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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 | G3 | H· | I· |
| Potential harm | D35 | E34 | F14 |
| 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 | 12 | Potential harm | — | Open → |
| Jun 18, 2026 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Dec 16, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 16, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Mar 12, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 27, 2024 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Aug 13, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Feb 1, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 21, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 20, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 12, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Aug 12, 2022 | Health | Health Standard | 19 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 16, 2025 | Civil money penalty (fine) | $16,244 | — | 555703|Fine|131252 |
| Aug 13, 2024 | Civil money penalty (fine) | $8,018 | — | 555703|Fine|130758 |
| Aug 13, 2024 | Civil money penalty (fine) | $8,018 | — | 555703|Fine|130759 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Feb 28, 2022 violation Apr 26, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 110016845 |
| Oct 20, 2021 violation Apr 16, 2019 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 110016826 |
| Jun 15, 2021 violation Feb 4, 2019 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 110016591 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D35 | E34 | F14 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 18, 2026 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 4, 2026 | |
| Jun 18, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 4, 2026 | |
| Jun 18, 2026 | K-0324 |
“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.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Providence Group Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 11, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Providence Group Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 11, 2023 |
| Riley Tucker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2023 |
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Joshua Jergensen |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Redlands Healthcare Center 1620 W Fern Ave, Redlands, CA 92373 CCN 0550011 state class AA/A | 78 | Apr 23, 2026 | 23 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Petaluma Post-Acute Rehabilitation 1115 B Street, Petaluma, CA 94952 CCN 0560722 state class AA/A | 0.1 km | 90 | Dec 19, 2025 | 36 | — | |
| Hillcrest Post Acute 450 Hayes Lane, Petaluma, CA 94952 CCN 555127 | 0.2 km | 59 | Sep 11, 2025 | 51 | — | |
| North Bay Post Acute 300 Douglas Street, Petaluma, CA 94952 CCN 05612010 state class AA/AAbuse icon | 1.1 km | 98 | Apr 14, 2026 | 1151 IJ3 harm | $180k | |
| Vineyard Post Acute 101 Monroe Street, Petaluma, CA 94954 CCN 5551208 state class AA/A | 4.1 km | 99 | Mar 30, 2026 | 802 harm | $56k | |
| Apple Valley Post-Acute Rehab 1035 Gravenstein Hwy South, Sebastopol, CA 95472 CCN 0559198 state class AA/A | 23.9 km | 95 | Aug 21, 2026 | 442 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555703 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555703 | 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 | 010000005 | 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
| Mar 23, 2016 violation Oct 6, 2014 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Open | 110011896 |
| Aug 3, 2011 violation Feb 18, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 110007972 |
| Jan 19, 2011 violation Aug 2, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 110007019 |
| Feb 11, 2010 violation Aug 7, 2009 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 | Closed | 110006968 |
| Jan 12, 2010 violation Nov 30, 2009 | Class B | Citation Citation B (HSC 1424) | Administration | $1,000 | Closed | 110006783 |
| Sep 2, 2009 violation Aug 27, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 110005684 |
| Apr 23, 2009 violation Feb 8, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 110005139 |
| Dec 19, 2007 violation Jun 24, 2007 | Class B | Citation Citation B (HSC 1424) | Other · c, ab, pr | $800 | Closed | 110004087 |
| Dec 19, 2007 violation Jun 25, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 110004085 |
| Aug 9, 2007 violation Mar 28, 2007 | Class A | Citation Citation A (HSC 1424) | Patient Care | $60,000 initial $20,000 | Closed | 110003867 |
| Jun 25, 2007 violation Mar 4, 2007 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death relatedAppealed Closed | 110003834 |
| Jan 31, 2007 violation Aug 20, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $18,000 | Appealed Closed | 110003635 |
| Jan 31, 2007 violation Apr 1, 2006 | Class A | Citation Citation A (HSC 1424) | Physical Environment | $20,000 | Appealed Closed | 110003620 |
| Oct 20, 2006 violation May 7, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110003142 |
| Oct 20, 2006 violation Jan 14, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110003141 |
| Oct 20, 2006 violation Jan 14, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110003077 |
| Jun 27, 2006 violation Jun 12, 2005 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death relatedAppealed Closed | 110003159 |
| Jun 27, 2006 violation Jun 18, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $900 | Closed | 110003143 |
| Jun 27, 2006 violation Aug 5, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110003122 |
| Jun 27, 2006 violation Jan 9, 2006 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110003042 |
| Aug 5, 2005 violation Jun 7, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,400 initial $800 | Closed | 010002167 |
| Feb 3, 2005 violation Oct 25, 2004 | Class B | Citation Citation B (HSC 1424) | Other · C,PR | $900 | Closed | 010002139 |
| Aug 19, 2004 violation May 5, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 010002117 |
| Sep 4, 2003 violation Nov 15, 2002 | Class B | Citation Citation B (HSC 1424) | Administration | $800 | Closed | 010002053 |
| Jun 25, 2003 violation May 22, 2003 | Class B | Citation Citation B (HSC 1424) | Administration | $700 | Closed | 010002038 |
| Jun 4, 2003 violation Apr 30, 2003 | Class B | Citation Citation B (HSC 1424) | Other · A,S | $650 | Closed | 010002033 |
| Feb 7, 2003 violation Aug 24, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 010002008 |
| Nov 21, 2002 violation Oct 12, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 initial $1,000 | Closed | 010002000 |
| Sep 27, 2002 violation Jul 31, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,300 initial $1,000 | Closed | 010001990 |
| Sep 17, 2002 violation Aug 2, 2002 | Class A | Citation Citation A (HSC 1424) | Other · PATIENT RIGHTS/CARE | $8,450 initial $20,000 | Appealed Closed | 010001982 |
| Jul 2, 2002 violation Apr 7, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 010001960 |
| Apr 12, 2002 violation Mar 18, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 initial $1,000 | Closed | 010001939 |
| Apr 12, 2002 violation Mar 19, 2002 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 010001938 |
| Mar 12, 2002 violation Jul 9, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 initial $1,000 | Closed | 010001931 |
| Feb 11, 2002 violation Nov 20, 2001 | Class B | Citation Citation B (HSC 1424) | Other · PATIENT CARE | $1,000 | Closed | 010001923 |
