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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· | K1 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D75 | E36 | F1 |
| 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 | |
|---|---|---|---|---|---|---|
| Aug 7, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Aug 7, 2026 | Health | Health Standard | 26 | Potential harm | — | Open → |
| Jul 7, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 5, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 9, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jul 25, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 25, 2025 | Health | Health Standard | 16 | Potential harm | — | Open → |
| Jun 3, 2025 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Apr 16, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Mar 28, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Mar 10, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 29, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 16, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Nov 26, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 5, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 11, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Complaint, Health Standard | 15 | Potential harm | — | Open → |
| Jun 18, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 13, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Apr 18, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 15, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 7, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 21, 2023 | Health | Infection Control | 1 | Potential harm | — | Open → |
| Nov 8, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 31, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 28, 2025 | Civil money penalty (fine) | $32,646 | — | 555852|Fine|131249 |
| Jan 16, 2025 | Civil money penalty (fine) | $23,403 | — | 555852|Fine|131067 |
| Feb 7, 2024 | Civil money penalty (fine) | $28,009 | — | 555852|Fine|130122 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Mar 6, 2024 violation Feb 3, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Open | 950019832 |
| Dec 12, 2023 violation Oct 17, 2023 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $3,000 | Closed | 950019466 |
| Oct 27, 2023 violation Mar 16, 2023 | Class A | Citation Citation A (HSC 1424) | Patient Rights | $25,000 | Open |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D75 | E36 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 7, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 31, 2026 | |
| Aug 7, 2026 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 31, 2026 | |
| Aug 7, 2026 | F-0550 |
“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 |
|---|---|---|---|---|---|
| Pomona Nursing & Healthcare Centre, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70% | May 1, 2009 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pomona Nursing & Healthcare Centre, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70% | May 1, 2009 |
| Rockport Administrative Services, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2012 |
| Sabah Kadhium | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Shlomo Rechnitz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 18, 2008 |
| Arthur Rios | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Inland Valley Care and Rehabilitation Center 250 W. Artesia Street, Pomona, CA 91768 CCN 0564316 state class AA/ASFF CandidateAbuse icon | 0.3 km | 221 | Aug 21, 2026 | 2332 IJ4 harm | $135k | |
| Landmark Medical Center 2030 N. Garey Ave., Pomona, CA 91767 CCN 05A1344 state class AA/AAbuse icon | 1 km | 95 | Aug 28, 2026 | 653 IJ | — | |
| Country Oaks Care Center 215 W Pearl St, Pomona, CA 91768 CCN 055247 | 1.1 km | 81 | Aug 24, 2026 | 96 | — | |
| Pomona Vista Care Center 651 N Main St, Pomona, CA 91768 CCN 0552823 state class AA/A | 1.2 km | 59 | Aug 21, 2026 | 78 | — | |
| Laurel Park Behavioral Health Center 1425 Laurel Avenue, Pomona, CA 91768 CCN 05A137 | 2.2 km | 43 | Jun 30, 2026 | 641 IJ | — | |
| Mount San Antonio Gardens 900 E. Harrison Ave, Pomona, CA 91767 CCN 0550161 state class AA/A | 2.8 km | 64 | Jun 24, 2026 | 25 | — | |
| Claremont Heights Post Acute 590 S. Indian Hill Blvd., Claremont, CA 91711 CCN 0553443 state class AA/A | 3 km | 99 | Apr 15, 2026 | 1011 harm | — | |
| Claremont Manor Care Center 621 W Bonita Ave, Claremont, CA 91711 CCN 5550851 state class AA/A | 3 km | 59 | Mar 13, 2026 | 551 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555852 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555852 | 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 | 950000081 | 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
| 950019315 |
| Apr 24, 2023 violation Mar 13, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Open | 950018678 |
| Apr 21, 2023 violation Mar 22, 2023 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $3,000 | Open | 950018665 |
| Mar 21, 2023 violation Jan 18, 2023 | Class B | Citation Citation B (HSC 1424) | Medication | $3,000 | Closed | 950018540 |
| Feb 22, 2023 violation Dec 30, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 950018435 |
| Jan 18, 2023 violation Nov 30, 2022 | Class B | Citation Citation B (HSC 1424) | Dietary | $3,000 | Open | 950018320 |
| Nov 10, 2022 violation Sep 11, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 950018150 |
| Sep 29, 2022 violation Aug 17, 2022 | Class B | Citation Citation B (HSC 1424) | Medication | $3,000 | Closed | 950018028 |
| Sep 29, 2022 violation Aug 17, 2022 | Class B | Citation Citation B (HSC 1424) | Medication | $3,000 | Closed | 950018026 |
| Sep 8, 2022 violation Mar 25, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 950017967 |
| Jun 9, 2022 violation Apr 28, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Open | 950017702 |
| May 20, 2022 violation Apr 5, 2022 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 950017655 |
| Apr 22, 2022 violation Apr 15, 2022 | Class B | Citation Citation B (HSC 1424) | Refusal to Readmit | $3,350 initial $3,000 | Open | 950017596 |
| Apr 22, 2022 violation Apr 14, 2022 | Class B | Citation Citation B (HSC 1424) | Refusal to Readmit | $3,400 initial $3,000 | Open | 950017595 |
| Mar 10, 2022 violation Feb 2, 2022 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $3,000 | Closed | 950017483 |
