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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 | G1 | H· | I· |
| Potential harm | D50 | E22 | F5 |
| 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 13, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 13, 2026 | Health | Health Standard | 14 | Potential harm | — | Open → |
| May 20, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 17, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 16, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 17, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jul 2, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 8, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Jan 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 6, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 9, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 27, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 13, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 29, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 16, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| May 16, 2024 | Health | Health Complaint, Health Standard | 18 | Potential harm | — | Open → |
| Jan 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 4, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 16, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 6, 2024 | Civil money penalty (fine) | $38,181 | — | 055697|Fine|131126 |
| Issued | Class | Type | Category | Final amount | Flags | Record |
|---|---|---|---|---|---|---|
| Jun 27, 2024 violation May 15, 2024 | Class B | Citation Citation B (HSC 1424) | Patient Care | $3,000 | Open | 910020366 |
| Feb 7, 2023 violation Aug 20, 2022 | Class AA | Citation Citation AA (HSC 1424) | Patient Care | $100,000 | Death relatedAppealed Open | 910018383 |
| Feb 9, 2022 violation Sep 23, 2021 | Class B |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D50 | E22 | F5 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 6, 2026 | |
| Aug 13, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 6, 2026 | |
| Aug 13, 2026 | K-0761 |
“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.
277 facilities in 16 states. CMS chain ID 690.
Chain average overall rating (CMS): 3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Frederick Apt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mark Hancock | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Joshua Jergensen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| John Mitchell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Mohamad Albouidani | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Aug 1, 2022 |
| Matthew Sisco | Individual | Managing employee | W-2 MANAGING EMPLOYEE |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Redlands Healthcare Center 1620 W Fern Ave, Redlands, CA 92373 CCN 0550011 state class AA/A | 78 | Apr 23, 2026 | 23 | — | |
| Pleasant Hill Post Acute 1625 Oak Park Boulevard, Pleasant Hill, CA 94523 CCN 055049 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| East Los Angeles Doctors Hosp 4060 E. Whittier Blvd., Los Angeles, CA 90023 CCN 555255 | 0.2 km | 25 | Jan 8, 2026 | 18 | — | |
| Los Angeles Comm Hospital 4081 East Olympic Blvd, Los Angeles, CA 90023 CCN 5556381 state class AA/A | 1 km | 39 | Feb 6, 2026 | 351 IJ | $13k | |
| Infinity Care of East Los Angeles 101 S Fickett Street, Los Angeles, CA 90033 CCN 0560633 state class AA/AAbuse icon | 3.6 km | 99 | Aug 7, 2026 | 1203 IJ1 harm | $66k | |
| Hollenbeck Palms 573 S. Boyle Ave., Los Angeles, CA 90033 CCN 0551151 state class AA/A | 4.2 km | 106 | Aug 12, 2026 | 592 harm | — | |
| Maywood Skilled Nursing & Wellness Centre 6025 Pine Ave, Maywood, CA 90270 CCN 5551306 state class AA/A | 4.2 km | 133 | Jul 1, 2026 | 741 harm | $20k | |
| White Memorial Medical Ctr Dp 1720 Cesar E. Chavez Avenue, Los Angeles, CA 90033 CCN 555312 | 4.9 km | 27 | May 19, 2024 | 18 | — | |
| Kei-Ai Los Angeles Healthcare Center 2221 Lincoln Park Ave, Los Angeles, CA 90031 CCN 55543813 state class AA/AAbuse icon | 5.7 km | 300 | Aug 28, 2026 | 1331 IJ3 harm | $185k | |
| Bell Convalescent Hospital 4900 E. Florence Ave, Bell, CA 90201 CCN 0562187 state class AA/A | 5.8 km | 99 | Jun 16, 2026 | 993 harm | $94k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 055697 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 055697 | 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 | 940000020 | 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
| Citation Citation B (HSC 1424) |
| Patient Care |
| $2,000 |
Closed |
| 910017340 |
| Nov 12, 2020 violation Jul 26, 2019 | Class B | Citation Citation B (HSC 1424) | Patient Care | $2,000 | Closed | 910016150 |
| Jul 30, 2020 violation Jul 30, 2018 | AP NHPPD | Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) | DHPPD: 1 Day (No Penalty) | $0 | Open | 810016014 |
| Jun 11, 2015 violation Jun 28, 2014 | Class B | Citation Citation A (HSC 1424) | Patient Care | $16,000 initial $20,000 | Appealed Closed | 940011546 |
| Jul 28, 2008 violation May 5, 2008 | Class B | Citation Citation B (HSC 1424) | Patient Rights | $1,000 | Closed | 940005268 |
| Jun 15, 2007 violation Jan 14, 2007 | Class B | Citation Citation B (HSC 1424) | Physical Environment | $800 | Closed | 940004036 |
| Apr 25, 2001 violation Mar 20, 2001 | Class B | Citation Citation B (HSC 1424) | Patient Care | $500 | Closed | 940001418 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Sep 6, 2026 |
| Aug 13, 2026 | 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 | E · Potential harm Pattern | Corrected Sep 6, 2026 |
| Aug 13, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 6, 2026 |
| Aug 13, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 6, 2026 |
| Aug 13, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 14, 2026 |
| Aug 13, 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 | E · Potential harm Pattern | Corrected Sep 14, 2026 |
| Aug 13, 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 Sep 14, 2026 |
| Aug 13, 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 Sep 14, 2026 |
| Aug 13, 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 14, 2026 |
