010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-08-24 00:00:00 |
010001867 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-07-22 00:00:00 |
2001-07-24 00:00:00 |
No |
2001-09-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010014523 |
A99999 |
N |
None |
None |
SFY2001-02 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-08-21 00:00:00 |
010001972 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PT CARE/PHY ENVIRONM |
2002-01-11 00:00:00 |
2002-04-24 00:00:00 |
No |
2002-09-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015654 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2002-09-25 00:00:00 |
010001986 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PT. CARE/MEDICATION |
2002-02-01 00:00:00 |
2002-05-01 00:00:00 |
No |
2002-10-17 00:00:00 |
None |
B |
None |
500 |
1500 |
-525 |
975 |
0 |
010015808 |
A99999 |
N |
None |
None |
SFY2002-03 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-10-23 00:00:00 |
010001996 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-05-25 00:00:00 |
2002-07-25 00:00:00 |
No |
2002-11-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015897 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-09-10 00:00:00 |
010002055 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-04 00:00:00 |
2003-09-04 00:00:00 |
No |
2003-10-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010016860 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-12-01 00:00:00 |
010002073 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-30 00:00:00 |
2003-04-30 00:00:00 |
Yes |
2003-12-22 00:00:00 |
2003-12-19 00:00:00 |
B |
None |
800 |
800 |
0 |
800 |
0 |
010017239 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-02-23 00:00:00 |
010002086 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-01-28 00:00:00 |
2004-01-28 00:00:00 |
No |
2004-03-15 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
010017450 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-02-23 00:00:00 |
010002087 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-09 00:00:00 |
2004-02-09 00:00:00 |
No |
2004-03-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010017468 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-03-12 00:00:00 |
010002093 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-03-04 00:00:00 |
2004-03-04 00:00:00 |
No |
2004-04-05 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
010017537 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-06-01 00:00:00 |
010002106 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-03 00:00:00 |
2004-05-03 00:00:00 |
No |
2004-06-22 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
010017740 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-07-09 00:00:00 |
010002109 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2003-12-01 00:00:00 |
2003-12-13 00:00:00 |
Yes |
2006-10-26 00:00:00 |
2004-07-19 00:00:00 |
AA |
AA |
80000 |
80000 |
0 |
80000 |
0 |
010017820 |
A99999 |
Y |
None |
None |
SFY2004-05 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-11-24 00:00:00 |
010002133 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2003-10-03 00:00:00 |
2003-10-03 00:00:00 |
Yes |
2004-12-17 00:00:00 |
2004-12-15 00:00:00 |
AA |
A |
100000 |
30000 |
0 |
30000 |
0 |
010017437 |
A99999 |
Y |
None |
None |
SFY2004-05 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-03-01 00:00:00 |
010002141 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PR,TR |
2004-10-04 00:00:00 |
2004-10-04 00:00:00 |
No |
2005-03-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010018083 |
A99999 |
N |
None |
None |
SFY2004-05 |
010001005 |
ALDERSLY SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-07-19 00:00:00 |
010002165 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
C, PR |
2005-01-26 00:00:00 |
2005-01-26 00:00:00 |
No |
2005-08-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010018307 |
A99999 |
N |
None |
None |
SFY2005-06 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-08-01 00:00:00 |
010002166 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-06-29 00:00:00 |
2004-06-29 00:00:00 |
Yes |
2005-08-22 00:00:00 |
2005-08-11 00:00:00 |
A |
A |
10000 |
5000 |
0 |
5000 |
0 |
010018310 |
A99999 |
N |
None |
None |
SFY2005-06 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-12-15 00:00:00 |
010002178 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-04-14 00:00:00 |
2005-04-14 00:00:00 |
No |
2006-01-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010018337 |
A99999 |
N |
None |
None |
SFY2005-06 |
020000010 |
ASHBY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-09-25 00:00:00 |
020002564 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-03-21 00:00:00 |
2000-05-11 00:00:00 |
Yes |
2001-07-13 00:00:00 |
2000-10-20 00:00:00 |
A |
A |
6500 |
6500 |
0 |
6500 |
0 |
020012306 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000070 |
ALL SAINT'S SUBACUTE & TRANSITIONAL CARE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-10-17 00:00:00 |
020002570 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
INFECTION CONTROL |
2000-09-13 00:00:00 |
None |
Yes |
2001-07-17 00:00:00 |
2000-10-18 00:00:00 |
A |
A |
5000 |
5000 |
0 |
5000 |
0 |
020012423 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000010 |
ASHBY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-10-19 00:00:00 |
020002572 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-12-17 00:00:00 |
2000-03-25 00:00:00 |
Yes |
2001-09-03 00:00:00 |
2000-11-14 00:00:00 |
A |
A |
9000 |
9000 |
0 |
9000 |
0 |
020012442 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000070 |
ALL SAINT'S SUBACUTE & TRANSITIONAL CARE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-03-07 00:00:00 |
020002599 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-02-01 00:00:00 |
None |
Yes |
2001-04-13 00:00:00 |
2001-03-26 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
020012992 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000010 |
ASHBY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-01-23 00:00:00 |
020002681 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-03-07 00:00:00 |
2001-08-23 00:00:00 |
No |
2002-02-19 00:00:00 |
None |
B |
None |
750 |
1500 |
0 |
1500 |
0 |
020013997 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000010 |
ASHBY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-11-18 00:00:00 |
020002727 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-08-07 00:00:00 |
None |
No |
2002-12-17 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
020014611 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000070 |
ALL SAINT'S SUBACUTE & TRANSITIONAL CARE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-05-23 00:00:00 |
020002752 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-10 00:00:00 |
None |
No |
2003-06-18 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
020015322 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000070 |
ALL SAINT'S SUBACUTE & TRANSITIONAL CARE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-08-01 00:00:00 |
020002764 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2003-06-22 00:00:00 |
None |
Yes |
2003-12-26 00:00:00 |
2003-12-19 00:00:00 |
B |
B |
300 |
300 |
-300 |
0 |
0 |
020015508 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000070 |
ALL SAINT'S SUBACUTE & TRANSITIONAL CARE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-03-29 00:00:00 |
020002794 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-05 00:00:00 |
None |
No |
2004-04-23 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
020016039 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000070 |
ALL SAINT'S SUBACUTE & TRANSITIONAL CARE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-09-08 00:00:00 |
020002814 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-07-21 00:00:00 |
None |
No |
2004-09-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
020016518 |
A99999 |
N |
None |
None |
SFY2004-05 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2007-07-03 00:00:00 |
020004058 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-09-16 00:00:00 |
2004-09-16 00:00:00 |
No |
2007-07-25 00:00:00 |
None |
B |
None |
600 |
800 |
0 |
800 |
0 |
None |
BLY111 |
N |
CA00118884 |
D |
SFY2007-08 |
020000010 |
ASHBY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2009-02-13 00:00:00 |
020005877 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2008-12-19 00:00:00 |
2008-12-19 00:00:00 |
No |
2009-03-09 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
4CZB11 |
N |
CA00172512 |
B |
SFY2008-09 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2009-03-26 00:00:00 |
020006012 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-05 00:00:00 |
2009-03-05 00:00:00 |
No |
2009-04-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
IF1711 |
N |
CA00179949 |
C |
SFY2008-09 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2010-11-17 00:00:00 |
020007716 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-10-02 00:00:00 |
2010-10-02 00:00:00 |
No |
2010-12-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
J4CK11 |
N |
CA00245150 |
B |
SFY2010-11 |
140000574 |
ALHAMBRA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2011-01-20 00:00:00 |
020007852 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-19 00:00:00 |
2010-03-19 00:00:00 |
No |
2011-02-10 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
7X1J11 |
N |
CA00222686 |
C |
SFY2010-11 |
020000043 |
ALAMEDA HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2011-05-03 00:00:00 |
020008184 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-12-23 06:00:00 |
2010-12-23 06:00:00 |
No |
2011-05-24 00:00:00 |
None |
FTR BR |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
M2NW11 |
None |
CA00255091 |
B |
SFY2010-11 |
140001291 |
AVONDALE VILLA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2011-11-30 00:00:00 |
020008754 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-09-24 00:00:00 |
2011-09-24 00:00:00 |
No |
2011-12-21 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
UNSD11 |
N |
CA00284713 |
B |
SFY2011-12 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2012-04-26 00:00:00 |
020009261 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-11-23 00:00:00 |
2011-11-23 00:00:00 |
No |
2012-05-17 00:00:00 |
None |
A |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
JJQW11 |
N |
CA00291745 |
B |
SFY2011-12 |
140000686 |
ALAMEDA HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2013-10-21 00:00:00 |
020010227 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2012-09-27 00:00:00 |
2012-09-27 00:00:00 |
No |
2013-11-12 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
W92N11 |
N |
CA00327621 |
B |
SFY2013-14 |
020000070 |
ALL SAINT'S SUBACUTE & TRANSITIONAL CARE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2014-09-24 00:00:00 |
020010964 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2014-07-19 00:00:00 |
2014-07-19 00:00:00 |
No |
2014-10-15 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
NF2H11 |
N |
CA00406356 |
B |
SFY2014-15 |
020000070 |
ALL SAINT'S SUBACUTE & TRANSITIONAL CARE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2015-04-17 00:00:00 |
020011376 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-01-24 00:00:00 |
2015-01-24 00:00:00 |
No |
2015-05-08 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
K62F11 |
N |
CA00428524 |
B |
SFY2014-15 |
020000043 |
ALAMEDA HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2015-09-01 00:00:00 |
020011701 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-04-09 00:00:00 |
2015-04-09 00:00:00 |
Yes |
2015-09-23 00:00:00 |
2015-09-08 00:00:00 |
B |
B |
1500 |
965 |
0 |
965 |
0 |
None |
PLEU11 |
N |
CA00438405 |
C |
SFY2015-16 |
020000043 |
ALAMEDA HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2015-11-04 00:00:00 |
020011824 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-01-18 00:00:00 |
2015-01-18 00:00:00 |
Yes |
2015-11-30 00:00:00 |
2015-11-05 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
6DJ511 |
Y |
CA00427921, CA00427921 |
B, B |
SFY2015-16 |
140000574 |
ALHAMBRA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2016-05-31 00:00:00 |
020011913 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-02-08 00:00:00 |
2015-02-08 00:00:00 |
No |
2016-06-21 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
Q1NH12 |
N |
None |
None |
SFY2015-16 |
020000043 |
ALAMEDA HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2016-08-24 00:00:00 |
020012394 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-10-14 00:00:00 |
2015-10-14 00:00:00 |
No |
2016-09-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
IID511 |
N |
CA00480942 |
C |
SFY2016-17 |
020000043 |
ALAMEDA HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2016-12-08 00:00:00 |
020012796 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2016-10-06 00:00:00 |
2016-10-06 00:00:00 |
No |
2016-12-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PNZM11 |
N |
CA00506332 |
B |
SFY2016-17 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2018-01-16 00:00:00 |
020013736 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2017-10-29 00:00:00 |
2017-10-29 00:00:00 |
No |
2018-02-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JS4J11 |
N |
CA00558901 |
A |
SFY2017-18 |
020000010 |
ASHBY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2019-11-06 00:00:00 |
020015513 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-09-12 00:00:00 |
2019-09-12 00:00:00 |
No |
2019-11-27 00:00:00 |
None |
A |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
FPWP11 |
Y |
None |
None |
SFY2019-20 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-10-29 00:00:00 |
020017045 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Neglect |
2021-03-31 00:00:00 |
2021-03-31 00:00:00 |
No |
2021-11-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
CFEH11 |
N |
CA00732609 |
B |
SFY2021-22 |
020000043 |
ALAMEDA HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-11-30 00:00:00 |
020017137 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-04-28 00:00:00 |
2021-04-28 00:00:00 |
No |
2021-12-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
SVJG11 |
N |
CA00737983, CA00737983, CA00737983 |
B, B, B |
SFY2021-22 |
030001004 |
AMERICAN RIVER CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-01-14 00:00:00 |
030001995 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-10-31 00:00:00 |
None |
Yes |
2000-02-10 00:00:00 |
2000-01-31 00:00:00 |
A |
A |
8000 |
8000 |
-6000 |
2000 |
0 |
030013795 |
A99999 |
N |
None |
None |
SFY1999-00 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-10-04 00:00:00 |
030002079 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2001-01-28 00:00:00 |
None |
No |
2001-10-26 00:00:00 |
None |
AA |
None |
60000 |
60000 |
-21000 |
39000 |
0 |
030015625 |
A99999 |
Y |
None |
None |
SFY2001-02 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-08-19 00:00:00 |
030002104 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-11-03 00:00:00 |
None |
No |
2002-09-10 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
030016013 |
A99999 |
N |
None |
None |
SFY2002-03 |
030001004 |
AMERICAN RIVER CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-01-08 00:00:00 |
030002118 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE SELF REPORTED |
2001-06-18 00:00:00 |
None |
No |
2003-02-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030016743 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-02-20 00:00:00 |
030002123 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-09-18 00:00:00 |
None |
Yes |
2003-03-17 00:00:00 |
2003-02-28 00:00:00 |
A |
None |
15000 |
15000 |
0 |
15000 |
0 |
030016925 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000013 |
AUBURN RAVINE TERRACE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-03-15 00:00:00 |
030002166 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-06-21 00:00:00 |
None |
No |
2004-04-06 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
030017739 |
A99999 |
N |
None |
None |
SFY2003-04 |
030001829 |
ACC CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-02-21 00:00:00 |
030002281 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-12 00:00:00 |
None |
No |
2003-07-14 00:00:00 |
None |
B |
Dismissed by Court |
300 |
0 |
0 |
0 |
0 |
030020030 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-04-12 00:00:00 |
030002319 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-18 00:00:00 |
None |
No |
2005-05-03 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
030020424 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-11-29 00:00:00 |
030002342 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-10 00:00:00 |
None |
No |
2005-12-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020467 |
A99999 |
N |
None |
None |
SFY2005-06 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-12-20 00:00:00 |
030003318 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
Abuse/Fac Not Reported |
2005-06-25 00:00:00 |
2005-06-25 00:00:00 |
Yes |
2007-01-18 00:00:00 |
2007-01-10 00:00:00 |
AA |
A |
100000 |
20000 |
0 |
20000 |
0 |
None |
CZQM11 |
Y |
CA00053421, CA00056632 |
B, B |
SFY2006-07 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-09-20 00:00:00 |
030003347 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-07-29 00:00:00 |
2006-07-29 00:00:00 |
No |
2006-10-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XZDS11 |
N |
None |
None |
SFY2006-07 |
030001004 |
AMERICAN RIVER CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-12-20 00:00:00 |
030003573 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-12-08 00:00:00 |
2003-12-08 00:00:00 |
No |
2007-01-17 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
085D11 |
N |
CA00036382 |
C |
SFY2006-07 |
030001004 |
AMERICAN RIVER CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-12-20 00:00:00 |
030003579 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2003-12-08 00:00:00 |
2003-12-08 00:00:00 |
No |
2007-01-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
085D11 |
Y |
CA00036382 |
C |
SFY2006-07 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-12-20 00:00:00 |
030003580 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2005-06-25 00:00:00 |
2005-06-25 00:00:00 |
No |
2007-01-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CZQM11 |
N |
CA00053421, CA00056632 |
B, B |
SFY2006-07 |
030001004 |
AMERICAN RIVER CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-03-09 00:00:00 |
030003771 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2005-10-06 00:00:00 |
2005-10-06 00:00:00 |
No |
2007-03-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JLTU11 |
N |
CA00063787 |
C |
SFY2006-07 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-06-14 00:00:00 |
030004030 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-01-01 00:00:00 |
2007-01-01 00:00:00 |
No |
2007-07-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
U24D11 |
N |
CA00107143, CA00107361 |
B, B |
SFY2006-07 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-06-20 00:00:00 |
030004031 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-08-13 00:00:00 |
2006-08-13 00:00:00 |
Yes |
2007-07-12 00:00:00 |
2007-06-28 00:00:00 |
A |
None |
20000 |
20000 |
-20000 |
0 |
0 |
None |
0CSO11 |
N |
CA00093117 |
B |
SFY2006-07 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-07-12 00:00:00 |
030004070 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2005-03-19 00:00:00 |
2005-03-19 00:00:00 |
Yes |
2007-08-02 00:00:00 |
2007-07-25 00:00:00 |
AA |
AA |
100000 |
50000 |
0 |
50000 |
0 |
None |
E65O11 |
Y |
CA00050742 |
C |
SFY2007-08 |
100000170 |
ALTA'S ICF, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2007-07-24 00:00:00 |
030004117 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-06-06 00:00:00 |
2007-06-06 00:00:00 |
No |
2007-08-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
MUVO11 |
N |
CA00116978 |
B |
SFY2007-08 |
030000023 |
ADVENTIST HEALTH SONORA - D/P SNF (UNIT 6) |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-08-01 00:00:00 |
030004126 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-09-26 00:00:00 |
2006-09-26 00:00:00 |
No |
2007-08-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
THJU11 |
N |
CA00094963 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-07-31 00:00:00 |
030004134 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-07-25 00:00:00 |
2005-07-25 00:00:00 |
Yes |
2007-08-21 00:00:00 |
2007-08-01 00:00:00 |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
T7EF11 |
N |
CA00059596 |
B |
SFY2007-08 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2007-08-06 00:00:00 |
030004141 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse/Facility Reported |
2006-11-16 00:00:00 |
2006-11-16 00:00:00 |
No |
2007-08-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
MHR111 |
N |
CA00099016 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-08-03 00:00:00 |
030004161 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-11-09 00:00:00 |
2005-11-09 00:00:00 |
Yes |
2007-08-29 00:00:00 |
2007-08-13 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
VF0811 |
N |
CA00068261 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-08-03 00:00:00 |
030004163 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-11-09 00:00:00 |
2005-11-09 00:00:00 |
Yes |
2007-08-24 00:00:00 |
2007-08-14 00:00:00 |
A |
A |
15000 |
7500 |
0 |
7500 |
0 |
None |
VF0811 |
N |
CA00068261 |
B |
SFY2007-08 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-08-22 00:00:00 |
030004203 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-10 00:00:00 |
2007-07-10 00:00:00 |
No |
2007-09-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D2N311 |
N |
CA00120049 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-09-20 00:00:00 |
030004280 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-06-09 00:00:00 |
2007-06-09 00:00:00 |
Yes |
2007-11-19 00:00:00 |
2007-10-09 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
665H11 |
N |
CA00117284 |
B |
SFY2007-08 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-01 00:00:00 |
030004297 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-08-16 00:00:00 |
2007-08-16 00:00:00 |
No |
2007-10-23 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
ZSZR11 |
N |
CA00123956 |
B |
SFY2007-08 |
030001004 |
AMERICAN RIVER CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-10 00:00:00 |
030004318 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
Patient Rights |
2007-06-21 00:00:00 |
2007-06-21 00:00:00 |
No |
2007-10-31 00:00:00 |
None |
B |
None |
650 |
650 |
0 |
650 |
0 |
None |
WRUH11 |
N |
CA00118831 |
B |
SFY2007-08 |
030001004 |
AMERICAN RIVER CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-10 00:00:00 |
030004325 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
Patient Rights/Care |
2007-06-28 00:00:00 |
2007-06-28 00:00:00 |
No |
2007-11-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
YOHR11 |
N |
CA00118897 |
B |
SFY2007-08 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-16 00:00:00 |
030004336 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-12-08 00:00:00 |
2006-12-08 00:00:00 |
No |
2007-11-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
20IU11 |
N |
CA00120398 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-11 00:00:00 |
030004344 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-06-08 00:00:00 |
2007-06-08 00:00:00 |
Yes |
2007-11-01 00:00:00 |
2007-10-23 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
MPX711 |
N |
CA00117590 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-11 00:00:00 |
030004345 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-09-05 00:00:00 |
2005-09-05 00:00:00 |
No |
2007-11-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LX6W11 |
N |
CA00073168 |
B |
SFY2007-08 |
100000170 |
ALTA'S ICF, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2007-10-23 00:00:00 |
030004383 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-28 00:00:00 |
2007-07-28 00:00:00 |
No |
2007-11-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
U35I11 |
N |
CA00122581 |
B |
SFY2007-08 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-23 00:00:00 |
030004388 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-10-25 00:00:00 |
2006-10-25 00:00:00 |
No |
2007-11-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4LFY11 |
N |
CA00100724, CA00100745, CA00101234 |
B, B, B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-30 00:00:00 |
030004408 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2006-02-07 00:00:00 |
2006-02-07 00:00:00 |
Yes |
2007-11-29 00:00:00 |
2007-11-01 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
YW5911 |
N |
CA00072467 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-12-21 00:00:00 |
030004419 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2005-10-13 00:00:00 |
2005-10-13 00:00:00 |
Yes |
2008-01-15 00:00:00 |
2008-01-02 00:00:00 |
AA |
A |
100000 |
50000 |
0 |
50000 |
0 |
None |
713911 |
Y |
CA00063176 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-12-14 00:00:00 |
030004513 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-30 00:00:00 |
2007-04-30 00:00:00 |
Yes |
2008-01-17 00:00:00 |
2008-01-02 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
D8WT11 |
N |
CA00113484 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-12-21 00:00:00 |
030004537 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-10-10 00:00:00 |
2005-10-10 00:00:00 |
Yes |
2008-01-23 00:00:00 |
2008-01-02 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
713911 |
N |
CA00063176 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-01-29 00:00:00 |
030004563 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-02-27 00:00:00 |
2005-02-27 00:00:00 |
Yes |
2008-02-21 00:00:00 |
2008-02-06 00:00:00 |
A |
A |
20000 |
10300 |
-300 |
10000 |
0 |
None |
RKO911 |
N |
CA00073716 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-02-15 00:00:00 |
030004694 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-03-19 00:00:00 |
2006-03-19 00:00:00 |
Yes |
2008-03-10 00:00:00 |
2008-02-20 00:00:00 |
A |
A |
20000 |
10350 |
-350 |
10000 |
0 |
None |
ED2Z11 |
N |
CA00075767 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-03-18 00:00:00 |
030004793 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-09-19 00:00:00 |
2005-09-19 00:00:00 |
Yes |
2008-04-09 00:00:00 |
2008-03-21 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
IY0E11 |
N |
CA00063899 |
C |
SFY2007-08 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-03-21 00:00:00 |
030004809 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-12-07 00:00:00 |
2006-12-07 00:00:00 |
Yes |
2008-04-21 00:00:00 |
2008-04-02 00:00:00 |
A |
A |
20000 |
20000 |
-17371 |
2629 |
0 |
None |
VBCK11 |
N |
CA00103686 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-05-15 00:00:00 |
030005041 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-11-06 00:00:00 |
2007-11-06 00:00:00 |
Yes |
2008-06-10 00:00:00 |
2008-05-22 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
L48811 |
N |
CA00134972 |
A |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-05-15 00:00:00 |
030005043 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Transfer-Discharge |
2007-12-13 00:00:00 |
2007-12-13 00:00:00 |
Yes |
2008-06-10 00:00:00 |
2008-05-22 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
YP0P11 |
N |
CA00136090, CA00136980 |
B, B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-05-16 00:00:00 |
030005048 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-06-09 00:00:00 |
2005-06-09 00:00:00 |
Yes |
2008-06-10 00:00:00 |
2008-05-22 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
5YKI11 |
N |
CA00104670 |
B |
SFY2007-08 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-05-16 00:00:00 |
030005050 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-09-28 00:00:00 |
2005-09-28 00:00:00 |
Yes |
2008-06-10 00:00:00 |
2008-05-22 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
5YKI11 |
N |
CA00104670 |
B |
SFY2007-08 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-07-08 00:00:00 |
030005214 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-05-24 00:00:00 |
2008-05-24 00:00:00 |
No |
2008-07-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
M0DE11 |
N |
CA00151969 |
C |
SFY2008-09 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-09-08 00:00:00 |
030005396 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-05-07 00:00:00 |
2007-05-07 00:00:00 |
No |
2008-10-01 00:00:00 |
None |
A |
A |
20000 |
20000 |
-17371 |
2629 |
0 |
None |
RGYC11 |
N |
CA00117351 |
B |
SFY2008-09 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-09-08 00:00:00 |
030005399 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-03-28 00:00:00 |
2008-03-28 00:00:00 |
No |
2008-09-29 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
R37011 |
N |
CA00145586, CA00146291 |
B, B |
SFY2008-09 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-10-01 00:00:00 |
030005479 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2008-05-15 00:00:00 |
2008-05-15 00:00:00 |
No |
2008-10-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XRRS11 |
N |
CA00150720 |
C |
SFY2008-09 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-10-01 00:00:00 |
030005480 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2008-01-31 00:00:00 |
2008-01-31 00:00:00 |
No |
2008-10-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XRRS11 |
N |
CA00151325 |
C |
SFY2008-09 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-12-05 00:00:00 |
030005603 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-04-26 00:00:00 |
2007-04-26 00:00:00 |
No |
2008-12-31 00:00:00 |
None |
B |
None |
800 |
1050 |
-280 |
770 |
0 |
None |
TW9M11 |
N |
CA00113187 |
B |
SFY2008-09 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-12-18 00:00:00 |
030005710 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2008-05-13 00:00:00 |
2008-05-13 00:00:00 |
No |
2009-01-13 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
UKRB11 |
N |
CA00114610 |
A |
SFY2008-09 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-03-02 00:00:00 |
030005888 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-08-24 00:00:00 |
2007-08-24 00:00:00 |
No |
2009-03-25 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
0ZFB11 |
N |
CA00128710 |
B |
SFY2008-09 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-02-26 00:00:00 |
030005902 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2008-09-04 00:00:00 |
2008-09-04 00:00:00 |
No |
2009-03-19 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
99WB11 |
N |
CA00170220 |
B |
SFY2008-09 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-04-17 00:00:00 |
030006103 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-01-22 00:00:00 |
2008-01-22 00:00:00 |
No |
2009-05-08 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
345211 |
N |
CA00139796 |
B |
