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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 | J2 | K1 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D55 | E13 | F2 |
| Minimal | A· | B2 | C1 |
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 | |
|---|---|---|---|---|---|---|
| May 29, 2026 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Mar 19, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Nov 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 12, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 13, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jun 13, 2025 | Health | Health Complaint, Health Standard | 17 | Actual harm | — | Open → |
| May 23, 2025 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Apr 25, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 10, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jan 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 5, 2025 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Dec 19, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 1, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 6, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 12, 2025 | Civil money penalty (fine) | $50,278 | — | 555565|Fine|136531 |
| Apr 25, 2025 | Denial of payment for new admissions | — | Jun 24, 2025 · 19 days | 555565|Payment Denial|2025-06-24 |
| Apr 25, 2025 | Civil money penalty (fine) | $46,972 | — | 555565|Fine|134688 |
| Dec 19, 2024 | Denial of payment for new admissions | — | Mar 19, 2025 · 29 days | 555565|Payment Denial|2025-03-19 |
| Dec 19, 2024 | Civil money penalty (fine) | $63,801 | — | 555565|Fine|131071 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 14, 2024 violation Apr 19, 2024 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Open | 910020328 |
| Feb 28, 2024 violation Sep 12, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 910019799 |
| Dec 6, 2023 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $50,000 | Open | 810019407 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K1 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D55 | E13 | F2 |
| Minimal | A· | B2 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 29, 2026 | 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 May 29, 2026 | |
| May 29, 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 29, 2026 | |
| May 29, 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.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Joshua Jergensen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Kristoffer Chin | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Mar 1, 2023 |
| Spencer Bailey | Individual | Managing employee | W-2 MANAGING EMPLOYEE |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Redlands Healthcare Center 1620 W Fern Ave, Redlands, CA 92373 CCN 0550011 state class AA/A | 78 | Apr 23, 2026 | 23 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Artesia Christian Home Inc. 11614 E. 183rd St, Artesia, CA 90701 CCN 0555392 state class AA/A | 1.2 km | 66 | Jan 23, 2026 | 563 IJ2 harm | $98k | |
| Cottage Crest Post Acute 12350 Rosecrans, Norwalk, CA 90650 CCN 0557583 state class AA/A | 3.4 km | 59 | Jul 22, 2026 | 762 IJ2 harm | $59k | |
| Cerritos Vista Healthcare Center 17836 Woodruff Avenue, Bellflower, CA 90706 CCN 0564055 state class AA/A | 3.7 km | 140 | Jul 29, 2026 | 110 | — | |
| Villa Del Sol Post Acute 16910 Woodruff Ave., Bellflower, CA 90706 CCN 0559184 state class AA/A | 3.8 km | 99 | Jul 27, 2026 | 89 | — | |
| The Springs Post-Acute 10625 Leffingwell Road, Norwalk, CA 90650 CCN 0552973 state class AA/A | 4.5 km | 99 | Apr 23, 2026 | 802 IJ2 harm | $67k | |
| Bellflower Post Acute 9710 E. Artesia Ave, Bellflower, CA 90706 CCN 0554085 state class AA/A | 4.6 km | 59 | Apr 16, 2026 | 54 | — | |
| Studebaker Healthcare Center 13226 Studebaker Rd, Norwalk, CA 90650 CCN 0564252 state class AA/AAbuse icon | 4.6 km | 99 | Apr 27, 2026 | 1261 IJ | $27k | |
| Norwalk Skilled Nursing & Wellness Centre, LLC 11510 Imperial Highway, Norwalk, CA 90650 CCN 5556683 state class AA/A | 5 km | 99 | Aug 26, 2026 | 891 IJ4 harm1 open | $73k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555565 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555565 | 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 | 940000111 | 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
| Jun 6, 2024 | Civil money penalty (fine) | $29,211 | — | 555565|Fine|130554 |
| May 1, 2024 | Civil money penalty (fine) | $50,947 | — | 555565|Fine|130518 |
| Jan 12, 2024 | Civil money penalty (fine) | $25,847 | — | 555565|Fine|130121 |
| Nov 2, 2023 violation Sep 8, 2023 |
| Class B |
| Citation Citation B (HSC 1424) |
| Abuse/Facility Not Self Reported |
| $3,000 |
Closed |
| 910019335 |
| Oct 20, 2023 violation Aug 28, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 910019288 |
| Oct 18, 2023 violation Aug 27, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 910019269 |
| Oct 5, 2023 violation Aug 17, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 910019230 |
| Sep 1, 2023 violation Jul 20, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 910019126 |
| Aug 29, 2023 violation Jun 12, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 | Closed | 910019106 |
| Aug 24, 2023 violation Jul 2, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,050 initial $25,000 | Open | 910019093 |
| Aug 16, 2023 violation Jun 27, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,050 initial $3,000 | Open | 910019064 |
| Jul 18, 2023 violation Jun 5, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 910018970 |
| May 10, 2023 violation Mar 2, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 910018740 |
| Apr 20, 2023 violation Mar 28, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Rights | $20,000 | Closed | 910018660 |
| Apr 20, 2023 violation Mar 4, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Closed | 910018656 |
| Mar 16, 2023 violation Jan 9, 2023 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $25,900 initial $25,000 | Open | 910018523 |
| Mar 16, 2023 violation Jan 25, 2023 | Class B | Citation Citation B (HSC 1424) | Medication | $3,000 | Closed | 910018521 |
| Jul 13, 2022 violation Apr 20, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 910017783 |
| Jul 13, 2022 violation Jan 17, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $17,500 initial $25,000 | Appealed Closed | 910017782 |
