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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 | G1 | H· | I· |
| Potential harm | D51 | E20 | F7 |
| Minimal | A· | B3 |
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 | |
|---|---|---|---|---|---|---|
| Jan 5, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 27, 2025 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jun 27, 2025 | Health | Health Standard | 16 | Actual harm | — | Open → |
| Jan 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 21, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 1, 2024 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Mar 1, 2024 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Dec 5, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 22, 2022 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Jul 22, 2022 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 27, 2025 | Denial of payment for new admissions | — | Jul 23, 2025 · 28 days | 555757|Payment Denial|2025-07-23 |
| Jun 27, 2025 | Civil money penalty (fine) | $8,406 | — | 555757|Fine|134082 |
| Dec 11, 2023 | Civil money penalty (fine) | $11,645 | — | 555757|Fine|129466 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 5, 2022 violation Nov 25, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,550 initial $2,000 | Appealed Closed | 070017499 |
| Apr 4, 2022 violation Feb 10, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Appealed Closed | 070017537 |
| Oct 22, 2021 violation Oct 13, 2021 | Class B |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D51 | E20 | F7 |
| Minimal | A· | B3 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 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 | E · Potential harm Pattern | Corrected Jan 10, 2026 | Complaint |
| Jan 5, 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 Jan 10, 2026 |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Asm Family Foundation | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jun 16, 2020 |
| Helen Macatangay | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jun 16, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Asm Family Foundation | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jun 16, 2020 |
| Helen Macatangay | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jun 16, 2020 |
| Asm Family Foundation | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 16, 2020 |
| Adelona Perry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Santa Clara Post Acute 991 Clyde Avenue, Santa Clara, CA 95054 CCN 0560694 state class AA/A | 5.3 km | 201 | Sep 12, 2025 | 842 harm | — | |
| Canyon Springs Post-Acute 180 North Jackson Avenue, San Jose, CA 95116 CCN 0560825 state class AA/A | 8.7 km | 199 | Dec 8, 2025 | 1091 harm | — | |
| Inspire Behavioral Health 401 Ridge Vista Avenue, San Jose, CA 95127 CCN 05A2771 state class AA/A | 8.8 km | 116 | Nov 5, 2025 | 671 IJ2 harm | — | |
| Vista Manor Nursing Center 120 Jose Figueres Avenue, San Jose, CA 95116 CCN 555483 | 8.9 km | 99 | Jul 9, 2025 | 42 | — | |
| San Jose Healthcare & Wellness Center 75 N. 13th Street, San Jose, CA 95112 CCN 0553883 state class AA/A | 9.4 km | 58 | Jun 19, 2025 | 591 harm | — | |
| The Win Post-Acute 410 North Winchester Boulevard, Santa Clara, CA 95050 CCN 0556452 state class AA/A | 10.6 km | 133 | Mar 24, 2026 | 582 harm1 open | — | |
| Skyline Healthcare Center - San Jose 2065 Forest Avenue, San Jose, CA 95128 CCN 0553182 state class AA/A | 11.2 km | 253 | Aug 12, 2026 | 1322 IJ1 harm | $105k | |
| O'connor Hospital D/P SNF 2105 Forest Avenue, San Jose, CA 95128 CCN 5559161 state class AA/A | 11.2 km | 24 | Aug 29, 2025 | 35 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555757 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555757 | 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 | 070000047 | 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
| Citation Citation B (HSC 1424) |
| Patient Rights |
| $2,000 |
Closed |
| 070017033 |
| Jul 2, 2019 violation Jun 17, 2019 | Class B | Citation Citation B (HSC 1424) | Dietary | $2,000 | Closed | 070015191 |
| Jul 17, 2018 violation Jul 3, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 070014244 |
| Aug 10, 2017 violation Jan 17, 2017 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070013422 |
| Aug 31, 2016 violation Jul 7, 2016 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 070012531 |
| Jul 24, 2015 violation Jun 7, 2015 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $500 | Closed | 070011592 |
| Jul 24, 2015 violation Jun 7, 2015 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 070011591 |
| Mar 24, 2015 violation Feb 22, 2015 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 070011333 |
| Dec 9, 2011 violation Nov 18, 2011 | Class A | Citation Citation A (HSC 1424) | Patient Care | $60,000 initial $20,000 | Appealed Closed | 070008781 |
| Mar 29, 2011 violation Feb 19, 2011 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Appealed Closed | 070008056 |
| May 25, 2010 violation Apr 19, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $750 | Appealed Closed | 070007185 |
| Apr 6, 2006 violation Feb 17, 2006 | Class B | Citation Citation B (HSC 1424) | Medication | $900 | Closed | 070003018 |
