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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 | G· | H· | I· |
| Potential harm | D31 | E16 | F15 |
| Minimal | A· | B1 |
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 15, 2026 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jan 15, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Nov 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 7, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Sep 26, 2024 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| Sep 26, 2024 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Apr 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 18, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jan 18, 2022 | Health | Health Standard | 12 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Feb 5, 2021 violation Jul 1, 2019 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $15,000 | Closed | 810016257 |
| Jan 8, 2018 violation Sep 29, 2015 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230013714 |
| Feb 19, 2014 violation May 8, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 230009327 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D31 | E16 | F15 |
| Minimal | A· | B1 | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 15, 2026 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 28, 2026 | |
| Jan 15, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 28, 2026 | |
| Jan 15, 2026 | K-0363 |
“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 |
|---|---|---|---|---|---|
| Aocl, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 7, 2022 |
| Peter Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 7, 2023 |
| Eric Elsner | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Jared Kirkwood | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Craig Orgill | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Rajesh Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Shruty Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Marcus Paxman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Aocl, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 7, 2022 |
| Peter Bradshaw | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 7, 2023 |
| Eric Elsner | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Jared Kirkwood | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Craig Orgill | Individual |
| 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 |
|---|---|---|---|---|---|---|
| Oroville Hospital Post-Acute Center 1000 Executive Parkway, Oroville, CA 95966 CCN 5552813 state class AA/AAbuse icon | 2 km | 126 | Aug 5, 2026 | 781 IJ | $46k | |
| Feather River Care Center 1 Gilmore Lane, Oroville, CA 95966 CCN 055612Abuse icon | 2 km | 50 | Jan 29, 2026 | 1071 IJ | $60k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555802 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555802 | 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 | 230000802 | 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 17, 2013 violation Jan 4, 2013 |
| Class B |
| Citation Citation B (HSC 1424) |
| Other · Neglect |
| $2,000 |
Closed |
| 230009704 |
| Jul 6, 2012 violation Mar 17, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 | Closed | 230009369 |
| Jul 6, 2012 violation Apr 28, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $500 | Closed | 230009326 |
| Feb 14, 2012 violation Jan 8, 2012 | Class B | Citation Citation B (HSC 1424) | Other · FTR within 24 hours | $500 | Closed | 230008979 |
| Oct 20, 2011 violation Aug 8, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230008640 |
| Dec 2, 2010 violation Sep 20, 2010 | Class B | Citation Citation B (HSC 1424) | Administration | $500 | Closed | 230007737 |
| Nov 22, 2010 violation Sep 10, 2010 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230007723 |
| Oct 28, 2010 violation Aug 21, 2010 | Class B | Citation Citation B (HSC 1424) | Administration | $750 | Closed | 230007676 |
| Jan 22, 2009 violation Dec 29, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 initial $1,000 | Appealed Closed | 230005810 |
| Jan 22, 2009 violation Dec 23, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 230005807 |
| Oct 7, 2008 violation May 24, 2008 | Class B | Citation Citation B (HSC 1424) | Other · VERBAL ABUSE | $750 | Closed | 230005486 |
| Oct 7, 2008 violation May 24, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $750 | Closed | 230005485 |
| May 29, 2008 violation Apr 20, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230005084 |
| May 29, 2008 violation Apr 19, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230005083 |
| Apr 2, 2008 violation Jun 27, 2007 | Class B | Citation Citation B (HSC 1424) | Medication | $500 initial $1,000 | Appealed Closed | 230004800 |
| Mar 6, 2007 violation Jan 26, 2006 | Class B | Citation Citation B (HSC 1424) | Other · Abuse | $3,000 initial $1,000 | Closed | 230003690 |
| Dec 28, 2005 violation Oct 5, 2005 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230001159 |
| Dec 28, 2005 violation Aug 7, 2005 | Class B | Citation Citation B (HSC 1424) | Administration | $750 | Closed | 230001158 |
| Dec 7, 2005 violation Sep 21, 2005 | Class B | Citation Citation B (HSC 1424) | Other · VERBAL ABUSE | $700 | Closed | 230001155 |
| Jul 16, 2004 violation Jan 22, 2004 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 230001082 |
| Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jan 28, 2026 |
| Jan 15, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 28, 2026 |
| Jan 15, 2026 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 28, 2026 |
| Jan 15, 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 Jan 28, 2026 |
| Jan 15, 2026 | 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 Jan 28, 2026 |
