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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 | J4 | K1 | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D100 | E72 | F3 |
| Minimal | A· | B· | C2 |
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 13, 2026 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Jul 21, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 9, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 29, 2026 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Apr 14, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Mar 3, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 16, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jan 16, 2026 | Health | Health Standard | 34 | Immediate jeopardy | — | Open → |
| Sep 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 28, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 28, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 22, 2025 | Health | Health Complaint | 7 | Immediate jeopardy | — | Open → |
| Jan 28, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 24, 2024 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Dec 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 31, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 24, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Oct 11, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Oct 11, 2024 | Health | Health Standard | 30 | Immediate jeopardy | — | Open → |
| Sep 10, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 5, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jul 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 7, 2024 | Health | Health Complaint | 10 | Immediate jeopardy | — | Open → |
| Apr 10, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Dec 4, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 14, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 25, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 6, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Oct 6, 2023 | Health | Health Complaint, Health Standard | 29 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 21, 2026 | Civil money penalty (fine) | $22,895 | — | 555583|Fine|144188 |
| Apr 29, 2026 | Civil money penalty (fine) | $12,747 | — | 555583|Fine|139251 |
| Jan 16, 2026 | Denial of payment for new admissions | — | Feb 17, 2026 · 38 days | 555583|Payment Denial|2026-02-17 |
| Jan 16, 2026 | Civil money penalty (fine) | $44,450 | — | 555583|Fine|138274 |
| Mar 22, 2025 | Denial of payment for new admissions | — | Apr 19, 2025 · 20 days | 555583|Payment Denial|2025-04-19 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jan 12, 2024 violation Nov 13, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Open | 920019594 |
| Dec 29, 2023 violation Jun 24, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $60,000 initial $20,000 | Open | 920019549 |
| Oct 13, 2023 violation Aug 20, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $4,050 initial $3,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K1 | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D100 | E72 | F3 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 4, 2026 | Complaint |
| Jul 21, 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 | G · Actual harm Isolated | Corrected Aug 12, 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.
11 facilities in 1 states. CMS chain ID 659.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dov Jacobs | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Nov 1, 2015 |
| Lory Lynn LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Nov 1, 2015 |
| Maclay Partners LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Nov 1, 2015 |
| Howard Fensterman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | Nov 1, 2015 |
| Judah Taub | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | Nov 1, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Dov Jacobs | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Nov 1, 2015 |
| Lory Lynn LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Nov 1, 2015 |
| Maclay Partners LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Nov 1, 2015 |
| Howard Fensterman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | Nov 1, 2015 |
| Judah Taub | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Rialto Post Acute Center 1471 S Riverside Ave, Rialto, CA 92376 CCN 0552137 state class AA/A | 177 | Aug 19, 2026 | 572 IJ2 open | $24k | |
| Monrovia Post Acute |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Grove Post-Acute Care Center 14122 Hubbard Street, Sylmar, CA 91342 CCN 0563821 state class AA/A | 1.8 km | 75 | Jun 4, 2026 | 1071 IJ | $17k | |
| Mountain View Conv Hosp 13333 Fenton Avenue, Sylmar, CA 91342 CCN 0563337 state class AA/A | 1.9 km | 114 | Jul 22, 2026 | 112 | — | |
| Astoria Healthcare Center 14040 Astoria Street, Sylmar, CA 91342 CCN 056084SFF Candidate | 2.3 km | 218 | Aug 20, 2026 | 1813 harm1 open | $30k | |
| Golden Legacy Care Center 12260 Foothill Blvd, Sylmar, CA 91342 State license only4 state class AA/A | 2.5 km | 202 lic. | Not CMS rated | — | No inspections in window | — |
| Sylmar Health and Rehabilitation Center 12220 Foothill Blvd, Sylmar, CA 91342 State license only6 state class AA/A | 2.5 km | 208 lic. | Not CMS rated | — | No inspections in window | — |
| Country Manor Healthcare 11723 Fenton Avenue, Lake View Terrace, CA 91342 CCN 0550021 state class AA/A | 3.3 km | 99 | Feb 12, 2026 | 761 harm | $8,018 | |
| Ararat Nursing Facility 15099 Mission Hills Road, Mission Hills, CA 91345 CCN 5555794 state class AA/ASFF CandidateAbuse icon | 4.2 km | 254 | Jul 24, 2026 | 1555 IJ9 harm | $427k | |
| Providence Holy Cross Med Ctr D/P SNF 11600a Indian Hills Road, Mission Hills, CA 91345 CCN 5550741 state class AA/A | 4.2 km | 48 | Mar 27, 2026 | 522 IJ2 harm | $98k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555583 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555583 | 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 | 920000009 | 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
