026 |
| Jan 14, 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 Feb 12, 2026 |
| Jan 14, 2026 | 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 Feb 12, 2026 |
| Jan 14, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 14, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 12, 2026 |
| Jan 14, 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 Feb 12, 2026 |
| Jan 14, 2026 | 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 Feb 12, 2026 |
| Jan 14, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 14, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Feb 12, 2026 |
| Oct 22, 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 Nov 7, 2025 | Complaint |
| Oct 22, 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 Nov 7, 2025 | Complaint |
| Oct 22, 2025 | 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 | B · Minimal Pattern | Corrected Nov 7, 2025 | Complaint |
| Jul 25, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | No plan of correction | Complaint |
| Feb 14, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2025 |
| Feb 14, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 20, 2025 |
| Feb 14, 2025 | 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 Mar 20, 2025 |
| Feb 14, 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 20, 2025 |
| Feb 14, 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 7, 2025 |
| Feb 14, 2025 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 14, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 14, 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 Mar 7, 2025 |
| Feb 14, 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 7, 2025 | Complaint |
| Feb 14, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 7, 2025 | Complaint |
| Feb 14, 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 7, 2025 | Complaint |
| Feb 14, 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 Mar 7, 2025 |
| Feb 14, 2025 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 14, 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 7, 2025 | Complaint |
| Feb 14, 2025 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 7, 2025 |
| Feb 14, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 14, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2025 |
| Feb 14, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 7, 2025 | Complaint |
| Feb 14, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 7, 2025 | Complaint |
| Sep 6, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 19, 2024 | Complaint |
| Sep 6, 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 | B · Minimal Pattern | Corrected Sep 19, 2024 | Complaint |
| Sep 6, 2024 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | B · Minimal Pattern | Corrected Sep 19, 2024 | Complaint |
| Jun 13, 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 Jun 28, 2024 | Complaint |
| May 16, 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 Jun 7, 2024 | Complaint |
| Jan 9, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Jan 9, 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 Feb 9, 2024 | Complaint |
| Jan 9, 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 Feb 9, 2024 | Complaint |
| Jan 9, 2024 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 9, 2024 | Complaint |
| Nov 9, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 28, 2022 |
| Nov 9, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 28, 2022 |
| Nov 9, 2022 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 28, 2022 |
| Nov 9, 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 | F · Potential harm Widespread | Corrected Nov 28, 2022 |
| Nov 9, 2022 | 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 Dec 7, 2022 |
| Nov 9, 2022 | 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 Dec 7, 2022 |
| Nov 9, 2022 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | 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 Dec 7, 2022 |
| Nov 9, 2022 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 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 | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 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 | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | 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 Dec 7, 2022 |
| Nov 9, 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 | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | F-0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | 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 Dec 7, 2022 |
| Nov 9, 2022 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 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 Dec 7, 2022 |
| Nov 9, 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 Dec 7, 2022 |
| Nov 9, 2022 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | 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 7, 2022 |
| Nov 9, 2022 | 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 Dec 7, 2022 |
| Nov 9, 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 Dec 7, 2022 |
| Nov 9, 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 | D · Potential harm Isolated | Corrected Dec 7, 2022 |
| Nov 9, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 7, 2022 |
| Nov 9, 2022 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 7, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.08 (case-mix index 1.37).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Apr 24, 2017 |
| Joseph Nassir | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 21, 2023 |
| Adam Willits | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 29, 2019 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 30, 2006 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2003 |
| Huntington Beach Convalescent Hospital Asset LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2003 |
| Standard Bearer Healthcare Op, LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2003 |
| The Ensign Group Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2003 |
| Michael Harrison | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 7, 2025 |
| Joseph Nassir | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 7, 2025 |
| 74 |
| Jan 15, 2026 |
68 |
| — |
| Grand Terrace Health Care Center 12000 Mount Vernon Ave, Grand Terrace, CA 92313 CCN 0551291 state class AA/A | 59 | Mar 5, 2026 | 38 | — |
| Madera Post Acute Center 11900 Ramona Boulevard, El Monte, CA 91732 CCN 0551419 state class AA/A | 148 | Aug 3, 2026 | 741 IJ1 harm | $30k |
| Lemon Grove Care and Rehabilitation Center 8351 Broadway, Lemon Grove, CA 91945 CCN 0551822 state class AA/A | 158 | Dec 18, 2025 | 63 | — |
| Garden View Post Acute Rehabilitation 14475 Garden View Lane, Baldwin Park, CA 91706 CCN 0551872 state class AA/A | 97 | May 7, 2026 | 53 | — |
| Victoria Healthcare and Rehabilitation Center 340 Victoria Street, Costa Mesa, CA 92627 CCN 0552371 state class AA/A | 79 | Aug 14, 2026 | 38 | — |
| Fairmont Rehabilitation Hospital 950 S. Fairmont Avenue, Lodi, CA 95240 CCN 0552422 state class AA/A | 59 | May 7, 2026 | 52 | — |