| Sep 3, 2021 violation Apr 3, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $6,000 initial $2,000 | Closed | 950016889 |
| Jul 7, 2021 violation May 18, 2021 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950016699 |
| Jul 2, 2021 violation Apr 27, 2021 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 950016690 |
| Mar 16, 2021 violation Dec 24, 2020 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 initial $20,000 | Appealed Closed | 950016347 |
| Mar 5, 2021 violation Jan 4, 2021 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $65,000 initial $100,000 | Death relatedAppealed Closed | 950016328 |
| Mar 5, 2021 violation Dec 30, 2020 | Class B | Citation Citation B (HSC 1424) | Administration | $2,000 | Death related Closed | 950016325 |
| Mar 5, 2021 violation Nov 24, 2020 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950016324 |
| Nov 6, 2020 violation Aug 10, 2020 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $8,100 initial $2,000 | Closed | 950016139 |
| May 27, 2020 violation Nov 18, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 950015887 |
| Jan 17, 2020 violation Nov 26, 2019 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $2,000 | Closed | 950015692 |
| Sep 19, 2019 violation May 7, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 950015399 |
| Sep 19, 2019 violation May 7, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 950015398 |
| Sep 19, 2019 violation May 7, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 950015397 |
| Sep 19, 2019 violation May 7, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 950015338 |
| Mar 21, 2018 violation Jan 23, 2018 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 950013923 |
| Mar 21, 2018 violation Feb 7, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 | Closed | 950013894 |
| May 17, 2017 violation Mar 13, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 initial $20,000 | Appealed Closed | 950013203 |
| May 12, 2017 violation Jan 31, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $15,000 | Closed | 950013193 |
| Mar 23, 2016 violation Oct 26, 2011 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $2,000 | Closed | 950012144 |
| Apr 19, 2013 violation Mar 29, 2011 | Class A | Citation Citation A (HSC 1424) | Patient Care | $10,000 | Closed | 950009804 |
| Nov 6, 2012 violation Oct 3, 2009 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $2,000 | Closed | 950009584 |
| Jan 22, 2008 violation Nov 8, 2007 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,050 initial $1,000 | Closed | 950004604 |
| Jan 22, 2008 violation Nov 8, 2007 | Class B | Citation Citation B (HSC 1424) | Abuse/Facility Not Self Reported | $1,350 initial $1,000 | Closed | 950004603 |
| Jun 9, 2006 violation Apr 6, 2006 | Class B | Citation Citation B (HSC 1424) | Medication | $1,000 | Closed | 950003153 |
| Nov 13, 2003 violation Oct 8, 2003 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $600 | Closed | 950001431 |
| Jul 18, 2002 violation Mar 18, 2002 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $700 | Appealed Closed | 950001417 |
| 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 Aug 28, 2026 |
| Aug 7, 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 | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 2026 | 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 31, 2026 |
| Aug 7, 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 Aug 31, 2026 |
| Aug 7, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 2026 | 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 Aug 31, 2026 |
| Aug 7, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 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 Aug 31, 2026 |
| Aug 7, 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 Sep 2, 2026 |
| Aug 7, 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 Sep 1, 2026 |
| Aug 7, 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 Sep 4, 2026 |
| Aug 7, 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 | E · Potential harm Pattern | Corrected Sep 2, 2026 |
| Aug 7, 2026 | 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 | E · Potential harm Pattern | Corrected Aug 31, 2026 |
| Aug 7, 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 31, 2026 |
| Aug 7, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 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 Aug 31, 2026 |
| Aug 7, 2026 | 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 Aug 31, 2026 |
| Aug 7, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 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 | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 2, 2026 |
| Aug 7, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 2026 | F-0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 7, 2026 | 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 Aug 31, 2026 |
| Jul 7, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 24, 2026 | Complaint |
| Feb 5, 2026 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 24, 2026 | Complaint |
| Feb 5, 2026 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 24, 2026 | Complaint |
| Feb 5, 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 Feb 24, 2026 | Complaint |
| Feb 5, 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 Feb 24, 2026 | Complaint |
| Dec 11, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 29, 2025 | Complaint |
| Dec 9, 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 | D · Potential harm Isolated | Corrected Dec 31, 2025 | Complaint |
| Dec 9, 2025 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 29, 2025 | Complaint |
| Dec 9, 2025 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 29, 2025 | Complaint |
| Jul 25, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 13, 2025 |
| Jul 25, 2025 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 17, 2025 |
| Jul 25, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 1, 2025 |
| Jul 25, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 1, 2025 |
| Jul 25, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 14, 2025 |
| Jul 25, 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 Aug 14, 2025 |
| Jul 25, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2025 |
| Jul 25, 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 Aug 13, 2025 |
| Jul 25, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 13, 2025 |
| Jul 25, 2025 | 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 Aug 14, 2025 |