SFY2008-09 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006697 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006698 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006699 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
Yes |
2009-12-16 00:00:00 |
2009-12-08 00:00:00 |
B |
Drop>Deficiency |
1000 |
0 |
0 |
0 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006700 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006701 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006702 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006703 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006704 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006705 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006707 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006708 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006709 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006710 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006711 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-11-17 00:00:00 |
030006712 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0JG911 |
N |
CA00172536 |
C |
SFY2009-10 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-05-13 00:00:00 |
030007192 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-04 00:00:00 |
2008-04-04 00:00:00 |
No |
2010-06-11 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
None |
T1SZ11 |
N |
CA00146248 |
B |
SFY2009-10 |
030000023 |
ADVENTIST HEALTH SONORA - D/P SNF (UNIT 6) |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2011-05-19 00:00:00 |
030008255 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-07-04 00:00:00 |
2009-07-04 00:00:00 |
No |
2011-06-10 00:00:00 |
None |
A |
None |
12000 |
12000 |
-4200 |
7800 |
0 |
None |
NJW911 |
N |
CA00194021 |
B |
SFY2010-11 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-06-09 00:00:00 |
030008292 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-10 00:00:00 |
2009-02-10 00:00:00 |
Yes |
2011-06-30 00:00:00 |
2011-06-16 00:00:00 |
A |
None |
18000 |
54000 |
-54000 |
0 |
0 |
None |
4Q3711 |
N |
CA00177675, CA00177784 |
B, C |
SFY2010-11 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-07-15 00:00:00 |
030008383 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-02-09 00:00:00 |
2009-02-09 00:00:00 |
No |
2011-08-05 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
NHU711 |
N |
CA00179168 |
A |
SFY2011-12 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-09-30 00:00:00 |
030008603 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-04-27 00:00:00 |
2009-04-27 00:00:00 |
No |
2011-10-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CXFK11 |
N |
CA00187587, CA00187606 |
C, C |
SFY2011-12 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-12-29 00:00:00 |
030008835 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2010-07-05 00:00:00 |
2010-07-05 00:00:00 |
No |
2012-01-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I2LM11 |
N |
CA00237308 |
B |
SFY2011-12 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-02-27 00:00:00 |
030009032 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-11-14 00:00:00 |
2009-11-14 00:00:00 |
No |
2012-03-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D9SI11 |
N |
CA00208673, CA00209698 |
B, B |
SFY2011-12 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-05-25 00:00:00 |
030009332 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-09-12 00:00:00 |
2010-09-12 00:00:00 |
No |
2012-06-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
X86V11 |
N |
None |
None |
SFY2011-12 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-08-16 00:00:00 |
030009433 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-03-14 00:00:00 |
2009-03-14 00:00:00 |
No |
2012-09-07 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
MBNG11 |
N |
CA00181582 |
B |
SFY2012-13 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-10-23 00:00:00 |
030009564 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
STAFF QUALIFICATIONS |
2005-11-04 00:00:00 |
2005-11-04 00:00:00 |
No |
2012-11-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
74CC11 |
N |
CA00219860 |
C |
SFY2012-13 |
030001004 |
AMERICAN RIVER CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-11-15 00:00:00 |
030009588 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-24 00:00:00 |
2009-03-24 00:00:00 |
No |
2012-12-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6NES11 |
N |
CA00182723, CA00182902 |
B, B |
SFY2012-13 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-03-07 00:00:00 |
030009761 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-06-18 00:00:00 |
2010-06-18 00:00:00 |
No |
2013-03-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
579G11 |
N |
CA00232902 |
A |
SFY2012-13 |
030001829 |
ACC CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-07-03 00:00:00 |
030009946 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2012-01-09 00:00:00 |
2012-01-09 00:00:00 |
Yes |
2013-07-25 00:00:00 |
2013-07-23 00:00:00 |
AA |
A |
80000 |
11000 |
0 |
11000 |
0 |
None |
T51C11 |
Y |
CA00302503 |
B |
SFY2013-14 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-07-08 00:00:00 |
030009992 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-05-04 00:00:00 |
2010-05-04 00:00:00 |
Yes |
2013-07-29 00:00:00 |
2013-07-16 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
9YSD11 |
N |
CA00196509, CA00221549, CA00227829 |
B, C, B |
SFY2013-14 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-08-01 00:00:00 |
030010045 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-01-16 00:00:00 |
2010-01-16 00:00:00 |
Yes |
2013-08-22 00:00:00 |
2013-08-21 00:00:00 |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
Z75H11 |
N |
CA00218518 |
B |
SFY2013-14 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-08-13 00:00:00 |
030010068 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-12-26 00:00:00 |
2010-12-26 00:00:00 |
Yes |
2013-09-04 00:00:00 |
2013-09-05 00:00:00 |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
0B8711 |
N |
CA00253677, CA00255452 |
B, B |
SFY2013-14 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-08-29 00:00:00 |
030010113 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-03-20 00:00:00 |
2011-03-20 00:00:00 |
Yes |
2013-09-20 00:00:00 |
2013-09-05 00:00:00 |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
BU0H11 |
N |
CA00264448 |
B |
SFY2013-14 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-08-29 00:00:00 |
030010115 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-03-20 00:00:00 |
2011-03-20 00:00:00 |
Yes |
2013-09-20 00:00:00 |
2013-09-05 00:00:00 |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
BU0H11 |
N |
CA00264448 |
B |
SFY2013-14 |
030001829 |
ACC CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-01-29 00:00:00 |
030010383 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-02-16 00:00:00 |
2012-02-16 00:00:00 |
No |
2014-02-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
YS9P11 |
N |
CA00300015 |
B |
SFY2013-14 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-09-17 00:00:00 |
030010988 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2014-06-25 00:00:00 |
2014-06-25 00:00:00 |
No |
2014-10-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
055Z11 |
N |
CA00405022, CA00405037, CA00405052 |
B, B, B |
SFY2014-15 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-09-17 00:00:00 |
030010989 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2014-07-24 00:00:00 |
2014-07-24 00:00:00 |
No |
2014-10-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ZH5211 |
N |
CA00407089, CA00407552 |
B, B |
SFY2014-15 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-10-24 00:00:00 |
030011076 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-04-11 00:00:00 |
2013-04-11 00:00:00 |
No |
2014-11-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9U8111 |
N |
CA00414422 |
B |
SFY2014-15 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-11-13 00:00:00 |
030011094 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-05-20 00:00:00 |
2014-05-20 00:00:00 |
No |
2014-12-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KQCE11 |
N |
CA00399121, CA00399185 |
A, A |
SFY2014-15 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2015-11-06 00:00:00 |
030011834 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to Readmit |
2015-09-18 00:00:00 |
2015-09-18 00:00:00 |
Yes |
2015-12-02 00:00:00 |
2015-11-16 00:00:00 |
B |
B |
2000 |
1200 |
0 |
1200 |
0 |
None |
SWE911 |
N |
CA00459728 |
B |
SFY2015-16 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2016-12-02 00:00:00 |
030012787 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to re-admit |
2016-04-09 00:00:00 |
2016-04-09 00:00:00 |
No |
2016-12-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Z5JU11 |
N |
CA00483684 |
B |
SFY2016-17 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2018-03-16 00:00:00 |
030013907 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-08-05 00:00:00 |
2017-08-05 00:00:00 |
No |
2018-04-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
NSNB11 |
N |
CA00548200 |
B |
SFY2017-18 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-08-13 00:00:00 |
030015271 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-10-12 00:00:00 |
2017-10-12 00:00:00 |
No |
2019-09-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5NKR11 |
N |
None |
None |
SFY2019-20 |
100000170 |
ALTA'S ICF, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2019-11-13 00:00:00 |
030015522 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-05-13 00:00:00 |
2019-05-13 00:00:00 |
No |
2019-12-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
XRWE11 |
N |
None |
None |
SFY2019-20 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-11-22 00:00:00 |
030015544 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-09-11 00:00:00 |
2019-09-11 00:00:00 |
No |
2019-12-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
3H7X11 |
N |
CA00658638, CA00658638 |
C, C |
SFY2019-20 |
100000170 |
ALTA'S ICF, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2021-09-24 00:00:00 |
030016945 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-02-03 00:00:00 |
2020-02-03 00:00:00 |
No |
2021-10-15 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
QF7411 |
Y |
CA00686464, CA00686524 |
A, B |
SFY2021-22 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-10-03 00:00:00 |
030018974 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2023-05-12 00:00:00 |
2023-05-12 00:00:00 |
No |
2023-10-24 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
32W511 |
N |
CA00841097, CA00841097, CA00841097, CA00841097, CA00841097, CA00841605, CA00841605, CA00841605, CA00841605, CA00841605 |
B, B, B, B, B, B, B, B, B, B |
SFY2023-24 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2024-06-05 00:00:00 |
030020223 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-04-20 00:00:00 |
2024-04-20 00:00:00 |
No |
2024-06-26 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
Y5I511 |
Y |
CA00896540, CA00896540 |
B, B |
SFY2023-24 |
040000647 |
ABLELIGHT INC. - ROGERS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2001-05-03 00:00:00 |
040001216 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-11-25 00:00:00 |
2000-11-25 00:00:00 |
Yes |
2001-09-12 00:00:00 |
2001-05-14 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
040012031 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000225 |
ANBERRY NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2003-04-23 00:00:00 |
040001330 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-02-01 00:00:00 |
2003-02-01 00:00:00 |
Yes |
2003-11-13 00:00:00 |
2003-10-27 00:00:00 |
B |
B |
500 |
350 |
0 |
350 |
0 |
040014446 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000647 |
ABLELIGHT INC. - ROGERS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2003-08-25 00:00:00 |
040001352 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-01-29 00:00:00 |
2003-01-29 00:00:00 |
No |
2003-09-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
040014445 |
A99999 |
N |
None |
None |
SFY2003-04 |
040000641 |
ABLELIGHT INC. - FILBERT |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2004-10-18 00:00:00 |
040001363 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-07-16 00:00:00 |
2004-07-16 00:00:00 |
No |
2004-11-12 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
040016302 |
A99999 |
N |
None |
None |
SFY2004-05 |
040001378 |
ALLEN-FLORER FAMILY HOME - WHEELER |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2007-08-13 00:00:00 |
040004176 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-01-10 00:00:00 |
2007-01-10 00:00:00 |
No |
2007-09-04 00:00:00 |
None |
B |
None |
600 |
750 |
-210 |
540 |
0 |
None |
JJBT11 |
N |
CA00103969 |
C |
SFY2007-08 |
040001106 |
ALLEN-COX FAMILY HOME IV |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2008-01-17 00:00:00 |
040004592 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-12-01 00:00:00 |
2006-12-01 00:00:00 |
No |
2008-02-08 00:00:00 |
None |
B |
None |
1000 |
1200 |
0 |
1200 |
0 |
None |
18PK11 |
N |
CA00105680 |
C |
SFY2007-08 |
040001363 |
ALLEN-FLORER FAMILY HOME - NINTH |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2008-03-18 00:00:00 |
040004794 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-05-28 00:00:00 |
2007-05-28 00:00:00 |
No |
2008-04-09 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
None |
4I4E11 |
N |
CA00116785 |
B |
SFY2007-08 |
040000641 |
ABLELIGHT INC. - FILBERT |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2008-04-03 00:00:00 |
040004853 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-08-31 00:00:00 |
2007-08-31 00:00:00 |
No |
2008-04-24 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
WN7F11 |
N |
CA00125419 |
C |
SFY2007-08 |
040000642 |
ABLELIGHT INC. - BROWNING |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2008-05-13 00:00:00 |
040005011 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-09-23 00:00:00 |
2007-09-23 00:00:00 |
No |
2008-06-04 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
GKWH11 |
N |
CA00128998 |
C |
SFY2007-08 |
040001106 |
ALLEN-COX FAMILY HOME IV |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2008-05-13 00:00:00 |
040005012 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
staff to patient abuse |
2008-03-08 00:00:00 |
2008-03-08 00:00:00 |
No |
2008-06-09 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
I5XD11 |
N |
CA00143277 |
C |
SFY2007-08 |
040001106 |
ALLEN-COX FAMILY HOME IV |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2008-05-20 00:00:00 |
040005055 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-12-01 00:00:00 |
2007-12-01 00:00:00 |
No |
2008-06-11 00:00:00 |
None |
B |
None |
1000 |
1100 |
0 |
1100 |
0 |
None |
4GUC11 |
N |
CA00133716 |
C |
SFY2007-08 |
040001106 |
ALLEN-COX FAMILY HOME IV |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2009-01-15 00:00:00 |
040005786 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-07 00:00:00 |
2008-07-07 00:00:00 |
No |
2009-02-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PCLV11 |
N |
CA00150091 |
C |
SFY2008-09 |
040001378 |
ALLEN-FLORER FAMILY HOME - WHEELER |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2009-05-11 00:00:00 |
040006167 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-03-16 00:00:00 |
2009-03-16 00:00:00 |
No |
2009-06-04 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
YB9S11 |
N |
CA00181171 |
B |
SFY2008-09 |
040000642 |
ABLELIGHT INC. - BROWNING |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2009-08-27 00:00:00 |
040006495 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-12-10 00:00:00 |
2008-12-10 00:00:00 |
No |
2009-09-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IBA711 |
N |
CA00171788 |
C |
SFY2009-10 |
040001363 |
ALLEN-FLORER FAMILY HOME - NINTH |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2010-05-04 00:00:00 |
040007187 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-12-06 00:00:00 |
2009-12-06 00:00:00 |
No |
2010-05-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
DK5W11 |
N |
CA00210566 |
C |
SFY2009-10 |
040001363 |
ALLEN-FLORER FAMILY HOME - NINTH |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2011-03-01 00:00:00 |
040007970 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2010-10-23 00:00:00 |
2010-10-23 00:00:00 |
No |
2011-03-22 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
T66511 |
N |
CA00247173 |
B |
SFY2010-11 |
040000647 |
ABLELIGHT INC. - ROGERS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2011-09-07 00:00:00 |
040008542 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-05-14 00:00:00 |
2011-05-14 00:00:00 |
No |
2011-09-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4K3J11 |
N |
CA00269866 |
B |
SFY2011-12 |
040001000 |
ABLELIGHT INC. - GATEWAY |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2012-03-08 00:00:00 |
040009096 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-09-15 00:00:00 |
2010-09-15 00:00:00 |
No |
2012-03-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C7LS11 |
N |
CA00282371 |
C |
SFY2011-12 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2012-03-15 00:00:00 |
040009117 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-08-05 00:00:00 |
2011-08-05 00:00:00 |
No |
2012-04-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QT9S11 |
N |
CA00278548 |
C |
SFY2011-12 |
040001000 |
ABLELIGHT INC. - GATEWAY |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2013-03-05 00:00:00 |
040009768 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-03-13 00:00:00 |
2012-03-13 00:00:00 |
No |
2013-03-26 00:00:00 |
None |
B |
None |
1000 |
1100 |
-350 |
750 |
0 |
None |
IT9S11 |
N |
CA00302405 |
C |
SFY2012-13 |
040001378 |
ALLEN-FLORER FAMILY HOME - WHEELER |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2013-05-13 00:00:00 |
040009896 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-02-24 00:00:00 |
2013-02-24 00:00:00 |
No |
2013-06-04 00:00:00 |
None |
B |
None |
1000 |
1100 |
0 |
1100 |
0 |
None |
F86J11 |
N |
CA00345050 |
C |
SFY2012-13 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2013-05-20 00:00:00 |
040009912 |
Open |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2012-10-26 00:00:00 |
2012-10-26 00:00:00 |
Yes |
2013-06-11 00:00:00 |
2013-05-30 00:00:00 |
A |
None |
17000 |
17000 |
0 |
0 |
17000 |
None |
VJJQ11 |
Y |
CA00331163 |
B |
SFY2012-13 |
040000645 |
ABLELIGHT INC. - MITCHELL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2014-08-21 00:00:00 |
040010948 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2014-07-03 00:00:00 |
2014-07-03 00:00:00 |
No |
2014-09-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6KOE11 |
N |
CA00404438 |
C |
SFY2014-15 |
040000647 |
ABLELIGHT INC. - ROGERS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2014-10-01 00:00:00 |
040011040 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-09-06 00:00:00 |
2014-09-06 00:00:00 |
No |
2014-10-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
H29J11 |
N |
CA00413666 |
C |
SFY2014-15 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2015-01-12 00:00:00 |
040011219 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-09-29 00:00:00 |
2014-09-29 00:00:00 |
No |
2015-02-03 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
S2Z011 |
N |
CA00415161 |
B |
SFY2014-15 |
040000647 |
ABLELIGHT INC. - ROGERS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2015-04-09 00:00:00 |
040011375 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-10-28 00:00:00 |
2014-10-28 00:00:00 |
No |
2015-04-30 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
None |
2YS411 |
N |
CA00418666 |
B |
SFY2014-15 |
040000644 |
ABLELIGHT INC. - HELM |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2016-01-26 00:00:00 |
040011992 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2015-06-10 00:00:00 |
2015-06-10 00:00:00 |
No |
2016-02-17 00:00:00 |
None |
AA |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
4ZRM11 |
Y |
CA00446191 |
A |
SFY2015-16 |
040000644 |
ABLELIGHT INC. - HELM |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2016-03-22 00:00:00 |
040012130 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-01-11 00:00:00 |
2016-01-11 00:00:00 |
No |
2016-04-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
908D11 |
N |
CA00472261, CA00475863 |
C, E |
SFY2015-16 |
040000225 |
ANBERRY NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2016-04-27 00:00:00 |
040012209 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2015-09-15 00:00:00 |
2015-09-15 00:00:00 |
Yes |
2016-05-18 00:00:00 |
2016-05-02 00:00:00 |
B |
B |
2000 |
1000 |
0 |
1000 |
0 |
None |
BC8Z11 |
N |
CA00462040 |
B |
SFY2015-16 |
040000225 |
ANBERRY NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2016-06-01 00:00:00 |
040012299 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-05-11 00:00:00 |
2016-05-11 00:00:00 |
Yes |
2016-06-22 00:00:00 |
2016-06-06 00:00:00 |
B |
None |
2000 |
38400 |
0 |
0 |
38400 |
None |
UISX11 |
N |
CA00440945 |
B |
SFY2015-16 |
040000644 |
ABLELIGHT INC. - HELM |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2016-12-28 00:00:00 |
040012849 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-06-27 00:00:00 |
2016-06-27 00:00:00 |
No |
2017-01-20 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
4SEB11 |
Y |
CA00493640 |
B |
SFY2016-17 |
040001363 |
ALLEN-FLORER FAMILY HOME - NINTH |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2018-08-09 00:00:00 |
040014325 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-01-17 00:00:00 |
2018-01-17 00:00:00 |
Yes |
2018-08-30 00:00:00 |
2018-08-28 00:00:00 |
A |
None |
10000 |
10000 |
0 |
0 |
10000 |
None |
344V11 |
Y |
CA00569909 |
C |
SFY2018-19 |
040000225 |
ANBERRY NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2019-04-03 00:00:00 |
040014934 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2018-11-29 00:00:00 |
2018-11-29 00:00:00 |
Yes |
2019-04-24 00:00:00 |
2019-04-18 00:00:00 |
AA |
A |
100000 |
55000 |
0 |
55000 |
0 |
None |
S70D11 |
Y |
CA00613999 |
A |
SFY2018-19 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2022-03-08 00:00:00 |
040017473 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-07-29 00:00:00 |
2020-07-29 00:00:00 |
No |
2022-03-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
9SUY11 |
N |
CA00699096 |
B |
SFY2021-22 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2001-09-21 00:00:00 |
050001466 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-20 00:00:00 |
2001-08-20 00:00:00 |
No |
2001-10-24 00:00:00 |
None |
B |
None |
800 |
900 |
-280 |
620 |
0 |
050015409 |
A99999 |
N |
None |
None |
SFY2001-02 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2001-09-21 00:00:00 |
050001467 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-14 00:00:00 |
2001-04-14 00:00:00 |
No |
2001-10-15 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
050015415 |
A99999 |
N |
None |
None |
SFY2001-02 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2001-09-21 00:00:00 |
050001468 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2001-04-13 00:00:00 |
2001-04-13 00:00:00 |
No |
2001-10-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050015416 |
A99999 |
N |
None |
None |
SFY2001-02 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2002-03-25 00:00:00 |
050001498 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-02-19 00:00:00 |
None |
No |
2002-04-22 00:00:00 |
None |
A |
None |
10000 |
10050 |
-3500 |
6550 |
0 |
050015774 |
A99999 |
N |
None |
None |
SFY2001-02 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2002-05-30 00:00:00 |
050001507 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-04-26 00:00:00 |
None |
No |
2002-06-24 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
050015900 |
A99999 |
N |
None |
None |
SFY2001-02 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-02-21 00:00:00 |
050001548 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2002-11-04 00:00:00 |
None |
Yes |
2003-03-17 00:00:00 |
2003-03-13 00:00:00 |
AA |
A |
60000 |
40000 |
0 |
40000 |
0 |
050016476 |
A99999 |
Y |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-03-03 00:00:00 |
050001549 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-11-04 00:00:00 |
None |
Yes |
2003-03-27 00:00:00 |
2003-03-13 00:00:00 |
A |
B |
10000 |
6667 |
0 |
6667 |
0 |
050016489 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-04-08 00:00:00 |
050001562 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-25 00:00:00 |
None |
No |
2003-05-05 00:00:00 |
None |
B |
None |
1000 |
1550 |
-350 |
1200 |
0 |
050016567 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-05-19 00:00:00 |
050001570 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-03-24 00:00:00 |
None |
Yes |
2003-06-16 00:00:00 |
2003-06-09 00:00:00 |
A |
A |
20000 |
13333 |
0 |
13333 |
0 |
050016660 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-05-19 00:00:00 |
050001571 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-24 00:00:00 |
None |
No |
2003-06-16 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
050016660 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-05-19 00:00:00 |
050001572 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-24 00:00:00 |
None |
No |
2003-06-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050016660 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-05-19 00:00:00 |
050001573 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2003-03-27 00:00:00 |
None |
No |
2003-06-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050016660 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-05-19 00:00:00 |
050001574 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-24 00:00:00 |
None |
No |
2003-06-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050016660 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-05-19 00:00:00 |
050001575 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-24 00:00:00 |
None |
No |
2003-06-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050016660 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2006-11-22 00:00:00 |
050003511 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-09-18 00:00:00 |
2006-09-18 00:00:00 |
No |
2006-12-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
40J511 |
N |
CA00093944 |
C |
SFY2006-07 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2006-11-22 00:00:00 |
050003512 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2006-09-18 00:00:00 |
2006-09-18 00:00:00 |
No |
2006-12-15 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
None |
7XD311 |
N |
None |
None |
SFY2006-07 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-07-13 00:00:00 |
050003737 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-21 00:00:00 |
2006-05-21 00:00:00 |
Yes |
2007-08-03 00:00:00 |
2007-07-30 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
3PIV11 |
N |
CA00091649 |
C |
SFY2007-08 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-07-13 00:00:00 |
050003738 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-08-17 00:00:00 |
2006-08-17 00:00:00 |
Yes |
2007-10-25 00:00:00 |
2007-07-30 00:00:00 |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
3PIV11 |
N |
CA00091649 |
C |
SFY2007-08 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-06-10 00:00:00 |
050004712 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-02-11 00:00:00 |
2008-02-11 00:00:00 |
No |
2008-07-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QRNW11 |
N |
CA00139273 |
C |
SFY2007-08 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-04-16 00:00:00 |
050004766 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-12 00:00:00 |
2008-02-12 00:00:00 |
No |
2008-05-14 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
WSZD11 |
N |
None |
None |
SFY2007-08 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-06-10 00:00:00 |
050004767 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-02-29 00:00:00 |
2008-02-29 00:00:00 |
No |
2008-07-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QRNW11 |
N |
CA00139273 |
C |
SFY2007-08 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-06-10 00:00:00 |
050004768 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-02-29 00:00:00 |
2008-02-29 00:00:00 |
No |
2008-07-08 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
WSZD11 |
N |
None |
None |
SFY2007-08 |
050001288 |
ARROYO GRANDE COMMUNITY HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-06-10 00:00:00 |
050005097 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-05 00:00:00 |
2008-04-05 00:00:00 |
No |
2008-07-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
4R9N11 |
N |
CA00146471 |
B |
SFY2007-08 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2009-03-09 00:00:00 |
050005445 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-18 00:00:00 |
2008-08-18 00:00:00 |
Yes |
2009-04-13 00:00:00 |
2009-03-18 00:00:00 |
B |
B |
1000 |
0 |
0 |
0 |
0 |
None |
9WGY11 |
N |
CA00162637 |
C |
SFY2008-09 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2009-03-09 00:00:00 |
050005446 |
Closed |
Citation |
Citation Willful Material Omission (HSC 1424(f)(1)) |
Patient Record |
None |
2008-08-18 00:00:00 |
2008-08-18 00:00:00 |
Yes |
2009-03-30 00:00:00 |
2009-03-18 00:00:00 |
WO |
WMO>$1000 |
10000 |
2500 |
0 |
2500 |
0 |
None |
9WGY11 |
None |
CA00162637 |
C |
SFY2008-09 |
050000064 |
ATTERDAG CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2014-09-11 00:00:00 |
050010901 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-06-03 00:00:00 |
2014-06-03 00:00:00 |
No |
2014-10-02 00:00:00 |
None |
A |
None |
5000 |
5000 |
0 |
5000 |
0 |
None |
XQ6Q11 |
N |
CA00400951 |
C |
SFY2014-15 |
050000064 |
ATTERDAG CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2016-05-24 00:00:00 |
050012055 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
failure to report abuse. |
2016-01-28 00:00:00 |
2016-01-28 00:00:00 |
No |
2016-06-15 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
X5RD11 |
N |
None |
None |
SFY2015-16 |
050000064 |
ATTERDAG CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2016-05-24 00:00:00 |
050012197 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2016-02-24 00:00:00 |
2016-02-24 00:00:00 |
No |
2016-06-15 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
2ZXU11 |
N |
None |
None |
SFY2015-16 |
050001383 |
ALTA HEALTHCARE CENTER OF CAMARILLO |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2019-07-24 00:00:00 |
050014401 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
quality of care |
2018-04-06 00:00:00 |
2018-04-06 00:00:00 |
No |
2019-08-14 00:00:00 |
None |
AA |
None |
81000 |
81000 |
-28350 |
52650 |
0 |
None |
2HJQ11 |
Y |
CA00590564, CA00590564, CA00590564, CA00590564 |
B, B, B, B |
SFY2019-20 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-05-18 00:00:00 |
060001021 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-19 00:00:00 |
None |
No |
