Loading facility…
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 | D86 | E8 | F6 |
| Minimal | A· | B9 |
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 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 18, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Feb 18, 2026 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Nov 26, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 10, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Sep 18, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 14, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Feb 28, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 7, 2025 | Health | Health Complaint | 1 | Minimal | — | Open → |
| Nov 15, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Nov 15, 2024 | Health | Health Complaint, Health Standard | 20 | Potential harm | — | Open → |
| Aug 1, 2024 | Health | Health Complaint | 1 | Minimal | — | Open → |
| May 30, 2024 | Health | Health Complaint | 1 | Minimal | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 24, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 13, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 17, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 23, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 16, 2022 | Fire safety | Fire Safety Standard | 22 | Potential harm | — | Open → |
| May 16, 2022 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 10, 2025 | Denial of payment for new admissions | — | Dec 10, 2025 · 13 days | 555286|Payment Denial|2025-12-10 |
| Nov 10, 2025 | Civil money penalty (fine) | $8,425 | — | 555286|Fine|135853 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Dec 12, 2023 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810019415 |
| May 24, 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 | 810017642 |
| Aug 19, 2020 violation Mar 10, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Death related |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D86 | E8 | F6 |
| Minimal | A· | B9 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 29, 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 Aug 14, 2026 | Complaint |
| Jul 8, 2026 | 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 Jul 23, 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 | Jun 27, 2025 |
| Jooby Babu | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2023 |
| James Villafania | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2023 |
| Jooby Babu | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| James Villafania | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2023 |
| Adam Willits | 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 |
|---|---|---|---|---|---|---|
| Chapman Global Medical Center D/P SNF 2601 East Chapman Avenue, Orange, CA 92869 CCN 555709 | 2.8 km | 27 | Apr 9, 2026 | 62 | — | |
| Healthbridge Children's Hospital - Orange D/P SNF 393 S Tustin St, Orange, CA 92866 CCN 5557532 state class AA/A | 3.7 km | 21 | Apr 30, 2026 | 58 | — | |
| The Hills Post Acute 1800 Old Tustin Avenue, Santa Ana, CA 92705 CCN 5557651 state class AA/A | 4.6 km | 174 | Jun 30, 2026 | 128 | — | |
| Tustin Healthcare Center 14851 Yorba St, Tustin, CA 92780 State license only | 5.3 km | 48 lic. | Not CMS rated | — | No inspections in window | — |
| Orange Healthcare & Wellness Centre, LLC 920 West La Veta Street, Orange, CA 92868 CCN 0552522 state class AA/A | 5.6 km | 112 | Apr 8, 2026 | 951 IJ | — | |
| Town & Country 555 East Memory Lane, Santa Ana, CA 92706 CCN 555141 | 5.8 km | 96 | Mar 10, 2026 | 68 | — | |
| Advanced Rehab Center of Tustin 2210 E. First Street, Santa Ana, CA 92705 CCN 0553301 state class AA/A | 6 km | 99 | Jul 30, 2026 | 1432 harm | $37k | |
| Mainplace Post Acute 1835 West La Veta Avenue, Orange, CA 92868 CCN 5552591 state class AA/A | 6.5 km | 169 | Apr 27, 2026 | 822 harm | $17k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555286 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555286 | 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 | 060000765 | 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
| 060015971 |
| Jul 17, 2017 violation Mar 1, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 060013348 |
| Jan 25, 2011 violation Oct 21, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 060007858 |
| Sep 15, 2009 violation Feb 5, 2009 | Class A | Citation Citation A (HSC 1424) | Medication | $20,000 | Closed | 060006549 |
| May 11, 2009 violation Nov 1, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 060006162 |
| Apr 16, 2008 violation Aug 10, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 initial $1,000 | Closed | 060004922 |
| Apr 10, 2007 violation Dec 27, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 060003842 |
| Oct 26, 2005 violation Oct 7, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 060001263 |
| May 25, 2004 violation Apr 6, 2004 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 060001170 |
| Mar 19, 2004 violation Dec 22, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,050 initial $1,000 | Closed | 060001165 |
| Mar 2, 2004 violation Nov 12, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,050 initial $750 | Closed | 060001164 |
| Oct 15, 2002 violation Jan 15, 2001 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Closed | 060001119 |
| Jul 25, 2002 violation Feb 5, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 060001107 |
| Nov 30, 2001 violation Jul 11, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,050 initial $800 | Closed | 060001076 |
| Jul 26, 2001 violation Apr 21, 2001 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $20,000 | Appealed Closed | 060001066 |
| Jan 6, 1999 violation Sep 24, 1998 | Class A | Citation Citation A (HSC 1424) | Patient Care | $8,000 initial $10,000 | Appealed Closed | 060000978 |
| Complaint |
| Feb 18, 2026 | K-0200 | Meet other general requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Feb 18, 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 Mar 13, 2026 |
| Feb 18, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Feb 18, 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 Mar 13, 2026 |
| Feb 18, 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 Mar 13, 2026 |
| Feb 18, 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 | E · Potential harm Pattern | Corrected Mar 13, 2026 |
| Feb 18, 2026 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Feb 18, 2026 | 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 Mar 13, 2026 |
| Feb 18, 2026 | 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 13, 2026 |
| Feb 18, 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 Mar 13, 2026 |
| Feb 18, 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 Mar 13, 2026 |
| Feb 18, 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 Mar 13, 2026 |
| Feb 18, 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 Mar 13, 2026 |
