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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 | D46 | E23 | F10 |
| 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 19, 2026 | Health | Health Complaint | 1 | Potential harm | 1 | Open → |
| Jun 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 1, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 26, 2026 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Mar 26, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Aug 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 10, 2025 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Jan 10, 2025 | Health | Health Standard | 19 | Potential harm | — | Open → |
| Aug 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 14, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 18, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 7, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 21, 2023 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Dec 21, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Oct 3, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Oct 3, 2023 violation May 12, 2023 | Class A | Citation Citation A (HSC 1424) | Medication | $10,000 | Closed | 030018974 |
| Mar 14, 2023 violation Jul 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 12 - 24 Days | $50,000 | Closed | 810018469 |
| Jul 1, 2021 violation Jul 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Closed | 810016513 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D46 | E23 | F10 |
| Minimal | A· | B· | C6 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 19, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Aug 20, 2026 | Complaint |
| Jun 17, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 7, 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.
13 facilities in 1 states. CMS chain ID 175.
Chain average overall rating (CMS): 4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Magdalena Belcuig | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| Ashley Dudley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 18, 2023 |
| Evelyn Erni | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| Armando Hill | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| Matthew Jackson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| Robert Jackson | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Sherwood Healthcare Center 4700 Elvas Ave, Sacramento, CA 95819 CCN 055305 | 62 | May 9, 2025 | 47 | — | |
| Saylor Lane Healthcare Center 3500 Folsom Boulevard, Sacramento, CA 95816 CCN 055417 | 42 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Woodside Healthcare Center 2240 Northrop Ave, Sacramento, CA 95825 CCN 5557983 state class AA/A | 0.8 km | 58 | Nov 22, 2024 | 51 | — | |
| Sherwood Healthcare Center 4700 Elvas Ave, Sacramento, CA 95819 CCN 055305 | 2.7 km | 62 | May 9, 2025 | 47 | — | |
| Gramercy Court 2200 Gramercy Drive, Sacramento, CA 95825 CCN 5554596 state class AA/AAbuse icon | 3.5 km | 120 | Aug 24, 2026 | 731 open | — | |
| Arden Park Post Acute 3400 Alta Arden Expressway, Sacramento, CA 95825 CCN 05585513 state class AA/AAbuse icon | 3.8 km | 177 | Aug 20, 2026 | 883 harm2 open | $34k | |
| Mckinley Park Care Center 3700 H Street, Sacramento, CA 95816 CCN 5551228 state class AA/A | 4.4 km | 86 | Jul 24, 2026 | 101 | — | |
| Saylor Lane Healthcare Center 3500 Folsom Boulevard, Sacramento, CA 95816 CCN 055417 | 4.4 km | 42 | May 8, 2025 | 80 | — | |
| University Post-Acute Rehab 2120 Stockton Boulevard, Sacramento, CA 95817 CCN 5552651 state class AA/A | 4.7 km | 59 | May 22, 2025 | 50 | — | |
| Advanced Health Care of Sacramento 1411 Expo Parkway, Sacramento, CA 95815 CCN 555913 | 5.1 km | 40 | May 14, 2026 | 39 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555673 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555673 | 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 | 100000001 | 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
| May 18, 2021 violation Jul 1, 2019 |
| AP NHPPD |
| Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
| DHPPD: 1 Day (No Penalty) |
| $0 |
Open |
| 810016583 |
| Aug 13, 2019 violation Oct 12, 2017 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 030015271 |
| Sep 17, 2014 violation Jul 24, 2014 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 030010989 |
| Sep 17, 2014 violation Jun 25, 2014 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 030010988 |
| Oct 23, 2012 violation Nov 4, 2005 | Class B | Citation Citation B (HSC 1424) | Other · STAFF QUALIFICATIONS | $1,000 | Closed | 030009564 |
| Aug 16, 2012 violation Mar 14, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 | Closed | 030009433 |
| Mar 2, 2009 violation Aug 24, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 | Closed | 030005888 |
| Dec 18, 2008 violation May 13, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Rights | $20,000 | Closed | 030005710 |
| Oct 1, 2008 violation Jan 31, 2008 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Closed | 030005480 |
| Oct 1, 2008 violation May 15, 2008 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $1,000 | Closed | 030005479 |
| Jul 8, 2008 violation May 24, 2008 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,000 | Closed | 030005214 |
