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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 | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D62 | E14 | F20 |
| Minimal | A· | B3 |
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 | |
|---|---|---|---|---|---|---|
| Jul 15, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 17, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 31, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 5, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Dec 5, 2024 | Health | Health Standard | 14 | Potential harm | — | Open → |
| May 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 11, 2024 | Fire safety | Fire Safety Standard | 19 | Potential harm | — | Open → |
| Jan 11, 2024 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Feb 22, 2022 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Feb 22, 2022 | Health | Health Standard | 22 | Immediate jeopardy | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jan 12, 2023 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Open | 100018302 |
| Feb 17, 2012 violation Jun 30, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 080009027 |
| Sep 7, 2007 violation Jun 25, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 080004247 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D62 | E14 | F20 |
| Minimal | A· | B3 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 15, 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 Aug 10, 2026 | Complaint |
| Jul 15, 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 Aug 10, 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.
32 facilities in 2 states. CMS chain ID 318.
Chain average overall rating (CMS): 3.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Eagle Shores Investor, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | Dec 21, 2022 |
| Esi Gi Shores Investor LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | Dec 21, 2022 |
| Esi Shores Investor LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 21, 2022 |
| Scott Clawson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 21, 2022 |
| Steven Earl | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 21, 2022 |
| Jack Sanofsky | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 21, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Eagle Shores Investor, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | Dec 21, 2022 |
| Esi Gi Shores Investor LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | Dec 21, 2022 |
| Esi Shores Investor LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | Dec 21, 2022 |
| Scott Clawson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 21, 2022 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Riverbank Post-Acute 2649 Topeka Street, Riverbank, CA 95367 CCN 0550844 state class AA/A | 99 | Jul 22, 2026 | 1071 IJ1 harm | $73k | |
| The Vineyards Healthcare Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Helen Bernardy Center D/P SNF 8060 Frost St, San Diego, CA 92123 CCN 05A292 | 0.7 km | 43 | Aug 18, 2026 | 26 | — | |
| Kearny Mesa Convalescent and Nursing Home 7675 Family Circle Drive, San Diego, CA 92111 CCN 055286 | 2 km | 98 | Jul 22, 2026 | 31 | — | |
| Hillcrest Heights Healthcare Center 4033 Sixth Avenue Ext, San Diego, CA 92103 CCN 555630 | 5.2 km | 96 | Nov 25, 2025 | 59 | — | |
| Mission Hills Post Acute Care 3680 Reynard Way, San Diego, CA 92103 CCN 056401 | 5.7 km | 75 | Aug 13, 2026 | 571 harm | — | |
| Balboa Nursing & Rehabilitation Center 3520 Fourth Avenue, San Diego, CA 92103 CCN 0561051 state class AA/A | 5.9 km | 194 | Apr 23, 2026 | 721 harm2 open | — | |
| St. Pauls Health Care Center 235 Nutmeg Street, San Diego, CA 92103 CCN 555144Abuse icon | 6.8 km | 59 | Aug 12, 2026 | 771 harm | $29k | |
| Arroyo Vista Nursing Center 3022 45th Street, San Diego, CA 92105 CCN 055505 | 7.8 km | 53 | Jan 29, 2026 | 39 | — | |
| The Pavilion at Ocean Point 3202 Duke Street, San Diego, CA 92110 CCN 055322 | 8 km | 133 | Aug 11, 2026 | 981 harm2 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555585 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555585 | 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 | 080000060 | 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
| Apr 23, 2002 violation Feb 22, 2002 |
| Class B |
| Citation Citation B (HSC 1424) |
| Patient Care |
| $1,000 |
Closed |
| 080002821 |
| Dec 21, 2001 violation Nov 3, 2001 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 080002806 |
| Jun 28, 2000 violation Mar 31, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 080002756 |
| Jun 14, 2000 violation Feb 6, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $8,000 | Closed | 080002755 |
| May 22, 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 Jun 18, 2026 | Complaint |
| Apr 2, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Mar 5, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 9, 2026 | Complaint |
| Mar 4, 2026 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 5, 2026 | Complaint |
| Nov 17, 2025 | 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 Dec 11, 2025 | Complaint |
| Nov 17, 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 11, 2025 | Complaint |
| Jun 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 Jul 11, 2025 | Complaint |
| Jan 31, 2025 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2025 | Complaint |
| Dec 5, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 17, 2024 |
| Dec 5, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 17, 2024 |
| Dec 5, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 17, 2024 |
| Dec 5, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 17, 2024 |
| Dec 5, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 17, 2024 |
| Dec 5, 2024 | K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 17, 2024 |
| Dec 5, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 17, 2024 |
| Dec 5, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 13, 2024 |
| Dec 5, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 16, 2024 |
| Dec 5, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 17, 2024 |
| Dec 5, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 17, 2024 |
| Dec 5, 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 Jan 7, 2025 |
| Dec 5, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 7, 2025 |
| Dec 5, 2024 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 |
| Dec 5, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 7, 2025 |
| Dec 5, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 |
| Dec 5, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 |
| Dec 5, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 7, 2025 |
| Dec 5, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 7, 2025 |
| Dec 5, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 7, 2025 |
| Dec 5, 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 | D · Potential harm Isolated | Corrected Jan 7, 2025 |
