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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D61 | E27 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 18, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 12, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 29, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jan 29, 2026 | Health | Health Complaint, Health Standard | 17 | Potential harm | — | Open → |
| Jan 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 4, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 26, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Mar 8, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 12, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 12, 2024 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Nov 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 5, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 21, 2024 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| May 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 12, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jan 12, 2024 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Nov 7, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Oct 25, 2023 violation Sep 12, 2023 | Class B | Citation Citation B (HSC 1424) | Other · Abuse | $3,000 | Closed | 950019295 |
| Sep 2, 2016 violation Jun 1, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Open | 950012562 |
| Sep 2, 2016 violation Jun 1, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Care |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D61 | E27 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 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 Sep 1, 2026 | Complaint |
| Aug 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 Sep 1, 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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Robert Barrett | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 15, 2013 |
| Cipriano Bautista | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 15, 2013 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Robert Barrett | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 15, 2013 |
| Cipriano Bautista | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Feb 15, 2013 |
| Robert Barrett | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 15, 2013 |
| Cipriano Bautista | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 15, 2013 |
| Robert Barrett | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Saint Vincent Healthcare 1810 N. Fair Oaks Ave, Pasadena, CA 91103 CCN 555119 | 0.1 km | 78 | Nov 21, 2025 | 65 | — | |
| Golden Rose Care Center 1899 N Raymond Ave, Pasadena, CA 91103 CCN 0558629 state class AA/ASFF Candidate | 0.1 km | 99 | Aug 14, 2026 | 1613 IJ1 harm | $121k | |
| Camellia Gardens Care Center 1920 N. Fair Oaks Avenue, Pasadena, CA 91103 CCN 056316 | 0.1 km | 80 | Aug 27, 2026 | 73 | — | |
| Cedar Pine Post Acute 1640 N. Fair Oaks Avenue, Pasadena, CA 91103 CCN 5552133 state class AA/AAbuse icon | 0.3 km | 99 | Jun 26, 2026 | 1051 IJ1 harm | $9,113 | |
| Pasadena Nursing Center 1570 North Fair Oaks Ave, Pasadena, CA 91103 CCN 5558931 state class AA/AAbuse icon | 0.5 km | 52 | Jul 16, 2026 | 1021 harm | $23k | |
| Foothill Heights Care Center 1515 North Fair Oaks Ave, Pasadena, CA 91103 CCN 555894 | 0.6 km | 49 | Aug 21, 2026 | 80 | $9,390 | |
| Pasadena Grove Health Center 1470 N Fair Oaks Ave, Pasadena, CA 91103 CCN 055617 | 0.7 km | 71 | Aug 5, 2026 | 921 harm | — | |
| Villa Gardens Health Care Unit 842 East Villa Street, Pasadena, CA 91101 CCN 555429 | 3.2 km | 54 | Dec 5, 2025 | 53 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555338 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555338 | 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 | 970000194 | 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
| $2,000 |
| Appealed Open |
| 950012561 |
| Jun 3, 2016 violation Sep 4, 2014 | Class B | Citation Citation A (HSC 1424) | Patient Rights | $11,500 initial $14,000 | Appealed Closed | 950012230 |
| May 23, 2008 violation Feb 23, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $900 | Closed | 970004774 |
| Dec 21, 2005 violation Jan 6, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Death related Closed | 970001457 |
| Oct 23, 2001 violation Jun 7, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,750 initial $1,000 | Appealed Closed | 970001365 |
| Feb 26, 2001 violation Dec 16, 2000 | Class B | Citation Citation B (HSC 1424) | Other · ABUSE | $500 initial $1,000 | Appealed Closed | 970001351 |
| Sep 14, 2000 violation Jul 25, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $350 initial $1,000 | Appealed Closed | 970001350 |
| Aug 15, 2000 violation Jul 26, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,200 initial $1,000 | Appealed Closed | 970001349 |
| Aug 15, 2000 violation Jul 26, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $1,000 | Appealed Closed | 970001348 |
| Aug 15, 2000 violation Jul 26, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $0 initial $1,000 | Appealed Closed | 970001347 |
| Aug 12, 2026 | 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 Sep 1, 2026 | Complaint |
| Apr 7, 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 Apr 8, 2026 | Complaint |
| Jan 29, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2026 |
| Jan 29, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2026 |
| Jan 29, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2026 |
| Jan 29, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 5, 2026 |
| Jan 29, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2026 |
| Jan 29, 2026 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 17, 2026 |
| Jan 29, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2026 |
| Jan 29, 2026 | 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 Feb 5, 2026 | Complaint |
| Jan 29, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2026 |
| Jan 29, 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 Feb 6, 2026 |
| Jan 29, 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 Feb 4, 2026 |
| Jan 29, 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 Feb 6, 2026 |
| Jan 29, 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 13, 2026 |
| Jan 29, 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 13, 2026 |
| Jan 29, 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 | E · Potential harm Pattern | Corrected Feb 11, 2026 |
| Jan 29, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 19, 2026 |
| Jan 29, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 19, 2026 |
| Jan 29, 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 Feb 6, 2026 |
| Jan 29, 2026 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 29, 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 | D · Potential harm Isolated | Corrected Feb 3, 2026 |
| Jan 29, 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 29, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 4, 2026 |