| Oct 16, 2007 violation Dec 8, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 030004336 |
| Jul 27, 2004 violation May 5, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 100002265 |
| Sep 30, 2003 violation Aug 26, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 100002237 |
| Aug 26, 2003 violation Jul 15, 2003 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 100002231 |
| Jul 30, 2002 violation May 24, 2002 | Class A | Citation Citation A (HSC 1424) | Patient Care | $39,000 initial $18,000 | Appealed Closed | 100002167 |
| Apr 5, 2002 violation Jun 14, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 100002154 |
| Apr 3, 2002 violation Feb 13, 2002 | Class B | Citation Citation B (HSC 1424) | Other · VERBAL ABUSE | $800 | Closed | 100002152 |
| Mar 1, 2002 violation Oct 31, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $900 | Closed | 100002137 |
| Jan 29, 2002 violation Aug 21, 2001 | Class A | Citation Citation A (HSC 1424) | Patient Care | $17,000 | Closed | 100002132 |
| Aug 28, 2001 violation Jun 1, 2001 | Class B | Citation Citation B (HSC 1424) | Other · PATIENT CARE/ABUSE | $900 | Closed | 100002099 |
| Sep 22, 2000 violation Nov 5, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 100002036 |
| Mar 9, 2000 violation Nov 11, 1999 | Class A | Citation Citation A (HSC 1424) | Patient Care | $24,000 initial $8,000 | Closed | 100002002 |
| Complaint |
| Jun 1, 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 Jul 2, 2026 | Complaint |
| Mar 26, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 15, 2026 |
| Mar 26, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2026 |
| Mar 26, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 31, 2026 |
| Mar 26, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2026 |
| Mar 26, 2026 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 12, 2026 |
| Mar 26, 2026 | 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 Apr 11, 2026 |
| Mar 26, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 13, 2026 |
| Mar 26, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 16, 2026 |
| Mar 26, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 11, 2026 |
| Mar 26, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 11, 2026 |
| Mar 26, 2026 | 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 | E · Potential harm Pattern | Corrected Apr 11, 2026 |
| Mar 26, 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 Apr 11, 2026 |
| Mar 26, 2026 | 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 Apr 11, 2026 |
| Mar 26, 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 | E · Potential harm Pattern | Corrected Apr 11, 2026 |
| Mar 26, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 11, 2026 |
| Mar 26, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 11, 2026 |
| Mar 26, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 11, 2026 |
| Mar 26, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 11, 2026 |
| Mar 26, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 12, 2026 |
| Aug 14, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 22, 2025 | Complaint |
| Mar 20, 2025 | 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 Mar 24, 2025 | Complaint |
| Feb 5, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2025 | Complaint |
| Jan 10, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 16, 2025 |
| Jan 10, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 17, 2025 |
| Jan 10, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 16, 2025 |
| Jan 10, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 16, 2025 |
| Jan 10, 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 1, 2025 |
| Jan 10, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Jan 10, 2025 | 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 Jan 16, 2025 |
| Jan 10, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 16, 2025 |
| Jan 10, 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 Jan 16, 2025 |
| Jan 10, 2025 | 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 Jan 16, 2025 |
| Jan 10, 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 Jan 31, 2025 |
| Jan 10, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 10, 2025 | 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 Jan 31, 2025 |
| Jan 10, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 10, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 10, 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 Jan 31, 2025 |
| Jan 10, 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 Jan 31, 2025 |
| Jan 10, 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 Jan 31, 2025 |
| Jan 10, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 31, 2025 |
| Jan 10, 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 | E · Potential harm Pattern | Corrected Jan 31, 2025 |
| Jan 10, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 10, 2025 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 10, 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 | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 10, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Jan 10, 2025 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jan 31, 2025 |