| Feb 18, 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 | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Feb 18, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Feb 18, 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 Mar 13, 2026 |
| Feb 18, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 13, 2026 |
| Feb 18, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 13, 2026 |
| Feb 18, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 13, 2026 |
| Feb 18, 2026 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Mar 13, 2026 |
| Feb 18, 2026 | 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 | B · Minimal Pattern | Corrected Mar 13, 2026 |
| Nov 26, 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 Dec 8, 2025 | Complaint |
| Nov 26, 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 | B · Minimal Pattern | Corrected Dec 8, 2025 | Complaint |
| Nov 10, 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 | G · Actual harm Isolated | Corrected Dec 23, 2025 | Complaint |
| Sep 18, 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 Oct 10, 2025 | Complaint |
| Aug 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 13, 2025 | Complaint |
| Jul 10, 2025 | 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 Jul 30, 2025 | Complaint |
| May 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 | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| May 14, 2025 | 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 Jun 4, 2025 | Complaint |
| May 14, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 4, 2025 | Complaint |
| May 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 | B · Minimal Pattern | Corrected Jun 4, 2025 | Complaint |
| Feb 28, 2025 | 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 Mar 20, 2025 | Complaint |
| Feb 28, 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 20, 2025 | Complaint |
| Jan 7, 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 Jan 28, 2025 | Complaint |
| Nov 15, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 21, 2024 |
| Nov 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 20, 2024 |
| Nov 15, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 21, 2024 |
| Nov 15, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 21, 2024 |
| Nov 15, 2024 | 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 Nov 21, 2024 |
| Nov 15, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 21, 2024 |
| Nov 15, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 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 Dec 14, 2024 |
| Nov 15, 2024 | 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 Dec 14, 2024 |
| Nov 15, 2024 | 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 14, 2024 |
| Nov 15, 2024 | 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 14, 2024 |
| Nov 15, 2024 | 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 14, 2024 |
| Nov 15, 2024 | 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 14, 2024 |
| Nov 15, 2024 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | 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 14, 2024 |
| Nov 15, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | 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 14, 2024 |
| Nov 15, 2024 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 14, 2024 |
| Nov 15, 2024 | 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 14, 2024 |
| Nov 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 14, 2024 | Complaint |
| Nov 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 18, 2024 |
| Nov 15, 2024 | 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 | B · Minimal Pattern | Corrected Dec 14, 2024 | Complaint |
| Aug 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | B · Minimal Pattern | Corrected Aug 12, 2024 | Complaint |
| May 30, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Jun 14, 2024 | Complaint |
| Mar 21, 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 Apr 13, 2024 | Complaint |
| Mar 21, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 13, 2024 | Complaint |
| Mar 21, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 12, 2024 | Complaint |
| Mar 12, 2024 | 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 27, 2024 | Complaint |
| Jan 24, 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 15, 2024 | Complaint |
| Jan 24, 2024 | 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 15, 2024 | Complaint |
| Jan 24, 2024 | 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 Feb 15, 2024 | Complaint |
| Dec 13, 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 29, 2023 | Complaint |
| Dec 13, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 29, 2023 | Complaint |
| Nov 17, 2023 | 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 5, 2023 | Complaint |
| Oct 23, 2023 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 7, 2023 | Complaint |
| May 16, 2022 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0009 | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 14, 2022 |
| May 16, 2022 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 14, 2022 |
| May 16, 2022 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 14, 2022 |
| May 16, 2022 | 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 Jun 14, 2022 |
| May 16, 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 Jun 16, 2022 |
| May 16, 2022 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 16, 2022 |
| May 16, 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 Jun 16, 2022 |
| May 16, 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 Jun 16, 2022 |
| May 16, 2022 | 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 Jun 16, 2022 |
| May 16, 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 Jun 16, 2022 |
| May 16, 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 Jun 16, 2022 |
| May 16, 2022 | 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 Jun 16, 2022 |
| May 16, 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 Jun 16, 2022 |
| May 16, 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 | D · Potential harm Isolated | Corrected Jun 16, 2022 |
| May 16, 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 Jun 16, 2022 |
| May 16, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 16, 2022 |
| May 16, 2022 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 16, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.18 (case-mix index 2.21).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Feb 1, 2023 |
| Soon Burnam | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 8, 2022 |
| Chad Keetch | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2011 |
| William Looper | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2023 |
| Ami Sato | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 9, 2024 |
| Ensign Services Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2022 |
| Jooby Babu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| James Villafania | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2023 |
| 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 | — |