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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 | D59 | E5 | F3 |
| Minimal | A· | B11 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 26, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 20, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 22, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 22, 2026 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Oct 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 15, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 23, 2025 | Health | Health Complaint | 1 | Minimal | — | Open → |
| Nov 15, 2024 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Nov 15, 2024 | Health | Health Complaint, Health Standard | 23 | Potential harm | — | Open → |
| Dec 12, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 17, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Nov 17, 2023 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jan 9, 2024 violation Dec 12, 2023 | Class B | Citation Citation B (HSC 1424) | Other · Accidents/Hazards | $2,000 | Closed | 060019577 |
| Aug 2, 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 | 810019001 |
| Oct 14, 2019 violation Aug 11, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 060015446 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D59 | E5 | F3 |
| Minimal | A· | B11 | C3 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 29, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 7, 2026 | Complaint |
| May 26, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 11, 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 2 facilities.
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 |
|---|---|---|---|---|---|
| Asrv LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Aspen Skilled Healthcare Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Sacc LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Jeffrey Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Peter Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 7, 2023 |
| Vern Brady | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Ryan Case | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Eric Elsner | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Jared Kirkwood | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Craig Orgill | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Rajesh Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Shruty Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Marcus Paxman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Asrv LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Aspen Skilled Healthcare Inc | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Sacc LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Jeffrey Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided |
| Facility | License type | Capacity | State rating |
|---|---|---|---|
| Capistrano Senior Living 31741 Rancho Viejo Road, San Juan Capistrano, CA 92675 | CCRC | 125 | — |
| 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 |
|---|---|---|---|---|---|---|
| Capistrano Beach Care Center 35410 Del Rey, Dana Point, CA 92624 CCN 0555851 state class AA/A | 5.9 km | 93 | May 28, 2026 | 1151 open | — | |
| Orchards Skilled Nursing 1 Amistad Drive, Rancho Mission Viejo, CA 92694 CCN 555922 | 6.1 km | 49 | Jul 16, 2026 | 41 | — | |
| Palm Terrace Healthcare & Rehabilitation Center 24962 Calle Aragon, Laguna Hills, CA 92637 CCN 5552575 state class AA/A | 12.1 km | 99 | Feb 26, 2026 | 5922 open | — | |
| Villa Valencia Healthcare Center 25000 Calle De Los Caballeros, Laguna Hills, CA 92653 CCN 5554622 state class AA/A | 12.8 km | 59 | Aug 7, 2026 | 67 | — | |
| Laguna Hills Health and Rehabilitation Center 24452 Health Center Drive, Laguna Hills, CA 92653 CCN 0561103 state class AA/A | 13 km | 208 | Jul 9, 2026 | 158 | — | |
| Freedom Village Healthcare Center 23442 El Toro Road, Lake Forest, CA 92630 CCN 5553911 state class AA/A | 14.1 km | 52 | Jun 2, 2026 | 75 | — | |
| Trabuco Hills Post Acute 25652 Old Trabuco Road, Lake Forest, CA 92630 CCN 5553081 state class AA/A | 16.1 km | 175 | Jun 24, 2026 | 142 | — | |
| Regents Point - Windcrest 19191 Harvard Avenue, Irvine, CA 92612 CCN 5552952 state class AA/A | 23.5 km | 59 | Jun 10, 2026 | 45 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555763 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555763 | 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 | 060001680 | 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
| Dec 7, 2011 violation Aug 29, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 060008782 |
| Mar 25, 2002 violation Feb 28, 2002 | Class B | Citation Citation B (HSC 1424) | Other · ADMIN. & PT. RIGHTS | $1,000 | Closed | 060001092 |
| Sep 20, 2001 violation Apr 20, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 060001072 |
| May 26, 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 Jun 11, 2026 | Complaint |
| May 26, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Jun 11, 2026 | Complaint |
| Apr 20, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 5, 2026 | Complaint |
| Jan 22, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 8, 2026 |
| Jan 22, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 8, 2026 |
| Jan 22, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Jan 22, 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 3, 2026 |
| Jan 22, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Jan 22, 2026 | 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 Mar 3, 2026 |
| Jan 22, 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 3, 2026 |
| Jan 22, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Jan 22, 2026 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Jan 22, 2026 | 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 Mar 3, 2026 |
| Jan 22, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 3, 2026 |
| Jan 22, 2026 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Jan 22, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 3, 2026 |
| Jan 22, 2026 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Jan 22, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Mar 3, 2026 |
| Jan 22, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | B · Minimal Pattern | Corrected Mar 3, 2026 |
