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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D56 | E33 | F1 |
| 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 4, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 4, 2026 | Health | Health Standard | 21 | Potential harm | — | Open → |
| Mar 25, 2026 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Jan 30, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 23, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| May 23, 2025 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Feb 10, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Oct 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 25, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 9, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 13, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jun 13, 2024 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Apr 25, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 15, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 5, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 12, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Nov 30, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 12, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 7, 2024 violation Dec 23, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920020287 |
| Jun 7, 2024 violation Jan 22, 2023 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $3,500 | Closed | 920020286 |
| Jul 7, 2021 violation Mar 13, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,400 initial $2,000 | Appealed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D56 | E33 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 4, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 23, 2026 | |
| Jun 4, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 23, 2026 | |
| Jun 4, 2026 | F-0550 |
“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.
22 facilities in 1 states. CMS chain ID 566.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sapphire Operations, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 15, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sapphire Operations, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 15, 2022 |
| Aaron Robin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 6, 2022 |
| Avrohom Tress | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 6, 2022 |
| Hooman Kashani | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2022 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Oak Grove Post Acute 4545 Shelley Court, Stockton, CA 95207 CCN 0552013 state class AA/AAbuse icon | 119 | Aug 21, 2026 | 1711 harm2 open |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Joyce Eisenberg Keefer Medical Center D/P SNF 7150 Tampa Avenue, Reseda, CA 91335 CCN 5558463 state class AA/A | 0.9 km | 344 | Mar 12, 2026 | 62 | — | |
| Eisenberg Village 18855 Victory Bl, Reseda, CA 91335 CCN 0550131 state class AA/A | 1.4 km | 166 | Feb 26, 2026 | 63 | — | |
| Northridge Care Center 7836 Reseda Blvd, Reseda, CA 91335 CCN 0564122 state class AA/A | 1.5 km | 97 | Aug 31, 2026 | 1191 harm | — | |
| Woodland Care Center 7120 Corbin Ave., Reseda, CA 91335 CCN 056066 | 1.8 km | 157 | Jul 16, 2026 | 1172 IJ | $31k | |
| Tarzana Health and Rehabilitation Center 5650 Reseda Blvd, Tarzana, CA 91356 CCN 0561244 state class AA/AAbuse icon | 2.8 km | 180 | Aug 14, 2026 | 1531 IJ2 harm | $105k | |
| Lake Balboa Care Center 16955 Vanowen Street, Van Nuys, CA 91406 CCN 056180 | 3.7 km | 50 | Jul 23, 2026 | 41 | — | |
| Holiday Manor Care Center 20554 Roscoe Blvd, Canoga Park, CA 91306 CCN 5555781 state class AA/A | 4.3 km | 94 | Aug 26, 2026 | 752 IJ2 harm | $18k | |
| West Valley Post Acute 7057 Shoup Ave, West Hills, CA 91307 CCN 0554432 state class AA/AAbuse icon | 6.4 km | 128 | Jul 30, 2026 | 1131 IJ2 harm1 open | $71k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555716 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555716 | 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 | 920000064 | 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
| 920016695 |
| Jun 24, 2021 violation Jan 8, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Death relatedAppealed Closed | 920016633 |
| May 18, 2021 violation Aug 13, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 920016506 |
| Jul 21, 2020 violation Jun 9, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,500 | Appealed Open | 920015941 |
| 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 25, 2026 |
| Jun 4, 2026 | 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 | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 2026 | 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 25, 2026 |
| Jun 4, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 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 | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 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 Jun 25, 2026 |
| Jun 4, 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 Jun 25, 2026 |
| Jun 4, 2026 | 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 Jun 25, 2026 |
| Jun 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 | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Jun 4, 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 | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 2026 | 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 Jun 25, 2026 |
| Jun 4, 2026 | 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 Jun 25, 2026 |
| Jun 4, 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 Jun 25, 2026 |
| Jun 4, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 25, 2026 |
| Jun 4, 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 Jun 25, 2026 |
| Jun 4, 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 Jun 25, 2026 |
| Jun 4, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Jun 4, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Jun 4, 2026 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| Mar 25, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 21, 2026 | Complaint |
| Mar 25, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 21, 2026 | Complaint |
| Mar 25, 2026 | 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 Apr 21, 2026 | Complaint |
| Mar 25, 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 21, 2026 | Complaint |
| Mar 25, 2026 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 21, 2026 | Complaint |
| Jan 30, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 13, 2026 | Complaint |
| Jan 30, 2026 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2026 | Complaint |
| May 23, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 23, 2025 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 23, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 23, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 23, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 23, 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 Jun 15, 2025 |
