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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 | D72 | E28 | F13 |
| 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 | |
|---|---|---|---|---|---|---|
| Jun 18, 2026 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Jun 18, 2026 | Health | Health Complaint, Health Standard | 16 | Potential harm | — | Open → |
| Mar 19, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 13, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Mar 13, 2025 | Health | Health Standard | 19 | Potential harm | — | Open → |
| Jan 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Sep 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 19, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 6, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 15, 2024 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Feb 15, 2024 | Health | Health Standard | 20 | Potential harm | — | Open → |
| Feb 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 14, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 6, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 2, 2023 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 19, 2026 | Civil money penalty (fine) | $9,347 | — | 555702|Fine|139290 |
| Dec 11, 2024 | Civil money penalty (fine) | $9,223 | — | 555702|Fine|131059 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Sep 21, 2023 violation Jul 6, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $4,300 initial $3,000 | Open | 120019051 |
| Aug 29, 2023 violation Jun 24, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,750 initial $3,000 | Open | 120019036 |
| Aug 15, 2023 violation Jun 23, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D72 | E28 | F13 |
| Minimal | A· | B· | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 18, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 5, 2026 | |
| Jun 18, 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 Jul 2, 2026 | |
| Jun 18, 2026 | K-0293 |
“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.
32 facilities in 2 states. CMS chain ID 318.
Chain average overall rating (CMS): 3.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Scott Clawson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Steven Earl | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Curtis Rodriguez | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Jack Sanofsky | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Toby Tilford | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Scott Clawson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Steven Earl | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Curtis Rodriguez | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Jack Sanofsky | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 17, 2020 |
| Toby Tilford | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Riverbank Post-Acute 2649 Topeka Street, Riverbank, CA 95367 CCN 0550844 state class AA/A | 99 | Jul 22, 2026 | 1071 IJ1 harm | $73k | |
| The Vineyards Healthcare Center |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| San Joaquin Nursing Center and Rehabilitation Cent 3601 San Dimas, Bakersfield, CA 93301 CCN 0562945 state class AA/A | 0.9 km | 99 | Aug 4, 2026 | 811 harm | $47k | |
| Valley Healthcare Center 1205 8th Street, Bakersfield, CA 93304 CCN 5552296 state class AA/A | 2.4 km | 87 | Jul 23, 2026 | 984 harm | $105k | |
| The Rehabilitation Center of Bakersfield 2211 Mount Vernon Avenue, Bakersfield, CA 93306 CCN 5552569 state class AA/A | 3.7 km | 160 | Jan 16, 2026 | 1255 harm | $24k | |
| Height Street Skilled Care 1611 Height Street, Bakersfield, CA 93305 CCN 5559025 state class AA/A | 3.8 km | 99 | Apr 27, 2026 | 934 harm | $13k | |
| Kern River Transitional Care 5151 Knudsen Drive, Bakersfield, CA 93308 CCN 555912 | 5 km | 140 | Apr 29, 2026 | 1091 harm | $78k | |
| Rosewood Health Facility 1401 New Stine Road, Bakersfield, CA 93309 CCN 5551162 state class AA/A | 6.5 km | 79 | Feb 12, 2026 | 531 harm | $8,278 | |
| Parkview Julian Healthcare Center 1801 Julian Avenue, Bakersfield, CA 93304 CCN 0556014 state class AA/A | 6.8 km | 99 | Aug 11, 2026 | 1042 harm | $60k | |
| Bakersfield Post Acute 6212 Tudor Way, Bakersfield, CA 93306 CCN 5552604 state class AA/A | 7 km | 99 | Aug 26, 2026 | 1302 harm | $26k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555702 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555702 | 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 | 120000320 | 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
Closed |
| 120018959 |
| May 14, 2021 violation Jul 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 810016462 |
| Mar 15, 2017 violation Jan 8, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Closed | 120013008 |
| Mar 16, 2016 violation Feb 22, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 120012086 |
| Mar 1, 2016 violation Dec 18, 2015 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 120012036 |
| Jun 16, 2015 violation Mar 23, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 120011525 |
| Mar 18, 2015 violation Nov 7, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 120011331 |
| Mar 24, 2014 violation Jan 8, 2013 | Class A | Citation Citation A (HSC 1424) | Patient Care | $14,200 initial $20,000 | Death relatedAppealed Closed | 120010546 |
| Feb 19, 2013 violation Apr 2, 2012 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Appealed Closed | 120009736 |
| Apr 13, 2011 violation Dec 4, 2008 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,750 initial $20,000 | Death relatedAppealed Closed | 120006875 |
| Dec 1, 2010 violation Jan 7, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 120007411 |
| Jan 19, 2010 violation Dec 15, 2007 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $35,650 initial $100,000 | Death relatedAppealed Closed | 120006727 |
| Jul 2, 2008 violation Oct 1, 2006 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death relatedAppealed Closed | 120004404 |
| Jun 13, 2008 violation Jan 1, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 120005031 |
| Jul 2, 2007 violation Jan 13, 2007 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 120004010 |
| Dec 15, 2006 violation Nov 3, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 120003552 |
| Oct 6, 2005 violation Jan 28, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $300 | Closed | 120001832 |
| Jan 13, 2005 violation May 7, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 120001815 |
| Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jul 2, 2026 |
| Jun 18, 2026 | 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 Jul 2, 2026 |
| Jun 18, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 2, 2026 |
| Jun 18, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 2, 2026 |
| Jun 18, 2026 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 2, 2026 |
| Jun 18, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 2, 2026 |
| Jun 18, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 2, 2026 |
| Jun 18, 2026 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 2, 2026 |
| Jun 18, 2026 | 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 Jul 2, 2026 |
| Jun 18, 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 Jul 17, 2026 |
| Jun 18, 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 Jul 2, 2026 |
| Jun 18, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 2, 2026 |
| Jun 18, 2026 | 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 Jul 10, 2026 |
| Jun 18, 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 Jul 10, 2026 |
| Jun 18, 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 Jul 16, 2026 |
| Jun 18, 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 16, 2026 |
| Jun 18, 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 Jul 16, 2026 | Complaint |
| Jun 18, 2026 | 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 Jul 16, 2026 | Complaint |
| Jun 18, 2026 | 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 Jul 16, 2026 |
| Jun 18, 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 | D · Potential harm Isolated | Corrected Jul 8, 2026 |
| Jun 18, 2026 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 18, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 16, 2026 |
| Jun 18, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 18, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 18, 2026 | 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 Jul 10, 2026 |
| Jun 18, 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 | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jun 18, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 16, 2026 |
| Jun 18, 2026 | 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 Jul 10, 2026 | Complaint |
| Jun 18, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jul 2, 2026 |
| Mar 19, 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 Apr 30, 2026 | Complaint |
| Jan 5, 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 Feb 4, 2026 | Complaint |
| Apr 29, 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 | D · Potential harm Isolated | Corrected Apr 29, 2025 | Complaint |
| Mar 25, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 28, 2025 | Complaint |
| Mar 13, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 7, 2025 |
| Mar 13, 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 Apr 11, 2025 |
| Mar 13, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2025 |
| Mar 13, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 25, 2025 |
| Mar 13, 2025 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 26, 2025 |
| Mar 13, 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 | E · Potential harm Pattern | Corrected Apr 3, 2025 |
| Mar 13, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 3, 2025 |
| Mar 13, 2025 | 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 Apr 3, 2025 |
| Mar 13, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 3, 2025 |
| Mar 13, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Mar 13, 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 Apr 3, 2025 |
| Mar 13, 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 Apr 3, 2025 |
| Mar 13, 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 Apr 3, 2025 |
| Mar 13, 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 Apr 3, 2025 |
| Mar 13, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 3, 2025 |
| Mar 13, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 3, 2025 |
| Mar 13, 2025 | 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 | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Mar 13, 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 Apr 3, 2025 |
| Mar 13, 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 | E · Potential harm Pattern | Corrected Apr 3, 2025 |
| Mar 13, 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 Apr 3, 2025 |
| Mar 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 3, 2025 |
| Mar 13, 2025 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 3, 2025 |
| Mar 13, 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 Apr 3, 2025 |
| Mar 13, 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 | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Mar 13, 2025 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Mar 20, 2025 |
| Mar 13, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 7, 2025 |
| Jan 16, 2025 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2025 | Complaint |
| Dec 11, 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 | G · Actual harm Isolated | Corrected Jan 16, 2025 | Complaint |
| Dec 11, 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 Jan 16, 2025 | Complaint |
| Dec 11, 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 Jan 16, 2025 | Complaint |
| Sep 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 | D · Potential harm Isolated | Corrected Oct 4, 2024 | Complaint |
| Aug 28, 2024 | 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 Sep 26, 2024 | Complaint |
| Aug 27, 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 | D · Potential harm Isolated | Corrected Sep 26, 2024 | Complaint |
| Jul 17, 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 Aug 18, 2024 | Complaint |
| Jun 19, 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 | E · Potential harm Pattern | Corrected Jul 15, 2024 | Complaint |
| Jun 19, 2024 | 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 Jul 15, 2024 | Complaint |
| Jun 17, 2024 | 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 Jun 22, 2024 | Complaint |
| May 6, 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 | D · Potential harm Isolated | Corrected May 29, 2024 | Complaint |
| May 6, 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 May 29, 2024 | Complaint |
| Mar 28, 2024 | 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 Mar 29, 2024 | Complaint |
| Feb 15, 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 Mar 22, 2024 |