| Oct 4, 2001 violation Aug 25, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 010001885 |
| Mar 26, 2001 violation Jun 7, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 010001836 |
| Mar 26, 2001 violation Jun 1, 2000 | Class B | Citation Citation B (HSC 1424) | Other · PATIENT RIGHTS/CARE | $2,000 initial $1,000 | Appealed Closed | 010001835 |
| Mar 13, 2001 violation Sep 30, 2000 | Class A | Citation Citation A (HSC 1424) | Patient Care | $5,500 initial $12,000 | Appealed Closed | 010001832 |
| Mar 9, 2000 violation Feb 14, 2000 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Closed | 010001721 |
| Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jul 4, 2026 |
| Jun 18, 2026 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 4, 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 4, 2026 |
| Jun 18, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 4, 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 4, 2026 |
| Jun 18, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 2026 |
| Jun 18, 2026 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 4, 2026 |
| Jun 18, 2026 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 4, 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 4, 2026 |
| Jun 18, 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 Jul 4, 2026 |
| Jun 18, 2026 | 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 Jul 7, 2026 | Complaint |
| Jun 18, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 7, 2026 |
| Jun 18, 2026 | 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 Jul 7, 2026 |
| Jun 18, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 7, 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 7, 2026 |
| Jun 18, 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 7, 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 | E · Potential harm Pattern | Corrected Jul 7, 2026 |
| Dec 16, 2025 | 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 Dec 26, 2025 | Complaint |
| Dec 16, 2025 | 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 Dec 29, 2025 | Complaint |
| Aug 8, 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 Aug 22, 2025 | Complaint |
| Jun 16, 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 Jun 23, 2025 | Complaint |
| Jun 3, 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 Jun 19, 2025 | Complaint |
| Apr 16, 2025 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 7, 2025 | Complaint |
| Apr 16, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Apr 16, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 12, 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 Mar 20, 2025 | Complaint |
| Mar 12, 2025 | 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 | E · Potential harm Pattern | Corrected Mar 20, 2025 | Complaint |
| Jan 22, 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 Feb 9, 2025 | Complaint |
| Sep 27, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 27, 2024 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 27, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 27, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2024 |
| Sep 27, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2024 |
| Sep 27, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 27, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 10, 2024 |
| Sep 27, 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 Oct 10, 2024 |
| Sep 27, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2024 |
| Sep 27, 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 | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 2024 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 2024 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 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 Oct 23, 2024 |
| 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 | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 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 | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 2024 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 2024 | 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 23, 2024 |
| Sep 27, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 23, 2024 |
| Sep 27, 2024 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Sep 27, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 23, 2024 |
| Aug 13, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Aug 13, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Aug 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 13, 2024 | Complaint |
| Feb 1, 2024 | 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 | E · Potential harm Pattern | Corrected Feb 26, 2024 | Complaint |
| Feb 1, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 26, 2024 | Complaint |
| Feb 1, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 26, 2024 | Complaint |
| Nov 21, 2023 | 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 | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Nov 21, 2023 | 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 Dec 27, 2023 | Complaint |
| Nov 21, 2023 | 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 Dec 27, 2023 | Complaint |
| Nov 20, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 5, 2023 | Complaint |
| Aug 12, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2022 |
| Aug 12, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 27, 2022 |
| Aug 12, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2022 |
| Aug 12, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 27, 2022 |
| Aug 12, 2022 | 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 Sep 9, 2022 |
| Aug 12, 2022 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 12, 2022 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 Sep 9, 2022 |
| Aug 12, 2022 | 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 Sep 9, 2022 |
| Aug 12, 2022 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 Sep 9, 2022 |
| Aug 12, 2022 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 Sep 9, 2022 |
| Aug 12, 2022 | 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 | F · Potential harm Widespread | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 Sep 9, 2022 |
| Aug 12, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 Sep 9, 2022 |
| Aug 12, 2022 | 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 | E · Potential harm Pattern | Corrected Sep 9, 2022 |
| Aug 12, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 9, 2022 |
| Aug 12, 2022 | 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 Sep 9, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.22 (case-mix index 1.35).
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Dominic Picetti | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Mar 1, 2024 |
| Riley Tucker | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Mar 1, 2023 |
| 51 |
| Jul 6, 2026 |
51 |
| — |
| Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021 CCN 055064 | 96 | Aug 26, 2026 | 781 harm | $9,255 |
| Moraga Post Acute 348 Rheem Boulevard, Moraga, CA 94556 CCN 055085 | 49 | Apr 13, 2026 | 501 harm | — |
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 59 | Apr 1, 2026 | 62 | — |
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 190 | Aug 13, 2026 | 763 harm | $102k |
| Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A | 104 | Aug 11, 2026 | 751 IJ2 harm | $35k |
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 103 | Jul 2, 2026 | 71 | — |