| Jul 25, 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 Aug 14, 2025 |
| Jul 25, 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 | E · Potential harm Pattern | Corrected Aug 14, 2025 |
| Jul 25, 2025 | 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 14, 2025 |
| Jul 25, 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 14, 2025 |
| Jul 25, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 14, 2025 |
| Jul 25, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 14, 2025 |
| Jul 25, 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 Aug 14, 2025 |
| Jul 25, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2025 |
| Jul 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 14, 2025 |
| Jul 25, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 14, 2025 |
| Jul 25, 2025 | 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 Aug 13, 2025 |
| Jun 3, 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 | E · Potential harm Pattern | Corrected Jun 23, 2025 | Complaint |
| Jun 3, 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 Jun 23, 2025 | Complaint |
| Jun 3, 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 Jun 23, 2025 | Complaint |
| Jun 3, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 23, 2025 | Complaint |
| Jun 3, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 23, 2025 | Complaint |
| Apr 16, 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 May 5, 2025 | Complaint |
| Apr 16, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 5, 2025 | Complaint |
| Apr 16, 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 May 5, 2025 | Complaint |
| Apr 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 | E · Potential harm Pattern | Corrected May 5, 2025 | Complaint |
| Mar 28, 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 21, 2025 | Complaint |
| Mar 28, 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 21, 2025 | Complaint |
| Mar 28, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 21, 2025 | Complaint |
| Mar 10, 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 | E · Potential harm Pattern | Corrected Mar 19, 2025 | Complaint |
| Mar 10, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 21, 2025 | Complaint |
| Mar 10, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 27, 2025 | Complaint |
| Jan 29, 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 Feb 13, 2025 | Complaint |
| Jan 29, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 13, 2025 | Complaint |
| Jan 16, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | K · Immediate jeopardy Pattern | Corrected Feb 3, 2025 | Complaint |
| Jan 16, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 3, 2025 | Complaint |
| Jan 16, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 4, 2025 | 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 6, 2024 | Complaint |
| Sep 18, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 4, 2024 | Complaint |
| Aug 5, 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 Aug 12, 2024 | Complaint |
| Jul 11, 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 | D · Potential harm Isolated | Corrected Aug 1, 2024 |
| Jul 11, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 1, 2024 |
| Jul 11, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 1, 2024 |
| Jul 11, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 1, 2024 |
| Jul 11, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 31, 2024 |
| Jul 11, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 11, 2024 |
| Jul 11, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jul 11, 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 | E · Potential harm Pattern | Corrected Aug 2, 2024 | Complaint |
| Jul 11, 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 | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jul 11, 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 Aug 13, 2024 |
| Jul 11, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 11, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Jul 11, 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 | E · Potential harm Pattern | Corrected Aug 2, 2024 |
| Jul 11, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jul 11, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jul 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 1, 2024 |
| Jul 11, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 8, 2024 |
| Jul 11, 2024 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 8, 2024 |
| Jun 18, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 2, 2024 | Complaint |
| Jun 6, 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 Jun 24, 2024 | Complaint |
| May 13, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2024 | Complaint |
| May 13, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 15, 2024 | Complaint |
| May 13, 2024 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 15, 2024 | Complaint |
| May 13, 2024 | F-0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 15, 2024 | Complaint |
| Apr 18, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 10, 2024 | Complaint |
| Apr 18, 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 May 10, 2024 | Complaint |
| Apr 18, 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 May 10, 2024 | Complaint |
| Feb 15, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 5, 2024 | Complaint |
| Feb 7, 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 | G · Actual harm Isolated | Corrected Feb 28, 2024 | Complaint |
| Dec 21, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 17, 2024 | Infection control |
| Nov 8, 2023 | 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 Nov 30, 2023 | Complaint |
| Oct 31, 2023 | 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 Nov 13, 2023 | Complaint |
| Oct 31, 2023 | 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 Nov 12, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.80 (case-mix index 1.56).
| not provided |
| Sep 5, 2023 |
| Asrm LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 22, 2008 |
| Rockport Administrative Services, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 18, 2025 |
| Sabah Kadhium | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Shlomo Rechnitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 18, 2008 |
| Arthur Rios | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 5, 2023 |