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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 | J2 | K1 | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D129 | E49 | F12 |
| Minimal | A· | B· | C1 |
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 31, 2026 | Health | Health Complaint | 3 | Potential harm | 3 | Open → |
| Jul 30, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jul 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 16, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 3, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 30, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 24, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 4, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| May 22, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 22, 2026 | Health | Health Standard | 22 | Potential harm | — | Open → |
| May 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 24, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Mar 11, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 25, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 15, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 4, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Aug 23, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 31, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 22, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 26, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 16, 2025 | Health | Health Complaint | 2 | Potential harm | 2 | Open → |
| May 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 1, 2025 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Apr 24, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 8, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 4, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 2, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 1, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Mar 18, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 28, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 27, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Feb 6, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 6, 2025 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| Jan 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 26, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 5, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 8, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 1, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 11, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 4, 2024 | Health | Health Complaint | 6 | Actual harm | — | Open → |
| Feb 27, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 25, 2024 | Fire safety | Fire Safety Standard | 14 | Potential harm | — | Open → |
| Jan 25, 2024 | Health | Health Complaint, Health Standard | 20 | Potential harm | — | Open → |
| Jan 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 8, 2024 | Health | Health Complaint | 12 | Immediate jeopardy | — | Open → |
| Dec 12, 2023 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Nov 7, 2023 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Nov 1, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 31, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 16, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 21, 2025 | Civil money penalty (fine) | $37,310 | — | 555808|Fine|137909 |
| Feb 6, 2025 | Denial of payment for new admissions | — | Mar 28, 2025 · 33 days | 555808|Payment Denial|2025-03-28 |
| Feb 6, 2025 | Civil money penalty (fine) | $78,787 | — | 555808|Fine|133865 |
| Jan 8, 2024 | Denial of payment for new admissions | — | Feb 2, 2024 · 60 days | 555808|Payment Denial|2024-02-02 |
| Jan 8, 2024 | Civil money penalty (fine) | $27,067 | — | 555808|Fine|130333 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Apr 12, 2024 violation Dec 21, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 920020004 |
| Apr 12, 2024 violation Jan 31, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Death related Open | 920019999 |
| Feb 2, 2024 violation Nov 25, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Care |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K1 | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D129 | E49 | F12 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 31, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | No plan of correction | Complaint |
| Aug 31, 2026 | 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” 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 |
|---|---|---|---|---|---|
| 1338 Santa Monica Partners LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Aug 1, 2024 |
| Ezequiel Bercovich | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Aug 1, 2024 |
| Santa Monica Rehab Holldings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Aug 1, 2024 |
| Adam Zenou | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Aug 1, 2024 |
| Avi Horowicz | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | Aug 1, 2024 |
| Sara Chueke-Bercovich | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| 1338 Santa Monica Partners LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Aug 1, 2024 |
| Ezequiel Bercovich | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Aug 1, 2024 |
| Santa Monica Rehab Holldings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Aug 1, 2024 |
| Adam Zenou | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Aug 1, 2024 |
| Avi Horowicz | Individual |
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 km | 59 | Jul 17, 2026 | 502 IJ1 harm | — | |
| Berkley East Healthcare Center 2021 Arizona Ave, Santa Monica, CA 90404 CCN 5557483 state class AA/AAbuse icon | 0.1 km | 207 | Aug 7, 2026 | 1302 IJ4 harm | $58k | |
| Berkley West Healthcare Center 1623 Arizona Avenue, Santa Monica, CA 90404 CCN 055136 | 0.2 km | 54 | Jun 25, 2026 | 841 IJ | $101k | |
| Pacific Post Acute 1323 17th Street, Santa Monica, CA 90404 CCN 555054 | 0.2 km | 49 | Aug 3, 2026 | 55 | — | |
| Ocean Pointe Healthcare Center 1330 17th Street, Santa Monica, CA 90404 CCN 0551551 state class AA/A | 0.2 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 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 | 1.1 km | 48 | Feb 25, 2026 | 591 harm | $8,424 | |
| Brentwood Health Care Center 1321 Franklin Street, Santa Monica, CA 90404 CCN 055711 | 1.4 km | 59 | Apr 21, 2026 | 55 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555808 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555808 | 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 | 910000336 | 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
