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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 | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D101 | E16 | F12 |
| Minimal | A· | B2 | C |
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 | |
|---|---|---|---|---|---|---|
| Jul 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 9, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 10, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 15, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 9, 2026 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Feb 9, 2026 | Health | Health Complaint, Health Standard | 23 | Potential harm | — | Open → |
| Feb 3, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Nov 18, 2025 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| Nov 13, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 21, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 29, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 7, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 13, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Feb 13, 2025 | Health | Health Complaint, Health Standard | 25 | Potential harm | — | Open → |
| Feb 6, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 23, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Jan 2, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Dec 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 20, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Oct 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 2, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Aug 23, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 23, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 19, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Apr 2, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 27, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 23, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 23, 2024 | Health | Health Complaint, Health Standard | 16 | Potential harm | — | Open → |
| Nov 22, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 30, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 28, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 12, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 17, 2025 | Civil money penalty (fine) | $29,848 | — | 555732|Fine|134526 |
| Jan 2, 2025 | Denial of payment for new admissions | — | Feb 21, 2025 · 19 days | 555732|Payment Denial|2025-02-21 |
| Jan 2, 2025 | Civil money penalty (fine) | $64,337 | — | 555732|Fine|131102 |
| May 19, 2024 | Civil money penalty (fine) | $18,984 | — | 555732|Fine|130662 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| May 10, 2024 violation Mar 13, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 910020173 |
| Apr 12, 2024 violation Feb 14, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 910020003 |
| Apr 12, 2024 violation Feb 14, 2024 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D101 | E16 | F12 |
| Minimal | A· | B2 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 21, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 4, 2026 | Complaint |
| Jul 9, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 19, 2026 | Complaint |
“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.
9 facilities in 1 states. CMS chain ID 752.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Healthcare Group LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | Dec 15, 2015 |
| Sfhcst LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | Aug 15, 2024 |
| Extended Care Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Dec 15, 2015 |
| Rachel Cohen | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | Aug 15, 2024 |
| Paola Dionisio | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31% | Aug 15, 2024 |
| John Nguyen | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | Aug 15, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pacific Healthcare Group LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | Dec 15, 2015 |
| Sfhcst LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | Aug 15, 2024 |
| Extended Care Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Dec 15, 2015 |
| Rachel Cohen | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | Aug 15, 2024 |
| Paola Dionisio | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Healthcare Center of Orange County 9021 Knott Ave, Buena Park, CA 90620 CCN 055674 | 99 | Aug 13, 2026 | 1181 harm | $8,427 | |
| Orinda Care Center, LLC 11 Altarinda Road, Orinda, CA 94563 CCN 055775 | 47 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Lighthouse Healthcare Center 2222 Santa Ana Blvd., Los Angeles, CA 90059 CCN 0564785 state class AA/A | 2.7 km | 149 | Aug 25, 2026 | 953 harm1 open | $114k | |
| California Post-Acute Care 3615 E. Imperial Hwy, Lynwood, CA 90262 CCN 0550524 state class AA/ASFF Candidate | 4.2 km | 130 | Aug 30, 2026 | 1954 harm8 open | $62k | |
| Lynwood Post Acute Care Center 3611 East Imperial Highway, Lynwood, CA 90262 CCN 0564157 state class AA/A | 4.2 km | 99 | Jun 23, 2026 | 87 | — | |
| Granada Post Acute 3565 E Imperial Hwy, Lynwood, CA 90262 CCN 5553481 state class AA/A | 4.2 km | 98 | Jun 18, 2026 | 49 | — | |
| Meadow Creek Post-Acute 7039 Alondra Blvd, Paramount, CA 90723 CCN 0561667 state class AA/A | 4.6 km | 104 | Jun 12, 2026 | 1142 harm | $31k | |
| View Heights Conv Hosp 12619 S. Avalon Blvd, Los Angeles, CA 90061 CCN 0564176 state class AA/A | 4.7 km | 163 | Jun 25, 2026 | 85 | — | |
| Avalon Villa Care Center 12029 Avalon Blvd, Los Angeles, CA 90061 CCN 05602311 state class AA/ASFF Candidate | 4.7 km | 131 | Jun 6, 2026 | 1671 IJ2 harm | $87k | |
| Greenfield Care Center of South Gate 8455 State Street, South Gate, CA 90280 CCN 0564583 state class AA/AAbuse icon | 5.2 km | 99 | Aug 29, 2026 | 1212 harm2 open | $58k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555732 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555732 | 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 | 940000037 | 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
| 910020001 |
| Nov 17, 2023 violation Oct 3, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Open | 910019383 |
| Aug 23, 2023 violation Jul 26, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 910019092 |
| May 24, 2023 violation Mar 11, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 910018793 |
| May 24, 2023 violation Mar 11, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 910018791 |
| Mar 24, 2023 violation Oct 11, 2022 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Open | 910018574 |
| Oct 21, 2022 violation Dec 17, 2021 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Appealed Open | 910018110 |
| Oct 29, 2021 violation Oct 17, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $12,000 | Appealed Closed | 910017057 |
| Apr 23, 2021 violation Feb 20, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 910016437 |
| Apr 2, 2021 violation Sep 7, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910016396 |
| Oct 16, 2020 violation Jun 25, 2019 | Class B | Citation Citation A (HSC 1424) | Patient Care | $15,250 initial $20,000 | Death relatedAppealed Closed | 910016103 |
