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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 | G2 | H· | I· |
| Potential harm | D36 | E11 | F3 |
| Minimal | A· | B2 |
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 27, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 9, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 11, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Feb 26, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 17, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 17, 2024 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Jan 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 1, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 11, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 23, 2019 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| May 23, 2019 | Health | Health Standard | 10 | Actual harm | — | Open → |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Oct 4, 2022 violation Jul 1, 2020 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Closed | 810018189 |
| Dec 16, 2019 violation Jun 23, 2019 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,050 initial $20,000 | Closed | 040015610 |
| Sep 12, 2018 violation Sep 20, 2017 | Class A | Citation Citation A (HSC 1424) | Patient Care | $20,000 | Closed |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D36 | E11 | F3 |
| Minimal | A· | B2 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 27, 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 Jun 16, 2026 | Complaint |
| Mar 5, 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 Mar 25, 2026 |
“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.
16 facilities in 2 states. CMS chain ID 616.
Chain average overall rating (CMS): 2.4
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Evergreen Care Center Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 17, 2019 |
| Swc Ca Opco, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Evergreen Care Center Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 17, 2019 |
| Swc Ca Opco, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2021 |
| Evergreen Care Center Holdings LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 17, 2019 |
| Aaron Chesley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Palms Care Center 1010 Ventura Avenue, Chowchilla, CA 93610 CCN 0550472 state class AA/A | 65 | Jul 27, 2026 | 631 IJ2 harm | — | |
| Brookside Care Center |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Pacific Gardens Nursing and Rehabilitation Center 577 S. Peach Ave., Fresno, CA 93727 CCN 056207 | 0.3 km | 188 | Apr 24, 2026 | 712 harm1 open | $31k | |
| Orchard Post Acute 4840 E.tulare Avenue, Fresno, CA 93727 CCN 0562251 state class AA/A | 1 km | 99 | Jun 9, 2026 | 66 | — | |
| Stonehaven Senior Living 1717 S Winery Avenue, Fresno, CA 93727 CCN 555935 | 1.7 km | — | Not rated | Jun 3, 2026 | 18 | — |
| Stonehaven Senior Living 1717 S Winery Ave, Fresno, CA 93727 State license only2 state class AA/A | 2 km | 50 lic. | Not CMS rated | — | No inspections in window | — |
| Sierra Vista Healthcare 1715 South Cedar, Fresno, CA 93702 CCN 555866 | 3.1 km | 99 | Jan 9, 2026 | 691 IJ2 harm | $12k | |
| California Home for the Aged 6720 E. Kings Canyon, Fresno, CA 93727 CCN 055955 | 4.5 km | 120 | Aug 19, 2025 | 521 harm | — | |
| Grace Healthcare Center 2939 S. Peach Avenue, Fresno, CA 93725 CCN 5553522 state class AA/A | 4.9 km | 101 | Aug 5, 2026 | 1171 harm | — | |
| Burnett Extended Care Center 2715 Fresno St, Fresno, CA 93721 State license only | 5.8 km | 154 lic. | Not CMS rated | — | No inspections in window | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 555920 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 555920 | 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 | 040000012 | 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
| 040014405 |
| Apr 28, 2017 violation Jan 18, 2017 | Class B | Citation Citation B (HSC 1424) | Problem Transfer | $2,000 | Closed | 040013169 |
| Mar 4, 2009 violation Nov 19, 2008 | Class AA | Citation Citation AA (HSC 1424) | Dietary | $80,000 | Death relatedAppealed Closed | 040005924 |
| Sep 16, 2008 violation Mar 18, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 040005415 |
| Feb 22, 2000 violation Nov 3, 1999 | Class B | Citation Citation B (HSC 1424) | Patient Care | $1,000 | Closed | 040001170 |
| Jul 9, 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 Jul 28, 2025 | Complaint |
| Jun 17, 2025 | F-0774 | Help the resident with transportation to and from laboratory services outside of the facility. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 11, 2025 | Complaint |
| Mar 11, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Mar 11, 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 Apr 3, 2025 | Complaint |
| Mar 11, 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 3, 2025 | Complaint |
| Mar 11, 2025 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 3, 2025 | Complaint |
| Feb 26, 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 Apr 4, 2025 | Complaint |
| Nov 13, 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 Dec 5, 2024 | Complaint |
| May 17, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 17, 2024 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 17, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 17, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 17, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 30, 2024 |
| May 17, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 30, 2024 |
| May 17, 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 Jun 13, 2024 |
| May 17, 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 Jun 13, 2024 |
| May 17, 2024 | 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 Jun 13, 2024 |
| May 17, 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 | D · Potential harm Isolated | Corrected Jun 13, 2024 |
| May 17, 2024 | 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 | D · Potential harm Isolated | Corrected Jun 13, 2024 |
| May 17, 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 Jun 13, 2024 |
| May 17, 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 Jun 13, 2024 |
| May 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 13, 2024 |
| May 17, 2024 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Waiver granted Jun 13, 2024 |
| Jan 16, 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 Jan 28, 2024 | Complaint |
| Dec 1, 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 Dec 20, 2023 | Complaint |
| Dec 1, 2023 | 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 Dec 20, 2023 | Complaint |
| Oct 11, 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 Oct 23, 2023 | Complaint |
| Oct 11, 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 23, 2023 | Complaint |
| May 23, 2019 | 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 Sep 7, 2019 |
| May 23, 2019 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 22, 2019 |
| May 23, 2019 | 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 | E · Potential harm Pattern | Corrected Sep 7, 2019 |
| May 23, 2019 | 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 Sep 7, 2019 |
| May 23, 2019 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 7, 2019 |
| May 23, 2019 | 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 Sep 7, 2019 |
| May 23, 2019 | 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 Sep 7, 2019 |
| May 23, 2019 | 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 Sep 7, 2019 |
| May 23, 2019 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 7, 2019 |
| May 23, 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 | F · Potential harm Widespread | Corrected Sep 7, 2019 |
| May 23, 2019 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jul 22, 2019 |
| May 23, 2019 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Sep 7, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.73 (case-mix index 1.69).
| Feb 1, 2021 |
| James Gamett | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2021 |
| Phylicia Smith | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Feb 1, 2021 |
| 99 |
| Aug 28, 2026 |
1743 harm |
| — |
| Vineyards at Fowler 1306 East Sumner Avenue, Fowler, CA 93625 CCN 055454 | 49 | Mar 4, 2026 | 821 IJ | — |
| Shasta View Care Center 1795 Walnut Street, Red Bluff, CA 96080 CCN 055489SFF Candidate | 55 | Jun 18, 2026 | 1413 IJ3 harm | $202k |
| Feather River Care Center 1 Gilmore Lane, Oroville, CA 95966 CCN 055612Abuse icon | 50 | Jan 29, 2026 | 1071 IJ | $60k |
| Rancho Seco Care Center 144 F Street, Galt, CA 95632 CCN 0558582 state class AA/AAbuse icon | 99 | Jul 23, 2026 | 873 IJ1 harm | $490k |
| Orchards at Tulare 604 E. Merritt Ave., Tulare, CA 93274 CCN 0562614 state class AA/A | 99 | Aug 7, 2026 | 1151 harm | $69k |
| Valley View Care Center 729 Browning Road, Delano, CA 93215 CCN 5550532 state class AA/A | 53 | Aug 25, 2026 | 1121 harm | — |