| $25,000 |
| Death related Closed |
| 920019691 |
| Jan 29, 2024 violation Dec 30, 2023 | Class B | Citation Citation B (HSC 1424) | Medication | $3,000 | Closed | 920019663 |
| Jan 29, 2024 violation Nov 25, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 920019662 |
| Jan 26, 2024 violation Nov 25, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $9,000 initial $3,000 | Closed | 920019657 |
| Jan 26, 2024 violation Nov 25, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 920019656 |
| Dec 15, 2023 violation Nov 6, 2023 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $10,500 initial $3,500 | Closed | 920019500 |
| Jun 30, 2023 violation May 22, 2023 | WF | Citation Citation Willful Material Falsification (HSC 1424(f)(1)) | Willful Material Falsification | $3,500 | Open | 920018903 |
| Apr 18, 2023 violation Mar 4, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 920018645 |
| Feb 24, 2021 violation Oct 27, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $12,000 initial $20,000 | Appealed Closed | 920016304 |
| Jun 19, 2017 violation Feb 6, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $15,000 | Appealed Open | 910013284 |
| Jun 19, 2017 violation Feb 9, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 initial $15,000 | Appealed Open | 910013283 |
| Jun 2, 2017 violation Mar 17, 2016 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $0 initial $15,000 | Appealed Closed | 910013231 |
| Apr 22, 2014 violation Aug 15, 2011 | Class A | Citation Citation A (HSC 1424) | Medication | $20,000 | Death related Closed | 910010581 |
| Jun 20, 2013 violation May 28, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910009958 |
| Jan 11, 2012 violation Dec 9, 2011 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Appealed Closed | 910008898 |
| Sep 8, 2011 violation Sep 2, 2008 | Class B | Citation Citation B (HSC 1424) | Administration | $650 initial $1,000 | Appealed Closed | 910008549 |
| Apr 6, 2011 violation Apr 5, 2011 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $1,000 | Closed | 910008117 |
| Jul 28, 2009 violation Sep 8, 2008 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death relatedAppealed Closed | 910006173 |
| Mar 13, 2009 violation Feb 27, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Appealed Closed | 910005955 |
| Mar 12, 2009 violation Feb 19, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $725 initial $1,000 | Appealed Closed | 910005959 |
| Mar 11, 2009 violation Aug 2, 2007 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 initial $1,000 | Appealed Closed | 910005948 |
| No plan of correction |
| Complaint |
| Aug 31, 2026 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records | E · Potential harm Pattern | No plan of correction | Complaint |
| Jul 30, 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 Aug 17, 2026 | Complaint |
| Jul 30, 2026 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 17, 2026 | Complaint |
| Jul 30, 2026 | 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 Aug 17, 2026 | Complaint |
| Jul 30, 2026 | 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 Aug 17, 2026 | Complaint |
| Jul 22, 2026 | 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 10, 2026 | Complaint |
| Jul 16, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2026 | Complaint |
| Jul 16, 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 Aug 2, 2026 | Complaint |
| Jul 3, 2026 | 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 Jul 27, 2026 | Complaint |
| Jul 3, 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 Jul 27, 2026 | Complaint |
| Jun 30, 2026 | 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 Jul 24, 2026 | Complaint |
| Jun 24, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2026 | Complaint |
| Jun 24, 2026 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2026 | Complaint |
| Jun 17, 2026 | 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 Jul 12, 2026 | Complaint |
| Jun 4, 2026 | 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 Jun 28, 2026 | Complaint |
| Jun 4, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 28, 2026 | Complaint |
| Jun 4, 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 28, 2026 | Complaint |
| Jun 4, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 28, 2026 | Complaint |
| May 22, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 27, 2026 |
| May 22, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 3, 2026 |
| May 22, 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 May 27, 2026 |
| May 22, 2026 | 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 15, 2026 |
| May 22, 2026 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | 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 Jun 15, 2026 |
| May 22, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 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 | E · Potential harm Pattern | Corrected Jun 15, 2026 |
| May 22, 2026 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 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 15, 2026 |
| May 22, 2026 | 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 15, 2026 |
| May 22, 2026 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | 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 Jun 15, 2026 |
| May 22, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 2026 | 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 Jun 15, 2026 |
| May 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 Jun 15, 2026 |
| May 22, 2026 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 22, 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 | D · Potential harm Isolated | Corrected Jun 15, 2026 |
| May 21, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2026 | Complaint |
| Mar 24, 2026 | 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 Apr 29, 2026 | Complaint |
| Mar 24, 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 Apr 29, 2026 | Complaint |
| Mar 24, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 29, 2026 | Complaint |
| Mar 24, 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 Apr 29, 2026 | Complaint |
| Mar 11, 2026 | F-0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 27, 2026 | Complaint |
| Mar 11, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Mar 27, 2026 | Complaint |
| Feb 25, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 20, 2026 | Complaint |
| Feb 17, 2026 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 4, 2026 | Complaint |
