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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 | G· | H· | I· |
| Potential harm | D71 | E10 | F10 |
| Minimal | A· | B6 |
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 31, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 22, 2026 | Health | Health Complaint | 1 | Minimal | — | Open → |
| Jun 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 13, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 28, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 26, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 3, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Mar 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 15, 2024 | Health | Health Complaint | 2 | Minimal | — | Open → |
| Jan 5, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 14, 2023 | Health | Health Complaint | 1 | Minimal | — | Open → |
| May 23, 2023 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| May 23, 2023 | Health | Health Standard | 27 | Potential harm | — | Open → |
| Apr 27, 2021 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 27, 2021 | Health | Health Standard | 18 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 25, 2004 violation Apr 3, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $375 initial $750 | Appealed Closed | 060001171 |
| Apr 18, 2002 violation Feb 1, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 060001094 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D71 | E10 | F10 |
| Minimal | A· | B6 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 31, 2026 | 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 Aug 20, 2026 | Complaint |
| Jul 22, 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 | B · Minimal Pattern | Corrected Jul 30, 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.
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 |
|---|---|---|---|---|---|
| Garden Park Care Center, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 1995 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Garden Park Care Center, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 1995 |
| Garden Park Care Center, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 1995 |
| Adrian Dehghanmanesh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Dean Gunnell | 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 |
|---|---|---|---|---|---|---|
| Alta Gardens Care Center 13075 Blackbird Street, Garden Grove, CA 92843 CCN 555473 | 0.6 km | 129 | Jul 30, 2026 | 971 harm | $8,278 | |
| The Grove Post Acute 12332 Garden Grove Blvd., Garden Grove, CA 92843 CCN 5550211 state class AA/A | 1 km | 97 | Aug 21, 2026 | 66 | — | |
| Chapman Care Center 12232 Chapman Ave, Garden Grove, CA 92840 CCN 055816 | 1.4 km | 99 | May 4, 2026 | 69 | — | |
| Pacific Haven Subacute and Healthcare Center 12072 Trask Ave., Garden Grove, CA 92843 CCN 055575 | 1.6 km | 99 | Jul 15, 2026 | 552 harm | — | |
| Citrus Post-Acute 1929 N. Fairview Street, Santa Ana, CA 92706 CCN 555093 | 1.9 km | 144 | May 19, 2026 | 1101 open | — | |
| Mainplace Post Acute 1835 West La Veta Avenue, Orange, CA 92868 CCN 5552591 state class AA/A | 3.7 km | 169 | Apr 27, 2026 | 822 harm | $17k | |
| Coventry Court Health Center 2040 S. Euclid Avenue, Anaheim, CA 92802 CCN 055983 | 4 km | 97 | Jun 9, 2026 | 742 open | — | |
| Buena Vista Care Center 1440 S Euclid Avenue, Anaheim, CA 92802 CCN 055459 | 4.6 km | 99 | May 11, 2026 | 1011 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555667 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555667 | 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 | 060000049 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Oct 16, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jun 10, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 26, 2026 | ComplaintIDR |
| May 13, 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 May 26, 2026 | Complaint |
| Apr 28, 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 | D · Potential harm Isolated | Corrected May 12, 2026 | Complaint |
| Apr 28, 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 May 12, 2026 | Complaint |
| Sep 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 Oct 7, 2025 | Complaint |
| Jun 26, 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 Jul 26, 2025 | Complaint |
| Jun 3, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 12, 2025 |
| Jun 3, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| Jun 3, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2025 |
| Jun 3, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 3, 2025 |
| Jun 3, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 3, 2025 |
| Jun 3, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 3, 2025 |
| Jun 3, 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 Jun 12, 2025 |
| Jun 3, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 3, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 3, 2025 | 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 Jun 30, 2025 |
| Jun 3, 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 Jun 30, 2025 |
| Jun 3, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 3, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 3, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 3, 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 Jun 30, 2025 |
| Jun 3, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 3, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 3, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 3, 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 Jun 30, 2025 |
| Jun 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Mar 14, 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 Apr 6, 2025 | Complaint |
| Oct 15, 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 | B · Minimal Pattern | Corrected Nov 4, 2024 | Complaint |
| Oct 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | B · Minimal Pattern | Corrected Nov 4, 2024 | Complaint |
| Jan 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 28, 2024 | Complaint |
| Jan 5, 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 | B · Minimal Pattern | Corrected Jan 28, 2024 | Complaint |
| Jan 5, 2024 | 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 | B · Minimal Pattern | Corrected Jan 28, 2024 | Complaint |