| Jan 27, 2022 violation Oct 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $30,000 | Closed | 910017168 |
| Dec 30, 2021 violation Oct 13, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported · Abuse/Self Reported | $2,000 | Closed | 910017241 |
| Dec 21, 2021 violation Oct 13, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 910017202 |
| Dec 9, 2021 violation Oct 7, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Closed | 910017175 |
| Dec 3, 2021 violation Oct 13, 2021 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $100,650 initial $100,000 | Appealed Closed | 910017152 |
| Dec 3, 2021 violation Oct 13, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 910017151 |
| Sep 1, 2021 violation Jan 16, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 | Closed | 910016884 |
| Jul 29, 2021 violation Jun 1, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910016777 |
| Jun 4, 2021 violation May 14, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 910016566 |
| Mar 25, 2021 violation Jan 24, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910016385 |
| Mar 25, 2021 violation Oct 26, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,500 initial $2,000 | Closed | 910016374 |
| Feb 26, 2021 violation Dec 23, 2020 | Class B | Citation Citation A (HSC 1424) | Patient Care | $12,100 initial $12,000 | Death relatedAppealed Closed | 910016312 |
| Mar 27, 2020 violation Jan 9, 2020 | Class B | Citation Citation B (HSC 1424) | Other · Infection Control | $2,300 initial $2,000 | Appealed Open | 910015830 |
| Feb 15, 2019 violation Nov 17, 2018 | Class B | Citation Citation B (HSC 1424) | Other · Unusual Occurrences | $2,000 | Death related Closed | 940014819 |
| Nov 9, 2018 violation Aug 8, 2018 | Class B | Citation Citation B (HSC 1424) | Medication | $2,000 | Closed | 950014576 |
| Oct 11, 2018 violation Jun 14, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940014473 |
| Aug 8, 2018 violation Jun 13, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,400 initial $2,000 | Appealed Closed | 940014323 |
| Jul 26, 2018 violation Apr 11, 2018 | Class B | Citation Citation A (HSC 1424) | Patient Care | $2,000 initial $20,000 | Appealed Closed | 940014271 |
| Jul 6, 2018 violation Jan 14, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 initial $20,000 | Appealed Closed | 940014216 |
| Jun 24, 2018 violation Dec 26, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $13,000 initial $20,000 | Appealed Closed | 940014176 |
| Jun 1, 2018 violation Jan 12, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 940014113 |
| Jun 1, 2018 violation Jan 12, 2018 | Class B | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 940014112 |
| Apr 27, 2018 violation Dec 29, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Appealed Open | 940014034 |
| Dec 13, 2017 violation Aug 14, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Open | 940013692 |
| Nov 9, 2017 violation Aug 14, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $19,500 initial $10,000 | Appealed Closed | 910013602 |
| Mar 31, 2017 violation Sep 25, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $35,000 initial $20,000 | Appealed Closed | 940012913 |
| Jul 13, 2016 violation May 27, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $20,000 | Appealed Closed | 940012367 |
| May 26, 2016 violation Apr 4, 2016 | Class B | Citation Citation A (HSC 1424) | Patient Care | $3,000 initial $16,000 | Appealed Closed | 940012234 |
| May 26, 2016 violation Jan 18, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $20,000 | Appealed Closed | 940012233 |
| May 26, 2016 violation Jan 18, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 940012232 |
| May 26, 2016 violation Aug 10, 2015 | Class B | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $20,000 | Appealed Closed | 940012231 |
| May 26, 2016 violation Mar 20, 2016 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 940012227 |
| May 6, 2015 violation Dec 30, 2013 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 940011447 |
| May 1, 2015 violation Oct 7, 2013 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 940011430 |
| Sep 23, 2014 violation Sep 30, 2013 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Closed | 940010691 |
| Jun 3, 2014 violation Jul 2, 2012 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Appealed Closed | 940010322 |
| Mar 6, 2012 violation Nov 26, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Appealed Closed | 940009064 |
| May 26, 2011 violation Jul 28, 2007 | Class B | Citation Citation B (HSC 1424) | Other · Abuse | $1,000 | Closed | 940008277 |
| Apr 20, 2011 violation Nov 17, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $530 initial $1,000 | Death relatedAppealed Closed | 940008175 |
| May 23, 2008 violation Jan 28, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $20,000 | Death relatedAppealed Closed | 940005070 |
| Apr 15, 2008 violation Nov 1, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,800 initial $1,000 | Appealed Closed | 940004421 |
| Feb 28, 2007 violation Jan 25, 2007 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 940003760 |
| Feb 9, 2007 violation Sep 7, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 940003065 |
| Jan 9, 2006 violation Jun 28, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 940001518 |
| Sep 29, 2005 violation Apr 24, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 940001505 |
| Feb 2, 2005 violation Jan 5, 2005 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Medication | $2,000 | Closed | 940001499 |
| Nov 14, 2001 violation Sep 27, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 940001440 |
| 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 May 29, 2026 |
| Mar 19, 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 Apr 3, 2026 | Complaint |
| Dec 11, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Dec 11, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Dec 11, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 12, 2025 |
| Dec 11, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 12, 2025 |
| Dec 11, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 12, 2025 |
| Dec 11, 2025 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Dec 11, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Dec 11, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Dec 11, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 17, 2025 |