| May 23, 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 Jun 15, 2025 |
| May 23, 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 Jun 15, 2025 |
| May 23, 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 | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 23, 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 Jun 15, 2025 |
| May 23, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2025 |
| May 23, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 23, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 23, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 23, 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 | D · Potential harm Isolated | Corrected Jun 15, 2025 |
| May 23, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 23, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 15, 2025 |
| May 23, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2025 |
| Feb 10, 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 Mar 7, 2025 | Complaint |
| Feb 10, 2025 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 | Complaint |
| Feb 10, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 | Complaint |
| Feb 10, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 7, 2025 | Complaint |
| Oct 16, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 7, 2024 | Complaint |
| Sep 25, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 26, 2024 | Complaint |
| Sep 25, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 26, 2024 | Complaint |
| Sep 9, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 24, 2024 | Complaint |
| Sep 9, 2024 | 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 Sep 24, 2024 | Complaint |
| Jul 11, 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 | E · Potential harm Pattern | Corrected Jul 31, 2024 | Complaint |
| Jun 13, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| Jun 13, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| Jun 13, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| Jun 13, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2024 |
| Jun 13, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| Jun 13, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2024 |
| Jun 13, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2024 |
| Jun 13, 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 Jul 10, 2024 |
| Jun 13, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 8, 2024 |
| Jun 13, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 8, 2024 |
| Jun 13, 2024 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 8, 2024 |
| Jun 13, 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 Jul 8, 2024 |
| Jun 13, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 8, 2024 |
| Jun 13, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 8, 2024 |
| Jun 13, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 8, 2024 |
| Jun 13, 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 Jul 8, 2024 |
| Jun 13, 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 Jul 8, 2024 |
| Jun 13, 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 Jul 8, 2024 |
| Jun 13, 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 Jul 8, 2024 |
| Jun 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 8, 2024 |
| Jun 13, 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 | D · Potential harm Isolated | Corrected Jul 8, 2024 |
| Apr 25, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 17, 2024 | Complaint |
| Apr 25, 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 | E · Potential harm Pattern | Corrected May 17, 2024 | Complaint |
| Apr 25, 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 | E · Potential harm Pattern | Corrected May 17, 2024 | Complaint |
| Apr 25, 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 | D · Potential harm Isolated | Corrected May 17, 2024 | Complaint |
| Apr 15, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 3, 2024 | Complaint |
| Mar 22, 2024 | 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 | D · Potential harm Isolated | Corrected Apr 3, 2024 | Complaint |
| Mar 5, 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 Mar 29, 2024 | Complaint |
| Mar 5, 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 29, 2024 | Complaint |
| Mar 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 29, 2024 | Complaint |
| Feb 16, 2024 | 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 Mar 7, 2024 | Complaint |
| Nov 30, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 23, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.09 (case-mix index 2.12).
| Nicole Nehoray |
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Aug 18, 2022 |
| Karen Pham | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2021 |
| 6740 Wilbur Avenue Propco, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 15, 2022 |
| 9560 Pico LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 15, 2022 |
| Newgen Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 15, 2022 |
| Newgen LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 15, 2022 |
| Pico Ar LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 15, 2022 |
| Sapphire Operations, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2026 |
| The Sapphire Realty Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 15, 2022 |
| Hooman Kashani | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2022 |
| Nicole Nehoray | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 18, 2022 |
| Karen Pham | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2021 |
| Aaron Robin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 15, 2022 |
| Avrohom Tress | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 15, 2022 |
| $40k |
| Elk Grove Post Acute 9461 Batey Avenue, Elk Grove, CA 95624 CCN 0553085 state class AA/AAbuse icon | 136 | May 14, 2026 | 1013 harm | $8,824 |
| River City Post Acute 2540 Carmichael Way, Carmichael, CA 95608 CCN 05540210 state class AA/AAbuse icon | 178 | Aug 25, 2026 | 1345 open | — |
| South Coast Post Acute 1030 W Warner Ave, Santa Ana, CA 92707 CCN 055653Abuse icon | 255 | Jul 31, 2026 | 120 | — |
| Delta Oaks Post Acute 6940 Pacific Avenue, Stockton, CA 95207 CCN 0557352 state class AA/AAbuse icon | 128 | Aug 25, 2026 | 1853 harm34 open | — |
| Coastal Post Acute 348 Iris Drive, Salinas, CA 93906 CCN 0558712 state class AA/A | 80 | Apr 9, 2025 | 681 IJ | $64k |
| Country Drive Post Acute 2500 Country Drive, Fremont, CA 94536 CCN 0558852 state class AA/A | 126 | Feb 23, 2026 | 611 harm | — |
| National City Post Acute 220 East 24th Street, National City, CA 91950 CCN 055954 | 98 | Jun 22, 2026 | 602 harm2 open | $16k |