| Feb 15, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 22, 2024 |
| Feb 15, 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 Mar 22, 2024 |
| Feb 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2024 |
| Feb 15, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2024 |
| Feb 15, 2024 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2024 |
| Feb 15, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 22, 2024 |
| Feb 15, 2024 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 22, 2024 |
| Feb 15, 2024 | 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 Mar 22, 2024 |
| Feb 15, 2024 | 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 | D · Potential harm Isolated | Corrected Mar 22, 2024 |
| Feb 15, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 22, 2024 |
| Feb 15, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 22, 2024 |
| Feb 15, 2024 | 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 Mar 22, 2024 |
| Feb 15, 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 Mar 22, 2024 |
| Feb 15, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 15, 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 | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 15, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 15, 2024 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 15, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 15, 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 | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 15, 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 15, 2024 |
| Feb 15, 2024 | 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 Mar 15, 2024 |
| Feb 15, 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 15, 2024 |
| Feb 15, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 15, 2024 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 15, 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 | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 15, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 15, 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 Mar 15, 2024 |
| Feb 15, 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 | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 15, 2024 | 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 Mar 15, 2024 |
| Feb 15, 2024 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Mar 15, 2024 |
| Feb 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 15, 2024 | 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 Mar 15, 2024 |
| Feb 15, 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 Mar 15, 2024 |
| Feb 5, 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 | E · Potential harm Pattern | Corrected Feb 24, 2024 | Complaint |
| Jan 22, 2024 | F-0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 16, 2024 | Complaint |
| Nov 14, 2023 | 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 Nov 24, 2023 | Complaint |
| Nov 6, 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 Nov 23, 2023 | Complaint |
| Oct 6, 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 Oct 20, 2023 | Complaint |
| Oct 2, 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 20, 2023 | Complaint |
| Oct 2, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 20, 2023 | Complaint |
| Oct 2, 2023 | 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 Oct 20, 2023 | Complaint |
| Oct 2, 2023 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 20, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.86 (case-mix index 1.43).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Jun 17, 2020 |
| Links Healthcare Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Links Support Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Chad Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Mary Beardsley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Victoria Bernholz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Melissa Carter | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Myrna Deguzman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Todd Farrer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 18, 2025 |
| Antonette Frojelin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Jaden Hollingshead | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Imelda Rama | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Sharon Ramirez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Curtis Rodriguez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Toby Tilford | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 17, 2020 |
| Forbright Bank | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jun 17, 2020 |
| Eide Bailly LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Links Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 11, 2025 |
| Links Support Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 11, 2025 |
| Chad Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Mary Beardsley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Victoria Bernholz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Melissa Carter | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Myrna Deguzman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Todd Farrer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 18, 2025 |
| Antonette Frojelin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Jaden Hollingshead | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Imelda Rama | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Sharon Ramirez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Curtis Rodriguez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| Toby Tilford | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 17, 2020 |
| 83 |
| Feb 6, 2026 |
38 |
| — |
| Lodi Creek Post Acute 321 West Turner Road, Lodi, CA 95240 CCN 0552892 state class AA/A | 86 | Jul 7, 2026 | 81 | — |
| The Springs Post-Acute 10625 Leffingwell Road, Norwalk, CA 90650 CCN 0552973 state class AA/A | 99 | Apr 23, 2026 | 802 IJ2 harm | $67k |
| The Grove Post-Acute 124 Walnut Street, Woodland, CA 95695 CCN 055438Abuse icon | 140 | May 8, 2026 | 70 | — |
| Jacob Healthcare Center 4075 54th St., San Diego, CA 92105 CCN 055508 | 128 | Aug 27, 2026 | 621 harm1 open | — |
| Westwood Post Acute 1601 Petersen Avenue, San Jose, CA 95129 CCN 0557503 state class AA/A | 258 | Aug 20, 2026 | 1152 harm | $32k |
| Encinitas Post-Acute 900 Santa Fe Drive, Encinitas, CA 92024 CCN 0557611 state class AA/A | 99 | Jun 22, 2026 | 632 open | — |