| Mar 22, 2025 | Civil money penalty (fine) | $52,142 | — | 555583|Fine|131238 |
| Oct 11, 2024 | Denial of payment for new admissions | — | Nov 22, 2024 · 14 days | 555583|Payment Denial|2024-11-22 |
| Oct 11, 2024 | Civil money penalty (fine) | $112,506 | — | 555583|Fine|130997 |
| Oct 11, 2024 | Civil money penalty (fine) | $17,660 | — | 555583|Fine|130996 |
| Jun 7, 2024 | Denial of payment for new admissions | — | Jul 9, 2024 · 6 days | 555583|Payment Denial|2024-07-09 |
| Jun 7, 2024 | Civil money penalty (fine) | $86,623 | — | 555583|Fine|130654 |
| 920019258 |
| Dec 14, 2022 violation Sep 9, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 920018244 |
| Dec 14, 2022 violation Jun 23, 2022 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 920018243 |
| Sep 20, 2022 violation Jun 30, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $9,000 initial $3,000 | Closed | 920018005 |
| May 18, 2022 violation Feb 26, 2022 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death relatedAppealed Open | 920017645 |
| Apr 21, 2022 violation Feb 26, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Death related Closed | 920017588 |
| Mar 24, 2022 violation Feb 15, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 920017520 |
| Aug 13, 2020 violation Jul 23, 2020 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $2,500 initial $2,000 | Closed | 920015973 |
| Jul 7, 2020 violation Oct 14, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920015921 |
| Sep 5, 2019 violation Jun 8, 2019 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Appealed Open | 920015373 |
| May 10, 2019 violation Dec 22, 2018 | Class B | Citation Citation A (HSC 1424) | Patient Care | $40,000 initial $20,000 | Death relatedAppealed Closed | 920015066 |
| Feb 13, 2019 violation Nov 11, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920014814 |
| Dec 14, 2018 violation Sep 12, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $60,000 initial $20,000 | Closed | 920014659 |
| Nov 26, 2018 violation Aug 29, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 920014607 |
| Nov 17, 2017 violation Sep 25, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 920013626 |
| Sep 22, 2017 violation Jul 25, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920013516 |
| May 24, 2017 violation Oct 28, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Record | $2,000 | Closed | 920013224 |
| May 5, 2017 violation Sep 22, 2011 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death related Open | 920013064 |
| Mar 10, 2017 violation Aug 19, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 920013029 |
| Oct 21, 2016 violation Feb 12, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Open | 920011517 |
| Jul 29, 2016 violation Jan 6, 2012 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Open | 920012329 |
| Dec 29, 2014 violation Jun 18, 2014 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $75,000 | Death related Closed | 920011080 |
| Aug 15, 2014 violation Oct 19, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 920010936 |
| Jun 20, 2013 violation Feb 9, 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 | 920009840 |
| Sep 15, 2009 violation Nov 29, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $12,000 | Appealed Closed | 920006158 |
| Sep 15, 2009 violation Nov 29, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $0 initial $12,000 | Appealed Closed | 920006157 |
| Nov 19, 2008 violation Oct 20, 2008 | Class B | Citation Citation B (HSC 1424) | Dietary | $1,000 | Closed | 920005631 |
| Jun 9, 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 Jun 29, 2026 | Complaint |
| Jun 9, 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 Jun 29, 2026 | Complaint |
| Jun 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 29, 2026 | Complaint |
| Apr 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 | G · Actual harm Isolated | Corrected May 26, 2026 | Complaint |
| Apr 29, 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 Jul 2, 2026 | Complaint |
| Apr 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 | E · Potential harm Pattern | Corrected Jul 2, 2026 | Complaint |
| Apr 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 | E · Potential harm Pattern | Corrected Jun 3, 2026 | Complaint |
| Apr 14, 2026 | 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 Apr 24, 2026 | Complaint |
| Apr 14, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 24, 2026 | Complaint |
| Apr 14, 2026 | 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 Apr 24, 2026 | Complaint |
| Apr 14, 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 Apr 24, 2026 | Complaint |
| Apr 14, 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 24, 2026 | Complaint |
| Mar 3, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 27, 2026 | Complaint |
| Mar 3, 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 Mar 27, 2026 | Complaint |
| Mar 3, 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 | E · Potential harm Pattern | Corrected Mar 27, 2026 | Complaint |
| Jan 16, 2026 | 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 | K · Immediate jeopardy Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 19, 2026 |
| Jan 16, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 19, 2026 |
| Jan 16, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 19, 2026 |
| Jan 16, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 19, 2026 |
| Jan 16, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 19, 2026 |
| Jan 16, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 19, 2026 |
| Jan 16, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 19, 2026 |
