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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 | G4 | H· | I· |
| Potential harm | D56 | E18 | F9 |
| 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 26, 2026 | Health | Health Complaint | 1 | Potential harm | 1 | Open → |
| Jul 24, 2026 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 24, 2026 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Jun 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 21, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 18, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jul 18, 2025 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Jul 14, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 4, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 27, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Oct 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 20, 2024 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Sep 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 8, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 26, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jul 26, 2024 | Health | Health Standard | 11 | Potential harm | — | Open → |
| May 28, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Feb 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 14, 2025 | Civil money penalty (fine) | $14,768 | — | 555668|Fine|135406 |
| Nov 27, 2024 | Civil money penalty (fine) | $10,033 | — | 555668|Fine|130994 |
| Jul 26, 2024 | Civil money penalty (fine) | $47,993 | — | 555668|Fine|130929 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Nov 28, 2023 violation Jul 12, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 910019412 |
| Oct 27, 2023 violation Sep 12, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 910019314 |
| Jun 23, 2023 violation Mar 21, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $25,000 | Appealed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D56 | E18 | F9 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 26, 2026 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | No plan of correction | Complaint |
| Jul 24, 2026 | K-0200 | Meet other general requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 17, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
15 facilities in 1 states. CMS chain ID 792.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Healthcare Holdings, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | Aug 1, 2007 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Healthcare Holdings, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | Aug 1, 2007 |
| Corporate Interface Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 18, 2024 |
| Rockport Administrative Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2007 |
| Jazmin Marroquin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Vernon Healthcare Center 1037 W. Vernon Avenue, Los Angeles, CA 90037 CCN 05516710 state class AA/AAbuse icon | 99 | Jul 31, 2026 | 1321 IJ3 harm |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Intercommunity Healthcare & Rehabilitation Center 12627 Studebaker Road, Norwalk, CA 90650 CCN 0554574 state class AA/A | 0.9 km | 86 | Aug 28, 2026 | 662 harm2 open | $38k | |
| Studebaker Healthcare Center 13226 Studebaker Rd, Norwalk, CA 90650 CCN 0564252 state class AA/AAbuse icon | 1.1 km | 99 | Apr 27, 2026 | 1261 IJ | $27k | |
| Southland 11701 Studebaker Road, Norwalk, CA 90650 CCN 5550701 state class AA/A | 1.4 km | 120 | Aug 12, 2026 | 1103 harm | $38k | |
| The Springs Post-Acute 10625 Leffingwell Road, Norwalk, CA 90650 CCN 0552973 state class AA/A | 2.3 km | 99 | Apr 23, 2026 | 802 IJ2 harm | $67k | |
| Cottage Crest Post Acute 12350 Rosecrans, Norwalk, CA 90650 CCN 0557583 state class AA/A | 2.5 km | 59 | Jul 22, 2026 | 762 IJ2 harm | $59k | |
| Dept of State Hospitals - Metropolitan SNF 11401 South Bloomfield Avenue, Norwalk, CA 90650 CCN 5557312 state class AA/ASFF CandidateAbuse icon | 3 km | 102 | May 6, 2026 | 732 IJ3 harm | $136k | |
| Lakewood Healthcare Center 12023 Lakewood Blvd., Downey, CA 90242 CCN 55509917 state class AA/ASFF CandidateAbuse icon | 3.9 km | 290 | Jun 8, 2026 | 1381 IJ3 harm | $129k | |
| Downey Community Health Center 8425 Iowa Street, Downey, CA 90241 CCN 5551282 state class AA/A | 4.3 km | 198 | Aug 27, 2026 | 63 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555668 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555668 | 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 | 940000024 | 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
| 910018894 |
| May 24, 2023 violation Apr 14, 2023 | Class B | Citation Citation B (HSC 1424) | Other · Refusal to Readmit | $3,000 | Closed | 910018792 |
| May 20, 2021 violation Mar 20, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910016528 |
| Jul 20, 2018 violation Mar 14, 2018 | Class B | Citation Citation A (HSC 1424) | Patient Care | $2,000 initial $20,000 | Appealed Closed | 940014257 |
| May 6, 2009 violation May 13, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 940006164 |
| Jun 8, 2007 violation Aug 15, 2005 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $80,000 | Death relatedAppealed Closed | 940003154 |
| Jul 24, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2026 |
| Jul 24, 2026 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2026 |
| Jul 24, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 17, 2026 |
| Jul 24, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2026 |
| Jul 24, 2026 | 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 Aug 17, 2026 |
| Jul 24, 2026 | 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 Aug 17, 2026 |
| Jul 24, 2026 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 17, 2026 |
| Jul 24, 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 17, 2026 |
| Jul 24, 2026 | 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 Aug 17, 2026 |
| Jul 24, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 17, 2026 |
| Jul 24, 2026 | 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 Aug 17, 2026 |
| Jul 24, 2026 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 17, 2026 |
| Jul 24, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 17, 2026 |
| Jul 24, 2026 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 17, 2026 |
| Jul 24, 2026 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Aug 17, 2026 |
| Jun 2, 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 Jun 19, 2026 | Complaint |