| Jan 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 31, 2025 |
| Jan 10, 2025 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 31, 2025 |
| Jan 10, 2025 | 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 Jan 31, 2025 |
| Jan 10, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 1, 2025 |
| Jan 10, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 1, 2025 |
| Jan 10, 2025 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 15, 2025 |
| Jan 10, 2025 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 15, 2025 |
| Jan 10, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 1, 2025 |
| Aug 22, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 12, 2024 | Complaint |
| Aug 21, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 12, 2024 | Complaint |
| Aug 6, 2024 | 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 | E · Potential harm Pattern | Corrected Aug 22, 2024 | Complaint |
| Jun 14, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 14, 2024 | Complaint |
| May 23, 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 May 24, 2024 | Complaint |
| Mar 18, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 8, 2024 | Complaint |
| Mar 18, 2024 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 8, 2024 | Complaint |
| Mar 18, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 8, 2024 | Complaint |
| Feb 7, 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 Mar 7, 2024 | Complaint |
| Feb 7, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2024 | Complaint |
| Feb 7, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2024 | Complaint |
| Feb 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 7, 2024 | Complaint |
| Dec 21, 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 Feb 16, 2024 |
| Dec 21, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Dec 21, 2023 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Dec 21, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Dec 21, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 16, 2024 |
| Dec 21, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Dec 21, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Dec 21, 2023 | 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 Feb 16, 2024 |
| Dec 21, 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 Feb 16, 2024 |
| Dec 21, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Dec 21, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Dec 21, 2023 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 18, 2024 |
| Dec 21, 2023 | 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 | D · Potential harm Isolated | Corrected Jan 18, 2024 |
| Oct 3, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.35 (case-mix index 1.43).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Oct 1, 2019 |
| Melanie Juarez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 16, 2023 |
| Munish Kumar | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| Alicia Portela | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Jack Sanofsky | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2019 |
| Evelyn Watson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2024 |
| Lucia Zepeda | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 3, 2024 |
| Matthew Jackson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2019 |
| Robert Jackson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2019 |
| Jack Sanofsky | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2019 |
| Magdalena Belcuig | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Ashley Dudley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 18, 2023 |
| Evelyn Erni | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Armando Hill | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Matthew Jackson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Robert Jackson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Melanie Juarez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 16, 2023 |
| Munish Kumar | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Alicia Portela | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 1992 |
| Jack Sanofsky | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Evelyn Watson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2024 |
| Lucia Zepeda | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 3, 2024 |
| May 8, 2025 |
80 |
| — |
| Oak Ridge Healthcare Center 310 Oak Ridge Drive, Roseville, CA 95661 CCN 0554911 state class AA/A | 67 | Jun 8, 2026 | 54 | — |
| Spring Hill Manor 355 Joerschke Dr, Grass Valley, CA 95945 CCN 055640 | 86 | Aug 14, 2026 | 521 harm1 open | — |
| College Oak Nursing and Rehabilitation Center 4635 College Oak Drive, Sacramento, CA 95841 CCN 0561584 state class AA/A | 120 | Aug 12, 2026 | 401 IJ1 harm1 open | $9,814 |
| Manzanita Healthcare Center 5318 Manzanita Avenue, Carmichael, CA 95608 CCN 5550833 state class AA/A | 99 | Apr 15, 2026 | 671 harm | — |
| Greenhaven Healthcare Center 455 Florin Road, Sacramento, CA 95831 CCN 5550981 state class AA/AAbuse icon | 148 | Jun 11, 2026 | 1031 harm | — |
| Fair Oaks Healthcare Center 11300 Fair Oaks Boulevard, Fair Oaks, CA 95628 CCN 5551537 state class AA/A | 149 | Jul 2, 2026 | 832 harm | $8,990 |