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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D42 | E12 | F17 |
| 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 | |
|---|---|---|---|---|---|---|
| May 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 26, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jun 26, 2025 | Health | Health Standard | 5 | Potential harm | — | Open → |
| May 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 23, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 16, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 11, 2024 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Jun 7, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 31, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 3, 2022 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Feb 3, 2022 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 16, 2024 | Denial of payment for new admissions | — | Jan 1, 2025 · 7 days | 555740|Payment Denial|2025-01-01 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Feb 29, 2024 violation Dec 2, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 250019774 |
| Oct 2, 2018 violation Jun 8, 2018 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Appealed Closed | 250014361 |
| Sep 19, 2018 violation Sep 20, 2017 | Class B | Citation Citation A (HSC 1424) | Patient Care |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D42 | E12 | F17 |
| Minimal | A· | B· | C6 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 5, 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 May 6, 2026 | Complaint |
| Mar 6, 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 Mar 18, 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.
6 facilities in 1 states. CMS chain ID 136.
Chain average overall rating (CMS): 3.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Madelyn Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 28, 2026 |
| Emmanuel David | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 11, 1999 |
| Antonio Quion | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 11, 1999 |
| Denise Steve | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2021 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Country Manor Healthcare 11723 Fenton Avenue, Lake View Terrace, CA 91342 CCN 0550021 state class AA/A | 99 | Feb 12, 2026 | 761 harm | $8,018 | |
| Pacific Palms Healthcare 1020 Termino Avenue, Long Beach, CA 90804 CCN 056164 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Sundance Creek Post Acute 5800 West Wilson Street, Banning, CA 92220 CCN 5553091 state class AA/A | 0.9 km | 132 | Aug 7, 2026 | 841 open | — | |
| Highland Springs Care Center 1441 Michigan Avenue, Beaumont, CA 92223 CCN 5551351 state class AA/A | 2.5 km | 87 | Jul 31, 2026 | 701 IJ3 harm | $77k | |
| Sunrise Post Acute 3476 W. Wilson St., Banning, CA 92220 CCN 555319 | 3.7 km | 64 | Jun 23, 2026 | 713 IJ1 harm3 open | $76k | |
| Oak Glen Post Acute 9246 Avenida Miravilla, Cherry Valley, CA 92223 CCN 5554921 state class AA/A | 6 km | 59 | Jun 30, 2026 | 611 harm | — | |
| Yucaipa Hills Post Acute 13542 2nd St., Yucaipa, CA 92399 CCN 0563656 state class AA/A | 11.7 km | 82 | Aug 12, 2026 | 541 IJ | $23k | |
| Creekside Post Acute 35253 Avenue H, Yucaipa, CA 92399 CCN 0555571 state class AA/A | 12 km | 59 | Jul 15, 2026 | 62 | — | |
| Cedar Mountain Post Acute 11970 4th St, Yucaipa, CA 92399 CCN 5554944 state class AA/A | 14.8 km | 99 | Aug 12, 2026 | 63 | — | |
| University Post Acute 2278 Nice Ave, Mentone, CA 92359 CCN 5550253 state class AA/A | 20.9 km | 50 | Nov 20, 2025 | 31 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555740 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555740 | 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 | 250000110 | 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
| $10,000 |
| Appealed Closed |
| 250014362 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011575 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011558 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011557 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011556 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $1,500 | Closed | 250011551 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011550 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011547 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011541 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011536 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011534 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011529 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011516 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011515 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011514 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011513 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011512 |
| Jun 30, 2015 violation Oct 3, 2013 | Class B | Citation Citation B (HSC 1424) | Other · Financial Abuse | $2,000 | Closed | 250011511 |
| Nov 17, 2006 violation Dec 2, 2005 | Class B | Citation Citation B (HSC 1424) | Staffing | $1,000 | Closed | 250003409 |
| Jun 26, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 17, 2025 |
| Jun 26, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2025 |
| Jun 26, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2025 |
| Jun 26, 2025 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 17, 2025 |
| Jun 26, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2025 |
| Jun 26, 2025 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2025 |
| Jun 26, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 17, 2025 |
| Jun 26, 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 Jul 16, 2025 |
| Jun 26, 2025 | 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 16, 2025 |
| Jun 26, 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 Jul 15, 2025 |
| Jun 26, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 15, 2025 |
| Jun 26, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 15, 2025 |
| Jun 26, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jul 16, 2025 |
| Jun 26, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jul 15, 2025 |
| May 1, 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 May 7, 2025 | Complaint |
| Mar 21, 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 25, 2025 | Complaint |
| Mar 17, 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 Apr 1, 2025 | Complaint |
| Dec 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 | G · Actual harm Isolated | Corrected Jan 8, 2025 | Complaint |
| Dec 16, 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 | G · Actual harm Isolated | Corrected Dec 24, 2024 | Complaint |
| Jul 11, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 3, 2024 |
| Jul 11, 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 | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 11, 2024 | 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 Aug 2, 2024 |
| Jul 11, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 11, 2024 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 11, 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 Aug 2, 2024 |
| Jul 11, 2024 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 11, 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 | E · Potential harm Pattern | Corrected Aug 9, 2024 |
| Jul 11, 2024 | 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 Aug 9, 2024 |
| Jul 11, 2024 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 9, 2024 |
| Jul 11, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 9, 2024 |
| Jul 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jul 11, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2024 |
| Jul 11, 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 Aug 9, 2024 |
| Jul 11, 2024 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Sep 3, 2024 |
| Jul 11, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Sep 3, 2024 |
| Jun 7, 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 Jun 21, 2024 | Complaint |
| Jun 7, 2024 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 21, 2024 | Complaint |
| Mar 19, 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 4, 2024 | Complaint |
| Jan 31, 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 Feb 7, 2024 | Complaint |
| Jan 5, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 19, 2024 | Complaint |
| Feb 3, 2022 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 28, 2022 |
| Feb 3, 2022 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 16, 2022 |
| Feb 3, 2022 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 16, 2022 |
| Feb 3, 2022 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 16, 2022 |
| Feb 3, 2022 | 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 16, 2022 |
| Feb 3, 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 Mar 16, 2022 |
| Feb 3, 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 | D · Potential harm Isolated | Corrected Mar 16, 2022 |
| Feb 3, 2022 | 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 16, 2022 |
| Feb 3, 2022 | 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 Mar 16, 2022 |
| Feb 3, 2022 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 16, 2022 |
| Feb 3, 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 | E · Potential harm Pattern | Corrected Mar 16, 2022 |
| Feb 3, 2022 | 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 16, 2022 |
| Feb 3, 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 Mar 16, 2022 |
| Feb 3, 2022 | 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 | D · Potential harm Isolated | Corrected Mar 16, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.91 (case-mix index 1.51).
| 133 |
| Apr 8, 2026 |
851 harm |
| — |
| Harbor Post Acute Care Center 21521 S. Vermont Avenue, Torrance, CA 90502 CCN 056192 | 127 | Apr 2, 2026 | 62 | — |
| Heritage Rehabilitation Center 21414 S. Vermont Avenue, Torrance, CA 90502 CCN 0563081 state class AA/A | 161 | Aug 28, 2026 | 726 harm2 open | $147k |
| St Andrews 2300 W. Washington Blvd., Los Angeles, CA 90018 CCN 5552181 state class AA/A | 59 | Jun 5, 2026 | 65 | — |