| Oct 15, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 12, 2025 | Complaint |
| Jul 15, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2025 | Complaint |
| Jul 15, 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 | B · Minimal Pattern | Corrected Aug 2, 2025 | Complaint |
| Jul 15, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Aug 2, 2025 | Complaint |
| May 23, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jun 19, 2025 | Complaint |
| Nov 15, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 14, 2024 |
| Nov 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 14, 2024 |
| Nov 15, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | K-0928 | Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 14, 2024 |
| Nov 15, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 2024 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 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 Dec 13, 2024 |
| Nov 15, 2024 | 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 13, 2024 |
| Nov 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 Dec 13, 2024 |
| Nov 15, 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 Dec 13, 2024 |
| Nov 15, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 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 Dec 13, 2024 |
| Nov 15, 2024 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 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 | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 2024 | 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 Dec 13, 2024 | Complaint |
| Nov 15, 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 Dec 13, 2024 |
| Nov 15, 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 Dec 13, 2024 |
| Nov 15, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 2024 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 13, 2024 |
| Nov 15, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Dec 14, 2024 |
| Nov 15, 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 | C · Minimal Widespread | Corrected Dec 14, 2024 |
| Nov 15, 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 | B · Minimal Pattern | Corrected Dec 13, 2024 | Complaint |
| Nov 15, 2024 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Dec 13, 2024 | Complaint |
| Nov 15, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | B · Minimal Pattern | Corrected Dec 13, 2024 | Complaint |
| Nov 15, 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 | B · Minimal Pattern | Corrected Dec 13, 2024 |
| Dec 12, 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 Jan 2, 2024 | Complaint |
| Nov 17, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 7, 2023 |
| Nov 17, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 7, 2023 |
| Nov 17, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 7, 2023 |
| Nov 17, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 7, 2023 |
| Nov 17, 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 | D · Potential harm Isolated | Corrected Dec 7, 2023 |
| Nov 17, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 2023 | 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 15, 2023 |
| Nov 17, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 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 15, 2023 |
| Nov 17, 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 15, 2023 |
| Nov 17, 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 | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 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 | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 2023 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 2023 | 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 | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 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 | F · Potential harm Widespread | Corrected Dec 15, 2023 |
| Nov 17, 2023 | 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 Dec 15, 2023 |
| Nov 17, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 17, 2023 |
| Nov 17, 2023 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 15, 2023 |
| Nov 17, 2023 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Dec 7, 2023 |
| Nov 17, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | B · Minimal Pattern | Corrected Dec 15, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.61 (case-mix index 1.97).
| Nov 3, 2021 |
| Peter Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 7, 2023 |
| Vern Brady | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Ryan Case | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Eric Elsner | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Jared Kirkwood | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Craig Orgill | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Rajesh Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Shruty Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 3, 2021 |
| Marcus Paxman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Apr 1, 2022 |
| Jeffrey Bradshaw | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Aug 21, 2025 |
| Jeffrey Bradshaw | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Timothy Caslmon | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Stephen Thompson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2023 |
| Asrv LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 3, 2021 |
| Timothy Caslmon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Spencer Nordfelt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 3, 2022 |
| Lanie Sta Ana | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Stephen Thompson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Aspen Healthcare Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Asrv LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 3, 2021 |
| East West Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 6, 2020 |
| 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 |
| Huan Guu | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2009 |
| Frank Jurado | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Spencer Nordfelt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 3, 2022 |
| Marcus Paxman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Lanie Sta Ana | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| 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 | — |