| Oct 16, 2020 violation Aug 27, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,250 initial $2,000 | Appealed Open | 910016100 |
| Sep 13, 2019 violation Apr 9, 2019 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 initial $20,000 | Appealed Closed | 910015383 |
| Jun 21, 2019 violation Mar 5, 2019 | Class B | Citation Citation A (HSC 1424) | Patient Care | $16,500 initial $20,000 | Appealed Closed | 910015175 |
| May 25, 2018 violation Mar 15, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 940014095 |
| Jul 27, 2017 violation Feb 8, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Open | 940013390 |
| Jul 27, 2017 violation Feb 8, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $14,000 initial $20,000 | Appealed Closed | 940013389 |
| Jul 27, 2017 violation Feb 8, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $14,000 initial $20,000 | Appealed Closed | 940013379 |
| Jan 10, 2017 violation Apr 28, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 940012877 |
| Nov 16, 2016 violation Nov 23, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940012755 |
| Mar 2, 2016 violation Oct 9, 2014 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 940012049 |
| May 13, 2015 violation Jan 15, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 940011470 |
| Aug 31, 2007 violation Jul 11, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 940004216 |
| Nov 2, 2005 violation Nov 16, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 940001510 |
| Jul 9, 2026 | 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 Jul 19, 2026 | Complaint |
| Jul 9, 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 Jul 19, 2026 | Complaint |
| Jun 10, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 11, 2026 | Complaint |
| Jun 10, 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 | D · Potential harm Isolated | Corrected Jun 11, 2026 | Complaint |
| Apr 15, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Apr 15, 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 Apr 20, 2026 | Complaint |
| Feb 9, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Mar 1, 2026 |
| Feb 9, 2026 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2026 |
| Feb 9, 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 | E · Potential harm Pattern | Corrected Mar 1, 2026 |
| Feb 9, 2026 | 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 Mar 1, 2026 |
| Feb 9, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 1, 2026 |
| Feb 9, 2026 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2026 |
| Feb 9, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2026 |
| Feb 9, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 1, 2026 |
| Feb 9, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 1, 2026 |
| Feb 9, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 1, 2026 |
| Feb 9, 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 Mar 1, 2026 |
| Feb 9, 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 Mar 1, 2026 |
| Feb 9, 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 Mar 1, 2026 |
| Feb 9, 2026 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 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 28, 2026 |
| Feb 9, 2026 | 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 | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 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 Feb 28, 2026 |
| Feb 9, 2026 | 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 Feb 28, 2026 |
| Feb 9, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 2026 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 2026 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 28, 2026 |
| Feb 9, 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 Feb 28, 2026 | Complaint |
| Feb 9, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 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 Feb 28, 2026 |
| Feb 9, 2026 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 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 Feb 28, 2026 |
| Feb 9, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 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 Feb 28, 2026 |
| Feb 9, 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 | E · Potential harm Pattern | Corrected Feb 28, 2026 |
| Feb 9, 2026 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 28, 2026 |
| Feb 9, 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 Feb 28, 2026 |
| Feb 9, 2026 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Feb 28, 2026 |
| Feb 3, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 27, 2026 | Complaint |
| Feb 3, 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 Feb 27, 2026 | Complaint |
| Feb 3, 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 Feb 27, 2026 | Complaint |
| Feb 3, 2026 | 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 Feb 27, 2026 | Complaint |
| Nov 18, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Plan of correction, not yet verified Nov 28, 2025 | Complaint |
| Nov 18, 2025 | 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 | Plan of correction, not yet verified Nov 28, 2025 | Complaint |
| Nov 13, 2025 | 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 Nov 29, 2025 | Complaint |
| Nov 13, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 29, 2025 | Complaint |
| Jul 21, 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 Aug 11, 2025 | Complaint |
| Jul 21, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 11, 2025 | Complaint |
| Jul 21, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 11, 2025 | Complaint |
| May 29, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jun 16, 2025 | Complaint |
| May 17, 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 | D · Potential harm Isolated | Corrected May 30, 2025 | Complaint |
| Apr 7, 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 25, 2025 | Complaint |
| Feb 13, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2025 |
| Feb 13, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2025 |
| Feb 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 | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Feb 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 | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Feb 13, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Feb 13, 2025 | 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 Mar 10, 2025 |
| Feb 13, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 10, 2025 | Complaint |
| Feb 13, 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 Mar 10, 2025 | Complaint |
| Feb 13, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 10, 2025 | Complaint |
| Feb 13, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Feb 13, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Feb 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 Mar 10, 2025 |
| Feb 13, 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 Mar 10, 2025 |
| Feb 13, 2025 | 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 Mar 10, 2025 |
| Feb 13, 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 | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Feb 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 Mar 10, 2025 |
| Feb 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 Mar 10, 2025 |