2000-06-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060009507 |
A99999 |
N |
None |
None |
SFY1999-00 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-11-15 00:00:00 |
060001034 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-09-05 00:00:00 |
None |
No |
2000-12-08 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
060009902 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-01-23 00:00:00 |
060001039 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-12-23 00:00:00 |
None |
No |
2001-02-20 00:00:00 |
None |
B |
None |
1000 |
1100 |
0 |
1100 |
0 |
060010253 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-02-23 00:00:00 |
060001045 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-16 00:00:00 |
None |
No |
2001-03-19 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
060010364 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-04-09 00:00:00 |
060001054 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-01 00:00:00 |
None |
No |
2001-05-02 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
060010520 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-06-06 00:00:00 |
060001058 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-08 00:00:00 |
None |
No |
2001-06-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060010698 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000031 |
ANAHEIM CREST NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-11-30 00:00:00 |
060001077 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-26 00:00:00 |
None |
Yes |
2002-06-21 00:00:00 |
2002-05-31 00:00:00 |
B |
Drop>Deficiency |
500 |
1000 |
0 |
1000 |
0 |
060011168 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-05-03 00:00:00 |
060001101 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PT. CARE - ABUSE |
2002-04-18 00:00:00 |
None |
No |
2002-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060011841 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-01-22 00:00:00 |
060001125 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-12-28 00:00:00 |
None |
No |
2003-02-13 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
060012925 |
A99999 |
N |
None |
None |
SFY2002-03 |
060001627 |
ALL STATE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2003-03-17 00:00:00 |
060001133 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2003-02-04 00:00:00 |
None |
No |
2003-04-08 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
060013140 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-10-24 00:00:00 |
060001153 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-21 00:00:00 |
None |
No |
2003-11-18 00:00:00 |
None |
B |
None |
800 |
850 |
-280 |
570 |
0 |
060013903 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-04-06 00:00:00 |
060001167 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-09-20 00:00:00 |
None |
No |
2004-04-27 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
060014442 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2005-02-01 00:00:00 |
060001187 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-09-23 00:00:00 |
None |
No |
2005-02-25 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
060015315 |
A99999 |
N |
None |
None |
SFY2004-05 |
060000051 |
ADVANCED REHAB CENTER OF TUSTIN |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2005-05-05 00:00:00 |
060001191 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-18 00:00:00 |
None |
No |
2005-06-06 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
060015322 |
A99999 |
N |
None |
None |
SFY2004-05 |
080001542 |
ALTA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-02-26 00:00:00 |
060001201 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2001-12-19 00:00:00 |
None |
Yes |
2002-06-04 00:00:00 |
2002-03-07 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
060015404 |
A99999 |
N |
None |
None |
SFY2001-02 |
080001542 |
ALTA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-06-17 00:00:00 |
060001202 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
INFECTION CONTROL |
2001-11-01 00:00:00 |
None |
No |
2002-07-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060015407 |
A99999 |
N |
None |
None |
SFY2001-02 |
060001366 |
ABLELIGHT INC. - FERROCARRIL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2005-08-11 00:00:00 |
060001203 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2005-07-18 00:00:00 |
None |
No |
2005-09-09 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
060015451 |
A99999 |
N |
None |
None |
SFY2005-06 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2006-07-27 00:00:00 |
060003224 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-01-04 00:00:00 |
2006-01-04 00:00:00 |
No |
2006-08-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LL2711 |
N |
CA00072872 |
C |
SFY2006-07 |
060000051 |
ADVANCED REHAB CENTER OF TUSTIN |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2006-09-28 00:00:00 |
060003376 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-24 00:00:00 |
2006-06-24 00:00:00 |
No |
2006-10-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XXLF11 |
N |
CA00084850 |
C |
SFY2006-07 |
060000080 |
ABLELIGHT INC. - REGINA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2007-01-31 00:00:00 |
060003671 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-01-03 00:00:00 |
2007-01-03 00:00:00 |
No |
2007-02-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PMDI11 |
N |
CA00103728 |
C |
SFY2006-07 |
080001542 |
ALTA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2007-03-21 00:00:00 |
060003828 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-12-21 00:00:00 |
2006-12-21 00:00:00 |
No |
2007-04-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ECBR11 |
N |
CA00102392 |
C |
SFY2006-07 |
060001537 |
ANAHEIM GENERAL HOSPITAL-BUENA PARK CAMPUS-D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2007-05-29 00:00:00 |
060003872 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-03-27 00:00:00 |
2007-03-27 00:00:00 |
No |
2007-06-19 00:00:00 |
None |
B |
None |
1000 |
1150 |
-350 |
800 |
0 |
None |
50YU11 |
N |
CA00109262 |
C |
SFY2006-07 |
060001376 |
ALL AMERICAN HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2007-05-21 00:00:00 |
060003943 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-24 00:00:00 |
2007-04-24 00:00:00 |
No |
2007-06-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
WVZX11 |
N |
None |
None |
SFY2006-07 |
060001688 |
ARGUS HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2007-06-04 00:00:00 |
060004002 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2007-05-22 00:00:00 |
2007-05-22 00:00:00 |
No |
2007-06-25 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
9MSQ11 |
N |
None |
None |
SFY2006-07 |
060000077 |
ABLELIGHT INC. - HARTOG |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2007-08-10 00:00:00 |
060004166 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-11 00:00:00 |
2007-07-11 00:00:00 |
No |
2007-08-31 00:00:00 |
None |
B |
None |
1000 |
1500 |
-350 |
1150 |
0 |
None |
LOT611 |
N |
CA00119887 |
C |
SFY2007-08 |
060001688 |
ARGUS HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2007-10-02 00:00:00 |
060004296 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-07-20 00:00:00 |
2007-07-20 00:00:00 |
No |
2007-10-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
WSOZ11 |
N |
CA00127068 |
C |
SFY2007-08 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2007-12-11 00:00:00 |
060004511 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-09-03 00:00:00 |
2006-09-03 00:00:00 |
Yes |
2008-01-03 00:00:00 |
2007-12-12 00:00:00 |
B |
B |
750 |
500 |
0 |
500 |
0 |
None |
95CF11 |
N |
CA00130722 |
C |
SFY2007-08 |
060000077 |
ABLELIGHT INC. - HARTOG |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2008-06-06 00:00:00 |
060005102 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-05-28 00:00:00 |
2008-05-28 00:00:00 |
No |
2008-06-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
UWZM11 |
N |
CA00151729 |
C |
SFY2007-08 |
080001540 |
ANAHEIM TERRACE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2008-10-02 00:00:00 |
060005477 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-02-01 00:00:00 |
2008-02-01 00:00:00 |
Yes |
2008-10-28 00:00:00 |
2008-10-14 00:00:00 |
A |
A |
5000 |
5000 |
0 |
5000 |
0 |
None |
ZVKN11 |
N |
CA00160157 |
C |
SFY2008-09 |
060001366 |
ABLELIGHT INC. - FERROCARRIL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2008-12-22 00:00:00 |
060005716 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-09 00:00:00 |
2008-11-09 00:00:00 |
No |
2009-01-14 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
CXCU11 |
N |
CA00168963 |
C |
SFY2008-09 |
060000051 |
ADVANCED REHAB CENTER OF TUSTIN |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-01-21 00:00:00 |
060005811 |
Closed |
Citation |
Citation A (HSC 1424) |
Staffing |
None |
2008-11-10 00:00:00 |
2008-11-10 00:00:00 |
No |
2009-02-18 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
L0E311 |
N |
CA00169276 |
A |
SFY2008-09 |
060000031 |
ANAHEIM CREST NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-01-30 00:00:00 |
060005824 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2008-09-09 00:00:00 |
2008-09-09 00:00:00 |
Yes |
2009-02-24 00:00:00 |
2009-02-12 00:00:00 |
AA |
A |
75000 |
70000 |
0 |
70000 |
0 |
None |
ZPS911 |
Y |
CA00170421 |
C |
SFY2008-09 |
060000077 |
ABLELIGHT INC. - HARTOG |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-02-06 00:00:00 |
060005859 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-01-13 00:00:00 |
2009-01-13 00:00:00 |
No |
2009-03-03 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
4ML112 |
N |
None |
None |
SFY2008-09 |
060001197 |
ABLELIGHT INC. - MAWSON |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-03-05 00:00:00 |
060005925 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-09 00:00:00 |
2008-12-09 00:00:00 |
No |
2009-03-27 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
R3DQ11 |
N |
CA00176419 |
C |
SFY2008-09 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-05-26 00:00:00 |
060006194 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-02-14 00:00:00 |
2009-02-14 00:00:00 |
No |
2009-06-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
152J11 |
N |
CA00184621 |
D |
SFY2008-09 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-05-26 00:00:00 |
060006203 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2008-12-19 00:00:00 |
2008-12-19 00:00:00 |
Yes |
2009-10-20 00:00:00 |
2009-09-29 00:00:00 |
AA |
B |
100000 |
20000 |
0 |
20000 |
0 |
None |
RNVX11 |
Y |
CA00180633 |
C |
SFY2008-09 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-05-26 00:00:00 |
060006213 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-12-09 00:00:00 |
2008-12-09 00:00:00 |
Yes |
2010-04-21 00:00:00 |
2010-04-07 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
SNGX11 |
N |
CA00171868 |
C |
SFY2008-09 |
060000077 |
ABLELIGHT INC. - HARTOG |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-08-31 00:00:00 |
060006499 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2009-07-14 00:00:00 |
2009-07-14 00:00:00 |
No |
2009-09-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BTW511 |
N |
CA00198242 |
C |
SFY2009-10 |
080001540 |
ANAHEIM TERRACE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-09-28 00:00:00 |
060006568 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-08 00:00:00 |
2009-05-08 00:00:00 |
No |
2009-10-22 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
D1P711 |
N |
CA00189020 |
C |
SFY2009-10 |
080001540 |
ANAHEIM TERRACE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-09-28 00:00:00 |
060006569 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-08 00:00:00 |
2009-07-08 00:00:00 |
No |
2009-10-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SWEU11 |
N |
CA00195187 |
C |
SFY2009-10 |
060000196 |
ANAHEIM HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2010-06-08 00:00:00 |
060007295 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-31 00:00:00 |
2009-08-31 00:00:00 |
Yes |
2010-06-30 00:00:00 |
2010-06-22 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
QJ6P11 |
N |
CA00205616 |
B |
SFY2009-10 |
060000051 |
ADVANCED REHAB CENTER OF TUSTIN |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2010-06-23 00:00:00 |
060007327 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-04-17 00:00:00 |
2010-04-17 00:00:00 |
No |
2010-07-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
WYIZ11 |
N |
CA00227245 |
C |
SFY2009-10 |
060001627 |
ALL STATE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2010-07-19 00:00:00 |
060007385 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-05-03 00:00:00 |
2010-05-03 00:00:00 |
No |
2010-08-11 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
GM1011 |
N |
CA00226373 |
B |
SFY2010-11 |
060000077 |
ABLELIGHT INC. - HARTOG |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2011-02-03 00:00:00 |
060007902 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2010-10-07 00:00:00 |
2010-10-07 00:00:00 |
No |
2011-02-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0EVE11 |
N |
CA00253016 |
C |
SFY2010-11 |
060000077 |
ABLELIGHT INC. - HARTOG |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2011-03-02 00:00:00 |
060007946 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-12-18 00:00:00 |
2010-12-18 00:00:00 |
No |
2011-03-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
683V11 |
N |
CA00252938 |
C |
SFY2010-11 |
080001542 |
ALTA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2011-08-11 00:00:00 |
060008455 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Patient Record |
None |
2011-06-01 00:00:00 |
2011-06-01 00:00:00 |
No |
2011-09-01 00:00:00 |
None |
WF |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LLN011 |
None |
None |
None |
SFY2011-12 |
060001245 |
ALL STAR HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2012-09-20 00:00:00 |
060009506 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2012-05-03 00:00:00 |
2012-05-03 00:00:00 |
No |
2012-10-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
UOVX11 |
N |
None |
None |
SFY2012-13 |
060001245 |
ALL STAR HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2013-05-17 00:00:00 |
060009903 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-03-28 00:00:00 |
2013-03-28 00:00:00 |
No |
2013-06-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GH0K11 |
N |
CA00350323 |
C |
SFY2012-13 |
060000078 |
ABLELIGHT INC. - MITHRA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2014-12-29 00:00:00 |
060011195 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2014-11-12 00:00:00 |
2014-11-12 00:00:00 |
No |
2015-01-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5CY711 |
N |
None |
None |
SFY2014-15 |
060000078 |
ABLELIGHT INC. - MITHRA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2015-12-09 00:00:00 |
060011886 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-11-09 00:00:00 |
2015-11-09 00:00:00 |
No |
2015-12-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S8NR11 |
N |
None |
None |
SFY2015-16 |
060001375 |
ARTEMIA HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2016-12-14 00:00:00 |
060012801 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-09-27 00:00:00 |
2016-09-27 00:00:00 |
No |
2017-01-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PD0T11 |
N |
CA00505289 |
B |
SFY2016-17 |
630003462 |
ATLANTA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2017-12-07 00:00:00 |
060013669 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-10-20 00:00:00 |
2017-10-20 00:00:00 |
No |
2017-12-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
NIUM11 |
N |
CA00556530 |
B |
SFY2017-18 |
630003462 |
ATLANTA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2018-10-10 00:00:00 |
060014460 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-07-14 00:00:00 |
2018-07-14 00:00:00 |
No |
2018-10-31 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
XBRM11 |
Y |
CA00595475 |
B |
SFY2018-19 |
060001245 |
ALL STAR HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-03-26 00:00:00 |
060014907 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-02-07 00:00:00 |
2019-02-07 00:00:00 |
No |
2019-04-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
940V11 |
N |
None |
None |
SFY2018-19 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2019-07-08 00:00:00 |
060015220 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-04-03 00:00:00 |
2019-04-03 00:00:00 |
No |
2019-07-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
BY1311 |
N |
CA00635228 |
B |
SFY2019-20 |
630015860 |
ANACAPA |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-10-02 00:00:00 |
060015427 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-08-23 00:00:00 |
2019-08-23 00:00:00 |
No |
2019-10-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
WNHE11 |
N |
CA00645358 |
B |
SFY2019-20 |
060000076 |
ABLELIGHT INC. - CHARLEMAGNE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2020-10-19 00:00:00 |
060016091 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-08-17 00:00:00 |
2020-08-17 00:00:00 |
No |
2020-11-09 00:00:00 |
None |
B |
None |
1000 |
2450 |
0 |
2450 |
0 |
None |
EVM411 |
N |
CA00702551 |
B |
SFY2020-21 |
060000078 |
ABLELIGHT INC. - MITHRA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2021-01-07 00:00:00 |
060016213 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2020-10-07 00:00:00 |
2020-10-07 00:00:00 |
No |
2021-01-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
WECI11 |
N |
CA00708832 |
B |
SFY2020-21 |
060000077 |
ABLELIGHT INC. - HARTOG |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2021-01-12 00:00:00 |
060016227 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-11-14 00:00:00 |
2020-11-14 00:00:00 |
No |
2021-02-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
JMWG11 |
N |
CA00713237 |
B |
SFY2020-21 |
630003381 |
ARCHER 2 HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2021-02-23 00:00:00 |
060016293 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-12-22 00:00:00 |
2020-12-22 00:00:00 |
No |
2021-03-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
X4YU11 |
N |
CA00719799 |
B |
SFY2020-21 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-08-13 00:00:00 |
060016801 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2021-07-14 00:00:00 |
2021-07-14 00:00:00 |
No |
2021-09-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KSZD11 |
N |
CA00737027 |
B |
SFY2021-22 |
630015860 |
ANACAPA |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2021-09-08 00:00:00 |
060016897 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-11-24 00:00:00 |
2020-11-24 00:00:00 |
No |
2021-09-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
37XJ11 |
N |
None |
None |
SFY2021-22 |
080001540 |
ANAHEIM TERRACE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-11-04 00:00:00 |
060017053 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-08-12 00:00:00 |
2021-08-12 00:00:00 |
No |
2021-11-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
4E5Q11 |
N |
CA00748856, CA00748856 |
B, B |
SFY2021-22 |
060000561 |
ABLELIGHT INC. - MOSQUERO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2021-12-07 00:00:00 |
060017154 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Dietary |
2021-03-03 00:00:00 |
2021-03-03 00:00:00 |
No |
2021-12-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1XSP11 |
N |
CA00756468 |
A |
SFY2021-22 |
060000080 |
ABLELIGHT INC. - REGINA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2021-12-07 00:00:00 |
060017156 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-10-04 00:00:00 |
2021-10-04 00:00:00 |
No |
2021-12-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
NY0P11 |
N |
CA00756484 |
A |
SFY2021-22 |
060001366 |
ABLELIGHT INC. - FERROCARRIL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2022-09-13 00:00:00 |
060017979 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-08-09 00:00:00 |
2022-08-09 00:00:00 |
No |
2022-10-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9P1R11 |
N |
None |
None |
SFY2022-23 |
060000080 |
ABLELIGHT INC. - REGINA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2022-09-29 00:00:00 |
060018022 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-08-02 00:00:00 |
2022-08-02 00:00:00 |
No |
2022-10-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CCTN11 |
N |
CA00797822 |
B |
SFY2022-23 |
060000080 |
ABLELIGHT INC. - REGINA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2023-02-16 00:00:00 |
060018406 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-12-29 00:00:00 |
2022-12-29 00:00:00 |
No |
2023-03-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
V8S111 |
N |
CA00816138 |
B |
SFY2022-23 |
060000051 |
ADVANCED REHAB CENTER OF TUSTIN |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2023-12-13 00:00:00 |
060019474 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Dietary |
2023-11-09 00:00:00 |
2023-11-09 00:00:00 |
No |
2024-01-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
HSC211 |
N |
None |
None |
SFY2023-24 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-01-14 00:00:00 |
070002312 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-12-16 00:00:00 |
None |
No |
2000-02-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
070014395 |
A99999 |
N |
None |
None |
SFY1999-00 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-09-14 00:00:00 |
070002404 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-29 00:00:00 |
None |
Yes |
2001-10-16 00:00:00 |
2001-09-24 00:00:00 |
B |
B |
600 |
600 |
-540 |
60 |
0 |
070016532 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-01-08 00:00:00 |
070002554 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-12-15 00:00:00 |
None |
No |
2004-01-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070019711 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000019 |
AVE MARIA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-03-11 00:00:00 |
070002562 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-21 00:00:00 |
None |
No |
2004-04-02 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
070019872 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-05-07 00:00:00 |
070002571 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-07 00:00:00 |
None |
No |
2004-06-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070019942 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-05-07 00:00:00 |
070002577 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-04-07 00:00:00 |
None |
No |
2004-06-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070019942 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2005-09-14 00:00:00 |
070002607 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-07-21 00:00:00 |
None |
Yes |
2005-10-05 00:00:00 |
2005-09-15 00:00:00 |
B |
None |
700 |
700 |
-700 |
0 |
0 |
070020498 |
A99999 |
N |
None |
None |
SFY2005-06 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-02-01 00:00:00 |
070002612 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-11-24 00:00:00 |
2005-11-24 00:00:00 |
Yes |
2006-02-24 00:00:00 |
2006-02-02 00:00:00 |
B |
B |
1000 |
1100 |
-100 |
1000 |
0 |
070020507 |
A99999 |
N |
None |
None |
SFY2005-06 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-06-11 00:00:00 |
070004015 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-07 00:00:00 |
2007-04-07 00:00:00 |
No |
2007-07-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1KKO11 |
N |
CA00111699 |
B |
SFY2006-07 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-08-16 00:00:00 |
070004088 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-06-24 00:00:00 |
2007-06-24 00:00:00 |
Yes |
2007-09-07 00:00:00 |
2007-08-28 00:00:00 |
B |
None |
750 |
750 |
-750 |
0 |
0 |
None |
9KBA11 |
N |
CA00118586, CA00118670 |
C, C |
SFY2007-08 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-08-16 00:00:00 |
070004106 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-06-19 00:00:00 |
2007-06-19 00:00:00 |
Yes |
2007-09-07 00:00:00 |
2007-08-28 00:00:00 |
B |
None |
600 |
600 |
-600 |
0 |
0 |
None |
9KBA11 |
N |
CA00118124, CA00118227 |
B, B |
SFY2007-08 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-09-06 00:00:00 |
070004183 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-07-01 00:00:00 |
2007-07-01 00:00:00 |
No |
2007-09-27 00:00:00 |
None |
A |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
VXON11 |
N |
CA00119153, CA00120119 |
B, C |
SFY2007-08 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-11-08 00:00:00 |
070004291 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-03-02 00:00:00 |
2007-03-02 00:00:00 |
Yes |
2007-12-07 00:00:00 |
2007-11-19 00:00:00 |
B |
None |
650 |
650 |
-650 |
0 |
0 |
None |
ER7311 |
N |
CA00123504 |
B |
SFY2007-08 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-01-11 00:00:00 |
070004321 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-20 00:00:00 |
2007-07-20 00:00:00 |
No |
2008-02-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
XVQH11 |
N |
CA00121153, CA00121155 |
B, B |
SFY2007-08 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-11-08 00:00:00 |
070004438 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-08-07 00:00:00 |
2007-08-07 00:00:00 |
Yes |
2007-12-07 00:00:00 |
2007-11-19 00:00:00 |
B |
None |
750 |
750 |
-750 |
0 |
0 |
None |
ER7311 |
N |
CA00123504 |
B |
SFY2007-08 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-01-11 00:00:00 |
070004581 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-07-20 00:00:00 |
2007-07-20 00:00:00 |
No |
2008-02-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
XVQH11 |
N |
CA00121153, CA00121155 |
B, B |
SFY2007-08 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-01-11 00:00:00 |
070004582 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-14 00:00:00 |
2007-09-14 00:00:00 |
No |
2008-02-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
XVQH11 |
N |
CA00126537, CA00131582 |
B, C |
SFY2007-08 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-01-31 00:00:00 |
070004640 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-01-17 00:00:00 |
2008-01-17 00:00:00 |
No |
2008-02-25 00:00:00 |
None |
B |
None |
950 |
950 |
0 |
950 |
0 |
None |
PBSY11 |
N |
CA00136137 |
B |
SFY2007-08 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-09-26 00:00:00 |
070005422 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-09-04 00:00:00 |
2008-09-04 00:00:00 |
No |
2008-10-21 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
None |
BYXM11 |
N |
CA00162815 |
B |
SFY2008-09 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-01-27 00:00:00 |
070005825 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-01-07 00:00:00 |
2009-01-07 00:00:00 |
Yes |
2014-01-01 00:00:00 |
2009-02-04 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
XPDT11 |
N |
CA00174274, CA00174277, CA00174346, CA00174348, CA00174445 |
B, B, B, B, B |
SFY2008-09 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-04-24 00:00:00 |
070006073 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-05 00:00:00 |
2009-04-05 00:00:00 |
No |
2009-05-15 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
05DE11 |
N |
CA00178342, CA00179308, CA00179630, CA00180778, CA00181948, CA00182753, CA00183851 |
B, B, B, B, B, B, B |
SFY2008-09 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-04-24 00:00:00 |
070006074 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-05 00:00:00 |
2009-04-05 00:00:00 |
No |
2009-05-15 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
None |
05DE11 |
N |
CA00179853 |
B |
SFY2008-09 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-04-27 00:00:00 |
070006122 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-21 00:00:00 |
2009-04-21 00:00:00 |
No |
2009-05-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QLZY11 |
N |
CA00184977 |
B |
SFY2008-09 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-06-26 00:00:00 |
070006328 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-09-24 00:00:00 |
2008-09-24 00:00:00 |
Yes |
2009-07-27 00:00:00 |
2009-08-20 00:00:00 |
B |
Drop>Deficiency |
700 |
0 |
0 |
0 |
0 |
None |
H67K11 |
Y |
CA00191821 |
B |
SFY2008-09 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-06-29 00:00:00 |
070006329 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-10 00:00:00 |
2009-05-10 00:00:00 |
No |
2009-07-27 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
None |
PJZW11 |
N |
CA00190470 |
B |
SFY2008-09 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-07-27 00:00:00 |
070006419 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-06-28 00:00:00 |
2009-06-28 00:00:00 |
Yes |
2009-09-01 00:00:00 |
2009-08-06 00:00:00 |
B |
Drop>Deficiency |
900 |
0 |
0 |
0 |
0 |
None |
W6GR11 |
N |
CA00194135 |
B |
SFY2009-10 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-08-25 00:00:00 |
070006492 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-18 00:00:00 |
2009-07-18 00:00:00 |
Yes |
2009-09-16 00:00:00 |
2009-08-31 00:00:00 |
B |
Drop>Deficiency |
850 |
0 |
0 |
0 |
0 |
None |
DHSF11 |
N |
CA00195614 |
A |
SFY2009-10 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-08-25 00:00:00 |
070006493 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-07-19 00:00:00 |
2009-07-19 00:00:00 |
Yes |
2009-09-16 00:00:00 |
2009-08-31 00:00:00 |
B |
Drop>Deficiency |
850 |
0 |
0 |
0 |
0 |
None |
DHSF11 |
N |
CA00195435 |
B |
SFY2009-10 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-09-16 00:00:00 |
070006507 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2009-08-24 00:00:00 |
2009-08-24 00:00:00 |
Yes |
2009-10-07 00:00:00 |
2009-09-18 00:00:00 |
B |
Drop>Deficiency |
900 |
0 |
0 |
0 |
0 |
None |
463E11 |
N |
CA00198883 |
B |
SFY2009-10 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-02-17 00:00:00 |
070006741 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-09-03 00:00:00 |
2009-09-03 00:00:00 |
Yes |
2010-03-19 00:00:00 |
2010-04-06 00:00:00 |
B |
Drop>Deficiency |
800 |
400 |
-400 |
0 |
0 |
None |
FMOH11 |
N |
CA00208889 |
B |
SFY2009-10 |
070000918 |
AYER HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Jose |
2009-12-18 00:00:00 |
070006792 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-02-20 00:00:00 |
2009-02-20 00:00:00 |
No |
2010-01-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SBR711 |
N |
CA00209407 |
B |
SFY2009-10 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-02-16 00:00:00 |
070006997 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-09-15 00:00:00 |
2009-09-15 00:00:00 |
Yes |
2010-03-19 00:00:00 |
2010-02-24 00:00:00 |
B |
Drop>Deficiency |
850 |
0 |
0 |
0 |
0 |
None |
JTNU11 |
N |
None |
None |
SFY2009-10 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-05-25 00:00:00 |
070007236 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2010-05-17 00:00:00 |
2010-05-17 00:00:00 |
Yes |
2010-06-16 00:00:00 |
2010-06-15 00:00:00 |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
144011 |
N |
CA00228260 |
