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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 | G2 | H· | I· |
| Potential harm | D55 | E19 | F3 |
| 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 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 24, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 19, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 3, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 15, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 6, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 14, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 6, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 6, 2025 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Dec 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 18, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 18, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 4, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 5, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 6, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jan 11, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jan 11, 2024 | Health | Health Complaint, Health Standard | 10 | Potential harm | — | Open → |
| Jan 3, 2024 | Health | Infection Control | 1 | Potential harm | — | Open → |
| Nov 13, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 20, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 3, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 6, 2022 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jan 6, 2022 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 29, 2024 | Civil money penalty (fine) | $9,318 | — | 555479|Fine|130887 |
| Jan 3, 2024 | Civil money penalty (fine) | $8,648 | — | 555479|Fine|130877 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 19, 2024 violation Nov 19, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 120020007 |
| Dec 15, 2023 violation Oct 9, 2023 | Class B | Citation Citation B (HSC 1424) | Refusal to Readmit | $3,000 | Closed | 120019437 |
| Dec 30, 2021 violation Aug 21, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,450 initial $2,000 | Closed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D55 | E19 | F3 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 2, 2026 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 21, 2026 | Complaint |
| Mar 24, 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 May 15, 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 |
|---|---|---|---|---|---|
| Bradford Barker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 27, 2014 |
| Ricardo Chavez | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 16, 2017 |
| Trisha Flores | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 28, 2020 |
| Ileana Gavina | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 18, 2022 |
| Rosa Lugo | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 28, 2020 |
| Sylvia Soto | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 8, 2020 |
| Ileana Gavina | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 18, 2022 |
| Janice Calzo | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Nov 2, 2020 |
| Ileana Gavina | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 18, 2022 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Adventist Health Delano 1401 Garces Hwy, Delano, CA 93215 CCN 056426 | 0.1 km | 51 | Jun 3, 2026 | 722 harm | $123k | |
| Valley View Care Center 729 Browning Road, Delano, CA 93215 CCN 5550532 state class AA/A | 1.8 km | 53 | Aug 25, 2026 | 1121 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555479 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555479 | 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 | 120000638 | 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
| 120017182 |
| Aug 13, 2021 violation May 5, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 120016749 |
| Aug 7, 2017 violation Jun 8, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 120013405 |
| Apr 18, 2016 violation Feb 16, 2016 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 120012162 |
| Aug 17, 2015 violation Jun 18, 2015 | Class A | Citation Citation A (HSC 1424) | Patient Rights | $10,000 | Closed | 120011608 |
| Jun 23, 2015 violation Feb 14, 2015 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 120011566 |
| Jan 29, 2014 violation Jul 10, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Closed | 120010169 |
| Oct 23, 2013 violation Jul 26, 2012 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 120010176 |
| Oct 3, 2012 violation Jul 18, 2010 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 120009285 |
| Aug 18, 2010 violation Aug 23, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 120006729 |
| Feb 17, 2004 violation Oct 23, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 120001769 |
| May 14, 2002 violation Feb 8, 2002 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $500 | Closed | 120001551 |
| Feb 28, 2000 violation Dec 7, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $800 | Closed | 120001369 |
| Mar 24, 2026 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2026 | Complaint |
| Mar 19, 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 Apr 15, 2026 | Complaint |
| Mar 19, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 15, 2026 | Complaint |
| Mar 3, 2026 | F-0774 | Help the resident with transportation to and from laboratory services outside of the facility. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 13, 2026 | Complaint |
| Jan 15, 2026 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 25, 2026 | Complaint |
| Jan 6, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 4, 2026 | Complaint |
| Jan 6, 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 Mar 4, 2026 | Complaint |
| Jan 6, 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 4, 2026 | Complaint |
| Dec 12, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 25, 2026 | Complaint |
| Nov 20, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 12, 2026 | Complaint |
| Nov 14, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 13, 2026 | Complaint |
| Nov 14, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Jan 13, 2026 | Complaint |
| Aug 5, 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 Oct 9, 2025 | Complaint |
| Feb 6, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 19, 2025 |
| Feb 6, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 18, 2025 |
| Feb 6, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Feb 6, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2025 |
| Feb 6, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2025 |
| Feb 6, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2025 |
| Feb 6, 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 Feb 20, 2025 |
| Feb 6, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Feb 6, 2025 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 20, 2025 |
| Feb 6, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Feb 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Feb 6, 2025 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 20, 2025 |
| Feb 6, 2025 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 11, 2025 |
| Dec 16, 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 Jan 24, 2025 | Complaint |
| Nov 18, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 27, 2024 | Complaint |
| Nov 18, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 27, 2024 | Complaint |
| Sep 27, 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 Oct 21, 2024 | Complaint |
| Sep 19, 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 Oct 8, 2024 | Complaint |
| Sep 18, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 21, 2024 | Complaint |
| Sep 18, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 21, 2024 | Complaint |
| Sep 4, 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 Oct 10, 2024 | Complaint |
| Sep 4, 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 Oct 10, 2024 | Complaint |
| Aug 8, 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 18, 2024 | Complaint |
| Jul 19, 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 Aug 23, 2024 | Complaint |
| Jun 27, 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 Jul 18, 2024 | Complaint |
| Jun 20, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 19, 2024 | Complaint |
| Jun 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 | G · Actual harm Isolated | Corrected Jul 3, 2024 | Complaint |
| May 29, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 27, 2024 | Complaint |
| Apr 2, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 17, 2024 | Complaint |
| Mar 6, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 22, 2024 | Complaint |
| Mar 6, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 22, 2024 | Complaint |
| Jan 11, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 7, 2024 |
| Jan 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 7, 2024 |
| Jan 11, 2024 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 7, 2024 |
| Jan 11, 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 | D · Potential harm Isolated | Corrected Feb 7, 2024 |
| Jan 11, 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 7, 2024 |
| Jan 11, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 7, 2024 |
| Jan 11, 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 Jan 31, 2024 | Complaint |
| Jan 11, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 31, 2024 |
| Jan 11, 2024 | 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 Jan 31, 2024 |
| Jan 11, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 31, 2024 |
| Jan 11, 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 Jan 31, 2024 |
| Jan 11, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 31, 2024 |
| Jan 11, 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 Jan 31, 2024 |
| Jan 11, 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 Jan 31, 2024 |
| Jan 11, 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 Jan 31, 2024 |
| Jan 11, 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 31, 2024 |
| Jan 3, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 19, 2024 | Infection control |
| Nov 13, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 24, 2023 | Complaint |
| Nov 6, 2023 | 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 Nov 29, 2023 | Complaint |
| Oct 20, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 3, 2023 | Complaint |
| Oct 3, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 16, 2023 | Complaint |
| Jan 6, 2022 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 24, 2022 |
| Jan 6, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jan 24, 2022 |
| Jan 6, 2022 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jan 24, 2022 |
| Jan 6, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 24, 2022 |
| Jan 6, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 24, 2022 |
| Jan 6, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 24, 2022 |
| Jan 6, 2022 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 24, 2022 |
| Jan 6, 2022 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 2, 2022 |
| Jan 6, 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 Feb 2, 2022 |
| Jan 6, 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 Feb 2, 2022 |
| Jan 6, 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 | E · Potential harm Pattern | Corrected Feb 2, 2022 |
| Jan 6, 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 | F · Potential harm Widespread | Corrected Feb 2, 2022 |
| Jan 6, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 2, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.96 (case-mix index 1.33).