| Jan 7, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 16, 2026 | Complaint |
| Aug 12, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 25, 2025 | Complaint |
| Aug 6, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 18, 2025 | Complaint |
| Jun 11, 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 Jun 13, 2025 | Complaint |
| May 30, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 2, 2025 | Complaint |
| Apr 4, 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 Apr 10, 2025 | Complaint |
| Apr 4, 2025 | 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 Apr 8, 2025 | Complaint |
| Apr 4, 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 Apr 8, 2025 | Complaint |
| Mar 26, 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 Apr 14, 2025 | Complaint |
| Mar 26, 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 | D · Potential harm Isolated | Corrected Apr 14, 2025 | Complaint |
| Mar 8, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 28, 2025 | Complaint |
| Mar 8, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 28, 2025 | Complaint |
| Mar 8, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 28, 2025 | Complaint |
| Mar 8, 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 28, 2025 | Complaint |
| Dec 12, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 31, 2024 |
| Dec 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 27, 2024 |
| Dec 12, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 27, 2024 |
| Dec 12, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 27, 2024 |
| Dec 12, 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 | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 3, 2025 |
| Dec 12, 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 | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 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 | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 2024 | 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 Jan 3, 2025 |
| Dec 12, 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 | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | 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 Jan 3, 2025 |
| Dec 12, 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 Jan 3, 2025 |
| Dec 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 3, 2025 |
| Nov 8, 2024 | F-0572 | Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 5, 2024 | Complaint |
| Oct 30, 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 Nov 15, 2024 | Complaint |
| Sep 11, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 18, 2024 | Complaint |
| Sep 5, 2024 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Sep 5, 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 Sep 23, 2024 | Complaint |
| Aug 21, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 3, 2024 | Complaint |
| Aug 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 Sep 3, 2024 | Complaint |
| Aug 21, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 3, 2024 | Complaint |
| Aug 21, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 3, 2024 | Complaint |
| Aug 21, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 3, 2024 | Complaint |
| May 30, 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 Jun 24, 2024 | Complaint |
| Jan 12, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 5, 2024 |
| Jan 12, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2024 |
| Jan 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2024 |
| Jan 12, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2024 |
| Jan 12, 2024 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 5, 2024 |
| Jan 12, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2024 |
| Jan 12, 2024 | 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 Feb 5, 2024 |
| Jan 12, 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 | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 12, 2024 | 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 Feb 1, 2024 |
| Jan 12, 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 | E · Potential harm Pattern | Corrected Feb 1, 2024 |
| Jan 12, 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 1, 2024 |
| Jan 12, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 1, 2024 |
| Jan 12, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 1, 2024 |
| Jan 12, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 1, 2024 |
| Jan 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 Feb 1, 2024 |
| Jan 12, 2024 | 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 1, 2024 |
| Jan 12, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 12, 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 Feb 1, 2024 |
| Jan 12, 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 1, 2024 |
| Jan 12, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 12, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Jan 12, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 5, 2024 |
| Nov 7, 2023 | 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 Nov 30, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.68 (case-mix index 1.53).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Apr 28, 2013 |
| Cipriano Bautista | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 28, 2013 |
| Teresita Hamor | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Jacinto Janabajal | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 15, 2024 |
| Marisa Lim | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 25, 2025 |
| Raul Navarro | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 6, 2025 |
| Rhina Navarro | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Jowell Ovenson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 24, 2025 |
| John Rogers | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2014 |
| Nvard Teroganesyan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2022 |
| Nancy Thom | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 4, 2024 |
| Todd Turner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 9, 2019 |
| Robert Barrett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 28, 2013 |
| Cipriano Bautista | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 28, 2013 |
| Teresita Hamor | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Jacinto Janabajal | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 15, 2024 |
| Marisa Lim | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 25, 2025 |
| Raul Navarro | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 6, 2025 |
| Rhina Navarro | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Jowell Ovenson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 24, 2025 |
| John Rogers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2014 |
| Nvard Teroganesyan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2022 |
| Nancy Thom | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 4, 2024 |
| Todd Turner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 9, 2019 |