B |
SFY2009-10 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-06-21 00:00:00 |
070007317 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-04-06 00:00:00 |
2010-04-06 00:00:00 |
Yes |
2011-03-01 00:00:00 |
2011-02-15 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
Y7UO11 |
N |
CA00225299 |
B |
SFY2009-10 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-06-30 00:00:00 |
070007348 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-05-25 00:00:00 |
2010-05-25 00:00:00 |
Yes |
2010-07-21 00:00:00 |
2010-07-08 00:00:00 |
A |
A |
20000 |
13500 |
0 |
13500 |
0 |
None |
NOIC11 |
N |
CA00230566 |
B |
SFY2009-10 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-07-23 00:00:00 |
070007402 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-01-13 00:00:00 |
2010-01-13 00:00:00 |
Yes |
2010-08-13 00:00:00 |
2010-07-27 00:00:00 |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
E24111 |
N |
CA00234728 |
B |
SFY2010-11 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-10-27 00:00:00 |
070007677 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-10-12 00:00:00 |
2010-10-12 00:00:00 |
Yes |
2010-11-18 00:00:00 |
2010-11-12 00:00:00 |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
OBN711 |
N |
CA00245450 |
B |
SFY2010-11 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-01-04 00:00:00 |
070007792 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-10-19 00:00:00 |
2010-10-19 00:00:00 |
Yes |
2011-01-26 00:00:00 |
2011-01-28 00:00:00 |
B |
B |
850 |
552.5 |
0 |
552.5 |
0 |
None |
MS7R11 |
N |
CA00246518 |
B |
SFY2010-11 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-09-26 00:00:00 |
070008376 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-06-02 00:00:00 |
2011-06-02 00:00:00 |
Yes |
2011-10-17 00:00:00 |
2011-09-28 00:00:00 |
B |
B |
800 |
520 |
0 |
520 |
0 |
None |
662H11 |
N |
CA00274774 |
B |
SFY2011-12 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-07-21 00:00:00 |
070008408 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2011-05-29 00:00:00 |
2011-05-29 00:00:00 |
Yes |
2011-08-11 00:00:00 |
2011-07-28 00:00:00 |
B |
B |
850 |
552.5 |
0 |
552.5 |
0 |
None |
QUCX11 |
N |
CA00274370 |
B |
SFY2011-12 |
070000019 |
AVE MARIA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-08-01 00:00:00 |
070008429 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-07-09 00:00:00 |
2011-07-09 00:00:00 |
No |
2011-08-22 00:00:00 |
None |
B |
None |
650 |
650 |
-227.5 |
422.5 |
0 |
None |
DGD011 |
N |
CA00275785, CA00276060 |
B, B |
SFY2011-12 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-08-30 00:00:00 |
070008517 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2011-08-22 00:00:00 |
2011-08-22 00:00:00 |
Yes |
2011-09-21 00:00:00 |
2011-09-13 00:00:00 |
B |
None |
700 |
700 |
0 |
700 |
0 |
None |
M42511 |
N |
CA00279876 |
B |
SFY2011-12 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2012-01-30 00:00:00 |
070008956 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-01-07 00:00:00 |
2012-01-07 00:00:00 |
No |
2012-02-21 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
RX1611 |
N |
CA00295380 |
B |
SFY2011-12 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-06-30 00:00:00 |
070012378 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-05-11 00:00:00 |
2016-05-11 00:00:00 |
No |
2016-07-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QLEL11 |
N |
CA00488395 |
C |
SFY2015-16 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-12-29 00:00:00 |
070012848 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-12-05 00:00:00 |
2016-12-05 00:00:00 |
Yes |
2017-01-23 00:00:00 |
2017-01-23 00:00:00 |
B |
B |
1000 |
850 |
0 |
850 |
0 |
None |
JDTL11 |
N |
CA00513177 |
B |
SFY2016-17 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-05-04 00:00:00 |
070014047 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-04-18 00:00:00 |
2018-04-18 00:00:00 |
Yes |
2018-05-25 00:00:00 |
2018-05-11 00:00:00 |
B |
B |
2000 |
1400 |
0 |
1400 |
0 |
None |
W9LK11 |
N |
CA00583678 |
B |
SFY2017-18 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-05-16 00:00:00 |
070014083 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-04-28 00:00:00 |
2018-04-28 00:00:00 |
No |
2018-06-06 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
6UN311 |
N |
CA00584819, CA00585646 |
B, B |
SFY2017-18 |
070000918 |
AYER HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Jose |
2018-07-20 00:00:00 |
070014240 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-05-08 00:00:00 |
2018-05-08 00:00:00 |
No |
2018-08-10 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
None |
FIB011 |
Y |
CA00588254 |
A |
SFY2018-19 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-07-31 00:00:00 |
070014299 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2018-06-18 00:00:00 |
2018-06-18 00:00:00 |
No |
2018-08-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
TRTD11 |
N |
CA00594003 |
B |
SFY2018-19 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-02-10 00:00:00 |
070016089 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-06-16 00:00:00 |
2020-06-16 00:00:00 |
Yes |
2022-03-04 00:00:00 |
2022-02-22 00:00:00 |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
R5XW11 |
N |
CA00696996, CA00697644 |
B, B |
SFY2021-22 |
070000019 |
AVE MARIA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-11-09 00:00:00 |
070016141 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Reporting Of Outbreaks |
2020-10-14 00:00:00 |
2020-10-14 00:00:00 |
No |
2020-12-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
NF8D11 |
N |
None |
None |
SFY2020-21 |
070000043 |
ALMADEN HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-07-11 00:00:00 |
070017769 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-05-22 00:00:00 |
2022-05-22 00:00:00 |
No |
2022-08-01 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
08GC11 |
N |
CA00785825, CA00786125 |
B, B |
SFY2022-23 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-03-24 00:00:00 |
080002748 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1997-09-14 00:00:00 |
None |
Yes |
2001-01-03 00:00:00 |
2000-03-30 00:00:00 |
B |
B First |
1000 |
1000 |
-1000 |
0 |
0 |
080021547 |
A99999 |
N |
None |
None |
SFY1999-00 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-08-15 00:00:00 |
080002763 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-11-21 00:00:00 |
2000-08-15 00:00:00 |
Yes |
2001-05-09 00:00:00 |
2001-05-09 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
080022031 |
A99999 |
N |
None |
None |
SFY2000-01 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-01-09 00:00:00 |
080002772 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-10-30 00:00:00 |
None |
No |
2001-02-05 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
080022700 |
A99999 |
N |
None |
None |
SFY2000-01 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-08-01 00:00:00 |
080002790 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-02 00:00:00 |
2001-07-02 00:00:00 |
Yes |
2001-08-23 00:00:00 |
2001-08-14 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
080023367 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-10-05 00:00:00 |
080002796 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
CARE/ENVIRONMENT |
2001-09-02 00:00:00 |
None |
Yes |
2002-02-06 00:00:00 |
2002-01-11 00:00:00 |
A |
A |
19000 |
19000 |
0 |
19000 |
0 |
080023546 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-10-05 00:00:00 |
080002797 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2001-08-31 00:00:00 |
None |
Yes |
2001-11-01 00:00:00 |
2001-10-11 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
080023560 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-11-06 00:00:00 |
080002799 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-15 00:00:00 |
None |
Yes |
2001-12-06 00:00:00 |
2001-11-09 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
080023675 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-11-07 00:00:00 |
080002800 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-31 00:00:00 |
2001-08-31 00:00:00 |
No |
2001-12-19 00:00:00 |
None |
B |
None |
1000 |
1500 |
0 |
1500 |
0 |
080023552 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-11-07 00:00:00 |
080002802 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-30 00:00:00 |
2001-08-30 00:00:00 |
No |
2001-12-04 00:00:00 |
None |
B |
None |
1000 |
2250 |
0 |
2250 |
0 |
080023552 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-11-07 00:00:00 |
080002803 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2001-08-30 00:00:00 |
2001-08-30 00:00:00 |
No |
2001-12-04 00:00:00 |
None |
B |
None |
1000 |
2250 |
0 |
2250 |
0 |
080023552 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-11-15 00:00:00 |
080002804 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-09 00:00:00 |
2001-08-09 00:00:00 |
No |
2001-12-12 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
080023684 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-04-19 00:00:00 |
080002819 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-19 00:00:00 |
None |
No |
2002-05-13 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
080023928 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-04-19 00:00:00 |
080002820 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-11 00:00:00 |
None |
No |
2002-05-13 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
080023928 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2003-06-19 00:00:00 |
080002842 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-19 00:00:00 |
2003-05-19 00:00:00 |
Yes |
2003-07-15 00:00:00 |
2003-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
080025898 |
A99999 |
N |
None |
None |
SFY2002-03 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2003-10-02 00:00:00 |
080002846 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-08-25 00:00:00 |
2003-08-25 00:00:00 |
Yes |
2003-11-04 00:00:00 |
2003-10-20 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
080026228 |
A99999 |
N |
None |
None |
SFY2003-04 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2004-03-30 00:00:00 |
080002853 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-03-17 00:00:00 |
2004-03-17 00:00:00 |
Yes |
2004-04-23 00:00:00 |
2004-04-13 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
080026909 |
A99999 |
N |
None |
None |
SFY2003-04 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2004-09-09 00:00:00 |
080002859 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-09-03 00:00:00 |
None |
No |
2004-09-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
080027278 |
A99999 |
N |
None |
None |
SFY2004-05 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2005-03-21 00:00:00 |
080002864 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-02-28 00:00:00 |
2005-02-28 00:00:00 |
No |
2005-04-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
080027708 |
A99999 |
N |
None |
None |
SFY2004-05 |
080000070 |
ARBOR HILLS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2005-05-12 00:00:00 |
080002871 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-24 00:00:00 |
None |
Yes |
2005-06-08 00:00:00 |
2005-05-17 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
080027717 |
A99999 |
N |
None |
None |
SFY2004-05 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2008-10-01 00:00:00 |
080005481 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-01-22 00:00:00 |
2008-01-22 00:00:00 |
No |
2008-10-24 00:00:00 |
None |
B |
None |
1000 |
1750 |
0 |
1750 |
0 |
None |
FO6811 |
N |
CA00161548 |
C |
SFY2008-09 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2008-11-06 00:00:00 |
080005591 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-09-04 00:00:00 |
2008-09-04 00:00:00 |
No |
2008-12-02 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
ZEJH11 |
N |
CA00160901 |
C |
SFY2008-09 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-02-11 00:00:00 |
080005875 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-01-08 00:00:00 |
2009-01-08 00:00:00 |
No |
2009-03-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
X19011 |
N |
CA00174163 |
C |
SFY2008-09 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-06-09 00:00:00 |
080006246 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
PT Neglect/Elopement |
2009-05-06 00:00:00 |
2009-05-06 00:00:00 |
Yes |
2009-07-02 00:00:00 |
2009-06-17 00:00:00 |
A |
A |
16000 |
16000 |
0 |
16000 |
0 |
None |
OISX11 |
N |
CA00187747, CA00187896 |
B, C |
SFY2008-09 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-06-09 00:00:00 |
080006270 |
Closed |
Citation |
Citation AA (HSC 1424) |
Physical Environment |
None |
2009-05-10 00:00:00 |
2009-05-10 00:00:00 |
Yes |
2009-07-02 00:00:00 |
2009-06-17 00:00:00 |
AA |
A |
100000 |
100000 |
0 |
100000 |
0 |
None |
65BB11 |
Y |
CA00187815, CA00187885 |
A, C |
SFY2008-09 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-02-03 00:00:00 |
080006960 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-10-11 00:00:00 |
2009-10-11 00:00:00 |
No |
2010-02-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Q89V11 |
N |
CA00205909 |
B |
SFY2009-10 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-02-03 00:00:00 |
080006961 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-10-11 00:00:00 |
2009-10-11 00:00:00 |
No |
2010-02-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Q89V11 |
N |
CA00205909 |
B |
SFY2009-10 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-04-26 00:00:00 |
080007164 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-12-09 00:00:00 |
2009-12-09 00:00:00 |
No |
2010-05-17 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
Q0J411 |
N |
CA00209829 |
C |
SFY2009-10 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-06-23 00:00:00 |
080007325 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Infection Control |
2010-05-26 00:00:00 |
2010-05-26 00:00:00 |
No |
2010-07-16 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
6UN111 |
N |
None |
None |
SFY2009-10 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-06-24 00:00:00 |
080007330 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Nursing Services |
2009-10-01 00:00:00 |
2009-10-01 00:00:00 |
No |
2010-07-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
F18M11 |
N |
CA00218074 |
C |
SFY2009-10 |
080000077 |
AVIARA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-09-23 00:00:00 |
080007594 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Policies & Procedures |
2010-06-18 00:00:00 |
2010-06-18 00:00:00 |
No |
2010-10-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LYJL11 |
N |
CA00232878 |
B |
SFY2010-11 |
080000070 |
ARBOR HILLS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-03-16 00:00:00 |
080008032 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Patient Record |
None |
2010-06-21 00:00:00 |
2010-06-21 00:00:00 |
Yes |
2011-04-07 00:00:00 |
2014-03-27 00:00:00 |
WF |
Dismissed by Court |
350 |
0 |
0 |
0 |
0 |
None |
F2V113 |
None |
CA00215464 |
C |
SFY2010-11 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-11-10 00:00:00 |
080008740 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2011-03-30 00:00:00 |
2011-03-30 00:00:00 |
No |
2011-12-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XP3M11 |
N |
CA00264181 |
B |
SFY2011-12 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2012-03-20 00:00:00 |
080009159 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2012-01-02 00:00:00 |
2012-01-02 00:00:00 |
No |
2012-04-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
B6Q311 |
N |
CA00294904, CA00295114 |
A, B |
SFY2011-12 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-06 00:00:00 |
080011255 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-09-10 00:00:00 |
2014-09-10 00:00:00 |
Yes |
2015-03-02 00:00:00 |
2015-02-27 00:00:00 |
B |
B |
2000 |
1300 |
-300 |
1000 |
0 |
None |
5FO411 |
N |
CA00413400 |
B |
SFY2014-15 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-06 00:00:00 |
080011257 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-07-23 00:00:00 |
2014-07-23 00:00:00 |
Yes |
2015-03-02 00:00:00 |
2015-02-27 00:00:00 |
B |
B |
2000 |
2100 |
-1100 |
1000 |
0 |
None |
K4YL11 |
N |
None |
None |
SFY2014-15 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-06 00:00:00 |
080011258 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2014-09-08 00:00:00 |
2014-09-08 00:00:00 |
Yes |
2015-03-02 00:00:00 |
2015-02-27 00:00:00 |
B |
B |
2000 |
2050 |
-1050 |
1000 |
0 |
None |
K4YL11 |
N |
None |
None |
SFY2014-15 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-06 00:00:00 |
080011259 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2014-09-08 00:00:00 |
2014-09-08 00:00:00 |
Yes |
2015-03-02 00:00:00 |
2015-02-27 00:00:00 |
B |
B |
2000 |
3300 |
-300 |
3000 |
0 |
None |
K4YL11 |
N |
None |
None |
SFY2014-15 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-06 00:00:00 |
080011260 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2014-08-01 00:00:00 |
2014-08-01 00:00:00 |
Yes |
2015-03-02 00:00:00 |
2015-02-27 00:00:00 |
B |
B |
2000 |
1350 |
-350 |
1000 |
0 |
None |
K4YL11 |
N |
None |
None |
SFY2014-15 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-06 00:00:00 |
080011261 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2014-09-09 00:00:00 |
2014-09-09 00:00:00 |
Yes |
2015-03-02 00:00:00 |
2015-02-27 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
QS5P11 |
N |
CA00414885, CA00414923 |
B, B |
SFY2014-15 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-06 00:00:00 |
080011262 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-03-15 00:00:00 |
2014-03-15 00:00:00 |
Yes |
2015-03-02 00:00:00 |
2015-02-27 00:00:00 |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
None |
K4YL11 |
N |
None |
None |
SFY2014-15 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-06 00:00:00 |
080011263 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Abuse/facility not report |
2014-07-04 00:00:00 |
2014-07-04 00:00:00 |
Yes |
2015-03-02 00:00:00 |
2015-02-27 00:00:00 |
A |
A |
20000 |
15350 |
-350 |
15000 |
0 |
None |
K4YL11 |
N |
None |
None |
SFY2014-15 |
090000027 |
ALVARADO CONVALESCENT & REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-03-06 00:00:00 |
090002746 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-09-20 00:00:00 |
None |
No |
2000-03-29 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
090021457 |
A99999 |
N |
None |
None |
SFY1999-00 |
090000102 |
AMAYA SPRINGS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-07-18 00:00:00 |
090002753 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-11 00:00:00 |
2000-04-11 00:00:00 |
No |
2000-08-09 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
090021924 |
A99999 |
N |
None |
None |
SFY2000-01 |
090000120 |
ANZA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2001-11-07 00:00:00 |
090002783 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
CLIENT CARE |
2001-08-31 00:00:00 |
2001-08-31 00:00:00 |
No |
2001-12-03 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
090023228 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-02-13 00:00:00 |
090002789 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-23 00:00:00 |
2002-01-23 00:00:00 |
No |
2002-03-12 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
090023619 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-02-26 00:00:00 |
090002794 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-02-07 00:00:00 |
2002-02-26 00:00:00 |
No |
2002-03-25 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
090023661 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-03-07 00:00:00 |
090002797 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-28 00:00:00 |
2002-01-28 00:00:00 |
No |
2002-04-02 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
090023669 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-04-18 00:00:00 |
090002800 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-03-31 00:00:00 |
2002-03-31 00:00:00 |
No |
2002-05-09 00:00:00 |
None |
B |
None |
900 |
2700 |
-945 |
1755 |
0 |
090023801 |
A99999 |
N |
None |
None |
SFY2001-02 |
090001105 |
ALVARADO HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2003-02-20 00:00:00 |
090002825 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2003-01-14 00:00:00 |
None |
No |
2003-03-13 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
090024924 |
A99999 |
N |
None |
None |
SFY2002-03 |
090001105 |
ALVARADO HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2004-05-03 00:00:00 |
090002835 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-03-14 00:00:00 |
2004-03-14 00:00:00 |
No |
2004-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090026675 |
A99999 |
N |
None |
None |
SFY2003-04 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2005-05-12 00:00:00 |
090002852 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-03-04 00:00:00 |
2005-03-04 00:00:00 |
No |
2005-06-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090027466 |
A99999 |
N |
None |
None |
SFY2004-05 |
090000102 |
AMAYA SPRINGS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2008-09-25 00:00:00 |
090005464 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2008-05-18 00:00:00 |
2008-05-18 00:00:00 |
No |
2008-10-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IWCD11 |
N |
CA00150822 |
C |
SFY2008-09 |
090000727 |
ANJA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2011-12-29 00:00:00 |
090008860 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-08-10 00:00:00 |
2011-08-10 00:00:00 |
No |
2012-01-23 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
O5NY11 |
N |
CA00279063 |
C |
SFY2011-12 |
090000102 |
AMAYA SPRINGS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-02-12 00:00:00 |
090011000 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2014-07-02 00:00:00 |
2014-07-02 00:00:00 |
No |
2015-03-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
WIWM11 |
N |
CA00403402, CA00403527 |
A, A |
SFY2014-15 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-01-25 00:00:00 |
100001996 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-12-02 00:00:00 |
None |
No |
2000-02-15 00:00:00 |
None |
A |
A |
8000 |
8000 |
-5840 |
2160 |
0 |
100013836 |
A99999 |
N |
None |
None |
SFY1999-00 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-03-09 00:00:00 |
100002002 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-11-11 00:00:00 |
None |
No |
2000-04-03 00:00:00 |
None |
A |
None |
8000 |
24000 |
-8400 |
15600 |
0 |
100013959 |
A99999 |
N |
None |
None |
SFY1999-00 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-09-22 00:00:00 |
100002036 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-11-05 00:00:00 |
None |
No |
2000-10-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
100014542 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-01-16 00:00:00 |
100002053 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-03-25 00:00:00 |
None |
Yes |
2001-02-06 00:00:00 |
2001-01-23 00:00:00 |
A |
Drop>Deficiency |
10000 |
8000 |
0 |
8000 |
0 |
100014229 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-02-06 00:00:00 |
100002061 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE, FAILURE TO RP |
2001-01-04 00:00:00 |
None |
No |
2001-03-01 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
100015119 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-02-06 00:00:00 |
100002063 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-15 00:00:00 |
None |
No |
2001-03-01 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
100015119 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-03-14 00:00:00 |
100002070 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
PATIENT CARE, MEDS |
2000-04-07 00:00:00 |
None |
No |
2001-04-04 00:00:00 |
None |
A |
None |
16000 |
16000 |
0 |
16000 |
0 |
100015228 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-07-19 00:00:00 |
100002087 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-05-02 00:00:00 |
None |
No |
2001-08-09 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
100015471 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-08-28 00:00:00 |
100002099 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT CARE/ABUSE |
2001-06-01 00:00:00 |
None |
No |
2001-09-26 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
100015680 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-09-19 00:00:00 |
100002107 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-04-11 00:00:00 |
None |
Yes |
2001-10-15 00:00:00 |
2001-09-19 00:00:00 |
A |
Dismissed by Court |
18000 |
0 |
0 |
0 |
0 |
100015771 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-01-29 00:00:00 |
100002132 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-08-21 00:00:00 |
None |
No |
2002-02-21 00:00:00 |
None |
A |
None |
17000 |
17000 |
-5950 |
11050 |
0 |
100015862 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-03-01 00:00:00 |
100002137 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-10-31 00:00:00 |
None |
No |
2002-03-28 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
100016265 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-04-03 00:00:00 |
100002152 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
VERBAL ABUSE |
2002-02-13 00:00:00 |
None |
No |
2002-04-30 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
100016403 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-04-05 00:00:00 |
100002154 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-14 00:00:00 |
None |
No |
2002-04-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
100016436 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-07-30 00:00:00 |
100002167 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-05-24 00:00:00 |
None |
Yes |
2002-08-30 00:00:00 |
2002-08-16 00:00:00 |
A |
A |
18000 |
39000 |
0 |
39000 |
0 |
100016666 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-10-11 00:00:00 |
100002182 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-05-21 00:00:00 |
None |
Yes |
2002-11-08 00:00:00 |
2002-10-16 00:00:00 |
A |
Drop>Deficiency |
20000 |
5000 |
0 |
5000 |
0 |
100016734 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-11-05 00:00:00 |
100002187 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-06-06 00:00:00 |
None |
No |
2002-12-02 00:00:00 |
None |
A |
B |
18000 |
12600 |
0 |
12600 |
0 |
100016896 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-12-27 00:00:00 |
100002195 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-04-15 00:00:00 |
None |
Yes |
2003-01-28 00:00:00 |
2002-12-31 00:00:00 |
A |
A |
15000 |
15000 |
0 |
15000 |
0 |
100016506 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-03-04 00:00:00 |
100002204 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-12-27 00:00:00 |
None |
No |
2003-04-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
100017418 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-03-06 00:00:00 |
100002206 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-01 00:00:00 |
None |
No |
2003-04-09 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
100017422 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2003-03-21 00:00:00 |
100002209 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-06-17 00:00:00 |
None |
Yes |
2003-04-17 00:00:00 |
2003-03-25 00:00:00 |
A |
B |
15000 |
1000 |
0 |
1000 |
0 |
100016846 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-05-06 00:00:00 |
100002216 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-01-27 00:00:00 |
None |
No |
2003-06-05 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
100017561 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-05-13 00:00:00 |
100002218 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-07 00:00:00 |
None |
No |
2003-06-20 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
100017743 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-08-26 00:00:00 |
100002231 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-15 00:00:00 |
None |
No |
2003-09-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
100018185 |
A99999 |
N |
None |
None |
SFY2003-04 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-09-29 00:00:00 |
100002236 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-09-20 00:00:00 |
None |
No |
2003-10-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
100018395 |
A99999 |
N |
None |
None |
SFY2003-04 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-09-30 00:00:00 |
100002237 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-26 00:00:00 |
None |
No |
2003-10-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
100018429 |
A99999 |
N |
None |
None |
SFY2003-04 |
100000170 |
ALTA'S ICF, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2003-11-19 00:00:00 |
100002243 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-28 00:00:00 |
None |
No |
2003-12-17 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
100018268 |
A99999 |
N |
None |
None |
SFY2003-04 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-03-11 00:00:00 |
100002253 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-09-08 00:00:00 |
None |
No |
2004-04-12 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
100018500 |
A99999 |
N |
None |
None |
SFY2003-04 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-07-27 00:00:00 |
100002265 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-05 00:00:00 |
None |
No |
2004-08-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
100019313 |
A99999 |
N |
None |
None |
SFY2004-05 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-09-03 00:00:00 |
100002270 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-03-20 00:00:00 |
None |
Yes |
2004-10-12 00:00:00 |
2004-09-15 00:00:00 |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
100019496 |
A99999 |
N |
None |
None |
SFY2004-05 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-10-19 00:00:00 |
100002272 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-07-22 00:00:00 |
None |
No |
2004-11-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
100019472 |
A99999 |
N |
None |
None |
SFY2004-05 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-10-19 00:00:00 |
100002273 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-07-22 00:00:00 |
None |
No |
2004-11-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
100019472 |
A99999 |
N |
None |
None |
SFY2004-05 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2005-03-07 00:00:00 |
100002284 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE-NOT REPORTED |
2004-12-04 00:00:00 |
None |
Yes |
2005-03-28 00:00:00 |
2005-03-14 00:00:00 |
B |
B |
1000 |
400 |
0 |
400 |
0 |
100019796 |
A99999 |
N |
None |
None |
SFY2004-05 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-04-15 00:00:00 |
100002288 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-11 00:00:00 |
None |
No |
2005-05-06 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
100019943 |
A99999 |
N |
None |
None |
SFY2004-05 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-06-22 00:00:00 |