| Jan 15, 2026 | 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 Feb 13, 2026 | Complaint |
| Jan 6, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 23, 2026 | Complaint |
| 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 26, 2026 | Complaint |
| Dec 11, 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 Jan 10, 2026 | Complaint |
| Dec 11, 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 Jan 10, 2026 | Complaint |
| Dec 9, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 27, 2025 | Complaint |
| Sep 16, 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 Oct 13, 2025 | Complaint |
| Sep 11, 2025 | 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 Sep 12, 2025 | Complaint |
| Sep 4, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Oct 3, 2025 | Complaint |
| Aug 23, 2025 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 19, 2025 | Complaint |
| Aug 23, 2025 | 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 Sep 19, 2025 | Complaint |
| Aug 21, 2025 | F-0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 19, 2025 | Complaint |
| Jul 31, 2025 | 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 1, 2025 | Complaint |
| Jul 23, 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 Aug 19, 2025 | Complaint |
| Jul 22, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 1, 2025 | Complaint |
| Jun 26, 2025 | 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 | E · Potential harm Pattern | Corrected Jul 18, 2025 | Complaint |
| Jun 26, 2025 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 18, 2025 | Complaint |
| Jun 16, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Plan of correction, not yet verified Jul 1, 2025 | Complaint |
| Jun 16, 2025 | 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 | E · Potential harm Pattern | Plan of correction, not yet verified Jul 1, 2025 | Complaint |
| May 8, 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 May 23, 2025 | Complaint |
| May 1, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 20, 2025 | Complaint |
| Apr 24, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 30, 2025 | Complaint |
| Apr 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 30, 2025 | Complaint |
| Apr 24, 2025 | F-0825 | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 30, 2025 | Complaint |
| Apr 24, 2025 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 30, 2025 | Complaint |
| Apr 14, 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 Apr 18, 2025 | Complaint |
| Apr 8, 2025 | 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 Apr 20, 2025 | Complaint |
| Apr 4, 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 Apr 29, 2025 | Complaint |
| Apr 4, 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 Apr 29, 2025 | Complaint |
| Apr 4, 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 Apr 29, 2025 | Complaint |
| Apr 4, 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 29, 2025 | Complaint |
| Apr 2, 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 | G · Actual harm Isolated | Corrected Apr 18, 2025 | Complaint |
| Apr 1, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2025 | Complaint |
| Apr 1, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2025 | Complaint |
| Apr 1, 2025 | 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 Apr 12, 2025 | Complaint |
| Apr 1, 2025 | 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 Apr 12, 2025 | Complaint |
| Mar 18, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Mar 18, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Mar 18, 2025 | 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 Apr 3, 2025 | Complaint |
| Feb 28, 2025 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 20, 2025 | Complaint |
| Feb 27, 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 | G · Actual harm Isolated | Corrected Mar 23, 2025 | Complaint |
| Feb 27, 2025 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 23, 2025 | Complaint |
| Feb 6, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 1, 2025 |
| Feb 6, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2025 |
| Feb 6, 2025 | 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 Mar 1, 2025 |
| Feb 6, 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 Mar 1, 2025 |
| Feb 6, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 1, 2025 |
| Feb 6, 2025 | 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 Mar 1, 2025 |
| Feb 6, 2025 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 1, 2025 |
| Feb 6, 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 Mar 1, 2025 |
| Feb 6, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 1, 2025 |
| Feb 6, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 1, 2025 |
| Feb 6, 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 Mar 1, 2025 |
| Feb 6, 2025 | 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 1, 2025 |
| Feb 6, 2025 | 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 | E · Potential harm Pattern | Corrected Mar 1, 2025 | Complaint |
| Feb 6, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 1, 2025 |
| Feb 6, 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 | E · Potential harm Pattern | Corrected Mar 1, 2025 |
| Feb 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Mar 1, 2025 | Complaint |
| Feb 6, 2025 | F-0924 | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 1, 2025 |
| Jan 13, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 7, 2025 | Complaint |
| Dec 4, 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 Dec 27, 2024 | Complaint |
| Nov 26, 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 Dec 14, 2024 | Complaint |
| Nov 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 14, 2024 | Complaint |
| Nov 26, 2024 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 14, 2024 | Complaint |
| Nov 5, 2024 | F-0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 5, 2024 | Complaint |
| Nov 5, 2024 | 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 5, 2024 | Complaint |
| Sep 25, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 7, 2024 | Complaint |
| Aug 8, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 29, 2024 | Complaint |
| Aug 8, 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 Aug 29, 2024 | Complaint |
| Jul 1, 2024 | F-0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 19, 2024 | Complaint |
| Jul 1, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 19, 2024 | Complaint |
| Apr 12, 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 10, 2024 | Complaint |
| Apr 11, 2024 | 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 Apr 26, 2024 | Complaint |