| Jan 16, 2026 | 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 Jan 19, 2026 |
| Jan 16, 2026 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 19, 2026 |
| Jan 16, 2026 | 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 12, 2026 |
| Jan 16, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 12, 2026 |
| Jan 16, 2026 | 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 12, 2026 |
| Jan 16, 2026 | 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 12, 2026 |
| Jan 16, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | 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 Feb 12, 2026 |
| Jan 16, 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 Feb 12, 2026 |
| Jan 16, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 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 Feb 12, 2026 |
| Jan 16, 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 | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 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 12, 2026 |
| Jan 16, 2026 | 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 Feb 12, 2026 |
| Jan 16, 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 12, 2026 |
| Jan 16, 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 Feb 12, 2026 |
| Jan 16, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 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 12, 2026 |
| Jan 16, 2026 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 25, 2026 |
| Jan 16, 2026 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 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 Feb 12, 2026 |
| Jan 16, 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 | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 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 16, 2026 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | 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 Feb 12, 2026 |
| Jan 16, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 25, 2026 |
| Sep 15, 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 Oct 15, 2025 | Complaint |
| Aug 28, 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 Sep 19, 2025 | Complaint |
| Aug 28, 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 Sep 19, 2025 | Complaint |
| Jul 9, 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 Aug 12, 2025 | Complaint |
| Jun 3, 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 Jun 27, 2025 | Complaint |
| Jun 3, 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 Jun 27, 2025 | Complaint |
| Jun 3, 2025 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 27, 2025 | Complaint |
| Jun 3, 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 27, 2025 | Complaint |
| Apr 28, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 9, 2025 | Complaint |
| Mar 22, 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 | J · Immediate jeopardy Isolated | Corrected Apr 18, 2025 | Complaint |
| Mar 22, 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 Apr 18, 2025 | Complaint |
| Mar 22, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 18, 2025 | Complaint |
| Mar 22, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 18, 2025 | Complaint |
| Mar 22, 2025 | 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 18, 2025 | Complaint |
| Mar 22, 2025 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 18, 2025 | Complaint |
| Mar 22, 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 | E · Potential harm Pattern | Corrected Apr 18, 2025 | Complaint |
| Jan 28, 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 Feb 12, 2025 | Complaint |
| Jan 28, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 12, 2025 | Complaint |
| Jan 16, 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 Feb 4, 2025 | Complaint |
| Dec 24, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 9, 2025 | Complaint |
| Dec 24, 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 Jan 9, 2025 | Complaint |
| Dec 24, 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 9, 2025 | Complaint |
| Dec 24, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2025 | Complaint |
| Dec 24, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 9, 2025 | Complaint |
| Dec 18, 2024 | 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 Dec 30, 2024 | Complaint |
| Oct 31, 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 Nov 11, 2024 | Complaint |
| Oct 31, 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 Nov 11, 2024 | Complaint |
| Oct 24, 2024 | 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 Nov 8, 2024 | Complaint |
| Oct 24, 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 Nov 8, 2024 | Complaint |
| Oct 11, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected Nov 18, 2024 |
| Oct 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 Oct 25, 2024 |
| Oct 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 25, 2024 |
| Oct 11, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 25, 2024 |
| Oct 11, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 25, 2024 |
| Oct 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 Oct 25, 2024 |
| Oct 11, 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 Nov 18, 2024 |
| Oct 11, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 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 | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 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 | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 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 | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 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 Nov 18, 2024 |
| Oct 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 | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 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 Nov 18, 2024 |