100002296 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-17 00:00:00 |
None |
No |
2005-07-19 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
100019959 |
A99999 |
N |
None |
None |
SFY2004-05 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-10-14 00:00:00 |
100002299 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-03-09 00:00:00 |
None |
Yes |
2005-11-17 00:00:00 |
2005-11-04 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
100019965 |
A99999 |
N |
CA00075767 |
B |
SFY2005-06 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2018-12-20 00:00:00 |
100014665 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-09-25 00:00:00 |
2018-09-25 00:00:00 |
No |
2019-01-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
OJKN11 |
N |
None |
None |
SFY2018-19 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2021-01-07 00:00:00 |
100016225 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-03-05 00:00:00 |
2020-03-05 00:00:00 |
No |
2021-01-29 00:00:00 |
None |
B |
None |
1200 |
1200 |
-420 |
780 |
0 |
None |
P78V11 |
N |
CA00698464 |
B |
SFY2020-21 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2021-09-29 00:00:00 |
100016966 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Discharge Process |
2020-07-27 00:00:00 |
2020-07-27 00:00:00 |
No |
2021-10-20 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
KV6E11 |
N |
CA00698995, CA00698995, CA00698995, CA00698995, CA00698995 |
B, B, B, B, B |
SFY2021-22 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-05-04 00:00:00 |
110003058 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-07-11 00:00:00 |
2005-07-11 00:00:00 |
Yes |
2006-05-25 00:00:00 |
2006-05-08 00:00:00 |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
BNW511 |
N |
CA00055223 |
B |
SFY2005-06 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-06-07 00:00:00 |
110003116 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-03 00:00:00 |
2005-11-03 00:00:00 |
Yes |
2006-06-28 00:00:00 |
2006-06-09 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
5KSV11 |
N |
CA00065638 |
A |
SFY2005-06 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-12-20 00:00:00 |
110003458 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-01-14 00:00:00 |
2006-01-14 00:00:00 |
Yes |
2007-01-12 00:00:00 |
2006-12-28 00:00:00 |
A |
A |
18000 |
18000 |
0 |
18000 |
0 |
None |
CJ1Z11 |
N |
CA00071352 |
A |
SFY2006-07 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-05-10 00:00:00 |
110003889 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-05-01 00:00:00 |
2006-05-01 00:00:00 |
Yes |
2007-06-01 00:00:00 |
2007-05-16 00:00:00 |
A |
A |
18000 |
10000 |
0 |
10000 |
0 |
None |
8NQY11 |
N |
CA00079724, CA00083279 |
B, B |
SFY2006-07 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-05-10 00:00:00 |
110003907 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
a,c |
2005-04-20 00:00:00 |
2005-04-20 00:00:00 |
Yes |
2007-06-01 00:00:00 |
2007-05-16 00:00:00 |
A |
A |
18000 |
9500 |
0 |
9500 |
0 |
None |
V7CB11 |
N |
CA00063130 |
B |
SFY2006-07 |
010001005 |
ALDERSLY SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-12-20 00:00:00 |
110004324 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-09-12 00:00:00 |
2007-09-12 00:00:00 |
Yes |
2011-09-20 00:00:00 |
2011-09-06 00:00:00 |
A |
A |
18000 |
9000 |
0 |
9000 |
0 |
None |
SL3811 |
Y |
CA00126952 |
B |
SFY2007-08 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-07-28 00:00:00 |
110004617 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2007-11-29 00:00:00 |
2007-11-29 00:00:00 |
No |
2008-08-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GD4H11 |
N |
CA00133517, CA00133532 |
A, A |
SFY2008-09 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2008-07-08 00:00:00 |
110004753 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2008-02-29 00:00:00 |
2008-02-29 00:00:00 |
No |
2008-07-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HSL811 |
N |
CA00142510 |
B |
SFY2008-09 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-07-21 00:00:00 |
110005164 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-01-22 00:00:00 |
2008-01-22 00:00:00 |
Yes |
2008-08-11 00:00:00 |
2008-07-24 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
V5O311 |
N |
CA00138644 |
B |
SFY2008-09 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-09-26 00:00:00 |
110005457 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2008-04-25 00:00:00 |
2008-04-25 00:00:00 |
No |
2008-10-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SKXQ11 |
N |
CA00147993 |
A |
SFY2008-09 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-10-24 00:00:00 |
110005542 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2007-10-05 00:00:00 |
2007-10-05 00:00:00 |
No |
2008-11-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
Z7LS11 |
N |
CA00128701 |
B |
SFY2008-09 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-09-01 00:00:00 |
110005647 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-21 00:00:00 |
2008-11-21 00:00:00 |
No |
2009-09-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
7UOC11 |
N |
CA00170045, CA00170045 |
A, A |
SFY2009-10 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-01-05 00:00:00 |
110005741 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-11-12 00:00:00 |
2007-11-12 00:00:00 |
Yes |
2009-01-26 00:00:00 |
2009-01-21 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
S39H11 |
N |
CA00162172 |
B |
SFY2008-09 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-01-05 00:00:00 |
110005742 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-29 00:00:00 |
2008-07-29 00:00:00 |
Yes |
2009-01-26 00:00:00 |
2009-01-21 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
S39H11 |
N |
CA00158515 |
A |
SFY2008-09 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2009-03-12 00:00:00 |
110005861 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-30 00:00:00 |
2009-01-30 00:00:00 |
No |
2009-04-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
W2OL11 |
N |
CA00176634 |
A |
SFY2008-09 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-02-18 00:00:00 |
110005869 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-06 00:00:00 |
2009-01-06 00:00:00 |
Yes |
2009-03-11 00:00:00 |
2009-03-05 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
DV2I11 |
N |
CA00174301 |
A |
SFY2008-09 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-02-26 00:00:00 |
110005870 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-05-17 00:00:00 |
2008-05-17 00:00:00 |
No |
2009-03-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
8STP11 |
N |
CA00176016 |
B |
SFY2008-09 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-22 00:00:00 |
110006284 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-11-03 00:00:00 |
2008-11-03 00:00:00 |
Yes |
2010-01-14 00:00:00 |
2009-12-24 00:00:00 |
A |
A |
16000 |
7000 |
0 |
7000 |
0 |
None |
PAGI11 |
N |
CA00168967 |
A |
SFY2009-10 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-01-20 00:00:00 |
110006931 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-10 00:00:00 |
2008-11-10 00:00:00 |
Yes |
2010-02-10 00:00:00 |
2010-01-26 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
1SQK11 |
N |
None |
None |
SFY2009-10 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2010-09-08 00:00:00 |
110006934 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-12-07 00:00:00 |
2009-12-07 00:00:00 |
Yes |
2010-09-29 00:00:00 |
2010-09-15 00:00:00 |
B |
B |
1000 |
1950 |
0 |
1950 |
0 |
None |
L10I11 |
N |
CA00210728, CA00210728 |
B, B |
SFY2010-11 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-03-29 00:00:00 |
110008038 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-03 00:00:00 |
2009-07-03 00:00:00 |
No |
2011-04-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XBFH11 |
N |
CA00193944 |
B |
SFY2010-11 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-10-27 00:00:00 |
110008190 |
Closed |
Citation |
Citation A (HSC 1424) |
Physical Environment |
None |
2011-04-16 00:00:00 |
2011-04-16 00:00:00 |
Yes |
2013-06-05 00:00:00 |
2011-11-04 00:00:00 |
A |
A |
18000 |
18000 |
0 |
18000 |
0 |
None |
PQXC11 |
Y |
CA00266254, CA00266416, CA00266416, CA00285434 |
A, A, A, B |
SFY2011-12 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-02-29 00:00:00 |
110008291 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-06-03 00:00:00 |
2011-06-03 00:00:00 |
Yes |
2012-03-21 00:00:00 |
2012-03-02 00:00:00 |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
EUJX11 |
N |
CA00246859 |
A |
SFY2011-12 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2011-07-28 00:00:00 |
110008396 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-06-10 00:00:00 |
2010-06-10 00:00:00 |
No |
2011-08-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
34I911 |
N |
CA00232793 |
B |
SFY2011-12 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2011-10-31 00:00:00 |
110008587 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2011-08-30 00:00:00 |
2011-08-30 00:00:00 |
No |
2011-11-22 00:00:00 |
None |
A |
None |
6000 |
6000 |
-2100 |
3900 |
0 |
None |
83TC11 |
N |
CA00281757 |
B |
SFY2011-12 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-02-29 00:00:00 |
110008884 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
AB Abuse/Fac Not Self Rep |
2011-10-07 00:00:00 |
2011-10-07 00:00:00 |
Yes |
2012-03-21 00:00:00 |
2012-03-02 00:00:00 |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
EUJX11 |
N |
CA00246859 |
A |
SFY2011-12 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-06-01 00:00:00 |
110009120 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-02-15 00:00:00 |
2012-02-15 00:00:00 |
Yes |
2012-06-22 00:00:00 |
2012-06-08 00:00:00 |
B |
None |
2000 |
2000 |
-2000 |
0 |
0 |
None |
STR811 |
N |
CA00297398 |
B |
SFY2011-12 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-06-01 00:00:00 |
110009121 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-01-12 00:00:00 |
2012-01-12 00:00:00 |
Yes |
2012-06-22 00:00:00 |
2012-06-08 00:00:00 |
B |
None |
2000 |
2000 |
-2000 |
0 |
0 |
None |
STR811 |
N |
CA00296082, CA00296086 |
B, B |
SFY2011-12 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-05-30 00:00:00 |
110009217 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2012-03-12 00:00:00 |
2012-03-12 00:00:00 |
No |
2012-06-20 00:00:00 |
None |
B |
None |
1000 |
15600 |
-350 |
15250 |
0 |
None |
Q99K11 |
N |
None |
None |
SFY2011-12 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-05-30 00:00:00 |
110009218 |
Open |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2012-03-12 00:00:00 |
2012-03-12 00:00:00 |
Yes |
2012-06-20 00:00:00 |
2012-06-15 00:00:00 |
B |
None |
1000 |
1000 |
0 |
0 |
1000 |
None |
Q99K11 |
N |
None |
None |
SFY2011-12 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-05-30 00:00:00 |
110009220 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2012-03-12 00:00:00 |
2012-03-12 00:00:00 |
No |
2012-06-20 00:00:00 |
None |
B |
None |
1000 |
18200 |
-350 |
17850 |
0 |
None |
Q99K11 |
N |
None |
None |
SFY2011-12 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2013-12-17 00:00:00 |
110010047 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-06-01 00:00:00 |
2011-06-01 00:00:00 |
No |
2014-01-09 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
H2SR11 |
N |
CA00271524, CA00271605 |
A, A |
SFY2013-14 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2016-05-24 00:00:00 |
110012237 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2015-12-26 00:00:00 |
2015-12-26 00:00:00 |
No |
2016-06-15 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
VKL711 |
N |
CA00470100 |
A |
SFY2015-16 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-06-01 00:00:00 |
110012392 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-04-17 00:00:00 |
2015-04-17 00:00:00 |
No |
2017-06-22 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
ENC411 |
N |
CA00453698, CA00453698 |
C, C |
SFY2016-17 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-12-13 00:00:00 |
110012748 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-11-30 00:00:00 |
2013-11-30 00:00:00 |
No |
2017-01-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
HH2D11 |
N |
CA00495143 |
A |
SFY2016-17 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-16 00:00:00 |
110012907 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-09-16 00:00:00 |
2016-09-16 00:00:00 |
Yes |
2017-03-10 00:00:00 |
2017-03-02 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
BBN311 |
N |
CA00503478 |
B |
SFY2016-17 |
010001005 |
ALDERSLY SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-12-14 00:00:00 |
110013127 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-03-09 00:00:00 |
2014-03-09 00:00:00 |
No |
2018-01-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
PS4J11 |
N |
CA00390571 |
B |
SFY2017-18 |
010000998 |
ABLE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2017-05-12 00:00:00 |
110013134 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-11-07 00:00:00 |
2016-11-07 00:00:00 |
No |
2017-06-05 00:00:00 |
None |
A |
None |
6000 |
18000 |
-6300 |
11700 |
0 |
None |
UWMS11 |
N |
CA00509218 |
B |
SFY2016-17 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-06-18 00:00:00 |
110013457 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-09-23 00:00:00 |
2016-09-23 00:00:00 |
No |
2018-07-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
E4YG11 |
N |
CA00504572, CA00504575 |
H, H |
SFY2017-18 |
010000427 |
ADULTS IN COMMUNITY TRANSITIONS- ACT 1 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2018-03-26 00:00:00 |
110013822 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-10-30 00:00:00 |
2017-10-30 00:00:00 |
No |
2018-04-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
O8OP11 |
N |
CA00559514, CA00559514, CA00559514 |
B, B, B |
SFY2017-18 |
010000427 |
ADULTS IN COMMUNITY TRANSITIONS- ACT 1 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2018-03-26 00:00:00 |
110013824 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-10-30 00:00:00 |
2017-10-30 00:00:00 |
No |
2018-04-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
O8OP11 |
N |
CA00559514, CA00559514, CA00559514, CA00559514 |
B, B, B, B |
SFY2017-18 |
010001140 |
ARBOL RESIDENCES OF SANTA ROSA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-06-18 00:00:00 |
110013899 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-06-23 00:00:00 |
2016-06-23 00:00:00 |
No |
2018-07-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ECNO11 |
N |
CA00493136, CA00493136 |
C, C |
SFY2017-18 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-02-21 00:00:00 |
110014741 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-09-10 00:00:00 |
2018-09-10 00:00:00 |
No |
2019-03-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
80F911 |
N |
CA00603236 |
B |
SFY2018-19 |
010001005 |
ALDERSLY SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-09 00:00:00 |
110015152 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-01-17 00:00:00 |
2019-01-17 00:00:00 |
No |
2019-08-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
QVGX11 |
N |
None |
None |
SFY2019-20 |
010001005 |
ALDERSLY SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-09 00:00:00 |
110015153 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-01-17 00:00:00 |
2019-01-17 00:00:00 |
No |
2019-08-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
QVGX11 |
N |
None |
None |
SFY2019-20 |
010001005 |
ALDERSLY SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-09 00:00:00 |
110015154 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-01-17 00:00:00 |
2019-01-17 00:00:00 |
No |
2019-08-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
QVGX11 |
N |
None |
None |
SFY2019-20 |
010000026 |
APPLE VALLEY POST-ACUTE REHAB |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-10-19 00:00:00 |
110016983 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-06-04 00:00:00 |
2020-06-04 00:00:00 |
No |
2021-11-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6ZO611 |
N |
CA00691524 |
C |
SFY2021-22 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2000-02-08 00:00:00 |
120001364 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-23 00:00:00 |
1999-10-23 00:00:00 |
Yes |
2000-03-13 00:00:00 |
2000-02-16 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
120013520 |
A99999 |
N |
None |
None |
SFY1999-00 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2000-03-14 00:00:00 |
120001372 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-02-04 00:00:00 |
2000-02-04 00:00:00 |
Yes |
2000-04-10 00:00:00 |
2000-03-27 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
120013639 |
A99999 |
N |
None |
None |
SFY1999-00 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2000-04-13 00:00:00 |
120001374 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT CARE & ABUSE |
1999-09-03 00:00:00 |
1999-09-03 00:00:00 |
Yes |
2000-05-09 00:00:00 |
2000-04-24 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
120013743 |
A99999 |
N |
None |
None |
SFY1999-00 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2000-05-26 00:00:00 |
120001381 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PT CARE/RIGHTS |
2000-03-06 00:00:00 |
2000-03-06 00:00:00 |
Yes |
2000-06-23 00:00:00 |
2000-06-14 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
120013926 |
A99999 |
N |
None |
None |
SFY1999-00 |
120000399 |
ADVENTIST HEALTH DELANO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2001-07-20 00:00:00 |
120001533 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-25 00:00:00 |
None |
No |
2001-08-10 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
120015573 |
A99999 |
N |
None |
None |
SFY2001-02 |
120000399 |
ADVENTIST HEALTH DELANO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2001-12-24 00:00:00 |
120001542 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-12-08 00:00:00 |
None |
No |
2002-01-16 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
120015898 |
A99999 |
N |
None |
None |
SFY2001-02 |
120001532 |
ADAMS HOUSE - SANTA CLARA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Bakersfield |
2003-03-10 00:00:00 |
120001749 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-02-06 00:00:00 |
None |
No |
2003-04-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120019298 |
A99999 |
N |
None |
None |
SFY2002-03 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2004-04-29 00:00:00 |
120001780 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-16 00:00:00 |
None |
Yes |
2004-05-20 00:00:00 |
2004-04-29 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
120020353 |
A99999 |
N |
None |
None |
SFY2003-04 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2007-01-25 00:00:00 |
120003479 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-10-29 00:00:00 |
2005-10-29 00:00:00 |
Yes |
2007-02-15 00:00:00 |
2007-01-26 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
C1HF11 |
N |
CA00064871 |
B |
SFY2006-07 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2010-08-11 00:00:00 |
120007239 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-04-09 00:00:00 |
2010-04-09 00:00:00 |
No |
2010-09-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C3T411 |
N |
CA00224990 |
B |
SFY2010-11 |
120000399 |
ADVENTIST HEALTH DELANO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2011-05-04 00:00:00 |
120007847 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-11-05 00:00:00 |
2009-11-05 00:00:00 |
No |
2011-05-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
N1EA11 |
N |
CA00207834 |
C |
SFY2010-11 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2012-06-13 00:00:00 |
120009136 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-09-23 00:00:00 |
2011-09-23 00:00:00 |
No |
2012-07-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
FKOV11 |
N |
CA00284704 |
C |
SFY2011-12 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2012-06-13 00:00:00 |
120009137 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-09-23 00:00:00 |
2011-09-23 00:00:00 |
No |
2012-07-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
FKOV11 |
N |
CA00285056 |
B |
SFY2011-12 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2012-06-13 00:00:00 |
120009141 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-09-24 00:00:00 |
2011-09-24 00:00:00 |
No |
2012-07-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
FKOV11 |
N |
CA00284701 |
C |
SFY2011-12 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2012-06-13 00:00:00 |
120009142 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-09-18 00:00:00 |
2011-09-18 00:00:00 |
No |
2012-07-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
FKOV11 |
N |
CA00284535 |
C |
SFY2011-12 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2014-01-29 00:00:00 |
120010413 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-09-18 00:00:00 |
2011-09-18 00:00:00 |
No |
2014-02-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
JEWX11 |
N |
CA00284100 |
C |
SFY2013-14 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2014-02-06 00:00:00 |
120010424 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-06-27 00:00:00 |
2013-06-27 00:00:00 |
No |
2014-02-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
U7YY11 |
N |
CA00360019 |
B |
SFY2013-14 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2014-03-12 00:00:00 |
120010512 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-05-26 00:00:00 |
2013-05-26 00:00:00 |
Yes |
2014-04-03 00:00:00 |
2014-04-02 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
RZKZ11 |
N |
CA00356241 |
A |
SFY2013-14 |
120000399 |
ADVENTIST HEALTH DELANO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2015-05-05 00:00:00 |
120011410 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-02-07 00:00:00 |
2015-02-07 00:00:00 |
No |
2015-05-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
QBHK11 |
N |
CA00430725 |
B |
SFY2014-15 |
120000399 |
ADVENTIST HEALTH DELANO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2015-05-05 00:00:00 |
120011425 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2015-02-07 00:00:00 |
2015-02-07 00:00:00 |
No |
2015-05-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
QBHK11 |
N |
CA00430725 |
B |
SFY2014-15 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2015-09-14 00:00:00 |
120011683 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-07-06 00:00:00 |
2015-07-06 00:00:00 |
No |
2015-10-05 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
HNG611 |
N |
CA00449511 |
B |
SFY2015-16 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2016-02-29 00:00:00 |
120012023 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-11-28 00:00:00 |
2015-11-28 00:00:00 |
No |
2016-03-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
JP5U11 |
N |
CA00468001 |
B |
SFY2015-16 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2016-02-29 00:00:00 |
120012035 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-01-12 00:00:00 |
2016-01-12 00:00:00 |
No |
2016-03-21 00:00:00 |
None |
A |
None |
20000 |
60000 |
-21000 |
39000 |
0 |
None |
7J0E11 |
N |
CA00472245, CA00472245 |
A, A |
SFY2015-16 |
120000399 |
ADVENTIST HEALTH DELANO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2016-11-01 00:00:00 |
120012699 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-10-12 00:00:00 |
2016-10-12 00:00:00 |
No |
2016-11-23 00:00:00 |
None |
B |
None |
2000 |
2350 |
0 |
2350 |
0 |
None |
0B7411 |
N |
None |
None |
SFY2016-17 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2021-11-05 00:00:00 |
120016947 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
Patient Abuse |
2021-06-15 00:00:00 |
2021-06-15 00:00:00 |
No |
2021-12-01 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
MG4Q11 |
N |
CA00740342 |
B |
SFY2021-22 |
120000399 |
ADVENTIST HEALTH DELANO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2024-03-15 00:00:00 |
120019795 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-11-09 00:00:00 |
2023-11-09 00:00:00 |
No |
2024-04-05 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
CUXL11 |
N |
CA00869208, CA00869208, CA00880306 |
A, A, B |
SFY2023-24 |
120000373 |
ARVIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2024-06-27 00:00:00 |
120020311 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-04-07 00:00:00 |
2024-04-07 00:00:00 |
No |
2024-07-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
Y65011 |
N |
CA00892606, CA00893504, CA00893504 |
B, B, B |
SFY2023-24 |
140000769 |
ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-02-09 00:00:00 |
140002484 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-10-20 00:00:00 |
None |
No |
2000-03-03 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
140011267 |
A99999 |
N |
None |
None |
SFY1999-00 |
140000507 |
ALTA BATES SUMMIT MEDICAL CENTER-HERRICK CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-05-08 00:00:00 |
140002516 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
1999-10-11 00:00:00 |
None |
No |
2000-05-31 00:00:00 |
None |
AA |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
140011679 |
A99999 |
Y |
None |
None |
SFY1999-00 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-10-23 00:00:00 |
140002573 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-30 00:00:00 |
None |
No |
2000-11-17 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
140012450 |
A99999 |
N |
None |
None |
SFY2000-01 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-06-17 00:00:00 |
140002624 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-12-08 00:00:00 |
2001-12-08 00:00:00 |
No |
2002-07-11 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
140014569 |
A99999 |
N |
None |
None |
SFY2001-02 |
140001291 |
AVONDALE VILLA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-05-30 00:00:00 |
140002659 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-01-10 00:00:00 |
None |
No |
2000-06-23 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
140015130 |
A99999 |
N |
None |
None |
SFY1999-00 |
140000574 |
ALHAMBRA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-04-01 00:00:00 |
140002668 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-02-05 00:00:00 |
None |
No |
2003-04-24 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
140015417 |
A99999 |
N |
None |
None |
SFY2002-03 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-04-11 00:00:00 |
140002673 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-20 00:00:00 |
None |
No |
2003-05-02 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
140015440 |
A99999 |
N |
None |
None |
SFY2002-03 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-07-24 00:00:00 |
140002681 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-04-09 00:00:00 |
None |
Yes |
2004-01-30 00:00:00 |
2003-08-05 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
140015732 |
A99999 |
N |
None |
None |
SFY2003-04 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-10-06 00:00:00 |
140002687 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-09-12 00:00:00 |
None |
No |
2003-10-31 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
140015982 |
A99999 |
N |
None |
None |
SFY2003-04 |
140000769 |
ALTA BATES SUMMIT MEDICAL CENTER-SUMMIT CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-10-10 00:00:00 |
140002688 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-23 00:00:00 |
None |
No |
2003-11-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
140015988 |
A99999 |
N |
None |
None |
SFY2003-04 |
140000321 |
ALAMEDA COUNTY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2005-08-16 00:00:00 |
140002755 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-04-22 00:00:00 |
None |
No |
2005-09-07 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
140017432 |
A99999 |
N |
None |
None |
SFY2005-06 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2000-03-17 00:00:00 |
150002196 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Rights |
None |
2000-03-06 00:00:00 |
None |
No |
2000-04-12 00:00:00 |
None |
AA |
None |
25000 |
25000 |
-25000 |
0 |
0 |
150018975 |
A99999 |
Y |
None |
None |
SFY1999-00 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2000-06-29 00:00:00 |
150002197 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-05-16 00:00:00 |
2000-06-29 00:00:00 |
Yes |
2000-07-21 00:00:00 |
2000-07-10 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
150018992 |
A99999 |
N |
None |
None |
SFY1999-00 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-01-30 00:00:00 |
150002198 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2000-08-14 00:00:00 |
None |
No |
2001-02-26 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
150019009 |
A99999 |
N |
None |
None |
SFY2000-01 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-01-30 00:00:00 |
150002199 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-08-14 00:00:00 |
None |
No |
2001-02-26 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
150019009 |
A99999 |
N |
None |
None |
SFY2000-01 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-03-01 00:00:00 |
150002200 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-12-15 00:00:00 |
None |
Yes |
2001-07-26 00:00:00 |
2001-03-06 00:00:00 |
B |
B Trebled |
1000 |
3000 |
0 |
3000 |
0 |
150019010 |
A99999 |
N |
None |
None |
SFY2000-01 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-03-01 00:00:00 |
150002201 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-12-09 00:00:00 |
None |
Yes |
2001-08-07 00:00:00 |
2001-03-07 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
150019010 |
A99999 |
N |
None |
None |
SFY2000-01 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-03-01 00:00:00 |
150002202 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-12-21 00:00:00 |
None |
No |
2001-03-26 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
150019011 |
A99999 |
N |
None |
None |
SFY2000-01 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-06-26 00:00:00 |
150002203 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-01-10 00:00:00 |
None |
No |
2001-07-23 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
150019020 |
A99999 |
N |
None |
None |
SFY2000-01 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2004-04-05 00:00:00 |
150002205 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-08-30 00:00:00 |
None |
No |
2004-04-27 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
150019288 |
A99999 |
N |
None |
None |
SFY2003-04 |
150001242 |
AGNEWS STATE HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2000-08-16 00:00:00 |
150002218 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-06-17 00:00:00 |
None |
No |
2000-09-11 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
150019456 |
A99999 |
N |
None |
None |
SFY2000-01 |
150001242 |
AGNEWS STATE HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2004-04-05 00:00:00 |
150002219 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-17 00:00:00 |
None |
No |