| Feb 13, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Feb 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 Mar 10, 2025 |
| Feb 13, 2025 | 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 | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Feb 13, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Feb 13, 2025 | 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 Mar 10, 2025 |
| Feb 13, 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 Mar 10, 2025 |
| Feb 13, 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 Mar 10, 2025 |
| Feb 13, 2025 | 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 | F · Potential harm Widespread | Corrected Mar 10, 2025 |
| Feb 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 10, 2025 |
| Feb 13, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Waiver granted Mar 10, 2025 |
| Feb 6, 2025 | 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 Feb 25, 2025 | Complaint |
| Feb 6, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 25, 2025 | Complaint |
| Feb 6, 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 Feb 25, 2025 | Complaint |
| Jan 23, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Feb 19, 2025 | Complaint |
| Jan 23, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 10, 2025 | Complaint |
| Jan 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 | D · Potential harm Isolated | Corrected Feb 19, 2025 | Complaint |
| Jan 2, 2025 | 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 | G · Actual harm Isolated | Corrected Jan 21, 2025 | Complaint |
| Jan 2, 2025 | 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 Jan 21, 2025 | Complaint |
| Jan 2, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 21, 2025 | Complaint |
| Jan 2, 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 | D · Potential harm Isolated | Corrected Jan 21, 2025 | Complaint |
| Dec 4, 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 Dec 17, 2024 | Complaint |
| Nov 20, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 15, 2024 | Complaint |
| Nov 20, 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 Dec 15, 2024 | Complaint |
| Nov 20, 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 | D · Potential harm Isolated | Corrected Dec 15, 2024 | Complaint |
| Nov 20, 2024 | 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 Dec 15, 2024 | Complaint |
| Oct 29, 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 Nov 18, 2024 | Complaint |
| Oct 2, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 20, 2024 | Complaint |
| Oct 2, 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 Oct 20, 2024 | Complaint |
| Oct 2, 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 | D · Potential harm Isolated | Corrected Oct 20, 2024 | Complaint |
| Oct 2, 2024 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 20, 2024 | Complaint |
| Aug 23, 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 Sep 16, 2024 | Complaint |
| Aug 23, 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 | D · Potential harm Isolated | Corrected Sep 16, 2024 | Complaint |
| Aug 23, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 16, 2024 | Complaint |
| Jul 10, 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 Aug 2, 2024 | Complaint |
| May 23, 2024 | 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 Jun 6, 2024 | Complaint |
| May 19, 2024 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jun 5, 2024 | Complaint |
| Apr 2, 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 | D · Potential harm Isolated | Corrected Apr 11, 2024 | Complaint |
| Apr 2, 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 Apr 11, 2024 | Complaint |
| Mar 27, 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 | D · Potential harm Isolated | Corrected Apr 20, 2024 | Complaint |
| Mar 27, 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 | D · Potential harm Isolated | Corrected Apr 20, 2024 | Complaint |
| Feb 23, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 23, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 23, 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 Mar 15, 2024 | Complaint |
| Feb 23, 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 Mar 15, 2024 |
| Feb 23, 2024 | 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 Mar 15, 2024 |
| Feb 23, 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 Mar 15, 2024 |
| Feb 23, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 23, 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 Mar 15, 2024 |
| Feb 23, 2024 | 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 Mar 15, 2024 |
| Feb 23, 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 Mar 15, 2024 |
| Feb 23, 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 Mar 15, 2024 |
| Feb 23, 2024 | 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 | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 23, 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 Mar 15, 2024 |
| Feb 23, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Feb 23, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 15, 2024 |
| Feb 23, 2024 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 15, 2024 |
| Nov 22, 2023 | 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 Dec 16, 2023 | Complaint |
| Oct 30, 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 Nov 26, 2023 | Complaint |
| Oct 28, 2023 | 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 Nov 17, 2023 | Complaint |
| Oct 12, 2023 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 30, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.55 (case-mix index 1.20).
| Indirect owner |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| 31% |
| Aug 15, 2024 |
| John Nguyen | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | Aug 15, 2024 |
| Renew Health Consulting Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 17, 2023 |
| Arinder Chadha | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 15, 2016 |
| Rachel Cohen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2024 |
| Gabriela Martinez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 18, 2026 |
| Vatsala Sharma | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 17, 2023 |
| Janet Strickland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 5, 2019 |
| Rachel Cohen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 15, 2024 |
| Eleos Health Care, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 4, 2025 |
| Gateways Rehabilitation Center II LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2023 |
| Renew Health Consulting Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2023 |
| Arinder Chadha | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 15, 2016 |
| Gabriela Martinez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 18, 2026 |
| Vatsala Sharma | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 17, 2023 |
| Janet Strickland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 5, 2019 |
| May 29, 2026 |
68 |
| — |
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| Redwood Healthcare Center LLC 3145 High Street, Oakland, CA 94619 CCN 555499 | 44 | Jun 15, 2026 | 56 | — |
| Arrowhead Healthcare Center, LLC 4343 N Sierra Way, San Bernardino, CA 92407 CCN 5558965 state class AA/A | 58 | Apr 9, 2026 | 40 | — |