Loading facility…
California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D87 | E31 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 7, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jun 11, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 6, 2026 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Mar 6, 2026 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jun 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 1, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 29, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 24, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 19, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Dec 19, 2024 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Nov 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 15, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Sep 3, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 31, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 30, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| May 15, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 28, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 29, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 17, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 16, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Dec 22, 2023 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Nov 27, 2023 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Nov 27, 2023 | Health | Health Complaint, Health Standard | 31 | Actual harm | — | Open → |
| Nov 25, 2023 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 15, 2023 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Oct 18, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 15, 2023 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Oct 7, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 6, 2024 | Denial of payment for new admissions | — | Jul 3, 2024 · 2 days | 555748|Payment Denial|2024-07-03 |
| Jun 6, 2024 | Civil money penalty (fine) | $42,770 | — | 555748|Fine|130687 |
| Jan 16, 2024 | Civil money penalty (fine) | $15,435 | — | 555748|Fine|130141 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 11, 2024 violation Feb 20, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920019989 |
| Mar 11, 2024 violation Jan 13, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920019854 |
| Mar 6, 2024 violation Dec 3, 2023 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $120,000 | Death related |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D87 | E31 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 7, 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 Aug 28, 2026 | Complaint |
| Aug 7, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 28, 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.
35 facilities in 2 states. CMS chain ID 50.
Chain average overall rating (CMS): 3.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Asmb, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 19, 2021 |
| Aspen Skilled Healthcare Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 19, 2021 |
| Jacaranda Healthcare Group LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Asmb, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 19, 2021 |
| Aspen Skilled Healthcare Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Feb 19, 2021 |
| Jacaranda Healthcare Group LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2023 |
| Timothy Caslmon | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| South Marin Health & Wellness Center 1220 South Eliseo Drive, Greenbrae, CA 94904 CCN 055093 | 72 | Jan 23, 2026 | 57 | — | |
| Berkley West Healthcare Center 1623 Arizona Avenue, Santa Monica, CA 90404 CCN 055136 | 54 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Santa Monica Health Care Center 1320 20th Street, Santa Monica, CA 90404 CCN 0555401 state class AA/A | 0.1 km | 59 | Jul 17, 2026 | 502 IJ1 harm | — | |
| Santa Monica Rehabilitation Center 1338 20th Street, Santa Monica, CA 90404 CCN 5558087 state class AA/ASFF Candidate | 0.1 km | 144 | Aug 31, 2026 | 1983 IJ4 harm5 open | $143k | |
| Berkley West Healthcare Center 1623 Arizona Avenue, Santa Monica, CA 90404 CCN 055136 | 0.3 km | 54 | Jun 25, 2026 | 841 IJ | $101k | |
| Pacific Post Acute 1323 17th Street, Santa Monica, CA 90404 CCN 555054 | 0.3 km | 49 | Aug 3, 2026 | 55 | — | |
| Ocean Pointe Healthcare Center 1330 17th Street, Santa Monica, CA 90404 CCN 0551551 state class AA/A | 0.4 km | 72 | Jun 5, 2026 | 791 IJ | $55k | |
| Beachwood Post-Acute & Rehab 1340 15th Street, Santa Monica, CA 90404 CCN 0563346 state class AA/A | 1.1 km | 227 | Aug 14, 2026 | 1345 harm | $178k | |
| Good Shepherd Health Care Center of Santa Monica 1131 Arizona Ave., Santa Monica, CA 90401 CCN 5550612 state class AA/A | 1.2 km | 48 | Feb 25, 2026 | 591 harm | $8,424 | |
| Brentwood Health Care Center 1321 Franklin Street, Santa Monica, CA 90404 CCN 055711 | 1.3 km | 59 | Apr 21, 2026 | 55 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555748 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555748 | 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 | 910000014 | 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
| 920019831 |
| Feb 2, 2024 violation Dec 3, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Death related Closed | 920019689 |
| Feb 2, 2024 violation Nov 1, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Death related Closed | 920019688 |
| Feb 2, 2024 violation Oct 28, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920019685 |
| Dec 20, 2023 violation Oct 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Open | 810019475 |
| Dec 15, 2023 violation Sep 24, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920019499 |
| Dec 13, 2023 violation Nov 25, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Closed | 920019478 |
| Nov 22, 2023 violation Oct 11, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 920019395 |
| Nov 16, 2023 violation Oct 4, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 920019378 |
| Oct 24, 2023 violation Sep 20, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 920019294 |
| Sep 22, 2023 violation Aug 8, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Closed | 920019189 |
| May 11, 2023 violation Mar 21, 2023 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $5,000 initial $3,500 | Appealed Open | 920018736 |
| Jan 28, 2022 violation Nov 5, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 920017300 |
| Jan 28, 2022 violation Nov 5, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920017299 |
| Jan 14, 2022 violation Nov 4, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 920017265 |
| Dec 10, 2020 violation Oct 1, 2020 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 920016190 |