| May 21, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 8, 2026 | Complaint |
| May 21, 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 Jun 8, 2026 | Complaint |
| Dec 23, 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 Jan 22, 2026 | Complaint |
| Aug 21, 2025 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 22, 2025 | Complaint |
| Jul 18, 2025 | 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 Aug 9, 2025 |
| Jul 18, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2025 |
| Jul 18, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 2025 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 9, 2025 |
| Jul 18, 2025 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2025 |
| Jul 18, 2025 | 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 Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 9, 2025 |
| Jul 18, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 9, 2025 |
| Jul 18, 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 Aug 9, 2025 |
| Jul 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 9, 2025 |
| Jul 14, 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 | G · Actual harm Isolated | Corrected Aug 1, 2025 | Complaint |
| Apr 4, 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 Apr 9, 2025 | Complaint |
| Nov 27, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 2, 2024 | Complaint |
| Nov 27, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Dec 2, 2024 | Complaint |
| Nov 27, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 2, 2024 | Complaint |
| Oct 23, 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 Nov 6, 2024 | Complaint |
| Sep 23, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 3, 2024 | Complaint |
| Sep 20, 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 | J · Immediate jeopardy Isolated | Corrected Oct 11, 2024 | Complaint |
| Sep 20, 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 | G · Actual harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Sep 20, 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 | G · Actual harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Sep 20, 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 | F · Potential harm Widespread | Corrected Oct 11, 2024 | Complaint |
| Sep 20, 2024 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 11, 2024 | Complaint |
| Sep 3, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 20, 2024 | Complaint |
| Aug 22, 2024 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 15, 2024 | Complaint |
| Aug 8, 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 Aug 30, 2024 | Complaint |
| Aug 8, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 30, 2024 | Complaint |
| Jul 26, 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 Aug 18, 2024 |
| Jul 26, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 18, 2024 |
| Jul 26, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 18, 2024 |
| Jul 26, 2024 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 18, 2024 |
| Jul 26, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 18, 2024 |
| Jul 26, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 18, 2024 |
| Jul 26, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 18, 2024 |
| Jul 26, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 18, 2024 |
| Jul 26, 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 Aug 18, 2024 |
| Jul 26, 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 Aug 18, 2024 |
| Jul 26, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 18, 2024 |
| Jul 26, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 18, 2024 |
| Jul 26, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 18, 2024 |
| Jul 26, 2024 | 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 Aug 18, 2024 |
| Jul 26, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 18, 2024 |
| Jul 26, 2024 | 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 Aug 18, 2024 |
| Jul 26, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 18, 2024 |
| Jul 26, 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 Aug 18, 2024 |
| Jul 26, 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 | F · Potential harm Widespread | Corrected Aug 18, 2024 |
| Jul 26, 2024 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 18, 2024 |
| Jul 26, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Aug 18, 2024 |
| May 28, 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 Jun 27, 2024 | Complaint |
| May 28, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 27, 2024 | Complaint |
| May 28, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 27, 2024 | Complaint |
| May 28, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 27, 2024 | Complaint |
| Feb 1, 2024 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 23, 2024 | Complaint |
| Oct 26, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 27, 2023 | Complaint |
| Oct 26, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 27, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.95 (case-mix index 1.62).
| not provided |
| Oct 1, 2019 |
| Shlomo Rechnitz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2007 |
| Joon Suh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 14, 2025 |
| Corporate Interface Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Rockport Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 10, 2025 |
| Jazmin Marroquin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Shlomo Rechnitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2007 |
| Joon Suh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 14, 2025 |
| $201k |
| The Pavilion at Ocean Point 3202 Duke Street, San Diego, CA 92110 CCN 055322 | 133 | Aug 11, 2026 | 981 harm2 open | — |
| Brighton Place Spring Valley 9009 Campo Road, Spring Valley, CA 91977 CCN 055685 | 68 | Aug 13, 2026 | 61 | — |
| Brighton Place San Diego 1350 N. Euclid Avenue, San Diego, CA 92105 CCN 055795 | 99 | May 27, 2026 | 74 | — |
| Amaya Springs Health Care Center 8625 Lamar Street, Spring Valley, CA 91977 CCN 056062 | 50 | Aug 11, 2026 | 54 | — |
| Osage Healthcare & Wellness Centre 1001 South Osage Ave, Inglewood, CA 90301 CCN 0561435 state class AA/A | 53 | Feb 13, 2026 | 50 | — |
| Centinela Skilled Nursing & Wellness Centre West 950 Flower Street, Inglewood, CA 90301 CCN 056167 | 59 | Nov 21, 2025 | 49 | — |
| Montrose Springs Skilled Nursing & Wellness Center 2635 Honolulu Ave, Montrose, CA 91020 CCN 0563228 state class AA/A | 109 | Jul 24, 2026 | 933 harm | $32k |