| Dec 5, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 7, 2025 |
| Dec 5, 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 7, 2025 |
| Dec 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 7, 2025 |
| Dec 5, 2024 | 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 Jan 7, 2025 |
| May 20, 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 Jun 3, 2024 | Complaint |
| Mar 21, 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 Apr 4, 2024 | Complaint |
| Jan 11, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0227 | Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 27, 2024 |
| Jan 11, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Jan 11, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Jan 11, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Jan 11, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Jan 11, 2024 | F-0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Jan 11, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 12, 2024 |
| Jan 11, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Jan 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 Feb 12, 2024 |
| Jan 11, 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 | E · Potential harm Pattern | Corrected Feb 12, 2024 |
| Jan 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 | E · Potential harm Pattern | Corrected Feb 12, 2024 |
| Jan 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 12, 2024 |
| Jan 11, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 27, 2024 |
| Jan 11, 2024 | 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 Feb 12, 2024 |
| Feb 22, 2022 | 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 | J · Immediate jeopardy Isolated | Corrected May 5, 2022 |
| Feb 22, 2022 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 5, 2022 |
| Feb 22, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 7, 2022 |
| Feb 22, 2022 | 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 May 5, 2022 |
| Feb 22, 2022 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 5, 2022 |
| Feb 22, 2022 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 5, 2022 |
| Feb 22, 2022 | 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 May 5, 2022 |
| Feb 22, 2022 | 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 May 5, 2022 |
| Feb 22, 2022 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 5, 2022 |
| Feb 22, 2022 | 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 | F · Potential harm Widespread | Corrected May 5, 2022 |
| Feb 22, 2022 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 13, 2022 |
| Feb 22, 2022 | 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 | F · Potential harm Widespread | Corrected Jun 13, 2022 |
| Feb 22, 2022 | 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 | F · Potential harm Widespread | Corrected May 5, 2022 |
| Feb 22, 2022 | 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 | D · Potential harm Isolated | Corrected May 5, 2022 |
| Feb 22, 2022 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 13, 2022 |
| Feb 22, 2022 | 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 May 5, 2022 |
| Feb 22, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 13, 2022 |
| Feb 22, 2022 | 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 May 5, 2022 |
| Feb 22, 2022 | 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 May 5, 2022 |
| Feb 22, 2022 | 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 | D · Potential harm Isolated | Corrected May 5, 2022 |
| Feb 22, 2022 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 5, 2022 |
| Feb 22, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected May 5, 2022 |
| Feb 22, 2022 | 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 May 5, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.97 (case-mix index 1.27).
| Steven Earl | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 21, 2022 |
| Jack Sanofsky | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 21, 2022 |
| Links Healthcare Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Links Support Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Chad Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Mary Beardsley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Victoria Bernholz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Melissa Carter | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Myrna Deguzman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Antonette Frojelin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Marionne Matusalem | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Saleem Rajper | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Sharon Ramirez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Curtis Rodriguez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Adora Sagisi | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Ellen Subia | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Toby Tilford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2022 |
| Toby Tilford | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 21, 2022 |
| Forbright Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Dec 21, 2022 |
| Eide Bailly LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Links Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2025 |
| Links Support Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 16, 2025 |
| Chad Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Mary Beardsley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Victoria Bernholz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Melissa Carter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Myrna Deguzman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Antonette Frojelin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Marionne Matusalem | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Saleem Rajper | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Sharon Ramirez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Adora Sagisi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| Ellen Subia | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 21, 2022 |
| 83 |
| Feb 6, 2026 |
38 |
| — |
| Lodi Creek Post Acute 321 West Turner Road, Lodi, CA 95240 CCN 0552892 state class AA/A | 86 | Jul 7, 2026 | 81 | — |
| The Springs Post-Acute 10625 Leffingwell Road, Norwalk, CA 90650 CCN 0552973 state class AA/A | 99 | Apr 23, 2026 | 802 IJ2 harm | $67k |
| The Grove Post-Acute 124 Walnut Street, Woodland, CA 95695 CCN 055438Abuse icon | 140 | May 8, 2026 | 70 | — |
| Jacob Healthcare Center 4075 54th St., San Diego, CA 92105 CCN 055508 | 128 | Aug 27, 2026 | 621 harm1 open | — |
| Westwood Post Acute 1601 Petersen Avenue, San Jose, CA 95129 CCN 0557503 state class AA/A | 258 | Aug 20, 2026 | 1152 harm | $32k |
| Encinitas Post-Acute 900 Santa Fe Drive, Encinitas, CA 92024 CCN 0557611 state class AA/A | 99 | Jun 22, 2026 | 632 open | — |