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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 | G2 | H· | I· |
| Potential harm | D13 | E11 | F2 |
| Minimal | A· | B1 |
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 | |
|---|---|---|---|---|---|---|
| Jun 16, 2026 | Health | Health Complaint | 1 | Minimal | — | Open → |
| Apr 10, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 10, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Feb 4, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 29, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 7, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Nov 7, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Oct 5, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Oct 5, 2023 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 4, 2026 | Denial of payment for new admissions | — | Feb 27, 2026 · 3 days | 555698|Payment Denial|2026-02-27 |
| Feb 4, 2026 | Civil money penalty (fine) | $9,252 | — | 555698|Fine|137654 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Sep 28, 2012 violation Sep 24, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 030009530 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D13 | E11 | F2 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 16, 2026 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | B · Minimal Pattern | Corrected Jul 1, 2026 | Complaint |
| Apr 10, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 23, 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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Barton Healthcare System | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 7, 1997 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Barton Healthcare System | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 7, 1997 |
| Barton Healthcare System | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 4, 1997 |
| Carla Adams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2023 |
| Matthew Wonnacott | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2023 |
| Shawn Anderson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Gardnerville Health & Rehabilitation Center 1573 South Muller Pkwy, Gardnerville, NV 89410 CCN 295082Abuse icon | 21.1 km | 60 | Aug 5, 2026 | 732 harm | $13k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555698 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555698 | 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 | 030001525 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Oct 16, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 10, 2026 |
| F-0578 |
| D · Potential harm Isolated |
| Corrected Apr 30, 2026 |
| Apr 10, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 10, 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 Apr 30, 2026 |
| Apr 10, 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 Apr 30, 2026 |
| Apr 10, 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 30, 2026 |
| Apr 10, 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 30, 2026 |
| Apr 10, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Apr 10, 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 30, 2026 |
| Apr 10, 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 30, 2026 |
| Apr 10, 2026 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 30, 2026 |
| Apr 10, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 23, 2026 |
| Feb 4, 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 | G · Actual harm Isolated | Corrected Mar 2, 2026 | Complaint |
| Jul 22, 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 24, 2025 | Complaint |
| Jun 3, 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 Jun 11, 2025 | Complaint |
| Apr 29, 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 May 12, 2025 | Complaint |
| Mar 22, 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 Apr 1, 2025 | Complaint |
| Nov 7, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 17, 2024 |
| Nov 7, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 17, 2024 |
| Nov 7, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 17, 2024 |
| Nov 7, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 18, 2024 |
| Nov 7, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 18, 2024 |
| Oct 5, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 23, 2023 |
| Oct 5, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 23, 2023 |
| Oct 5, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 23, 2023 |
| Oct 5, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 23, 2023 |
| Oct 5, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 23, 2023 |
| Oct 5, 2023 | 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 Oct 25, 2023 |
| Oct 5, 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 | E · Potential harm Pattern | Corrected Oct 25, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.93 (case-mix index 1.18).
| Apr 1, 2021 |
| Kathryn Biasotti | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2019 |
| Jonathon Cefalu | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2024 |
| Peter Digrande | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2024 |
| Patrick Fry | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2020 |
| Abby Killebrew | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 22, 2014 |
| Kirk Ledbetter | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2008 |
| Sherry Mlynsky | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2022 |
| Jeffrey Rahbeck | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2017 |
| Stefan Schunk | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2018 |
| Scott Weavil | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2023 |
| Kelly Neiger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 11, 2018 |
| Clinton Purvance | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2015 |
| Barton Healthcare System | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 7, 1997 |
| Carla Adams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2023 |
| Matthew Wonnacott | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2023 |