2004-04-27 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
150019533 |
A99999 |
N |
None |
None |
SFY2003-04 |
150001242 |
AGNEWS STATE HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2004-04-05 00:00:00 |
150002220 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2003-07-03 00:00:00 |
None |
No |
2004-04-27 00:00:00 |
None |
AA |
None |
100000 |
100000 |
-35000 |
65000 |
0 |
150019534 |
A99999 |
Y |
None |
None |
SFY2003-04 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2004-11-01 00:00:00 |
150002236 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-09-24 00:00:00 |
2004-09-24 00:00:00 |
No |
2004-11-23 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
150020266 |
A99999 |
N |
None |
None |
SFY2004-05 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2005-02-23 00:00:00 |
150002244 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-01-10 00:00:00 |
2005-01-10 00:00:00 |
No |
2005-03-16 00:00:00 |
None |
B |
None |
500 |
1500 |
-525 |
975 |
0 |
150020302 |
A99999 |
N |
None |
None |
SFY2004-05 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2005-06-07 00:00:00 |
150002248 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-03-13 00:00:00 |
2005-03-13 00:00:00 |
No |
2005-06-28 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
150020311 |
A99999 |
N |
None |
None |
SFY2004-05 |
150001242 |
AGNEWS STATE HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2005-06-07 00:00:00 |
150002249 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-04-07 00:00:00 |
2005-04-07 00:00:00 |
No |
2005-06-28 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
150020312 |
A99999 |
N |
None |
None |
SFY2004-05 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2005-08-16 00:00:00 |
150002251 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-01-10 00:00:00 |
2005-01-10 00:00:00 |
No |
2005-09-08 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
150020318 |
A99999 |
N |
None |
None |
SFY2005-06 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2005-09-27 00:00:00 |
150002255 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-06-24 00:00:00 |
2005-06-24 00:00:00 |
No |
2005-10-24 00:00:00 |
None |
B |
None |
500 |
1500 |
-525 |
975 |
0 |
150020326 |
A99999 |
N |
None |
None |
SFY2005-06 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2005-12-27 00:00:00 |
150002260 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-10-11 00:00:00 |
2005-10-11 00:00:00 |
No |
2006-01-19 00:00:00 |
None |
B |
None |
700 |
2100 |
-735 |
1365 |
0 |
150020334 |
A99999 |
N |
None |
None |
SFY2005-06 |
150001242 |
AGNEWS STATE HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2006-03-08 00:00:00 |
150002881 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-09-17 00:00:00 |
2005-09-17 00:00:00 |
No |
2006-03-29 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
YU0W11 |
N |
CA00061650 |
D |
SFY2005-06 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-04-21 00:00:00 |
150003024 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-02-04 00:00:00 |
2006-02-04 00:00:00 |
No |
2006-05-12 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
None |
SUTW11 |
N |
CA00071858 |
D |
SFY2005-06 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-05-11 00:00:00 |
150003067 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-04-18 00:00:00 |
2006-04-18 00:00:00 |
No |
2006-06-02 00:00:00 |
None |
B |
None |
700 |
2100 |
-735 |
1365 |
0 |
None |
7XXQ11 |
N |
CA00078510 |
C |
SFY2005-06 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-05-11 00:00:00 |
150003081 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-04-18 00:00:00 |
2006-04-18 00:00:00 |
No |
2006-06-02 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
None |
U63C11 |
N |
CA00078505 |
C |
SFY2005-06 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-09-05 00:00:00 |
150003313 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-07-03 00:00:00 |
2006-07-03 00:00:00 |
No |
2006-09-26 00:00:00 |
None |
B |
None |
900 |
2700 |
-945 |
1755 |
0 |
None |
9M8U11 |
N |
CA00085464 |
C |
SFY2006-07 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2008-05-13 00:00:00 |
150003490 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2006-09-16 00:00:00 |
2006-09-16 00:00:00 |
No |
2008-06-04 00:00:00 |
None |
AA |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
W51K11 |
Y |
CA00093365 |
B |
SFY2007-08 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2007-02-13 00:00:00 |
150003557 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-09-27 00:00:00 |
2006-09-27 00:00:00 |
No |
2007-03-06 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
None |
KNPL11 |
N |
CA00094426 |
C |
SFY2006-07 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2008-04-01 00:00:00 |
150004834 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-08 00:00:00 |
2008-02-08 00:00:00 |
No |
2008-04-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CT7Z11 |
N |
CA00140977 |
D |
SFY2007-08 |
150001241 |
AGNEWS STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2008-04-29 00:00:00 |
150004937 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-21 00:00:00 |
2008-02-21 00:00:00 |
No |
2008-05-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZUXV11 |
N |
CA00142785 |
C |
SFY2007-08 |
150001242 |
AGNEWS STATE HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2009-02-13 00:00:00 |
150005853 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-01 00:00:00 |
2008-12-01 00:00:00 |
No |
2009-03-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1LGR11 |
N |
CA00174059 |
C |
SFY2008-09 |
150001242 |
AGNEWS STATE HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2009-02-13 00:00:00 |
150005854 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2009-01-13 00:00:00 |
2009-01-13 00:00:00 |
No |
2009-03-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1LGR11 |
N |
CA00173985 |
C |
SFY2008-09 |
150001242 |
AGNEWS STATE HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2009-02-13 00:00:00 |
150005873 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-01-12 00:00:00 |
2009-01-12 00:00:00 |
No |
2009-03-09 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
None |
1LGR11 |
N |
CA00174204 |
C |
SFY2008-09 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-03-20 00:00:00 |
220001037 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-12-13 00:00:00 |
None |
No |
2000-04-10 00:00:00 |
None |
A |
B |
10000 |
30600 |
-21267.6 |
9332.4 |
0 |
220006850 |
A99999 |
N |
None |
None |
SFY1999-00 |
220000349 |
AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-10-31 00:00:00 |
220001067 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-09 00:00:00 |
None |
No |
2000-11-22 00:00:00 |
None |
B |
None |
800 |
850 |
-280 |
570 |
0 |
220007216 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000349 |
AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-10-31 00:00:00 |
220001068 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-06-14 00:00:00 |
None |
No |
2000-11-22 00:00:00 |
None |
B |
None |
800 |
850 |
-280 |
570 |
0 |
220007223 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-11-27 00:00:00 |
220001074 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-18 00:00:00 |
None |
No |
2000-12-18 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
220007130 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000349 |
AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2001-02-02 00:00:00 |
220001476 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-08-31 00:00:00 |
None |
No |
2001-02-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
220010087 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000349 |
AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2001-02-02 00:00:00 |
220001477 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-06-30 00:00:00 |
None |
Yes |
2001-02-27 00:00:00 |
2001-02-12 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
220010087 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2001-02-05 00:00:00 |
220001481 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-22 00:00:00 |
None |
No |
2001-02-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
220010137 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-01-25 00:00:00 |
220001497 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-10-06 00:00:00 |
None |
No |
2002-02-19 00:00:00 |
None |
B |
B |
700 |
700 |
-630 |
70 |
0 |
220010301 |
A99999 |
N |
None |
None |
SFY2001-02 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-02-27 00:00:00 |
220001501 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-08-04 00:00:00 |
None |
No |
2002-03-20 00:00:00 |
None |
B |
B |
800 |
520 |
0 |
520 |
0 |
220010933 |
A99999 |
N |
None |
None |
SFY2001-02 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-03-05 00:00:00 |
220001502 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-09-14 00:00:00 |
None |
No |
2002-03-26 00:00:00 |
None |
A |
A |
18000 |
11850 |
0 |
11850 |
0 |
220010701 |
A99999 |
N |
None |
None |
SFY2001-02 |
220000349 |
AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2004-12-28 00:00:00 |
220001544 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-10-01 00:00:00 |
2004-10-01 00:00:00 |
No |
2005-01-24 00:00:00 |
None |
B |
None |
1000 |
1150 |
-350 |
800 |
0 |
220012655 |
A99999 |
N |
None |
None |
SFY2004-05 |
220000349 |
AHMC SETON MEDICAL CENTER COASTSIDE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2004-12-28 00:00:00 |
220001545 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-08-14 00:00:00 |
None |
No |
2005-01-24 00:00:00 |
None |
B |
None |
1000 |
1150 |
-350 |
800 |
0 |
220012655 |
A99999 |
N |
None |
None |
SFY2004-05 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2006-09-29 00:00:00 |
220003378 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-05-21 00:00:00 |
2006-05-21 00:00:00 |
No |
2006-10-23 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
WHU811 |
N |
CA00081889 |
A |
SFY2006-07 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2006-12-06 00:00:00 |
220003547 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2006-08-08 00:00:00 |
2006-08-08 00:00:00 |
Yes |
2007-01-02 00:00:00 |
2006-12-15 00:00:00 |
A |
None |
10000 |
10000 |
-10000 |
0 |
0 |
None |
W8MH11 |
N |
CA00089483 |
A |
SFY2006-07 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2007-01-08 00:00:00 |
220003624 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-21 00:00:00 |
2006-05-21 00:00:00 |
No |
2007-01-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JLU611 |
N |
CA00098176, CA00101762 |
B, B |
SFY2006-07 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2007-01-22 00:00:00 |
220003650 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2006-12-04 00:00:00 |
2006-12-04 00:00:00 |
Yes |
2011-08-04 00:00:00 |
2011-07-22 00:00:00 |
A |
A |
20000 |
13200 |
-200 |
13000 |
0 |
None |
SD7B11 |
N |
CA00100410, CA00101019 |
B, A |
SFY2006-07 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2007-03-09 00:00:00 |
220003765 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-11-17 00:00:00 |
2006-11-17 00:00:00 |
No |
2007-03-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
M5QR11 |
N |
CA00100637, CA00101314, CA00101917 |
B, B, B |
SFY2006-07 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2007-03-21 00:00:00 |
220003838 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-02-21 00:00:00 |
2007-02-21 00:00:00 |
No |
2007-04-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
2B5N11 |
N |
CA00107247, CA00107669 |
B, B |
SFY2006-07 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-01-29 00:00:00 |
220004620 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-11-08 00:00:00 |
2007-11-08 00:00:00 |
No |
2008-02-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
W4XB11 |
N |
CA00131713 |
C |
SFY2007-08 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-04-11 00:00:00 |
220004907 |
Closed |
Citation |
Citation A (HSC 1424) |
Administration |
None |
2007-10-26 00:00:00 |
2007-10-26 00:00:00 |
Yes |
2012-07-09 00:00:00 |
2012-03-12 00:00:00 |
A |
A |
20000 |
5000 |
0 |
5000 |
0 |
None |
C4RR11 |
N |
CA00130414 |
B |
SFY2007-08 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-05-12 00:00:00 |
220005030 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-11-24 00:00:00 |
2007-11-24 00:00:00 |
Yes |
2010-10-06 00:00:00 |
2010-09-15 00:00:00 |
AA |
AA |
100000 |
20350 |
-350 |
20000 |
0 |
None |
HPF411 |
Y |
CA00133222 |
B |
SFY2007-08 |
220000847 |
ANA'S ICF/DD-N |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Francisco |
2008-07-23 00:00:00 |
220005253 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-30 00:00:00 |
2008-03-30 00:00:00 |
No |
2008-08-14 00:00:00 |
None |
B |
None |
1000 |
1350 |
0 |
1350 |
0 |
None |
PJ7E11 |
N |
CA00145359, CA00148690 |
B, B |
SFY2008-09 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2009-08-26 00:00:00 |
220006496 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-06-09 00:00:00 |
2009-06-09 00:00:00 |
No |
2009-09-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
OF1C11 |
N |
CA00191274 |
C |
SFY2009-10 |
220001141 |
ADAMS ICF/DD-N |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Francisco |
2010-05-20 00:00:00 |
220007226 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-02-11 00:00:00 |
2010-02-11 00:00:00 |
Yes |
2010-06-11 00:00:00 |
2010-05-27 00:00:00 |
A |
A |
10000 |
5250 |
0 |
5250 |
0 |
None |
C3HC11 |
N |
CA00218333 |
C |
SFY2009-10 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2012-01-12 00:00:00 |
220008904 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2011-06-24 00:00:00 |
2011-06-24 00:00:00 |
Yes |
2012-02-03 00:00:00 |
2012-01-12 00:00:00 |
AA |
AA |
100000 |
35000 |
0 |
35000 |
0 |
None |
S8SJ11 |
Y |
CA00274771 |
B |
SFY2011-12 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2014-08-29 00:00:00 |
220010970 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2013-11-19 00:00:00 |
2013-11-19 00:00:00 |
No |
2014-09-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
QH8L11 |
N |
CA00378084 |
C |
SFY2014-15 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2015-03-04 00:00:00 |
220011305 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2014-11-28 00:00:00 |
2014-11-28 00:00:00 |
Yes |
2015-03-25 00:00:00 |
2015-03-09 00:00:00 |
AA |
AA |
100000 |
25000 |
0 |
25000 |
0 |
None |
TXLD11 |
Y |
CA00420906 |
C |
SFY2014-15 |
220000416 |
AHMC SETON MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2017-03-09 00:00:00 |
220013024 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2017-01-03 00:00:00 |
2017-01-03 00:00:00 |
No |
2017-03-30 00:00:00 |
None |
B |
None |
2000 |
8400 |
0 |
8400 |
0 |
None |
HVLZ11 |
N |
CA00518875, CA00520663 |
A, A |
SFY2016-17 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-01-17 00:00:00 |
230000964 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-11-10 00:00:00 |
None |
Yes |
2002-02-08 00:00:00 |
2002-01-18 00:00:00 |
A |
A |
18000 |
15300 |
0 |
15300 |
0 |
230007655 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-03-27 00:00:00 |
230000977 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-12-21 00:00:00 |
None |
Yes |
2002-04-18 00:00:00 |
2002-04-02 00:00:00 |
A |
A |
18000 |
15300 |
0 |
15300 |
0 |
230007774 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-03-28 00:00:00 |
230000978 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-11-07 00:00:00 |
None |
Yes |
2002-04-23 00:00:00 |
2002-04-04 00:00:00 |
A |
A |
18000 |
25000 |
0 |
25000 |
0 |
230007715 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-03-28 00:00:00 |
230000979 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-11-26 00:00:00 |
None |
Yes |
2002-04-23 00:00:00 |
2002-04-04 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
230007715 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2003-10-08 00:00:00 |
230001060 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-07-18 00:00:00 |
2003-07-18 00:00:00 |
Yes |
2003-11-03 00:00:00 |
2003-10-14 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
230009489 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000737 |
ARVALO HOME - SHADOWRUN |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2004-03-30 00:00:00 |
230001073 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-12-30 00:00:00 |
2003-12-30 00:00:00 |
No |
2004-04-26 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
230010317 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000737 |
ARVALO HOME - SHADOWRUN |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2004-06-30 00:00:00 |
230001079 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2003-06-05 00:00:00 |
2003-06-05 00:00:00 |
No |
2004-07-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
230010585 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2005-02-22 00:00:00 |
230001126 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-06-18 00:00:00 |
2004-06-18 00:00:00 |
Yes |
2005-03-15 00:00:00 |
2005-03-07 00:00:00 |
B |
B |
1000 |
600 |
0 |
600 |
0 |
230010949 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2005-02-22 00:00:00 |
230001127 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2004-06-17 00:00:00 |
2004-06-17 00:00:00 |
Yes |
2005-03-17 00:00:00 |
2005-03-07 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
230010949 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-06-07 00:00:00 |
230003138 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2006-05-08 00:00:00 |
2006-05-08 00:00:00 |
Yes |
2006-06-28 00:00:00 |
2006-06-15 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
56OE11 |
N |
CA00078992 |
B |
SFY2005-06 |
230000621 |
ARVALO HOME - RIVERPARK |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2007-03-30 00:00:00 |
230003840 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-12-24 00:00:00 |
2006-12-24 00:00:00 |
No |
2007-04-26 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
XWOG11 |
N |
CA00104926 |
A |
SFY2006-07 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-06-06 00:00:00 |
230004000 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-02-05 00:00:00 |
2007-02-05 00:00:00 |
Yes |
2007-06-27 00:00:00 |
2007-06-07 00:00:00 |
B |
B |
750 |
600 |
0 |
600 |
0 |
None |
8O1S11 |
N |
CA00105642 |
A |
SFY2006-07 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-07-11 00:00:00 |
230004069 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2006-06-02 00:00:00 |
2006-06-02 00:00:00 |
Yes |
2007-08-01 00:00:00 |
2007-07-25 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
868U11 |
N |
CA00083061, CA00083061, CA00083776, CA00087458, CA00089993 |
B, B, B, B, B |
SFY2007-08 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-12-05 00:00:00 |
230004473 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-08-17 00:00:00 |
2007-08-17 00:00:00 |
Yes |
2007-12-27 00:00:00 |
2007-12-10 00:00:00 |
B |
B |
750 |
500 |
0 |
500 |
0 |
None |
FLRL11 |
N |
CA00123851 |
A |
SFY2007-08 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-12-05 00:00:00 |
230004474 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-11-01 00:00:00 |
2007-11-01 00:00:00 |
Yes |
2007-12-27 00:00:00 |
2007-12-10 00:00:00 |
B |
B |
750 |
500 |
0 |
500 |
0 |
None |
8YLD11 |
N |
CA00130616 |
C |
SFY2007-08 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-02-21 00:00:00 |
230004700 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-12-07 00:00:00 |
2007-12-07 00:00:00 |
Yes |
2008-03-13 00:00:00 |
2008-02-26 00:00:00 |
AA |
AA |
100000 |
65000 |
0 |
65000 |
0 |
None |
QL2H11 |
Y |
CA00134448 |
C |
SFY2007-08 |
230000283 |
ALMOND VIEW CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-03-07 00:00:00 |
230004747 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-01-19 00:00:00 |
2008-01-19 00:00:00 |
No |
2008-03-28 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
0QHP11 |
N |
CA00138479 |
C |
SFY2007-08 |
230000621 |
ARVALO HOME - RIVERPARK |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2008-03-13 00:00:00 |
230004778 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-01-15 00:00:00 |
2008-01-15 00:00:00 |
No |
2008-04-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
RFY911 |
N |
CA00138198, CA00138200 |
B, B |
SFY2007-08 |
230000737 |
ARVALO HOME - SHADOWRUN |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2008-05-23 00:00:00 |
230005054 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2007-12-18 00:00:00 |
2007-12-18 00:00:00 |
No |
2008-06-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SB0R11 |
N |
CA00137864 |
B |
SFY2007-08 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-06-13 00:00:00 |
230005134 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
REPORTING |
2008-05-30 00:00:00 |
2008-05-30 00:00:00 |
Yes |
2008-07-07 00:00:00 |
2008-06-19 00:00:00 |
B |
B |
1000 |
2000 |
0 |
2000 |
0 |
None |
2POQ11 |
N |
CA00152481 |
C |
SFY2007-08 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-08-07 00:00:00 |
230005301 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-07-06 00:00:00 |
2008-07-06 00:00:00 |
Yes |
2008-08-28 00:00:00 |
2008-08-13 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
KFQ911 |
N |
CA00156153 |
C |
SFY2008-09 |
230000737 |
ARVALO HOME - SHADOWRUN |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2008-09-23 00:00:00 |
230005439 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-05-17 00:00:00 |
2008-05-17 00:00:00 |
No |
2008-10-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
0EFI11 |
N |
CA00151877 |
A |
SFY2008-09 |
230000737 |
ARVALO HOME - SHADOWRUN |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2008-09-23 00:00:00 |
230005447 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-05-17 00:00:00 |
2008-05-17 00:00:00 |
No |
2008-10-15 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
0EFI11 |
N |
CA00151877 |
A |
SFY2008-09 |
230000283 |
ALMOND VIEW CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-10-31 00:00:00 |
230005552 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2008-08-22 00:00:00 |
2008-08-22 00:00:00 |
No |
2008-11-24 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
US9511 |
N |
CA00164113 |
B |
SFY2008-09 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-12-29 00:00:00 |
230005731 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-09 00:00:00 |
2008-11-09 00:00:00 |
Yes |
2009-01-23 00:00:00 |
2008-12-31 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
7G0111 |
N |
CA00168917 |
C |
SFY2008-09 |
230000737 |
ARVALO HOME - SHADOWRUN |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2009-01-29 00:00:00 |
230005830 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2008-07-27 00:00:00 |
2008-07-27 00:00:00 |
Yes |
2009-02-25 00:00:00 |
2009-02-18 00:00:00 |
AA |
AA |
25000 |
12000 |
0 |
12000 |
0 |
None |
M10211 |
Y |
CA00158267, CA00158891, CA00159501 |
B, C, C |
SFY2008-09 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-01-30 00:00:00 |
230005832 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-17 00:00:00 |
2008-12-17 00:00:00 |
Yes |
2009-02-25 00:00:00 |
2009-02-06 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
Z2WY11 |
N |
CA00172547 |
B |
SFY2008-09 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-05-28 00:00:00 |
230006217 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-02-19 00:00:00 |
2009-02-19 00:00:00 |
Yes |
2009-07-02 00:00:00 |
2009-06-01 00:00:00 |
B |
B |
1000 |
1950 |
0 |
1950 |
0 |
None |
VXLB11 |
N |
CA00178521 |
B |
SFY2008-09 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-05-28 00:00:00 |
230006218 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-03-30 00:00:00 |
2009-03-30 00:00:00 |
Yes |
2009-07-02 00:00:00 |
2009-06-01 00:00:00 |
B |
B |
1000 |
1950 |
0 |
1950 |
0 |
None |
SWQC11 |
N |
CA00183695 |
C |
SFY2008-09 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-05-19 00:00:00 |
230007222 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-04-01 00:00:00 |
2010-04-01 00:00:00 |
Yes |
2010-06-10 00:00:00 |
2010-06-01 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
HSP211 |
N |
CA00224069 |
C |
SFY2009-10 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-11-09 00:00:00 |
230007702 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-04-06 00:00:00 |
2010-04-06 00:00:00 |
Yes |
2010-12-03 00:00:00 |
2010-11-18 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
KLE111 |
N |
CA00226466 |
C |
SFY2010-11 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-04-12 00:00:00 |
230008132 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-11-07 00:00:00 |
2010-11-07 00:00:00 |
No |
2011-05-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GWYU11 |
N |
CA00248735 |
B |
SFY2010-11 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-04-26 00:00:00 |
230008191 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-02-15 00:00:00 |
2009-02-15 00:00:00 |
Yes |
2011-05-17 00:00:00 |
2011-04-29 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
4Q7J11 |
N |
CA00236038 |
B |
SFY2010-11 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-06-29 00:00:00 |
230008331 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-05-13 00:00:00 |
2011-05-13 00:00:00 |
No |
2011-07-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3VOK11 |
N |
CA00269325 |
B |
SFY2010-11 |
230000621 |
ARVALO HOME - RIVERPARK |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2011-07-07 00:00:00 |
230008353 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Health and Safety |
2011-04-09 00:00:00 |
2011-04-09 00:00:00 |
No |
2011-07-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
7RZI11 |
N |
CA00265410 |
B |
SFY2011-12 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-06-07 00:00:00 |
230009230 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2012-04-12 00:00:00 |
2012-04-12 00:00:00 |
No |
2012-06-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZBRU11 |
N |
CA00306574 |
A |
SFY2011-12 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2013-04-08 00:00:00 |
230009415 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-05-13 00:00:00 |
2011-05-13 00:00:00 |
No |
2013-04-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
RGUM11 |
N |
CA00306901 |
B |
SFY2012-13 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2014-03-28 00:00:00 |
230009692 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-12-30 00:00:00 |
2012-12-30 00:00:00 |
No |
2014-04-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
WWW911 |
N |
CA00338033 |
B |
SFY2013-14 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2015-06-15 00:00:00 |
230010658 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-02-03 00:00:00 |
2014-02-03 00:00:00 |
No |
2015-07-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
1PXY11 |
N |
CA00390842 |
B |
SFY2014-15 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2015-06-15 00:00:00 |
230010660 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-03-11 00:00:00 |
2014-03-11 00:00:00 |
No |
2015-07-06 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
1PXY11 |
Y |
CA00390842 |
B |
SFY2014-15 |
230000621 |
ARVALO HOME - RIVERPARK |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2024-05-29 00:00:00 |
230020236 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Client Protections |
2022-10-19 00:00:00 |
2022-10-19 00:00:00 |
No |
2024-06-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
EI8V11 |
N |
None |
None |
SFY2023-24 |
240001297 |
ALTA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2000-09-22 00:00:00 |
240001583 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-08-15 00:00:00 |
2000-08-15 00:00:00 |
No |
2000-10-13 00:00:00 |
None |
A |
None |
9000 |
9000 |
-3150 |
5850 |
0 |
240012741 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-11-15 00:00:00 |
240001655 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Medication |
None |
1999-09-16 00:00:00 |
1999-09-16 00:00:00 |
Yes |
2001-07-19 00:00:00 |
2001-07-09 00:00:00 |
WF |
B |
5000 |
1000 |
0 |
1000 |
0 |
240013420 |
A99999 |
None |
None |
None |
SFY2000-01 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-11-15 00:00:00 |
240001656 |
Closed |
Citation |
Citation A (HSC 1424) |
Staffing |
NURSE SERVICES |
1999-09-16 00:00:00 |
1999-09-16 00:00:00 |
Yes |
2001-07-19 00:00:00 |
2001-07-09 00:00:00 |
A |
A |
5000 |
5000 |
0 |
5000 |
0 |
240013420 |
A99999 |
N |
None |
None |
SFY2000-01 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-07-11 00:00:00 |
240001684 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2001-06-24 00:00:00 |
2001-06-24 00:00:00 |
No |
2001-08-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014540 |
A99999 |
N |
None |
None |
SFY2001-02 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-07-17 00:00:00 |
240001685 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-07-03 00:00:00 |
2001-07-03 00:00:00 |
No |
2001-08-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014576 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-07-24 00:00:00 |
240001686 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-07-19 00:00:00 |
2001-07-19 00:00:00 |
No |
2001-08-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014564 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-07-24 00:00:00 |
240001687 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-07-19 00:00:00 |
2001-07-19 00:00:00 |
No |
2001-08-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014565 |
A99999 |
N |
None |
None |
SFY2001-02 |
240001297 |
ALTA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2001-07-26 00:00:00 |
240001688 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-02-02 00:00:00 |
2001-02-02 00:00:00 |
No |
2001-08-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014480 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2002-03-28 00:00:00 |
240001714 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-03-14 00:00:00 |
2002-03-14 00:00:00 |
Yes |
2002-04-23 00:00:00 |
2002-04-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
240015481 |
A99999 |
N |
None |
None |
SFY2001-02 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2002-04-03 00:00:00 |
240001716 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-18 00:00:00 |
2002-01-18 00:00:00 |
No |
2002-04-24 00:00:00 |
None |
B |
None |
700 |
2100 |
0 |
2100 |
0 |
240015308 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2002-05-22 00:00:00 |
240001722 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
PAT CARE & PAT RIGHT |
2001-10-20 00:00:00 |
2001-10-20 00:00:00 |
Yes |
2002-06-12 00:00:00 |
2002-05-31 00:00:00 |
A |
B |
5000 |
5000 |
0 |
5000 |
0 |
240015667 |
A99999 |
N |
None |
None |
SFY2001-02 |
240001297 |
ALTA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2003-03-11 00:00:00 |
240001753 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-08-13 00:00:00 |
2002-08-13 00:00:00 |
No |
2003-04-01 00:00:00 |
None |
B |
None |
600 |
600 |
-600 |
0 |
0 |
240016017 |
A99999 |
N |
None |
None |
SFY2002-03 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-03-12 00:00:00 |
240001756 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-10-19 00:00:00 |