| Jun 27, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 11, 2025 |
| Jun 27, 2025 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 10, 2025 |
| Jun 27, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| Jun 27, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2025 |
| Jun 27, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 18, 2025 |
| Jun 27, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 30, 2025 |
| Jun 27, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 30, 2025 |
| Jun 27, 2025 | K-0500 | Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2025 |
| Jun 27, 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 10, 2025 |
| Jun 27, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 7, 2025 |
| Jun 27, 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 | D · Potential harm Isolated | Corrected Jul 11, 2025 |
| Jun 27, 2025 | 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 Jul 11, 2025 |
| Jun 27, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 11, 2025 |
| Jun 27, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 11, 2025 |
| Jun 27, 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 Jul 11, 2025 |
| Jun 27, 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 20, 2025 |
| Jun 27, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 11, 2025 |
| Jun 27, 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 Jul 11, 2025 |
| Jun 27, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 11, 2025 |
| Jun 27, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 11, 2025 |
| Jun 27, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 7, 2025 |
| Jun 27, 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 Jul 11, 2025 |
| Jun 27, 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 | F · Potential harm Widespread | Corrected Aug 20, 2025 |
| Jun 27, 2025 | 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 | D · Potential harm Isolated | Corrected Jul 11, 2025 |
| Jun 27, 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 | Corrected Jul 11, 2025 |
| Jan 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 27, 2025 | Complaint |
| Jun 21, 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 Jul 5, 2024 | Complaint |
| Mar 1, 2024 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 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 | D · Potential harm Isolated | Corrected Mar 14, 2024 |
| Mar 1, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 14, 2024 |
| Mar 1, 2024 | 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 14, 2024 |
| Mar 1, 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 31, 2024 |
| Mar 1, 2024 | 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 Mar 22, 2024 |
| Mar 1, 2024 | 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 | E · Potential harm Pattern | Corrected Mar 31, 2024 |
| Mar 1, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 31, 2024 |
| Mar 1, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 31, 2024 |
| Mar 1, 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 Mar 31, 2024 |
| Mar 1, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 31, 2024 |
| Mar 1, 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 Mar 31, 2024 |
| Mar 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 31, 2024 |
| Mar 1, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 31, 2024 |
| Mar 1, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Mar 31, 2024 |
| Mar 1, 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 | B · Minimal Pattern | Waiver granted Mar 21, 2024 |
| Dec 5, 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 | Complaint |
| Jul 22, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 31, 2022 |
| Jul 22, 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 Aug 31, 2022 |
| Jul 22, 2022 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 31, 2022 |
| Jul 22, 2022 | 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 Aug 24, 2022 |
| Jul 22, 2022 | 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 | E · Potential harm Pattern | Corrected Aug 24, 2022 |
| Jul 22, 2022 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 24, 2022 |
| Jul 22, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 24, 2022 |
| Jul 22, 2022 | 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 Aug 24, 2022 |
| Jul 22, 2022 | 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 Aug 24, 2022 |
| Jul 22, 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 Aug 24, 2022 |
| Jul 22, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 24, 2022 |
| Jul 22, 2022 | 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 24, 2022 |
| Jul 22, 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 Aug 24, 2022 |
| Jul 22, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 24, 2022 |
| Jul 22, 2022 | F-0888 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 24, 2022 |
| Jul 22, 2022 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 24, 2022 |
| Jul 22, 2022 | 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 24, 2022 |
| Jul 22, 2022 | 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 Aug 24, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.68 (case-mix index 1.44).
| Jun 16, 2020 |
| Gina Corro | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 16, 2020 |