| Apr 11, 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 Apr 26, 2024 | Complaint |
| Apr 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 26, 2024 | Complaint |
| Mar 19, 2024 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 2, 2024 | Complaint |
| Mar 4, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 24, 2024 | Complaint |
| Mar 4, 2024 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 24, 2024 | Complaint |
| Mar 4, 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 Mar 24, 2024 | Complaint |
| Mar 4, 2024 | 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 Mar 24, 2024 | Complaint |
| Mar 4, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 24, 2024 | Complaint |
| Mar 4, 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 | E · Potential harm Pattern | Corrected Mar 24, 2024 | Complaint |
| Feb 27, 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 24, 2024 | Complaint |
| Jan 25, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 22, 2024 |
| Jan 25, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 22, 2024 |
| Jan 25, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 22, 2024 |
| Jan 25, 2024 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 22, 2024 |
| Jan 25, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 22, 2024 |
| Jan 25, 2024 | 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 Feb 22, 2024 |
| Jan 25, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 22, 2024 |
| Jan 25, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 22, 2024 |
| Jan 25, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 22, 2024 |
| Jan 25, 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 | E · Potential harm Pattern | Corrected Feb 22, 2024 |
| Jan 25, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 22, 2024 |
| Jan 25, 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 Feb 22, 2024 |
| Jan 25, 2024 | K-0925 | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 22, 2024 |
| Jan 25, 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 | E · Potential harm Pattern | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 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 18, 2024 | Complaint |
| Jan 25, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 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 Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 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 18, 2024 | Complaint |
| Jan 25, 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 Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 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 Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 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 | E · Potential harm Pattern | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 2024 | 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 Feb 18, 2024 | Complaint |
| Jan 25, 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 Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 25, 2024 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 22, 2024 |
| Jan 16, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 30, 2024 | Complaint |
| Jan 10, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 29, 2024 | Complaint |
| Jan 8, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jan 28, 2024 | Complaint |
| Jan 8, 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 | J · Immediate jeopardy Isolated | Corrected Jan 28, 2024 | Complaint |
| Jan 8, 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 | K · Immediate jeopardy Pattern | Corrected Jan 28, 2024 | Complaint |
| Jan 8, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Jan 28, 2024 | Complaint |
| Jan 8, 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 Jan 28, 2024 | Complaint |
| Jan 8, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 28, 2024 | Complaint |
| Jan 8, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2024 | Complaint |
| Jan 8, 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 Jan 28, 2024 | Complaint |
| Jan 8, 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 | E · Potential harm Pattern | Corrected Mar 11, 2024 | Complaint |
| Jan 8, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2024 | Complaint |
| Jan 8, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 11, 2024 | Complaint |
| Jan 8, 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 11, 2024 | Complaint |
| Dec 12, 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 Jan 1, 2024 | Complaint |
| Dec 12, 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 Jan 1, 2024 | Complaint |
| Dec 12, 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 Jan 1, 2024 | Complaint |
| Dec 12, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Nov 7, 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 Nov 30, 2023 | Complaint |
| Nov 7, 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 Nov 30, 2023 | Complaint |
| Nov 7, 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 | D · Potential harm Isolated | Corrected Nov 30, 2023 | Complaint |
| Nov 7, 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 Nov 30, 2023 | Complaint |
| Nov 7, 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 Nov 30, 2023 | Complaint |
| Nov 7, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 30, 2023 | Complaint |
| Nov 1, 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 | D · Potential harm Isolated | Corrected Nov 10, 2023 | Complaint |
| Oct 31, 2023 | 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 Nov 25, 2023 | Complaint |
| Oct 16, 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 Oct 27, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.17 (case-mix index 1.36).
| Indirect owner |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| 15% |
| Aug 1, 2024 |
| Sara Chueke-Bercovich | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2024 |
| Ezequiel Bercovich | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Nurit Ruber | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Shuo Wang | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Menlo Trust U/T/D February 22, 1983 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 4, 2024 |
| Miracle Mile Properties LP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 5, 2024 |
| Mm2 Business Services, Lllp | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 5, 2024 |
| Nurit Ruber | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 2, 2026 |
| Shuo Wang | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 5, 2024 |