2002-10-19 00:00:00 |
No |
2003-04-02 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
240016762 |
A99999 |
N |
None |
None |
SFY2002-03 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-04-03 00:00:00 |
240001759 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-11-05 00:00:00 |
2002-11-05 00:00:00 |
Yes |
2003-04-24 00:00:00 |
2007-04-02 00:00:00 |
A |
A |
15000 |
10000 |
0 |
10000 |
0 |
240016918 |
A99999 |
N |
None |
None |
SFY2002-03 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-04-17 00:00:00 |
240001760 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Administration |
None |
1999-06-29 00:00:00 |
1999-06-29 00:00:00 |
Yes |
2003-05-21 00:00:00 |
2003-04-18 00:00:00 |
WF |
B |
5000 |
3000 |
0 |
3000 |
0 |
240017809 |
A99999 |
None |
None |
None |
SFY2002-03 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-04-17 00:00:00 |
240001761 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
1999-06-29 00:00:00 |
1999-06-29 00:00:00 |
Yes |
2003-05-21 00:00:00 |
2003-04-18 00:00:00 |
A |
B |
5000 |
3000 |
0 |
3000 |
0 |
240017809 |
A99999 |
N |
None |
None |
SFY2002-03 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-03-17 00:00:00 |
240001796 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-07-04 00:00:00 |
None |
Yes |
2004-04-08 00:00:00 |
2004-03-23 00:00:00 |
A |
None |
20000 |
20000 |
-20000 |
0 |
0 |
240018197 |
A99999 |
N |
None |
None |
SFY2003-04 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-04-29 00:00:00 |
240001804 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-01-05 00:00:00 |
2003-01-05 00:00:00 |
Yes |
2004-05-20 00:00:00 |
2004-05-17 00:00:00 |
A |
A |
10000 |
7000 |
0 |
7000 |
0 |
240017650 |
A99999 |
N |
None |
None |
SFY2003-04 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-08-05 00:00:00 |
240001813 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-12-18 00:00:00 |
2003-12-18 00:00:00 |
No |
2004-08-26 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
240019615 |
A99999 |
N |
None |
None |
SFY2004-05 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-01-07 00:00:00 |
240001840 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-03-12 00:00:00 |
2004-03-12 00:00:00 |
No |
2005-01-31 00:00:00 |
None |
B |
None |
800 |
1050 |
0 |
1050 |
0 |
240019954 |
A99999 |
N |
CA00020360 |
C |
SFY2004-05 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-01-20 00:00:00 |
240001844 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-05-30 00:00:00 |
None |
Yes |
2005-02-22 00:00:00 |
2005-02-09 00:00:00 |
A |
B |
20000 |
10000 |
0 |
10000 |
0 |
240019970 |
A99999 |
Y |
None |
None |
SFY2004-05 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-02-08 00:00:00 |
240001846 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-05-24 00:00:00 |
2004-05-24 00:00:00 |
No |
2005-03-02 00:00:00 |
None |
B |
None |
500 |
1200 |
-175 |
1025 |
0 |
240019984 |
A99999 |
N |
CA00025802 |
C |
SFY2004-05 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-04-07 00:00:00 |
240001853 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2004-06-23 00:00:00 |
2004-06-23 00:00:00 |
Yes |
2005-04-28 00:00:00 |
2005-04-26 00:00:00 |
B |
B |
1000 |
1450 |
-950 |
500 |
0 |
240020004 |
A99999 |
N |
None |
None |
SFY2004-05 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-04-07 00:00:00 |
240001854 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-06-23 00:00:00 |
None |
Yes |
2005-04-28 00:00:00 |
2005-04-26 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
240020005 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-07-26 00:00:00 |
240001856 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-02-23 00:00:00 |
2005-02-23 00:00:00 |
No |
2005-08-16 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
240020009 |
A99999 |
N |
CA00040012 |
C |
SFY2005-06 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-10-04 00:00:00 |
240003252 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
AB-ABUSE/FACILITY |
2006-05-11 00:00:00 |
2006-05-11 00:00:00 |
Yes |
2006-10-26 00:00:00 |
2006-10-10 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
WI0N11 |
N |
CA00080717 |
B |
SFY2006-07 |
240001246 |
ALTA LOMA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2006-09-22 00:00:00 |
240003356 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-01-16 00:00:00 |
2005-01-16 00:00:00 |
Yes |
2011-06-28 00:00:00 |
2011-06-17 00:00:00 |
A |
B |
8000 |
8000 |
0 |
8000 |
0 |
None |
VOJ311 |
N |
CA00037641 |
C |
SFY2006-07 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-09-28 00:00:00 |
240003364 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
AB-ABUSE |
2005-08-20 00:00:00 |
2005-08-20 00:00:00 |
Yes |
2006-10-20 00:00:00 |
2006-10-10 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
DDM011 |
N |
CA00059006 |
C |
SFY2006-07 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-09-28 00:00:00 |
240003365 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-10-22 00:00:00 |
2005-10-22 00:00:00 |
Yes |
2006-10-20 00:00:00 |
2006-10-10 00:00:00 |
A |
B |
20000 |
5000 |
0 |
5000 |
0 |
None |
41DI11 |
N |
CA00064575 |
C |
SFY2006-07 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-09-28 00:00:00 |
240003366 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-10-22 00:00:00 |
2005-10-22 00:00:00 |
Yes |
2006-10-20 00:00:00 |
2006-10-10 00:00:00 |
A |
B |
20000 |
5000 |
0 |
5000 |
0 |
None |
WD2K11 |
N |
CA00064575 |
C |
SFY2006-07 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-03-02 00:00:00 |
240003762 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-11-15 00:00:00 |
2005-11-15 00:00:00 |
Yes |
2007-03-23 00:00:00 |
2007-03-02 00:00:00 |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
None |
E9M511 |
N |
CA00068330 |
C |
SFY2006-07 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-03-02 00:00:00 |
240003763 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-09-28 00:00:00 |
2005-09-28 00:00:00 |
Yes |
2007-03-23 00:00:00 |
2007-04-07 00:00:00 |
A |
None |
10000 |
10100 |
-10100 |
0 |
0 |
None |
CP9011 |
N |
CA00069329 |
C |
SFY2006-07 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-03-16 00:00:00 |
240003810 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-08-16 00:00:00 |
2006-08-16 00:00:00 |
No |
2007-04-06 00:00:00 |
None |
B |
None |
750 |
850 |
0 |
850 |
0 |
None |
4PEP11 |
N |
CA00090356 |
B |
SFY2006-07 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-09-14 00:00:00 |
240004275 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-03-11 00:00:00 |
2007-03-11 00:00:00 |
Yes |
2007-10-05 00:00:00 |
2007-09-18 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
6DUV11 |
N |
CA00109114 |
B |
SFY2007-08 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-01-30 00:00:00 |
240004619 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-11 00:00:00 |
2007-04-11 00:00:00 |
No |
2008-02-22 00:00:00 |
None |
B |
None |
1000 |
1250 |
0 |
1250 |
0 |
None |
8E0R11 |
N |
CA00111872 |
C |
SFY2007-08 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-11-12 00:00:00 |
240005593 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-07-24 00:00:00 |
2008-07-24 00:00:00 |
No |
2008-12-05 00:00:00 |
None |
A |
None |
14000 |
14000 |
-4900 |
9100 |
0 |
None |
HK4B11 |
N |
CA00158172 |
C |
SFY2008-09 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-03-24 00:00:00 |
240006006 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-10-22 00:00:00 |
2007-10-22 00:00:00 |
Yes |
2009-04-15 00:00:00 |
2009-03-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
LJ3211 |
N |
CA00130625 |
E |
SFY2008-09 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-04-16 00:00:00 |
240006106 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-03 00:00:00 |
2009-03-03 00:00:00 |
No |
2009-05-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JUCE11 |
N |
CA00178916 |
C |
SFY2008-09 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-05-11 00:00:00 |
240006168 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-07-11 00:00:00 |
2007-07-11 00:00:00 |
Yes |
2009-06-02 00:00:00 |
2009-05-18 00:00:00 |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
SPV711 |
N |
CA00120533 |
B |
SFY2008-09 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-10-23 00:00:00 |
240006651 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-10-09 00:00:00 |
2007-10-09 00:00:00 |
Yes |
2009-11-16 00:00:00 |
2009-11-04 00:00:00 |
A |
A |
16500 |
16500 |
0 |
16500 |
0 |
None |
1ZUT11 |
N |
CA00153652 |
C |
SFY2009-10 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-10-23 00:00:00 |
240006652 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-10-17 00:00:00 |
2007-10-17 00:00:00 |
Yes |
2009-11-16 00:00:00 |
2009-11-03 00:00:00 |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
1ZUT11 |
N |
CA00153652 |
C |
SFY2009-10 |
240000097 |
ARROWHEAD SPRINGS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-12-16 00:00:00 |
240006777 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-21 00:00:00 |
2007-09-21 00:00:00 |
No |
2010-01-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZLUY11 |
N |
CA00127210 |
B |
SFY2009-10 |
240000097 |
ARROWHEAD SPRINGS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2010-01-05 00:00:00 |
240006876 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-08-04 00:00:00 |
2007-08-04 00:00:00 |
No |
2010-01-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
WQKK11 |
N |
CA00122613 |
B |
SFY2009-10 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2010-02-05 00:00:00 |
240006974 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-14 00:00:00 |
2009-07-14 00:00:00 |
No |
2010-02-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
6VBJ11 |
N |
CA00197442 |
C |
SFY2009-10 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-04-13 00:00:00 |
240008131 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-11-01 00:00:00 |
2005-11-01 00:00:00 |
No |
2011-05-04 00:00:00 |
None |
A |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
3RQ611 |
Y |
CA00064407, CA00188742 |
C, C |
SFY2010-11 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-09-08 00:00:00 |
240008472 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-02-14 00:00:00 |
2011-02-14 00:00:00 |
No |
2011-09-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
J5TF11 |
N |
CA00261537 |
C |
SFY2011-12 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-10-14 00:00:00 |
240008631 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-04 00:00:00 |
2008-04-04 00:00:00 |
No |
2011-11-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
4B1K11 |
N |
CA00149137 |
C |
SFY2011-12 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-01-18 00:00:00 |
240008918 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-10-15 00:00:00 |
2009-10-15 00:00:00 |
No |
2012-02-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LDE211 |
N |
CA00206290 |
E |
SFY2011-12 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-02-15 00:00:00 |
240009002 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-05-30 00:00:00 |
2011-05-30 00:00:00 |
No |
2012-03-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
6N0P11 |
N |
CA00272748 |
C |
SFY2011-12 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-05-04 00:00:00 |
240009279 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-01-08 00:00:00 |
2011-01-08 00:00:00 |
No |
2012-05-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
TKIP11 |
N |
CA00255112 |
C |
SFY2011-12 |
240000097 |
ARROWHEAD SPRINGS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-05-18 00:00:00 |
240009312 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-07-28 00:00:00 |
2007-07-28 00:00:00 |
Yes |
2012-06-11 00:00:00 |
2012-06-01 00:00:00 |
A |
A |
20000 |
12000 |
0 |
12000 |
0 |
None |
RH0J11 |
N |
CA00122611 |
H |
SFY2011-12 |
240000097 |
ARROWHEAD SPRINGS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2016-09-26 00:00:00 |
240012597 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-03-05 00:00:00 |
2016-03-05 00:00:00 |
Yes |
2016-10-17 00:00:00 |
2016-10-13 00:00:00 |
B |
B |
2000 |
1000 |
0 |
1000 |
0 |
None |
6GRL11 |
N |
CA00484551, CA00484551, CA00484551 |
A, A, A |
SFY2016-17 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2016-10-31 00:00:00 |
240012702 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-04-14 00:00:00 |
2016-04-14 00:00:00 |
No |
2016-11-22 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
OIVZ11 |
N |
CA00484050 |
A |
SFY2016-17 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2016-11-30 00:00:00 |
240012766 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-09-22 00:00:00 |
2016-09-22 00:00:00 |
No |
2016-12-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
CQRD11 |
N |
CA00505035 |
B |
SFY2016-17 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2017-04-26 00:00:00 |
240013150 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-01-24 00:00:00 |
2017-01-24 00:00:00 |
No |
2017-05-17 00:00:00 |
None |
A |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
CBC811 |
N |
None |
None |
SFY2016-17 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2017-06-15 00:00:00 |
240013280 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-11-11 00:00:00 |
2016-11-11 00:00:00 |
No |
2017-07-07 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
9C7O11 |
N |
CA00510652 |
A |
SFY2016-17 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2019-11-13 00:00:00 |
240015439 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-08-08 00:00:00 |
2019-08-08 00:00:00 |
Yes |
2019-12-04 00:00:00 |
2019-12-12 00:00:00 |
B |
B |
2000 |
1500 |
0 |
0 |
1500 |
None |
IZTI11 |
N |
None |
None |
SFY2019-20 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2019-11-13 00:00:00 |
240015459 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to report Ombudsman |
2019-06-08 00:00:00 |
2019-06-08 00:00:00 |
No |
2019-12-04 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
IZTI11 |
N |
None |
None |
SFY2019-20 |
240000097 |
ARROWHEAD SPRINGS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2020-08-27 00:00:00 |
240015997 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2020-08-04 00:00:00 |
2020-08-04 00:00:00 |
No |
2020-09-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
3OHN11 |
N |
CA00694217 |
A |
SFY2020-21 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2023-09-21 00:00:00 |
240019181 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-08-11 00:00:00 |
2023-08-11 00:00:00 |
No |
2023-10-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
8XQ511 |
N |
CA00854130, CA00854130 |
B, B |
SFY2023-24 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2000-02-08 00:00:00 |
250001472 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-01-11 00:00:00 |
None |
No |
2000-02-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
250011618 |
A99999 |
N |
None |
None |
SFY1999-00 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2002-06-04 00:00:00 |
250001502 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-04-03 00:00:00 |
None |
No |
2002-06-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
250013647 |
A99999 |
N |
None |
None |
SFY2001-02 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2005-05-19 00:00:00 |
250001555 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-15 00:00:00 |
None |
No |
2005-06-14 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
250016829 |
A99999 |
N |
None |
None |
SFY2004-05 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2005-05-25 00:00:00 |
250001556 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-12-08 00:00:00 |
None |
No |
2005-06-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
250016830 |
A99999 |
N |
None |
None |
SFY2004-05 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2005-08-11 00:00:00 |
250001559 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-03-15 00:00:00 |
None |
No |
2005-09-01 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
250016833 |
A99999 |
N |
None |
None |
SFY2005-06 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2005-09-02 00:00:00 |
250001562 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-16 00:00:00 |
None |
No |
2005-09-30 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
250016836 |
A99999 |
N |
None |
None |
SFY2005-06 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2006-06-14 00:00:00 |
250003132 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-09 00:00:00 |
2005-12-09 00:00:00 |
No |
2006-07-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6KPM11 |
N |
CA00069010 |
B |
SFY2005-06 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2006-09-25 00:00:00 |
250003260 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-07-14 00:00:00 |
2006-07-14 00:00:00 |
No |
2006-10-17 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
3H0611 |
N |
CA00086871 |
B |
SFY2006-07 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2007-10-19 00:00:00 |
250004347 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-05-16 00:00:00 |
2006-05-16 00:00:00 |
No |
2007-11-09 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
3LCH11 |
N |
CA00082680 |
C |
SFY2007-08 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-01-30 00:00:00 |
250010391 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Facility Not Reported |
2010-08-06 00:00:00 |
2010-08-06 00:00:00 |
No |
2014-02-21 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
SHYY11 |
N |
CA00239137, CA00240982 |
C, C |
SFY2013-14 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-04-10 00:00:00 |
250010606 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-04-25 00:00:00 |
2011-04-25 00:00:00 |
No |
2014-05-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TYCS11 |
N |
CA00267202 |
C |
SFY2013-14 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2015-11-24 00:00:00 |
250011865 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-09-14 00:00:00 |
2015-09-14 00:00:00 |
No |
2015-12-17 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
Y7DP11 |
N |
CA00457985 |
B |
SFY2015-16 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2017-09-01 00:00:00 |
250013441 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-05-02 00:00:00 |
2016-05-02 00:00:00 |
No |
2017-09-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
BVFO11 |
N |
CA00486536 |
C |
SFY2017-18 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-08-07 00:00:00 |
250014296 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Inappropriate Discharge |
2018-05-04 00:00:00 |
2018-05-04 00:00:00 |
No |
2018-08-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
P6I611 |
N |
CA00592981 |
B |
SFY2018-19 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-03-27 00:00:00 |
250014792 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-10-19 00:00:00 |
2018-10-19 00:00:00 |
No |
2019-04-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
2BRC11 |
N |
CA00608608 |
B |
SFY2018-19 |
630014953 |
ADVENTIST HEALTH FACILITY |
LTC |
CLHF |
Congregate Living Health Facility |
Riverside |
2019-10-01 00:00:00 |
250015327 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to Notify Ombudsman |
2019-05-31 00:00:00 |
2019-05-31 00:00:00 |
No |
2019-10-22 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
TFV611 |
N |
CA00642151 |
B |
SFY2019-20 |
630014953 |
ADVENTIST HEALTH FACILITY |
LTC |
CLHF |
Congregate Living Health Facility |
Riverside |
2019-10-01 00:00:00 |
250015328 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to Notify Ombudsman |
2019-06-03 00:00:00 |
2019-06-03 00:00:00 |
No |
2019-10-22 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
TFV611 |
N |
CA00642151 |
B |
SFY2019-20 |
630014953 |
ADVENTIST HEALTH FACILITY |
LTC |
CLHF |
Congregate Living Health Facility |
Riverside |
2019-10-01 00:00:00 |
250015329 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to Notify Ombudsman |
2019-06-04 00:00:00 |
2019-06-04 00:00:00 |
No |
2019-10-22 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
TFV611 |
N |
CA00642151 |
B |
SFY2019-20 |
630014953 |
ADVENTIST HEALTH FACILITY |
LTC |
CLHF |
Congregate Living Health Facility |
Riverside |
2019-10-01 00:00:00 |
250015330 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to Notify Ombudsman |
2019-06-04 00:00:00 |
2019-06-04 00:00:00 |
No |
2019-10-22 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
TFV611 |
N |
CA00642151 |
B |
SFY2019-20 |
240000700 |
ASISTENCIA VILLA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2019-11-13 00:00:00 |
250015460 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to report Ombudsman |
2019-05-19 00:00:00 |
2019-05-19 00:00:00 |
No |
2019-12-04 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
IZTI11 |
N |
None |
None |
SFY2019-20 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2022-05-31 00:00:00 |
250016626 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-08-18 00:00:00 |
2020-08-18 00:00:00 |
No |
2022-06-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
E9IX11 |
N |
CA00701736 |
B |
SFY2021-22 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-05-28 00:00:00 |
250020129 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FTR Ombudsman |
2024-03-29 00:00:00 |
2024-03-29 00:00:00 |
No |
2024-06-18 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
FLFZ11 |
N |
CA00894396 |
B |
SFY2023-24 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-05-28 00:00:00 |
250020130 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FTR Ombudsman |
2024-03-22 00:00:00 |
2024-03-22 00:00:00 |
No |
2024-06-18 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
FLFZ11 |
N |
CA00894396 |
B |
SFY2023-24 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-05-28 00:00:00 |
250020131 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FTR Ombudsman |
2024-04-12 00:00:00 |
2024-04-12 00:00:00 |
No |
2024-06-18 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
FLFZ11 |
N |
CA00894396 |
B |
SFY2023-24 |
250000015 |
ARLINGTON GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-05-24 00:00:00 |
250020200 |
Open |
Citation |
Citation A (HSC 1424) |
Problem Transfer |
None |
2024-03-25 00:00:00 |
2024-03-25 00:00:00 |
No |
2024-06-17 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
DJ6711 |
N |
CA00889843, CA00891762 |
B, B |
SFY2023-24 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2014-02-06 00:00:00 |
910010414 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-08-30 00:00:00 |
2011-08-30 00:00:00 |
Yes |
2014-02-28 00:00:00 |
2014-02-24 00:00:00 |
A |
A |
15000 |
8000 |
0 |
8000 |
0 |
None |
KYRO11 |
N |
CA00282582 |
B |
SFY2013-14 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-10-25 00:00:00 |
910013537 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Abuse |
2017-06-26 00:00:00 |
2017-06-26 00:00:00 |
Yes |
2017-11-16 00:00:00 |
2017-11-09 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
TKZ611 |
N |
CA00541506 |
A |
SFY2017-18 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-11-09 00:00:00 |
910013602 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-08-14 00:00:00 |
2017-08-14 00:00:00 |
Yes |
2017-12-05 00:00:00 |
2017-11-14 00:00:00 |
A |
A |
10000 |
19500 |
0 |
19500 |
0 |
None |
X15311 |
N |
CA00544387 |
B |
SFY2017-18 |
970000121 |
ALDEN TERRACE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-02-08 00:00:00 |
910013786 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-12-22 00:00:00 |
2017-12-22 00:00:00 |
Yes |
2018-03-01 00:00:00 |
2018-02-09 00:00:00 |
A |
B |
18000 |
11700 |
0 |
11700 |
0 |
None |
Q23J11 |
N |
None |
None |
SFY2017-18 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-07-12 00:00:00 |
910014237 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-03-27 00:00:00 |
2018-03-27 00:00:00 |
No |
2018-08-02 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
C3JT11 |
N |
CA00578823 |
B |
SFY2018-19 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-01-19 00:00:00 |
910014754 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-10-10 00:00:00 |
2018-10-10 00:00:00 |
Yes |
2019-02-11 00:00:00 |
2019-01-30 00:00:00 |
B |
B |
1500 |
1100 |
0 |
1100 |
0 |
None |
G1UY11 |
N |
CA00609085, CA00609085, CA00609085 |
B, B, B |
SFY2018-19 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-03-01 00:00:00 |
910014851 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-01-09 00:00:00 |
2019-01-09 00:00:00 |
No |
2019-03-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
5GMZ12 |
N |
CA00611757 |
B |
SFY2018-19 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-03-05 00:00:00 |
910014855 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-09-03 00:00:00 |
2018-09-03 00:00:00 |
No |
2019-03-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
Y4V311 |
N |
CA00606259 |
B |
SFY2018-19 |
940000062 |
ALAMITOS BELMONT HEALTH AND REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-05-03 00:00:00 |
910015035 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-02-01 00:00:00 |
2018-02-01 00:00:00 |
Yes |
2019-05-24 00:00:00 |
2019-05-10 00:00:00 |
A |
A |
20000 |
13500 |
0 |
13500 |
0 |
None |
NOBZ11 |
N |
CA00615161, CA00615161 |
B, B |
SFY2018-19 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-07-05 00:00:00 |
910015219 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2019-04-05 00:00:00 |
2019-04-05 00:00:00 |
No |
2019-07-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
J8DF11 |
N |
CA00632035 |
A |
SFY2019-20 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-03-06 00:00:00 |
910015788 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-11-05 00:00:00 |
2019-11-05 00:00:00 |
No |
2020-03-27 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
BUDG11 |
N |
CA00663629, CA00663629 |
B, B |
SFY2019-20 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-03-27 00:00:00 |
910015830 |
Open |
Citation |
Citation B (HSC 1424) |
Other |
Infection Control |
2020-01-09 00:00:00 |
2020-01-09 00:00:00 |
Yes |
2020-04-20 00:00:00 |
2020-04-13 00:00:00 |
B |
None |
2000 |
2300 |
0 |
0 |
2300 |
None |
CY1I11 |
N |
CA00670812, CA00670844 |
A, A |
SFY2019-20 |
940000062 |
ALAMITOS BELMONT HEALTH AND REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-05-15 00:00:00 |
910015883 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-06-18 00:00:00 |
2019-06-18 00:00:00 |
No |
2020-06-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
RJC811 |
N |
CA00642768 |
A |
SFY2019-20 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-02-26 00:00:00 |
910016312 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-12-23 00:00:00 |
2020-12-23 00:00:00 |
Yes |
2021-03-19 00:00:00 |
2021-03-12 00:00:00 |
A |
B |
12000 |
12100 |
-100 |
12000 |
0 |
None |
D9I811 |
Y |
None |
None |
SFY2020-21 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-03-24 00:00:00 |
910016373 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-10-28 00:00:00 |
2020-10-28 00:00:00 |
No |
2021-04-15 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
LSQC11 |
N |
CA00711135 |
B |
SFY2020-21 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-03-25 00:00:00 |
910016374 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-10-26 00:00:00 |
2020-10-26 00:00:00 |
No |
2021-04-16 00:00:00 |
None |
B |
None |
2000 |
6500 |
0 |
6500 |
0 |
None |
DWIE11 |
N |
CA00711101 |
A |
SFY2020-21 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-03-25 00:00:00 |
910016385 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-01-24 00:00:00 |
2021-01-24 00:00:00 |
No |
2021-04-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
3UJ311 |
N |
CA00723465, CA00723465 |
B, B |
SFY2020-21 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-06-04 00:00:00 |
910016566 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-05-14 00:00:00 |
2018-05-14 00:00:00 |
No |
2021-06-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
164411 |
N |
CA00586927 |
B |
SFY2020-21 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-06-07 00:00:00 |
910016572 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-04-15 00:00:00 |
2021-04-15 00:00:00 |
No |
2021-06-28 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
7Z5P11 |
N |
CA00732563 |
B |
SFY2020-21 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-07-29 00:00:00 |
910016777 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-06-01 00:00:00 |
2021-06-01 00:00:00 |
No |
2021-08-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
TTD811 |
N |
CA00739674 |
A |
SFY2021-22 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-09-01 00:00:00 |
910016884 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-01-16 00:00:00 |
2021-01-16 00:00:00 |
No |
2021-09-23 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
HS5O11 |
N |
CA00732263, CA00732263, CA00732263 |
B, B, B |
SFY2021-22 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-10-08 00:00:00 |
910016999 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-08-14 00:00:00 |
2021-08-14 00:00:00 |
No |
2021-10-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
48PO11 |
N |
CA00743348, CA00743348 |
B, B |
SFY2021-22 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-03 00:00:00 |
910017151 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-10-13 00:00:00 |
2021-10-13 00:00:00 |
No |
2021-12-24 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
YTQ311 |
N |
None |
None |
SFY2021-22 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-03 00:00:00 |
910017152 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2021-10-13 00:00:00 |
2021-10-13 00:00:00 |
Yes |
2021-12-24 00:00:00 |
2021-12-13 00:00:00 |
AA |
A |
100000 |
100650 |
-650 |
100000 |
0 |
None |
YTQ311 |
N |
None |
None |
SFY2021-22 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-09 00:00:00 |
910017175 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-10-07 00:00:00 |
2020-10-07 00:00:00 |
No |
2021-12-30 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
W4V611 |
N |
CA00708310 |
B |
SFY2021-22 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-21 00:00:00 |
910017202 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-10-13 00:00:00 |
2021-10-13 00:00:00 |
No |
2022-01-11 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
YTQ311 |
N |
None |
None |
SFY2021-22 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-30 00:00:00 |
910017241 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
Abuse/Self Reported |
2021-10-13 00:00:00 |
2021-10-13 00:00:00 |
No |
2022-01-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
2C8711 |
N |
CA00756889 |
B |
SFY2021-22 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-01-07 00:00:00 |
910017254 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-08-10 00:00:00 |
2021-08-10 00:00:00 |
No |
2022-01-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
NCEH11 |
N |
CA00749245 |
A |
SFY2021-22 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-07-13 00:00:00 |
910017782 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-01-17 00:00:00 |
2022-01-17 00:00:00 |
Yes |
2022-08-03 00:00:00 |
2022-07-26 00:00:00 |
A |
A |
25000 |
17500 |
0 |
17500 |
0 |
None |
RMT311 |
N |