| Aug 13, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Aug 13, 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 | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Aug 13, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Aug 13, 2026 | 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 Sep 14, 2026 |
| Aug 13, 2026 | 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 | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Aug 13, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 14, 2026 |
| Aug 13, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 14, 2026 |
| Aug 13, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| Aug 13, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 14, 2026 |
| May 20, 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 Jun 8, 2026 | Complaint |
| May 20, 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 8, 2026 | Complaint |
| May 20, 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 Jun 8, 2026 | Complaint |
| Apr 17, 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 | D · Potential harm Isolated | Corrected May 9, 2026 | Complaint |
| Mar 16, 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 Apr 4, 2026 | Complaint |
| Nov 21, 2025 | 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 Dec 18, 2025 | Complaint |
| Nov 17, 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 Nov 26, 2025 | Complaint |
| Nov 17, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 26, 2025 | Complaint |
| Jul 2, 2025 | 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 28, 2025 | Complaint |
| May 15, 2025 | 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 Jun 6, 2025 | Complaint |
| May 8, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 1, 2025 |
| May 8, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 1, 2025 |
| May 8, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 1, 2025 |
| May 8, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 1, 2025 |
| May 8, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2025 |
| May 8, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2025 |
| May 8, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 1, 2025 |
| May 8, 2025 | 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 1, 2025 |
| May 8, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2025 |
| May 8, 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 | E · Potential harm Pattern | Corrected Jun 1, 2025 |
| May 8, 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 Jun 1, 2025 |
| May 8, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 1, 2025 |
| May 8, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 1, 2025 |
| May 8, 2025 | 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 Jun 1, 2025 |
| May 8, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 1, 2025 |
| May 8, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 1, 2025 |
| Jan 23, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 9, 2025 | Complaint |
| Dec 10, 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 Jan 10, 2025 | Complaint |
| Nov 6, 2024 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Dec 5, 2024 | Complaint |
| Oct 9, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2024 | Complaint |
| Aug 27, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 20, 2024 | Complaint |
| Aug 27, 2024 | 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 Sep 20, 2024 | Complaint |
| Aug 13, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 9, 2024 | Complaint |
| May 29, 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 Jun 27, 2024 | Complaint |
| May 16, 2024 | 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 | F · Potential harm Widespread | Corrected Jun 10, 2024 |
| May 16, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| May 16, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| May 16, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2024 |
| May 16, 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 Jun 10, 2024 |
| May 16, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| May 16, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 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 10, 2024 |
| May 16, 2024 | 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 10, 2024 |
| May 16, 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 Jun 10, 2024 | Complaint |
| May 16, 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 | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| May 16, 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 | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| May 16, 2024 | 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 Jun 10, 2024 |
| May 16, 2024 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| May 16, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 2024 | 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 | F · Potential harm Widespread | Corrected Jun 10, 2024 |
| May 16, 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 Jun 10, 2024 |
| May 16, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 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 10, 2024 |
| May 16, 2024 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 10, 2024 |
| May 16, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 10, 2024 |
| Jan 8, 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 Jan 20, 2024 | Complaint |
| Dec 4, 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 25, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.74 (case-mix index 1.47).
| not provided |
| Sep 1, 2023 |
| 51 |
| Jul 6, 2026 |
51 |
| — |
| Cottonwood Canyon Healthcare Center 1391 Madison Avenue, El Cajon, CA 92021 CCN 055064 | 96 | Aug 26, 2026 | 781 harm | $9,255 |
| Moraga Post Acute 348 Rheem Boulevard, Moraga, CA 94556 CCN 055085 | 49 | Apr 13, 2026 | 501 harm | — |
| Yuba City Post Acute 1220 Plumas St, Yuba City, CA 95991 CCN 0550921 state class AA/A | 59 | Apr 1, 2026 | 62 | — |
| Diablo Valley Post Acute 3806 Clayton Road, Concord, CA 94521 CCN 0551502 state class AA/AAbuse icon | 190 | Aug 13, 2026 | 763 harm | $102k |
| Garden City Healthcare Center 1310 West Granger, Modesto, CA 95350 CCN 0551852 state class AA/A | 104 | Aug 11, 2026 | 751 IJ2 harm | $35k |
| Oakwood Gardens Care Center 3510 East Shields, Fresno, CA 93726 CCN 055204 | 103 | Jul 2, 2026 | 71 | — |