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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 | D31 | E7 | F5 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 10, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 10, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Feb 16, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Feb 16, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Feb 9, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Feb 9, 2024 | Health | Health Standard | 16 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 9, 2024 | Denial of payment for new admissions | — | Mar 12, 2024 · 1 days | 555441|Payment Denial|2024-03-12 |
| Feb 9, 2024 | Civil money penalty (fine) | $12,831 | — | 555441|Fine|130500 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 27, 2024 violation Feb 9, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 910019924 |
| May 11, 2020 violation Sep 21, 2019 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 930015855 |
| May 5, 2016 violation Jan 23, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 930012207 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D31 | E7 | F5 |
| Minimal | A· | B· | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 10, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2026 | |
| Apr 10, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 | |
| Apr 10, 2026 | K-0920 |
“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 |
|---|---|---|---|---|---|
| Avanti Healthcare Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 17, 2011 |
| Avanti Hospital Holdings I LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 17, 2011 |
| Avanti Hospitals LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 17, 2011 |
| Deerfield Private Design Fund IV, LP | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Dfp Opco, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Healthplus Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 13, 2006 |
| Hollister Health Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Jpm Property Holdings, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Nlo Property Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Pipeline Health System Holdings, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Pipeline Health System, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Pipeline Hospital Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Mark Bell | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2008 |
| Irv Edwards | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2008 |
| James Macpherson | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2008 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avanti Healthcare Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 17, 2011 |
| Avanti Hospital Holdings I LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 17, 2011 |
| Avanti Hospitals LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | May 17, 2011 |
| Deerfield Private Design Fund IV, LP | Organization | Indirect owner |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Clear View Convalescent Center 15823 So. Western Ave., Gardena, CA 90247 CCN 555880 | 0.5 km | 99 | Mar 27, 2026 | 19 | — | |
| Clear View Sanitarium 15823 So. Western Ave., Gardena, CA 90247 CCN 555881 | 0.5 km | 73 | Aug 18, 2026 | 182 open | — | |
| Kei-Ai South Bay Healthcare Center 15115 S Vermont Ave, Gardena, CA 90247 CCN 5553064 state class AA/A | 1 km | 98 | Aug 28, 2026 | 771 harm | $17k | |
| Gardena Convalescent Center 14819 S. Vermont, Gardena, CA 90247 CCN 0560192 state class AA/A | 1 km | 74 | May 29, 2026 | 59 | — | |
| Rosecrans Care Center 1140 West Rosecrans Avenue, Gardena, CA 90247 CCN 0550722 state class AA/A | 1.4 km | 106 | Jun 5, 2026 | 612 harm | — | |
| Las Flores Convalescent Hospital 14165 Purche Ave., Gardena, CA 90249 CCN 5550575 state class AA/AAbuse icon | 2.1 km | 144 | Aug 14, 2026 | 912 IJ3 harm | $107k | |
| West Gardena Post Acute 16530 S Broadway Street, Gardena, CA 90248 CCN 5554104 state class AA/A | 2.2 km | 50 | Nov 20, 2025 | 552 harm | $35k | |
| Camino Healthcare 13922 Cerise Avenue, Hawthorne, CA 90250 CCN 0562671 state class AA/A | 3.1 km | 99 | May 5, 2026 | 721 harm | $9,110 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555441 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555441 | 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 | 930000904 | 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
| Feb 5, 2015 violation Jun 2, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $9,750 initial $15,000 | Appealed Closed | 930011151 |
| Dec 2, 2014 violation Oct 14, 2014 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $2,000 | Closed | 930011139 |
| Feb 27, 2002 violation Aug 23, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,050 initial $1,000 | Closed | 930000330 |
| Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Apr 30, 2026 |
| Apr 10, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 10, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 10, 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 Apr 28, 2026 |
| Apr 10, 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 Apr 28, 2026 |
| Apr 10, 2026 | 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 28, 2026 |
| Apr 10, 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 Apr 28, 2026 |
| Apr 10, 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 Apr 28, 2026 |
| Apr 10, 2026 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 10, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 28, 2026 |
| Apr 10, 2026 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Apr 30, 2026 |
| Feb 16, 2025 | 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 | E · Potential harm Pattern | Corrected Mar 18, 2025 |
| Feb 16, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 18, 2025 |
| Feb 16, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 18, 2025 |
| Feb 16, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Feb 16, 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 Mar 6, 2025 |
| Feb 16, 2025 | 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 Mar 6, 2025 |
| Feb 16, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Feb 16, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 6, 2025 |
| Feb 16, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 6, 2025 |
| Feb 16, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 6, 2025 |
| Feb 16, 2025 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Mar 18, 2025 |
| Feb 9, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 9, 2024 |
| Feb 9, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 13, 2024 |
| Feb 9, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 13, 2024 |
| Feb 9, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 13, 2024 |
| Feb 9, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 13, 2024 |
| Feb 9, 2024 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 13, 2024 |
| Feb 9, 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 Mar 13, 2024 |
| Feb 9, 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 Mar 9, 2024 |
| Feb 9, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Feb 9, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Feb 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 | E · Potential harm Pattern | Corrected Mar 9, 2024 |
| Feb 9, 2024 | 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 Mar 9, 2024 |
| Feb 9, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Feb 9, 2024 | 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 Mar 9, 2024 |
| Feb 9, 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 | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Feb 9, 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 Mar 9, 2024 |
| Feb 9, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Feb 9, 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 Mar 9, 2024 |
| Feb 9, 2024 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Feb 9, 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 | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Feb 9, 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 Mar 9, 2024 |
| Feb 9, 2024 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 9, 2024 |
| Feb 9, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 13, 2024 |
| Feb 9, 2024 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 13, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.89 (case-mix index 3.43).
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| not provided |
| Jan 28, 2019 |
| Dfp Opco, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Healthplus Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 13, 2006 |
| Hollister Health Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Jpm Property Holdings, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Nlo Property Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Pipeline Health System Holdings, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Pipeline Health System, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Pipeline Hospital Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 28, 2019 |
| Mark Bell | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2008 |
| Irv Edwards | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2008 |
| James Macpherson | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2008 |
| Gardena Hospital Management, LLC | Organization | Partner | GENERAL PARTNERSHIP INTEREST | not provided | Jan 29, 1999 |
| Healthplus Holdings LLC | Organization | Partner | LIMITED PARTNERSHIP INTEREST | not provided | Dec 13, 2006 |
| Mark Bell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 28, 2019 |
| Robert Metcalfe | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Feb 26, 2020 |