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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D49 | E22 | F4 |
| Minimal | A· | B· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 20, 2026 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| Sep 12, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 31, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jan 31, 2025 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Apr 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 6, 2023 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Oct 6, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Jan 31, 2022 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Jan 31, 2022 | Health | Health Standard | 15 | Actual harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jul 11, 2022 violation Jul 17, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 070017774 |
| Feb 14, 2022 violation Jun 21, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070017352 |
| Mar 12, 2021 violation Oct 8, 2020 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D49 | E22 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 20, 2026 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | No plan of correction | Complaint |
| Aug 20, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated |
“Corrected” 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.
50 facilities in 2 states. CMS chain ID 851.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Courtyard Post Acute LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2021 |
| Frank Johnson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Feb 11, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Courtyard Post Acute LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2021 |
| Frank Johnson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Feb 11, 2021 |
| Courtyard Post Acute LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 16, 2022 |
| Adrian Dehghanmanesh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Spring Valley Post Acute LLC 14973 Hesperia Rd, Victorville, CA 92395 CCN 0550762 state class AA/A | 126 | Aug 5, 2026 | 511 IJ1 harm | $21k | |
| Sunset Manor Conv Hosp |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Win Post-Acute 410 North Winchester Boulevard, Santa Clara, CA 95050 CCN 0556452 state class AA/A | 2.2 km | 133 | Mar 24, 2026 | 582 harm1 open | — | |
| Creekside Post-Acute 3580 Payne Avenue, San Jose, CA 95117 CCN 0558842 state class AA/A | 2.5 km | 130 | Jul 24, 2026 | 791 harm | $20k | |
| Skyline Healthcare Center - San Jose 2065 Forest Avenue, San Jose, CA 95128 CCN 0553182 state class AA/A | 2.7 km | 253 | Aug 12, 2026 | 1322 IJ1 harm | $105k | |
| O'connor Hospital D/P SNF 2105 Forest Avenue, San Jose, CA 95128 CCN 5559161 state class AA/A | 2.7 km | 24 | Aug 29, 2025 | 35 | — | |
| A Grace Sub Acute & Skilled Care 1250 S. Winchester Boulevard, San Jose, CA 95128 CCN 0563763 state class AA/A | 2.8 km | 166 | Dec 10, 2025 | 80 | — | |
| White Blossom Care Center 1990 Fruitdale Avenue, San Jose, CA 95128 CCN 5550684 state class AA/A | 3.8 km | 153 | May 12, 2026 | 731 IJ1 harm | $97k | |
| Westwood Post Acute 1601 Petersen Avenue, San Jose, CA 95129 CCN 0557503 state class AA/A | 4 km | 258 | Aug 20, 2026 | 1152 harm | $32k | |
| Empress Care Center, LLC 1299 S. Bascom Avenue, San Jose, CA 95128 CCN 056026 | 4.2 km | 67 | Apr 28, 2025 | 68 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555635 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555635 | 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 | 070000073 | 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
| 070016343 |
| Aug 2, 2019 violation May 27, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070015248 |
| Jul 13, 2011 violation May 10, 2011 | FTR RES | Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) | Breach of IT system theft/loss of edevice/med rec | $4,200 | Closed | 070008380 |
| Jul 13, 2011 violation May 24, 2011 | FTR BR | Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) | Breach of IT system theft/loss of edevice/med rec | $1,300 | Closed | 070008379 |
| Jul 13, 2011 violation May 24, 2011 | FTR RES | Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) | Breach of IT system theft/loss of edevice/med rec | $1,300 | Closed | 070008378 |
| Jul 13, 2011 violation May 5, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $650 | Closed | 070008239 |
| Sep 21, 2010 violation Aug 28, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $650 | Closed | 070007591 |
| Apr 30, 2009 violation Apr 17, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $850 | Closed | 070006136 |
| Oct 1, 2008 violation Sep 24, 2008 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 070005473 |
| Dec 20, 2007 violation Nov 20, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 070004531 |
| Dec 20, 2007 violation Oct 25, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 070004497 |
| Dec 20, 2007 violation Oct 25, 2007 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 070004496 |
| Dec 20, 2007 violation Aug 25, 2007 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 070004495 |
| Jan 8, 2007 violation Sep 16, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 070003595 |
| Sep 26, 2006 violation Jun 28, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Appealed Closed | 070003373 |
| Sep 26, 2006 violation Jun 16, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 | Appealed Closed | 070003371 |
| Apr 19, 2002 violation Nov 27, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $390 initial $600 | Closed | 070002449 |
| Apr 8, 2002 violation Dec 28, 2002 | Class B | Citation Citation A (HSC 1424) | Patient Care | $9,500 initial $20,000 | Closed | 070002443 |
| No plan of correction |
| Complaint |
| Sep 12, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2025 | Complaint |
| Sep 12, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 30, 2025 | Complaint |
| Apr 24, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 11, 2025 | Complaint |
| Jan 31, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 4, 2025 |
| Jan 31, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 3, 2025 |
| Jan 31, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 4, 2025 |
| Jan 31, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 11, 2025 |