| Dec 14, 2023 | 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 | B · Minimal Pattern | Corrected Jan 8, 2024 | Complaint |
| May 23, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 23, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 23, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 23, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 23, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2023 |
| May 23, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 23, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 12, 2023 |
| May 23, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 23, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 12, 2023 |
| May 23, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 12, 2023 |
| May 23, 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 | F · Potential harm Widespread | Corrected Jun 12, 2023 |
| May 23, 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 Jun 12, 2023 |
| May 23, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 19, 2023 |
| May 23, 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 Jun 19, 2023 |
| May 23, 2023 | 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 Jun 19, 2023 |
| May 23, 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 Jun 19, 2023 |
| May 23, 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 Jun 19, 2023 |
| May 23, 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 Jun 19, 2023 |
| May 23, 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 | D · Potential harm Isolated | Corrected Jun 19, 2023 |
| May 23, 2023 | 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 Jun 19, 2023 |
| May 23, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 19, 2023 |
| May 23, 2023 | 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 Jun 19, 2023 |
| May 23, 2023 | 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 Jun 19, 2023 |
| May 23, 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 Jun 19, 2023 |
| May 23, 2023 | 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 Jun 19, 2023 |
| May 23, 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 Jun 19, 2023 |
| May 23, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 19, 2023 |
| May 23, 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 Jun 19, 2023 |
| May 23, 2023 | 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 | E · Potential harm Pattern | Corrected Jun 19, 2023 |
| May 23, 2023 | 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 19, 2023 |
| May 23, 2023 | 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 Jun 19, 2023 |
| May 23, 2023 | 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 Jun 19, 2023 |
| May 23, 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 | F · Potential harm Widespread | Corrected Jun 19, 2023 |
| May 23, 2023 | 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 | D · Potential harm Isolated | Corrected Jun 19, 2023 |
| May 23, 2023 | 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 19, 2023 |
| May 23, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 19, 2023 |
| May 23, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 19, 2023 |
| May 23, 2023 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Jun 19, 2023 |
| Apr 27, 2021 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 12, 2021 |
| Apr 27, 2021 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 12, 2021 |
| Apr 27, 2021 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 12, 2021 |
| Apr 27, 2021 | 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 | D · Potential harm Isolated | Corrected May 12, 2021 |
| Apr 27, 2021 | 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 May 12, 2021 |
| Apr 27, 2021 | 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 May 12, 2021 |
| Apr 27, 2021 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 26, 2021 |
| Apr 27, 2021 | 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 May 26, 2021 |
| Apr 27, 2021 | 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 26, 2021 |
| Apr 27, 2021 | 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 May 26, 2021 |
| Apr 27, 2021 | 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 26, 2021 |
| Apr 27, 2021 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 26, 2021 |
| Apr 27, 2021 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 26, 2021 |
| Apr 27, 2021 | 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 May 26, 2021 |
| Apr 27, 2021 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 26, 2021 |
| Apr 27, 2021 | 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 May 26, 2021 |
| Apr 27, 2021 | 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 May 26, 2021 |
| Apr 27, 2021 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 26, 2021 |
| Apr 27, 2021 | 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 May 26, 2021 |
| Apr 27, 2021 | 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 May 26, 2021 |
| Apr 27, 2021 | 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 26, 2021 |
| Apr 27, 2021 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 26, 2021 |
| Apr 27, 2021 | 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 May 26, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.78 (case-mix index 1.59).
| Sep 1, 2022 |
| Asaad Hakim | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2019 |
| Estrellita Joan Goyena | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 5, 2014 |
| Frank Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 1995 |
| 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 |
| Frank Johnson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 9, 1994 |
| Garden Park Care Center, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 1995 |
| K.h.i.k Co., LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 30, 2014 |
| Sun Mar Management Services | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 12, 1989 |
| 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 |
| Dean Gunnell | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2022 |
| Asaad Hakim | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2019 |
| Estrellita Joan Goyena | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 5, 2014 |
| 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 |
| 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 | — |