| Dec 11, 2025 | 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 Dec 17, 2025 |
| Dec 11, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 17, 2025 |
| Dec 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 Dec 17, 2025 |
| Dec 11, 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 Dec 17, 2025 |
| Dec 11, 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 17, 2025 |
| Dec 11, 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 Dec 17, 2025 |
| Dec 11, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 17, 2025 |
| Dec 11, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 17, 2025 |
| Dec 11, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Dec 12, 2025 |
| Dec 11, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Dec 17, 2025 |
| Nov 25, 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 2, 2025 | Complaint |
| Nov 12, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 5, 2025 | Complaint |
| Jun 13, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jul 9, 2025 | Complaint |
| Jun 13, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 27, 2025 |
| Jun 13, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 27, 2025 |
| Jun 13, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 27, 2025 |
| Jun 13, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 27, 2025 |
| Jun 13, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 27, 2025 |
| Jun 13, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 27, 2025 |
| Jun 13, 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 Jun 27, 2025 |
| Jun 13, 2025 | K-0925 | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 27, 2025 |
| Jun 13, 2025 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 9, 2025 |
| Jun 13, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 9, 2025 |
| Jun 13, 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 Jul 9, 2025 |
| Jun 13, 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 Jul 9, 2025 |
| Jun 13, 2025 | 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 Jul 13, 2025 |
| Jun 13, 2025 | 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 13, 2025 |
| Jun 13, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 9, 2025 |
| Jun 13, 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 Jul 9, 2025 |
| Jun 13, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 9, 2025 |
| Jun 13, 2025 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 9, 2025 |
| Jun 13, 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 Jul 9, 2025 |
| Jun 13, 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 Jul 9, 2025 |
| Jun 13, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 9, 2025 |
| Jun 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 9, 2025 |
| Jun 13, 2025 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2025 |
| Jun 13, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | No revisit needed Jul 9, 2025 |
| May 23, 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 | J · Immediate jeopardy Isolated | Corrected Jun 20, 2025 | Complaint |
| May 23, 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 | D · Potential harm Isolated | Corrected Jun 20, 2025 | Complaint |
| May 23, 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 20, 2025 | Complaint |
| May 23, 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 Jun 20, 2025 | Complaint |
| May 23, 2025 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jun 20, 2025 | Complaint |
| Apr 25, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 23, 2025 | Complaint |
| Apr 25, 2025 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 23, 2025 | Complaint |
| Jan 10, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2025 |
| Jan 10, 2025 | 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 4, 2025 |
| Jan 10, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2025 |
| Jan 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2025 |
| Jan 10, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2025 |
| Jan 10, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2025 |
| Jan 10, 2025 | K-0925 | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 4, 2025 |
| Jan 10, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 4, 2025 | Complaint |
| Jan 5, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Feb 3, 2025 | Complaint |
| Jan 5, 2025 | 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 Feb 3, 2025 | Complaint |
| Jan 5, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 17, 2025 | Complaint |
| Jan 5, 2025 | 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 | E · Potential harm Pattern | Corrected Feb 3, 2025 | Complaint |
| Dec 19, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 16, 2025 | Complaint |
| Dec 19, 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 Jan 16, 2025 | Complaint |
| Oct 16, 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 Nov 10, 2024 | Complaint |
| Jul 13, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 2, 2024 | Complaint |
| Jul 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 Aug 2, 2024 | Complaint |
| Jun 6, 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 Jun 26, 2024 | Complaint |
| May 1, 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 | J · Immediate jeopardy Isolated | Corrected May 21, 2024 | Complaint |
| Mar 6, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 25, 2024 | Complaint |
| Mar 6, 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 | E · Potential harm Pattern | Corrected Mar 25, 2024 | Complaint |
| Mar 6, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 25, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.18 (case-mix index 1.33).
| not provided |
| Apr 23, 2024 |
| 51 |
| Jul 6, 2026 |
51 |
| — |
| Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021 CCN 055064 | 96 | Aug 26, 2026 | 781 harm | $9,255 |
| Moraga Post Acute 348 Rheem Boulevard, Moraga, CA 94556 CCN 055085 | 49 | Apr 13, 2026 | 501 harm | — |
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 59 | Apr 1, 2026 | 62 | — |
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 190 | Aug 13, 2026 | 763 harm | $102k |
| Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A | 104 | Aug 11, 2026 | 751 IJ2 harm | $35k |
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 103 | Jul 2, 2026 | 71 | — |