| Aug 1, 2018 violation May 22, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Appealed Open | 910014307 |
| Jul 3, 2018 violation Jul 7, 2017 | Class B | Citation Citation A (HSC 1424) | Patient Care | $17,000 initial $20,000 | Death relatedAppealed Closed | 920014211 |
| Jun 14, 2018 violation Feb 9, 2018 | Class A | Citation Citation A (HSC 1424) | Patient Care | $9,500 initial $17,000 | Appealed Closed | 910014137 |
| May 9, 2012 violation Oct 29, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910008602 |
| May 2, 2012 violation Oct 29, 2010 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 910008601 |
| Nov 21, 2001 violation Sep 22, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $800 | Appealed Closed | 910001458 |
| May 26, 2000 violation Dec 23, 2000 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $450 initial $900 | Appealed Closed | 910001273 |
| Aug 7, 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 Aug 28, 2026 | Complaint |
| Jun 11, 2026 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 2, 2026 | Complaint |
| Mar 6, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 18, 2026 |
| Mar 6, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 18, 2026 |
| Mar 6, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 18, 2026 |
| Mar 6, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2026 |
| Mar 6, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2026 |
| Mar 6, 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 18, 2026 |
| Mar 6, 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 18, 2026 |
| Mar 6, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 26, 2026 |
| Mar 6, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 26, 2026 |
| Mar 6, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 26, 2026 |
| Mar 6, 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 Mar 26, 2026 |
| Mar 6, 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 Mar 26, 2026 |
| Mar 6, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 26, 2026 |
| Mar 6, 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 Mar 26, 2026 |
| Jun 9, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 30, 2025 | Complaint |
| May 1, 2025 | 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 May 20, 2025 | Complaint |
| Apr 29, 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 May 20, 2025 | Complaint |
| Apr 29, 2025 | 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 May 20, 2025 | Complaint |
| Mar 24, 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 Apr 10, 2025 | Complaint |
| Dec 19, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 16, 2025 |
| Dec 19, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 16, 2025 |
| Dec 19, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 16, 2025 |
| Dec 19, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 16, 2025 |
| Dec 19, 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 Jan 16, 2025 |
| Dec 19, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 10, 2025 |
| Dec 19, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 10, 2025 |
| Dec 19, 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 Jan 10, 2025 |
| Dec 19, 2024 | 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 Jan 10, 2025 |
| Dec 19, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 10, 2025 |
| Dec 19, 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 Jan 10, 2025 |
| Dec 19, 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 Jan 10, 2025 |
| Dec 19, 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 Jan 10, 2025 |
| Dec 19, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 10, 2025 |
| Dec 19, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 10, 2025 |
| Nov 21, 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 | D · Potential harm Isolated | Corrected Dec 4, 2024 | Complaint |
| Nov 15, 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 Dec 5, 2024 | Complaint |
| Nov 15, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 5, 2024 | Complaint |
| Nov 15, 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 5, 2024 | Complaint |
| Sep 3, 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 Sep 20, 2024 | Complaint |
| Jul 31, 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 Aug 26, 2024 | Complaint |
| Jul 31, 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 Aug 26, 2024 | Complaint |
| Jul 30, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 30, 2024 | Complaint |
| Jul 2, 2024 | F-0906 | Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 5, 2024 | Complaint |
| Jun 25, 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 5, 2024 | Complaint |
| Jun 6, 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 Jun 28, 2024 | Complaint |
| Jun 6, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 28, 2024 | Complaint |
| Jun 6, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jun 28, 2024 | Complaint |
| Jun 6, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 28, 2024 | Complaint |
| May 15, 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 May 30, 2024 | Complaint |
| May 15, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 30, 2024 | Complaint |
| Apr 8, 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 15, 2024 | Complaint |
| Feb 28, 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 Mar 21, 2024 | Complaint |
| Feb 28, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 21, 2024 | Complaint |
| Jan 29, 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 Feb 28, 2024 | Complaint |
| Jan 29, 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 Feb 28, 2024 | Complaint |
| Jan 29, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Jan 17, 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 Feb 12, 2024 | Complaint |
| Jan 17, 2024 | 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 Feb 12, 2024 | Complaint |
| Jan 16, 2024 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 15, 2024 | Complaint |
| Jan 16, 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 Feb 15, 2024 | Complaint |
| Dec 22, 2023 | 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 Jan 15, 2024 | Complaint |
| Dec 22, 2023 | 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 15, 2024 | Complaint |
| Dec 22, 2023 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 15, 2024 | Complaint |
| Dec 22, 2023 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 15, 2024 | Complaint |
| Dec 22, 2023 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jan 15, 2024 | Complaint |
| Nov 27, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 12, 2023 |
| Nov 27, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 12, 2023 |
| Nov 27, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 27, 2023 | K-0907 | Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 8, 2023 |
| Nov 27, 2023 | 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 Dec 8, 2023 |