| Jan 31, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 3, 2025 |
| Jan 31, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 4, 2025 |
| Jan 31, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 12, 2025 |
| Jan 31, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2025 |
| Jan 31, 2025 | 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 28, 2025 |
| Jan 31, 2025 | 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 | F · Potential harm Widespread | Corrected Feb 28, 2025 |
| Jan 31, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2025 |
| Jan 31, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2025 |
| Jan 31, 2025 | 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 28, 2025 |
| Jan 31, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Jan 31, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 28, 2025 |
| Jan 31, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Jan 31, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Jan 31, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 28, 2025 |
| Apr 4, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2024 | Complaint |
| Oct 6, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 6, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 6, 2023 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 6, 2023 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 6, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 6, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 6, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 6, 2023 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 6, 2023 | 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 Nov 10, 2023 |
| Oct 6, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 10, 2023 |
| Oct 6, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 6, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 10, 2023 |
| Oct 6, 2023 | 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 Nov 10, 2023 |
| Oct 6, 2023 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 3, 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 Nov 3, 2023 |
| Oct 6, 2023 | 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 Nov 3, 2023 |
| Oct 6, 2023 | 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 3, 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 Nov 3, 2023 |
| Oct 6, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 3, 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 Nov 3, 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 Nov 3, 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 Nov 3, 2023 |
| Oct 6, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 3, 2023 |
| Jan 31, 2022 | 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 Mar 1, 2022 |
| Jan 31, 2022 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 1, 2022 |
| Jan 31, 2022 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 1, 2022 |
| Jan 31, 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 1, 2022 |
| Jan 31, 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 | E · Potential harm Pattern | Corrected Mar 1, 2022 |
| Jan 31, 2022 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | 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 Mar 1, 2022 |
| Jan 31, 2022 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | 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 Mar 1, 2022 |
| Jan 31, 2022 | 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 Mar 1, 2022 |
| Jan 31, 2022 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 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 | E · Potential harm Pattern | Corrected Mar 1, 2022 |
| Jan 31, 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 Mar 1, 2022 |
| Jan 31, 2022 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 1, 2022 |
| Jan 31, 2022 | F-0885 | Report COVID19 data to residents and families. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 1, 2022 |
| Jan 31, 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 | D · Potential harm Isolated | Corrected Mar 1, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.03 (case-mix index 1.50).
| Jun 1, 2021 |
| David Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 11, 2021 |
| Frank Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 11, 2021 |
| Ruth Kirchner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 4, 2025 |
| Joshua Kochek | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2022 |
| Micheal Oxford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 3, 2022 |
| Yousuf Salama | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 3, 2025 |
| Adrian Dehghanmanesh | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2021 |
| Courtyard Post Acute LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 16, 2022 |
| Smv San Jose LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2005 |
| Sun Meridian Management Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 22, 2021 |
| Adrian Dehghanmanesh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Mary Farrales | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Melissa Frederick | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 21, 2023 |
| David Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 11, 2021 |
| Ruth Kirchner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2025 |
| Joshua Kochek | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2022 |
| Micheal Oxford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 3, 2022 |
| Yousuf Salama | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 31, 2026 |
| 81 |
| Aug 20, 2026 |
701 harm |
| — |
| Pelican Ridge Post Acute 466 Flagship Road, Newport Beach, CA 92663 CCN 0551211 state class AA/AAbuse icon | 167 | Aug 20, 2026 | 1232 open | — |
| North Valley Nursing Center 7660 Wyngate St, Tujunga, CA 91042 CCN 0551463 state class AA/AAbuse icon | 92 | Aug 7, 2026 | 641 IJ1 harm | $113k |
| Monterey Park Conv Hosp 416 N Garfield Ave, Monterey Park, CA 91754 CCN 055162 | 89 | Aug 24, 2026 | 54 | — |
| Madera Care Center 1700 Howard Road, Madera, CA 93637 CCN 0551911 state class AA/A | 64 | Mar 19, 2026 | 61 | $35k |
| Country Oaks Care Center 215 W Pearl St, Pomona, CA 91768 CCN 055247 | 81 | Aug 24, 2026 | 96 | — |
| Pomona Vista Care Center 651 N Main St, Pomona, CA 91768 CCN 0552823 state class AA/A | 59 | Aug 21, 2026 | 78 | — |