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California CDPH state citations and administrative penalties, 1997 to early 2024 (archived dataset). Separate from federal CMS deficiencies.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D48 | E11 | F· |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 23, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 30, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 26, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 27, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 27, 2024 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Dec 21, 2023 | Fire safety | Fire Safety Complaint | 2 | Potential harm | — | Open → |
| Apr 20, 2023 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Apr 20, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Jun 12, 2019 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jun 12, 2019 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Sep 28, 2018 violation Nov 28, 2016 | Class B | Citation Citation B (HSC 1424) | Immediate Jeopardy | $1,200 | Appealed Open | 020012920 |
| Sep 28, 2018 violation Nov 28, 2016 | Class B | Citation Citation B (HSC 1424) | Immediate Jeopardy | $1,200 | Appealed Open | 020012919 |
| Jul 18, 2003 violation Mar 12, 2003 | Class A |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D48 | E11 | F· |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 23, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 14, 2026 | Complaint |
| Jul 23, 2026 | 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 Aug 14, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Chaparral Foundation | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 8, 1971 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Chaparral Foundation | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 8, 1971 |
| Mehran Jamali | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 21, 2025 |
| Son Ly | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Elizabeth Baker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2010 |
| Beata Dillingham | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 29, 2025 |
| Michele Lawrence |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Kyakameena Care Center 2131 Carleton Street, Berkeley, CA 94704 CCN 0557151 state class AA/A | 1.9 km | 60 | May 20, 2026 | 66 | $4,587 | |
| Elmwood Care Center 2829 Shattuck Avenue, Berkeley, CA 94705 CCN 5558192 state class AA/A | 2 km | 74 | Jun 25, 2026 | 751 harm | — | |
| Ashby Care Center 2270 Ashby Avenue, Berkeley, CA 94705 CCN 5554664 state class AA/A | 2.2 km | 31 | Jun 9, 2026 | 702 harm | $66k | |
| Berkeley Pines Skilled Nursing Center 2223 Ashby Avenue, Berkeley, CA 94705 CCN 055892 | 2.9 km | 36 | Mar 14, 2024 | 34 | — | |
| Shields Nursing Center 3230 Carlson Boulevard, El Cerrito, CA 94530 CCN 555364 | 4 km | 45 | Nov 20, 2025 | 49 | — | |
| The Rehabilitation Center of Oakland 210 40th Street Way, Oakland, CA 94611 CCN 5553131 state class AA/A | 5.2 km | 70 | Jun 12, 2026 | 891 IJ1 harm | $23k | |
| Mcclure Post Acute 2910 Mcclure Street, Oakland, CA 94609 CCN 555067 | 5.7 km | 60 | Apr 9, 2026 | 40 | — | |
| Piedmont Gardens Health Facility 110 41st Street, Oakland, CA 94611 CCN 056096 | 5.7 km | 94 | Jun 25, 2026 | 38 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555872 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555872 | 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 | 020000048 | 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
| C1 |
| Citation Citation A (HSC 1424) |
| Patient Care |
| $12,000 |
Closed |
| 020002762 |
| Aug 23, 2000 violation Jan 26, 2000 | Class A | Citation Citation AA (HSC 1424) | Patient Care | $6,500 initial $15,000 | Death relatedAppealed Closed | 020002541 |
| Jun 30, 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 10, 2026 | Complaint |
| Jun 2, 2026 | 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 Jul 22, 2026 | Complaint |
| Dec 26, 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 29, 2025 | Complaint |
| Dec 26, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 29, 2025 | Complaint |
| Sep 27, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 8, 2024 |
| Sep 27, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 8, 2024 |
| Sep 27, 2024 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 8, 2024 |
| Sep 27, 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 Oct 24, 2024 |
| Sep 27, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Sep 27, 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 24, 2024 |
| Sep 27, 2024 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Sep 27, 2024 | 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 Oct 24, 2024 |
| Sep 27, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Sep 27, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 24, 2024 |
| Sep 27, 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 Oct 24, 2024 |
| Sep 27, 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 | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Sep 27, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 8, 2024 |
| Dec 21, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
| Dec 21, 2023 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
| Apr 20, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | 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 May 15, 2023 |
| Apr 20, 2023 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 15, 2023 |
| Apr 20, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 15, 2023 |
| Apr 20, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 15, 2023 |
| Apr 20, 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 May 20, 2023 |
| Apr 20, 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 May 20, 2023 |
| Apr 20, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 20, 2023 |
| Apr 20, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 20, 2023 |
| Apr 20, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 20, 2023 |
| Apr 20, 2023 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2023 |
| Apr 20, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected May 20, 2023 |
| Apr 20, 2023 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 20, 2023 |
| Jun 12, 2019 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 12, 2019 |
| Jun 12, 2019 | 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 Jul 12, 2019 |
| Jun 12, 2019 | 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 Jul 12, 2019 |
| Jun 12, 2019 | 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 Jul 12, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.01 (case-mix index 1.54).
| Individual |
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jun 27, 2024 |
| Onofre Mateo | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 27, 2024 |
| Howard Mcnenny | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2020 |
| Junichi Miyazaki | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 18, 2010 |
| Robert Outis | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 22, 2025 |
| Ashleigh Richardson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2022 |
| Suzanne Stroh | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 27, 2024 |
| Elizabeth Baker | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 24, 2025 |
| Onofre Mateo | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 24, 2025 |
| Howard Mcnenny | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 24, 2025 |
| Junichi Miyazaki | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 24, 2025 |
| Mehran Jamali | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 21, 2025 |
| Son Ly | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 27, 2025 |