| Nov 27, 2023 | 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 Dec 8, 2023 |
| Nov 27, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 8, 2023 |
| Nov 27, 2023 | 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 Dec 12, 2023 |
| Nov 27, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 12, 2023 |
| Nov 27, 2023 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2023 |
| Nov 27, 2023 | 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 Dec 12, 2023 |
| Nov 27, 2023 | 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 Dec 12, 2023 | Complaint |
| Nov 27, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 12, 2023 |
| Nov 27, 2023 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2023 | Complaint |
| Nov 27, 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 | E · Potential harm Pattern | Corrected Dec 12, 2023 |
| Nov 27, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2023 | Complaint |
| Nov 27, 2023 | 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 Dec 12, 2023 | Complaint |
| Nov 27, 2023 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 12, 2023 |
| Nov 27, 2023 | 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 Dec 12, 2023 |
| Nov 27, 2023 | 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 Dec 12, 2023 |
| Nov 27, 2023 | 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 Dec 12, 2023 |
| Nov 27, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Dec 12, 2023 |
| Nov 27, 2023 | 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 Dec 12, 2023 |
| Nov 27, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 12, 2023 |
| Nov 27, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 12, 2023 | Complaint |
| Nov 27, 2023 | 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 Dec 12, 2023 |
| Nov 27, 2023 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 12, 2023 |
| Nov 27, 2023 | F-0778 | Help the resident make transportation arrangements to and from radiology services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 12, 2023 |
| Nov 27, 2023 | 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 Dec 12, 2023 |
| Nov 27, 2023 | 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 12, 2023 | Complaint |
| Nov 27, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 12, 2023 | Complaint |
| Nov 27, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 12, 2023 | Complaint |
| Nov 27, 2023 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 12, 2023 | Complaint |
| Nov 27, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 12, 2023 | Complaint |
| Nov 27, 2023 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 12, 2023 | Complaint |
| Nov 27, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 12, 2023 |
| Nov 25, 2023 | 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 Dec 6, 2023 | Complaint |
| Nov 25, 2023 | F-0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 6, 2023 | Complaint |
| Nov 25, 2023 | 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 Dec 6, 2023 | Complaint |
| Nov 15, 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 | G · Actual harm Isolated | Corrected Dec 1, 2023 | Complaint |
| Nov 15, 2023 | 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 Dec 1, 2023 | Complaint |
| Oct 26, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 19, 2023 | Complaint |
| Oct 26, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 19, 2023 | Complaint |
| Oct 26, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 19, 2023 | Complaint |
| Oct 26, 2023 | 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 Nov 19, 2023 | Complaint |
| Oct 26, 2023 | 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 Nov 19, 2023 | Complaint |
| Oct 18, 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 Nov 14, 2023 | Complaint |
| Oct 18, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 14, 2023 | Complaint |
| Oct 15, 2023 | 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 | J · Immediate jeopardy Isolated | Corrected Nov 10, 2023 | Complaint |
| Oct 15, 2023 | 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 | J · Immediate jeopardy Isolated | Corrected Nov 10, 2023 | Complaint |
| Oct 7, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 12, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.49 (case-mix index 1.53).
| Jan 1, 2023 |
| Stephen Thompson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Asmb, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 19, 2021 |
| Kathleen Abastillas | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 27, 2023 |
| Timothy Caslmon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Susan Leonard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2020 |
| Kendra Noonan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 12, 2024 |
| Stephen Thompson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Jeffrey Bradshaw | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 24, 2019 |
| Vern Brady | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 24, 2019 |
| Ryan Case | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 24, 2019 |
| Asmb, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 19, 2021 |
| Aspen Healthcare Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Jacaranda Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Kathleen Abastillas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 27, 2023 |
| Jeffrey Bradshaw | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Vern Brady | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Ryan Case | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Timothy Caslmon | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Frank Jurado | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Susan Leonard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2020 |
| Kendra Noonan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 12, 2024 |
| Marcus Paxman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Stephen Thompson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Jun 25, 2026 |
841 IJ |
| $101k |
| Ocean Pointe Healthcare Center 1330 17th Street, Santa Monica, CA 90404 CCN 0551551 state class AA/A | 72 | Jun 5, 2026 | 791 IJ | $55k |
| Woodlands Healthcare Center 14966 Terreno De Flores Lane, Los Gatos, CA 95032 CCN 0555172 state class AA/A | 65 | Sep 19, 2025 | 60 | — |
| Stonebrook Health and Rehabilitation 350 De Soto Drive, Los Gatos, CA 95032 CCN 0558002 state class AA/A | 73 | Mar 5, 2026 | 49 | — |
| The Avenues Transitional Care Center 2043 19th Avenue, San Francisco, CA 94116 CCN 055963 | 140 | Oct 2, 2025 | 461 harm | $13k |
| Petaluma Post-Acute Rehabilitation 1115 B Street, Petaluma, CA 94952 CCN 0560722 state class AA/A | 90 | Dec 19, 2025 | 36 | — |
| Cottonwood Healthcare Center 625 Cottonwood Street, Woodland, CA 95695 CCN 0560982 state class AA/A | 98 | Jul 24, 2026 | 50 | — |