| Jan 15, 2026 | 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 | E · Potential harm Pattern | Corrected Feb 6, 2026 |
| Jan 15, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 6, 2026 |
| Jan 15, 2026 | 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 Feb 6, 2026 |
| Jan 15, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 6, 2026 |
| Jan 15, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 6, 2026 |
| Jan 15, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 6, 2026 |
| Jan 15, 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 Feb 6, 2026 |
| Jan 15, 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 | F · Potential harm Widespread | Corrected Feb 6, 2026 |
| Jan 15, 2026 | F-0826 | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 6, 2026 |
| Nov 5, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 28, 2025 | Complaint |
| Jun 10, 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 Jun 19, 2025 | Complaint |
| Mar 7, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2025 | Complaint |
| Mar 7, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 21, 2025 | Complaint |
| Mar 7, 2025 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 21, 2025 | Complaint |
| Mar 7, 2025 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 21, 2025 | Complaint |
| Sep 26, 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 Oct 22, 2024 |
| Sep 26, 2024 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 22, 2024 |
| Sep 26, 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 Oct 22, 2024 |
| Sep 26, 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 | E · Potential harm Pattern | Corrected Oct 22, 2024 |
| Sep 26, 2024 | 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 Oct 22, 2024 |
| Sep 26, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Sep 26, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Sep 26, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Sep 26, 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 Oct 18, 2024 |
| Sep 26, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Sep 26, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 18, 2024 |
| Sep 26, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 18, 2024 |
| Sep 26, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 18, 2024 |
| Sep 26, 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 Oct 18, 2024 |
| Sep 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 18, 2024 |
| Sep 26, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 22, 2024 |
| Sep 26, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Oct 18, 2024 |
| Apr 17, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 2, 2024 | Complaint |
| Oct 26, 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 Nov 6, 2023 | Complaint |
| Jan 18, 2022 | 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 | D · Potential harm Isolated | Corrected Feb 10, 2022 |
| Jan 18, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 10, 2022 |
| Jan 18, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 10, 2022 |
| Jan 18, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 10, 2022 |
| Jan 18, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 6, 2022 |
| Jan 18, 2022 | 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 Apr 6, 2022 |
| Jan 18, 2022 | 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 | F · Potential harm Widespread | Corrected Apr 6, 2022 |
| Jan 18, 2022 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 6, 2022 |
| Jan 18, 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 Apr 6, 2022 |
| Jan 18, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 6, 2022 |
| Jan 18, 2022 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 6, 2022 |
| Jan 18, 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 Apr 6, 2022 |
| Jan 18, 2022 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 6, 2022 |
| Jan 18, 2022 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 6, 2022 |
| Jan 18, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 6, 2022 |
| Jan 18, 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 | E · Potential harm Pattern | Corrected Apr 6, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.54 (case-mix index 1.36).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Dec 7, 2022 |
| Rajesh Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Shruty Parti | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Marcus Paxman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Dec 7, 2022 |
| Jeffrey Bradshaw | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 27, 2026 |
| Aocl, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 7, 2022 |
| Charles Garretson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2022 |
| Colton Rawe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Christian Siedentopf | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2022 |
| Colton Rawe | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Aocl, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 7, 2022 |
| Aspen Healthcare Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| East West Bank | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2022 |
| Moss Adams LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 7, 2022 |
| Sequoia Healthcare Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Wells Fargo Bank, National Association | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 7, 2022 |
| 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 |
| Charles Garretson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2022 |
| Frank Jurado | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Marcus Paxman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Colton Rawe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Christian Siedentopf | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2022 |
| 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 | — |