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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 | G3 | H· | I· |
| Potential harm | D27 | E17 | F11 |
| Minimal | A· | B· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 22, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 22, 2026 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Aug 19, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 29, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 12, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 12, 2024 | Health | Health Complaint, Health Standard | 12 | Actual harm | — | Open → |
| Feb 18, 2022 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Feb 18, 2022 | Health | Health Standard | 13 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 12, 2024 | Denial of payment for new admissions | — | Aug 9, 2024 · 14 days | 555826|Payment Denial|2024-08-09 |
| Jul 12, 2024 | Civil money penalty (fine) | $54,421 | — | 555826|Fine|130773 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Feb 8, 2024 violation Nov 29, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 2 - 11 Days | $25,000 | Closed | 810019671 |
| Sep 10, 2021 violation Nov 30, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 110014886 |
| Jul 22, 2021 violation Oct 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 | 110016723 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D27 | E17 | F11 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 22, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 9, 2026 | |
| May 22, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 9, 2026 | |
| May 22, 2026 | K-0342 |
“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 |
|---|---|---|---|---|---|
| The Redwoods, a Community of Seniors | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 3, 1972 |
| Elena Davidenko | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 30, 2024 |
| Dominic Picetti | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2023 |
| Kyle Ruth-Islas | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 14, 2022 |
| Daniel Bikle | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Andrea Flynn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Peter Gordon | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Robert Harmon | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Janet Hines | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Brittany Imwalle | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Caroline Joachim | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2025 |
| Margaret Lucaccini | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Vera Meislin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Burton Miller | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Kendra Pollack | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| David Rand | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Robert Reynolds | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Richard Ronald | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Laura Smith | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Kyle Ruth-Islas | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 14, 2022 |
| Holly Yuo | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 18, 2024 |
| The Redwoods, a Community of Seniors | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 28, 2025 |
| Elena Davidenko | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 30, 2024 |
| Dominic Picetti | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 7, 2025 |
| Holly Yuo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 18, 2024 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Tiburon Hills Care Center 30 Hacienda Dr, Belvedere Tiburon, CA 94920 State license only | 4.3 km | 56 lic. | Not CMS rated | — | No inspections in window | — |
| South Marin Health & Wellness Center 1220 South Eliseo Drive, Greenbrae, CA 94904 CCN 055093 | 5.6 km | 72 | Jan 23, 2026 | 57 | — | |
| The Tamalpais 501 Via Casitas, Greenbrae, CA 94904 CCN 056077 | 5.7 km | 52 | Sep 11, 2025 | 29 | — | |
| San Rafael Healthcare & Wellness Center, LP 1601 5th Avenue, San Rafael, CA 94901 CCN 0553313 state class AA/A | 9 km | 54 | Aug 7, 2026 | 841 harm | $8,278 | |
| St. Anne's Home 300 Lake Street, San Francisco, CA 94118 CCN 05A290 | 13.5 km | 46 | Nov 17, 2023 | 28 | — | |
| Laurel Heights Community Care 2740 California St, San Francisco, CA 94115 CCN 555869 | 14.2 km | 32 | Jul 31, 2025 | 361 harm | $8,018 | |
| Pacific Heights Transitional Care Center 2707 Pine Street, San Francisco, CA 94115 CCN 056176 | 14.3 km | 120 | Mar 13, 2026 | 421 open | $25k | |
| Victorian Post Acute 2121 Pine Street, San Francisco, CA 94115 CCN 055848 | 14.7 km | 90 | Feb 20, 2025 | 632 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555826 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555826 | 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 | 010001007 | 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
| Mar 16, 2017 violation Feb 14, 2017 |
| Class B |
| Citation Citation B (HSC 1424) |
| Administration |
| $2,000 |
Closed |
| 110012994 |
| Feb 6, 2017 violation Apr 4, 2016 | Class A | Citation Citation A (HSC 1424) | Patient Care | $21,100 initial $20,000 | Closed | 110012861 |
| Aug 27, 2015 violation Aug 10, 2013 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 110011502 |
| Aug 27, 2015 violation Aug 10, 2013 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed | 110011426 |
| Nov 20, 2012 violation Oct 9, 2012 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 110009576 |
| Apr 9, 2010 violation Apr 13, 2009 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Closed | 110006123 |
| Oct 7, 2009 violation Apr 25, 2009 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 110006224 |
| Dec 1, 2006 violation Sep 15, 2006 | Class A | Citation Citation A (HSC 1424) | Patient Care | $14,000 | Closed | 110003451 |
| Aug 16, 2006 violation May 9, 2005 | Class A | Citation Citation A (HSC 1424) | Patient Rights | $18,000 | Appealed Closed | 110003165 |
| Jun 28, 2006 violation Jun 21, 2005 | Class A | Citation Citation A (HSC 1424) | Patient Care | $16,000 | Appealed Closed | 110003111 |
| Jun 28, 2006 violation Dec 6, 2005 | Class A | Citation Citation A (HSC 1424) | Patient Rights | $18,000 | Appealed Closed | 110002937 |
| Aug 16, 2001 violation Jun 25, 2001 | Class B | Citation Citation B (HSC 1424) | Dietary | $2,000 initial $1,000 | Closed | 010001865 |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jun 9, 2026 |
| May 22, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 22, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 22, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 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 25, 2026 |
| May 22, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 |
| May 22, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 25, 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 25, 2026 |
| May 22, 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 | E · Potential harm Pattern | Corrected Jun 25, 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 | F · Potential harm Widespread | Corrected Jun 25, 2026 |
| May 22, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jun 25, 2026 |
| May 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 | F · Potential harm Widespread | Corrected Jun 25, 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 | C · Minimal Widespread | Corrected Jun 9, 2026 |
| Aug 19, 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 Sep 11, 2025 | Complaint |
| Jul 29, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 2, 2025 | Complaint |
| Jul 29, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 2, 2025 | Complaint |
| Apr 23, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 23, 2025 | Complaint |
| Jul 12, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 23, 2024 | Complaint |
| Jul 12, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 1, 2024 |
| Jul 12, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 1, 2024 |
| Jul 12, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 1, 2024 |
| Jul 12, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 1, 2024 |
| Jul 12, 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 Jul 17, 2024 |
| Jul 12, 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 Jul 29, 2024 |
| Jul 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 | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 12, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 12, 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 | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 12, 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 Aug 8, 2024 |
| Jul 12, 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 Aug 8, 2024 |
| Jul 12, 2024 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 12, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Feb 18, 2022 | 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 Apr 14, 2022 |
| Feb 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 | G · Actual harm Isolated | Corrected Apr 14, 2022 |
| Feb 18, 2022 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 4, 2022 |
| Feb 18, 2022 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2022 |
| Feb 18, 2022 | 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 Apr 4, 2022 |
| Feb 18, 2022 | 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 | F · Potential harm Widespread | Corrected Apr 14, 2022 |
| Feb 18, 2022 | 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 | F · Potential harm Widespread | Corrected Apr 14, 2022 |
| Feb 18, 2022 | 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 | F · Potential harm Widespread | Corrected Apr 14, 2022 |
| Feb 18, 2022 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 14, 2022 |
| Feb 18, 2022 | 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 | F · Potential harm Widespread | Corrected May 5, 2022 |
| Feb 18, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 14, 2022 |
| Feb 18, 2022 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 9, 2022 |
| Feb 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 | F · Potential harm Widespread | Corrected Apr 14, 2022 |
| Feb 18, 2022 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 14, 2022 |
| Feb 18, 2022 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 14, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.92 (case-mix index 1.22).