| Oct 11, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 6, 2024 |
| Oct 11, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 2024 | 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 Nov 18, 2024 |
| Oct 11, 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 Nov 18, 2024 |
| Oct 11, 2024 | 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 Nov 18, 2024 |
| Oct 11, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 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 Nov 18, 2024 |
| Oct 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 11, 2024 | 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 Nov 18, 2024 |
| Oct 11, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 11, 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 Nov 18, 2024 |
| Oct 11, 2024 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Oct 25, 2024 |
| Sep 10, 2024 | 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 Sep 26, 2024 | Complaint |
| Sep 10, 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 Sep 26, 2024 | Complaint |
| Aug 21, 2024 | 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 Sep 16, 2024 | Complaint |
| Aug 5, 2024 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Aug 5, 2024 | 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 Aug 29, 2024 | Complaint |
| Aug 5, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 29, 2024 | Complaint |
| Aug 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Jul 18, 2024 | 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 Aug 20, 2024 | Complaint |
| Jun 7, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected Jul 15, 2024 | Complaint |
| Jun 7, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2024 | Complaint |
| Jun 7, 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 Jul 15, 2024 | Complaint |
| Jun 7, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 15, 2024 | Complaint |
| Jun 7, 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 Jul 15, 2024 | Complaint |
| Jun 7, 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 Jul 15, 2024 | Complaint |
| Jun 7, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 15, 2024 | Complaint |
| Jun 7, 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 Jul 15, 2024 | Complaint |
| Jun 7, 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 | E · Potential harm Pattern | Corrected Jul 15, 2024 | Complaint |
| Jun 7, 2024 | 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 | C · Minimal Widespread | Corrected Jul 15, 2024 | Complaint |
| Apr 10, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 27, 2024 | Complaint |
| Apr 10, 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 Apr 27, 2024 | Complaint |
| Feb 23, 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 6, 2024 | Complaint |
| Jan 25, 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 16, 2024 | Complaint |
| Jan 25, 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 Feb 16, 2024 | Complaint |
| Jan 25, 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 Feb 16, 2024 | Complaint |
| Jan 25, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 16, 2024 | Complaint |
| Jan 25, 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 16, 2024 | Complaint |
| Jan 25, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 16, 2024 | Complaint |
| Dec 4, 2023 | 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 Dec 24, 2023 | Complaint |
| Nov 14, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 14, 2023 | Complaint |
| Oct 25, 2023 | 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 Nov 15, 2023 | Complaint |
| Oct 6, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 31, 2023 |
| Oct 6, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 31, 2023 |
| Oct 6, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 31, 2023 |
| Oct 6, 2023 | 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 30, 2023 |
| Oct 6, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2023 |
| Oct 6, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 30, 2023 | Complaint |
| Oct 6, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 30, 2023 |
| Oct 6, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 30, 2023 |
| Oct 6, 2023 | 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 | D · Potential harm Isolated | Corrected Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 30, 2023 |
| Oct 6, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
| Oct 6, 2023 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Oct 30, 2023 |
| Oct 6, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 30, 2023 |
| Oct 6, 2023 | 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 Oct 30, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.77 (case-mix index 1.49).
| Indirect owner |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| 17% |
| Nov 1, 2015 |
| Mark Donohoe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2015 |
| Dov Jacobs | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2015 |
| Benjamin Landa | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2015 |
| 82 |
| Aug 4, 2026 |
732 harm |
| — |
| Long Beach Healthcare Center 3401 Cedar Avenue, Long Beach, CA 90807 CCN 05536416 state class AA/AAbuse icon | 154 | Jul 30, 2026 | 1434 harm | $75k |
| California Post Acute 909 S Lake Street, Los Angeles, CA 90006 CCN 0554612 state class AA/A | 66 | Aug 14, 2026 | 1373 IJ6 harm3 open | $164k |
| Royal Terrace Healthcare 1340 Highland Ave., Duarte, CA 91010 CCN 0555412 state class AA/A | 58 | Jun 26, 2026 | 46 | — |
| Royal Gardens Healthcare 2339 W. Valley Blvd., Alhambra, CA 91803 CCN 0558181 state class AA/A | 43 | Aug 27, 2026 | 84 | — |
| Royal Palms Post Acute 630 W. Broadway, Glendale, CA 91204 CCN 05589910 state class AA/A | 140 | Aug 21, 2026 | 1182 IJ | $80k |
| Palazzo Post Acute 5400 Fountain Ave, Los Angeles, CA 90029 CCN 0564564 state class AA/A | 99 | Jul 22, 2026 | 65 | — |