CA00769429 |
B |
SFY2022-23 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-07-13 00:00:00 |
910017783 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-04-20 00:00:00 |
2021-04-20 00:00:00 |
No |
2022-08-03 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
SCEI11 |
N |
CA00734735 |
B |
SFY2022-23 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-09-29 00:00:00 |
910018029 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-08-12 00:00:00 |
2022-08-12 00:00:00 |
No |
2022-10-20 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
ML2011 |
N |
None |
None |
SFY2022-23 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-16 00:00:00 |
910018521 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2023-01-25 00:00:00 |
2023-01-25 00:00:00 |
No |
2023-04-07 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
0HCZ11 |
N |
None |
None |
SFY2022-23 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-16 00:00:00 |
910018523 |
Open |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2023-01-09 00:00:00 |
2023-01-09 00:00:00 |
No |
2023-04-07 00:00:00 |
None |
WF |
None |
25000 |
25900 |
0 |
25000 |
900 |
None |
0HCZ11 |
None |
None |
None |
SFY2022-23 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-17 00:00:00 |
910018527 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
Abuse/Facility Not Self R |
2022-12-01 00:00:00 |
2022-12-01 00:00:00 |
No |
2023-04-10 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
HTCK11 |
N |
CA00814814 |
B |
SFY2022-23 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-17 00:00:00 |
910018528 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-12-01 00:00:00 |
2022-12-01 00:00:00 |
No |
2023-04-10 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
HTCK11 |
N |
CA00814814, CA00814814 |
B, B |
SFY2022-23 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-04-20 00:00:00 |
910018656 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-03-04 00:00:00 |
2023-03-04 00:00:00 |
No |
2023-05-11 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
GIH211 |
N |
CA00829860 |
A |
SFY2022-23 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-04-20 00:00:00 |
910018660 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2021-03-28 00:00:00 |
2021-03-28 00:00:00 |
No |
2023-05-11 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
MH2611 |
N |
CA00735001 |
B |
SFY2022-23 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-05-10 00:00:00 |
910018740 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-03-02 00:00:00 |
2023-03-02 00:00:00 |
No |
2023-06-01 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
LQSM11 |
N |
CA00829401, CA00829401 |
B, B |
SFY2022-23 |
940000093 |
ARTESIA CHRISTIAN HOME INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-05-26 00:00:00 |
910018803 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-04 00:00:00 |
2023-01-04 00:00:00 |
No |
2023-06-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
87BZ11 |
N |
CA00767734 |
B |
SFY2022-23 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-07-18 00:00:00 |
910018970 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-06-05 00:00:00 |
2023-06-05 00:00:00 |
No |
2023-08-08 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
VBX111 |
N |
CA00844216 |
B |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-16 00:00:00 |
910019064 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-06-27 00:00:00 |
2023-06-27 00:00:00 |
No |
2023-09-07 00:00:00 |
None |
B |
None |
3000 |
3050 |
-1050 |
1950 |
50 |
None |
60JU11 |
N |
CA00847668 |
A |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-24 00:00:00 |
910019093 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-07-02 00:00:00 |
2023-07-02 00:00:00 |
No |
2023-09-15 00:00:00 |
None |
A |
None |
25000 |
25050 |
-8750 |
16250 |
50 |
None |
EEOI11 |
N |
CA00848516 |
B |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-29 00:00:00 |
910019106 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-06-12 00:00:00 |
2023-06-12 00:00:00 |
No |
2023-09-20 00:00:00 |
None |
B |
None |
3000 |
9000 |
-3150 |
5850 |
0 |
None |
1VF711 |
N |
CA00851069, CA00851069, CA00851069, CA00851069, CA00851069 |
A, A, A, A, A |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-09-01 00:00:00 |
910019126 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-20 00:00:00 |
2023-07-20 00:00:00 |
No |
2023-09-25 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
1VF711 |
N |
None |
None |
SFY2023-24 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-09-18 00:00:00 |
910019170 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-06-10 00:00:00 |
2022-06-10 00:00:00 |
No |
2023-10-09 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
L66V11 |
N |
CA00853779 |
A |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-10-05 00:00:00 |
910019230 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-08-17 00:00:00 |
2023-08-17 00:00:00 |
No |
2023-10-26 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
G4W611 |
N |
CA00856596 |
A |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-10-18 00:00:00 |
910019269 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-08-27 00:00:00 |
2023-08-27 00:00:00 |
No |
2023-11-08 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
OYQY11 |
N |
CA00859040, CA00859040 |
B, B |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-10-20 00:00:00 |
910019288 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-08-28 00:00:00 |
2023-08-28 00:00:00 |
No |
2023-11-13 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
HH6B11 |
N |
CA00858245, CA00858245, CA00858245 |
B, B, B |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-11-02 00:00:00 |
910019335 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-09-08 00:00:00 |
2023-09-08 00:00:00 |
No |
2023-11-28 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
JUO711 |
N |
CA00859814, CA00859814 |
B, B |
SFY2023-24 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-06 00:00:00 |
910019449 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-10-27 00:00:00 |
2023-10-27 00:00:00 |
No |
2023-12-28 00:00:00 |
None |
B |
None |
3000 |
9000 |
-3150 |
5850 |
0 |
None |
DMO911 |
N |
CA00867699 |
A |
SFY2023-24 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-28 00:00:00 |
910019542 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-11-27 00:00:00 |
2023-11-27 00:00:00 |
No |
2024-01-18 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
77QB11 |
N |
CA00871351 |
B |
SFY2023-24 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-02-27 00:00:00 |
910019787 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-01-09 00:00:00 |
2024-01-09 00:00:00 |
No |
2024-03-19 00:00:00 |
None |
B |
None |
3000 |
9000 |
-3150 |
5850 |
0 |
None |
98BF11 |
N |
CA00878887, CA00878887 |
B, B |
SFY2023-24 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-02-27 00:00:00 |
910019788 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-01-11 00:00:00 |
2024-01-11 00:00:00 |
No |
2024-03-19 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
98BF11 |
N |
CA00879216 |
B |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-02-28 00:00:00 |
910019799 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-09-12 00:00:00 |
2023-09-12 00:00:00 |
No |
2024-03-20 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
TCO611 |
N |
CA00878656 |
B |
SFY2023-24 |
940000062 |
ALAMITOS BELMONT HEALTH AND REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-02-29 00:00:00 |
910019803 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2023-12-25 00:00:00 |
2023-12-25 00:00:00 |
No |
2024-03-21 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
XR7611 |
N |
CA00877090, CA00877090 |
B, B |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-06-14 00:00:00 |
910020328 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-04-19 00:00:00 |
2024-04-19 00:00:00 |
No |
2024-07-08 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
64T311 |
N |
CA00896122, CA00896122, CA00896122 |
A, A, A |
SFY2023-24 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-03-30 00:00:00 |
920001068 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-28 00:00:00 |
2000-03-28 00:00:00 |
No |
2000-04-20 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
920005548 |
A99999 |
Y |
None |
None |
SFY1999-00 |
920000077 |
ALAMEDA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-06-30 00:00:00 |
920001080 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2000-06-26 00:00:00 |
2000-06-30 00:00:00 |
No |
2000-07-24 00:00:00 |
None |
B |
None |
400 |
400 |
0 |
400 |
0 |
920005652 |
A99999 |
N |
None |
None |
SFY1999-00 |
920000077 |
ALAMEDA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-06-30 00:00:00 |
920001081 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Patient Record |
None |
2000-06-23 00:00:00 |
2000-06-23 00:00:00 |
No |
2000-07-24 00:00:00 |
None |
WF |
None |
1000 |
1000 |
0 |
1000 |
0 |
920005652 |
A99999 |
None |
None |
None |
SFY1999-00 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-04-09 00:00:00 |
920001149 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2002-01-20 00:00:00 |
2002-04-09 00:00:00 |
No |
2002-06-03 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
920006410 |
A99999 |
N |
None |
None |
SFY2001-02 |
920000077 |
ALAMEDA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-07-02 00:00:00 |
920001155 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-06-19 00:00:00 |
2002-07-02 00:00:00 |
No |
2002-08-06 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
920006627 |
A99999 |
N |
None |
None |
SFY2002-03 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-07-23 00:00:00 |
920001157 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-07 00:00:00 |
2002-03-07 00:00:00 |
Yes |
2002-08-13 00:00:00 |
2002-08-02 00:00:00 |
B |
Drop>Deficiency |
800 |
800 |
0 |
800 |
0 |
920006652 |
A99999 |
N |
None |
None |
SFY2002-03 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-12-20 00:00:00 |
920001172 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-23 00:00:00 |
2002-12-20 00:00:00 |
No |
2003-01-22 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
920006744 |
A99999 |
N |
None |
None |
SFY2002-03 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-08-21 00:00:00 |
920003297 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-07-28 00:00:00 |
2006-07-28 00:00:00 |
No |
2006-09-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C4F511 |
N |
None |
None |
SFY2006-07 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2010-03-25 00:00:00 |
920007075 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Patient Record |
None |
2010-01-10 00:00:00 |
2010-01-10 00:00:00 |
Yes |
2010-04-16 00:00:00 |
2010-04-01 00:00:00 |
WF |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S22H11 |
None |
None |
None |
SFY2009-10 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2010-03-25 00:00:00 |
920007079 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2010-02-26 00:00:00 |
2010-02-26 00:00:00 |
Yes |
2010-04-16 00:00:00 |
2010-04-01 00:00:00 |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
3LK311 |
N |
CA00219720 |
B |
SFY2009-10 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2010-06-09 00:00:00 |
920007278 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-08-08 00:00:00 |
2009-08-08 00:00:00 |
Yes |
2014-04-15 00:00:00 |
2010-07-26 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
156G11 |
N |
CA00227005 |
B |
SFY2009-10 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2013-11-13 00:00:00 |
920009827 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-07-31 00:00:00 |
2010-07-31 00:00:00 |
Yes |
2013-12-06 00:00:00 |
2013-12-04 00:00:00 |
A |
A |
15000 |
7500 |
0 |
7500 |
0 |
None |
LOBQ11 |
N |
CA00237805 |
B |
SFY2013-14 |
920000292 |
ARARAT NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2014-02-13 00:00:00 |
920010473 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-10-30 00:00:00 |
2012-10-30 00:00:00 |
No |
2014-03-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
YDYK11 |
N |
CA00332395 |
B |
SFY2013-14 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2015-07-28 00:00:00 |
920011523 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-07-07 00:00:00 |
2014-07-07 00:00:00 |
No |
2015-08-18 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
K5KD11 |
N |
CA00405668 |
A |
SFY2015-16 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2015-09-08 00:00:00 |
920011703 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-11-06 00:00:00 |
2011-11-06 00:00:00 |
No |
2015-09-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
IO2L11 |
N |
CA00289968 |
B |
SFY2015-16 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-06-29 00:00:00 |
920012339 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2014-06-18 00:00:00 |
2014-06-18 00:00:00 |
No |
2016-07-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
MVFV11 |
N |
CA00397453 |
C |
SFY2015-16 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-12-14 00:00:00 |
920012749 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-10-04 00:00:00 |
2015-10-04 00:00:00 |
No |
2017-01-06 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
24Z411 |
N |
CA00502813, CA00502923, CA00503312, CA00505363, CA00505918 |
C, B, C, B, A |
SFY2016-17 |
920000077 |
ALAMEDA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-01-09 00:00:00 |
920012812 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2016-05-06 00:00:00 |
2016-05-06 00:00:00 |
Yes |
2017-01-31 00:00:00 |
2017-01-11 00:00:00 |
A |
A |
10000 |
6750 |
0 |
6750 |
0 |
None |
HSWW11 |
N |
CA00487216 |
C |
SFY2016-17 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-12-23 00:00:00 |
920012817 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-10-13 00:00:00 |
2016-10-13 00:00:00 |
No |
2017-01-18 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
24Z411 |
N |
None |
None |
SFY2016-17 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-01-09 00:00:00 |
920012874 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-09-13 00:00:00 |
2016-09-13 00:00:00 |
No |
2017-01-31 00:00:00 |
None |
A |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
7JR111 |
N |
CA00503111 |
A |
SFY2016-17 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-02-13 00:00:00 |
920012883 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-09-26 00:00:00 |
2015-09-26 00:00:00 |
Yes |
2017-03-07 00:00:00 |
2017-02-13 00:00:00 |
A |
B |
20000 |
16000 |
0 |
16000 |
0 |
None |
GGOY11 |
N |
CA00460361, CA00508093 |
B, B |
SFY2016-17 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-04-10 00:00:00 |
920013111 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2017-01-22 00:00:00 |
2017-01-22 00:00:00 |
No |
2017-05-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
8C4111 |
N |
CA00519464 |
A |
SFY2016-17 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-07-12 00:00:00 |
920013340 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-05-23 00:00:00 |
2017-05-23 00:00:00 |
No |
2017-08-02 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
3QJ011 |
N |
None |
None |
SFY2017-18 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-03 00:00:00 |
920013596 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-07-30 00:00:00 |
2017-07-30 00:00:00 |
Yes |
2017-11-29 00:00:00 |
2017-11-09 00:00:00 |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
None |
WM2W11 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-21 00:00:00 |
920013629 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-10-12 00:00:00 |
2017-10-12 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
A |
None |
18000 |
54000 |
-18900 |
35100 |
0 |
None |
6IC011 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-21 00:00:00 |
920013630 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-03-14 00:00:00 |
2017-03-14 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
6IC011 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-21 00:00:00 |
920013634 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2017-10-03 00:00:00 |
2017-10-03 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6IC011 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-21 00:00:00 |
920013638 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-10-03 00:00:00 |
2017-10-03 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6IC011 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-21 00:00:00 |
920013639 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-10-03 00:00:00 |
2017-10-03 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
B |
None |
2000 |
3450 |
0 |
3450 |
0 |
None |
6IC011 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-21 00:00:00 |
920013640 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-10-03 00:00:00 |
2017-10-03 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6IC011 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-21 00:00:00 |
920013641 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-10-03 00:00:00 |
2017-10-03 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
B |
None |
2000 |
3450 |
-700 |
1300 |
1450 |
None |
6IC011 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-21 00:00:00 |
920013642 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-10-03 00:00:00 |
2017-10-03 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6IC011 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-02-07 00:00:00 |
920013789 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-02-01 00:00:00 |
2016-02-01 00:00:00 |
No |
2018-03-01 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
OHID11 |
N |
CA00472005, CA00472005 |
B, B |
SFY2017-18 |
920000292 |
ARARAT NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-05-23 00:00:00 |
920014096 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-02-04 00:00:00 |
2018-02-04 00:00:00 |
Yes |
2018-06-13 00:00:00 |
2018-06-18 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
O6EI11 |
N |
None |
None |
SFY2017-18 |
920000292 |
ARARAT NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-05-23 00:00:00 |
920014097 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-12-30 00:00:00 |
2017-12-30 00:00:00 |
No |
2018-06-13 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
O6EI11 |
N |
None |
None |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-06-15 00:00:00 |
920014149 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-01-13 00:00:00 |
2018-01-13 00:00:00 |
No |
2018-07-09 00:00:00 |
None |
A |
None |
17000 |
17000 |
-5950 |
11050 |
0 |
None |
PB6S11 |
N |
CA00572684 |
B |
SFY2017-18 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-10-26 00:00:00 |
920014530 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-07-07 00:00:00 |
2017-07-07 00:00:00 |
No |
2018-11-19 00:00:00 |
None |
B |
None |
2000 |
2150 |
-700 |
1450 |
0 |
None |
HT5311 |
N |
CA00577350, CA00577350 |
B, B |
SFY2018-19 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-11-17 00:00:00 |
920014580 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-09-10 00:00:00 |
2018-09-10 00:00:00 |
No |
2018-12-11 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
985N11 |
N |
None |
None |
SFY2018-19 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-11-17 00:00:00 |
920014591 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-09-10 00:00:00 |
2018-09-10 00:00:00 |
No |
2018-12-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
985N11 |
N |
None |
None |
SFY2018-19 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-01-07 00:00:00 |
920014703 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-08-14 00:00:00 |
2018-08-14 00:00:00 |
Yes |
2019-01-28 00:00:00 |
2019-01-11 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
X5MC11 |
Y |
CA00600211 |
B |
SFY2018-19 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-05-08 00:00:00 |
920015051 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-08-20 00:00:00 |
2018-08-20 00:00:00 |
No |
2019-05-29 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
F1QJ11 |
N |
CA00623407, CA00623407 |
B, B |
SFY2018-19 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-05-09 00:00:00 |
920015055 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-03-21 00:00:00 |
2019-03-21 00:00:00 |
Yes |
2019-05-30 00:00:00 |
2019-05-22 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
FLGI11 |
N |
CA00630622 |
B |
SFY2018-19 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-05-17 00:00:00 |
920015091 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-02-21 00:00:00 |
2019-02-21 00:00:00 |
No |
2019-06-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
UK1W11 |
N |
CA00622729 |
B |
SFY2018-19 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-06-27 00:00:00 |
920015179 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-05-14 00:00:00 |
2019-05-14 00:00:00 |
Yes |
2019-07-19 00:00:00 |
2019-06-28 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
VZ8911 |
N |
CA00632596, CA00632596, CA00632596, CA00632596 |
B, B, B, B |
SFY2018-19 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-07-25 00:00:00 |
920015246 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-05-15 00:00:00 |
2019-05-15 00:00:00 |
Yes |
2019-08-15 00:00:00 |
2019-08-08 00:00:00 |
B |
B |
2000 |
1400 |
0 |
1400 |
0 |
None |
2WPU11 |
N |
CA00638197 |
B |
SFY2019-20 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-11-15 00:00:00 |
920015537 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-08-12 00:00:00 |
2019-08-12 00:00:00 |
Yes |
2019-12-06 00:00:00 |
2019-11-22 00:00:00 |
A |
A |
20000 |
13500 |
0 |
13500 |
0 |
None |
U5XK11 |
N |
CA00651003, CA00651003 |
B, B |
SFY2019-20 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-02-19 00:00:00 |
920015753 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-06-15 00:00:00 |
2019-06-15 00:00:00 |
No |
2020-03-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
MU7H11 |
N |
None |
None |
SFY2019-20 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-02-26 00:00:00 |
920015766 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-04-07 00:00:00 |
2014-04-07 00:00:00 |
No |
2020-03-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
9ZB611 |
N |
CA00405079, CA00405079 |
B, B |
SFY2019-20 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-04-30 00:00:00 |
920015863 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2020-03-03 00:00:00 |
2020-03-03 00:00:00 |
No |
2020-05-21 00:00:00 |
None |
WF |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
RK4Q11 |
None |
CA00646847, CA00646847, CA00676288, CA00676288 |
A, A, B, B |
SFY2019-20 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-04-30 00:00:00 |
920015864 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2020-04-30 00:00:00 |
2020-04-30 00:00:00 |
Yes |
2020-05-21 00:00:00 |
2020-05-13 00:00:00 |
A |
A |
20000 |
14050 |
-50 |
14000 |
0 |
None |
RK4Q11 |
N |
None |
None |
SFY2019-20 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-07-09 00:00:00 |
920015922 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2020-02-07 00:00:00 |
2020-02-07 00:00:00 |
Yes |
2020-07-30 00:00:00 |
2020-07-17 00:00:00 |
B |
B |
2000 |
1500 |
0 |
1500 |
0 |
None |
LF9311 |
N |
CA00684318, CA00684318, CA00686692, CA00686692, CA00686692 |
A, A, A, A, A |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-07-09 00:00:00 |
920015923 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2020-04-07 00:00:00 |
2020-04-07 00:00:00 |
Yes |
2020-07-30 00:00:00 |
2020-07-17 00:00:00 |
B |
B |
2000 |
1950 |
-450 |
1500 |
0 |
None |
LF9311 |
N |
CA00684318, CA00684318, CA00686692, CA00686692, CA00686692 |
A, A, A, A, A |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-07-09 00:00:00 |
920015924 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2020-04-01 00:00:00 |
2020-04-01 00:00:00 |
Yes |
2020-07-30 00:00:00 |
2020-07-17 00:00:00 |
B |
B |
2000 |
1500 |
0 |
1500 |
0 |
None |
LF9311 |
N |
CA00684318, CA00684318, CA00686692, CA00686692, CA00686692 |
A, A, A, A, A |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-07-09 00:00:00 |
920015925 |
Closed |
Citation |
Citation A (HSC 1424) |
Problem Transfer |
None |
2019-07-15 00:00:00 |
2019-07-15 00:00:00 |
Yes |
2020-07-30 00:00:00 |
2020-07-17 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
LF9311 |
N |
CA00684318, CA00684318, CA00686692, CA00686692, CA00686692 |
A, A, A, A, A |
SFY2020-21 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-08-20 00:00:00 |
920015985 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2020-05-25 00:00:00 |
2020-05-25 00:00:00 |
Yes |
2020-09-11 00:00:00 |
2020-08-25 00:00:00 |
B |
None |
1500 |
3000 |
0 |
0 |
3000 |
None |
R3DW11 |
N |
CA00689979 |
A |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-10-13 00:00:00 |
920016087 |
Closed |
Citation |
Citation A (HSC 1424) |
Problem Transfer |
None |
2019-11-14 00:00:00 |
2019-11-14 00:00:00 |
Yes |
2020-11-03 00:00:00 |
2020-10-21 00:00:00 |
A |
A |
20000 |
14600 |
-600 |
14000 |
0 |
None |
SE4211 |
Y |
CA00694456, CA00694456, CA00694456 |
A, A, A |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-03-04 00:00:00 |
920016323 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2021-01-07 00:00:00 |
2021-01-07 00:00:00 |
No |
2021-03-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
L4YF11 |
N |
CA00719647, CA00719647 |
B, B |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-03-16 00:00:00 |
920016352 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2021-02-17 00:00:00 |
2021-02-17 00:00:00 |
No |
2021-04-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6VB111 |
N |
CA00724700, CA00724700, CA00725419, CA00725419, CA00725419 |
B, B, B, B, B |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-05-06 00:00:00 |
920016481 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-11-30 00:00:00 |
2020-11-30 00:00:00 |
Yes |
2021-05-27 00:00:00 |
2021-05-24 00:00:00 |
B |
B |
2000 |
1500 |
0 |
1500 |
0 |
None |
7CI211 |
N |
CA00717600 |
B |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-05-12 00:00:00 |
920016489 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-12-18 00:00:00 |
2020-12-18 00:00:00 |
Yes |
2021-06-03 00:00:00 |
2021-05-28 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
7CI211 |
Y |
CA00717600 |
B |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-06-10 00:00:00 |
920016575 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-12-03 00:00:00 |
2020-12-03 00:00:00 |
Yes |
2021-07-01 00:00:00 |
2021-06-28 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
EPDC11 |
N |
CA00733940, CA00733940, CA00733940, CA00733940 |
A, A, A, A |
SFY2020-21 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-06-16 00:00:00 |
920016608 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-03-13 00:00:00 |
2021-03-13 00:00:00 |
Yes |
2021-07-07 00:00:00 |
2021-06-29 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
BUV511 |
N |
CA00729603 |
A |
SFY2020-21 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-06-25 00:00:00 |
920016635 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-03-22 00:00:00 |
2021-03-22 00:00:00 |
Yes |
2021-07-16 00:00:00 |
2021-07-15 00:00:00 |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
9HJO11 |
N |
CA00731056 |
B |
SFY2020-21 |
920000077 |
ALAMEDA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-07-02 00:00:00 |
920016689 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-09-04 00:00:00 |
2020-09-04 00:00:00 |
No |
2021-07-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
U9ZZ11 |
N |
CA00704252 |
A |
SFY2021-22 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-09-03 00:00:00 |
920016881 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-02-17 00:00:00 |
2021-02-17 00:00:00 |
Yes |
2021-09-27 00:00:00 |
2021-09-14 00:00:00 |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
ONFF11 |
N |
CA00742436 |
A |
SFY2021-22 |
920000292 |
ARARAT NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-11-23 00:00:00 |
920017127 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-07-25 00:00:00 |
2021-07-25 00:00:00 |
No |
2021-12-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KPOP11 |
N |
CA00745511 |
B |
SFY2021-22 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-12-16 00:00:00 |
920017169 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-09-04 00:00:00 |
2021-09-04 00:00:00 |
Yes |
2022-01-06 00:00:00 |
2022-01-03 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
4I2F11 |
N |
None |
None |
SFY2021-22 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-12-15 00:00:00 |
920017190 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-07-06 00:00:00 |
2021-07-06 00:00:00 |
No |
2022-01-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
1M7T11 |
N |
CA00753261, CA00753261 |
B, B |
SFY2021-22 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-12-16 00:00:00 |
920017196 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-09-22 00:00:00 |
2021-09-22 00:00:00 |
No |
2022-01-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
XSQL11 |
N |
CA00755757, CA00755757, CA00755757 |
A, A, A |
SFY2021-22 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-01-20 00:00:00 |
920017279 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-11-01 00:00:00 |
2021-11-01 00:00:00 |
Yes |
2022-02-10 00:00:00 |
2022-02-07 00:00:00 |
B |
B |
2000 |
4500 |
0 |
4500 |
0 |
None |
K77I11 |
N |
CA00759744, CA00759744, CA00759744 |
B, B, B |
SFY2021-22 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-02-04 00:00:00 |
920017324 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-12-02 00:00:00 |
2021-12-02 00:00:00 |
Yes |
2022-02-28 00:00:00 |
2022-02-28 00:00:00 |
A |
None |
20000 |
60000 |
0 |
0 |
60000 |
None |
2WW711 |
N |
CA00763390, CA00763390 |
A, A |
SFY2021-22 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-02-25 00:00:00 |
920017447 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2022-01-11 00:00:00 |
2022-01-11 00:00:00 |
No |
2022-03-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
D3V011 |
N |
None |
None |
SFY2021-22 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-05-12 00:00:00 |
920017630 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-11-13 00:00:00 |
2021-11-13 00:00:00 |
Yes |
2022-06-03 00:00:00 |
2022-06-03 00:00:00 |
A |
None |
20000 |
60000 |
0 |
0 |
60000 |
None |
B03J11 |
N |
CA00762293 |
B |
SFY2021-22 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-05-19 00:00:00 |
920017651 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2021-10-21 00:00:00 |
2021-10-21 00:00:00 |
Yes |
2022-06-10 00:00:00 |
2022-06-08 00:00:00 |
AA |
None |
100000 |
100000 |
0 |
0 |
100000 |
None |
L2QK11 |
Y |
CA00756616 |
A |
SFY2021-22 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-06-16 00:00:00 |
920017711 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-03-21 00:00:00 |
2022-03-21 00:00:00 |
Yes |
2022-07-08 00:00:00 |
2022-07-01 00:00:00 |
A |
B |
25000 |
15750 |
-750 |
15000 |
0 |
None |
TEQM11 |
N |
CA00777682, CA00777682 |
B, B |
SFY2021-22 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-06-23 00:00:00 |
920017731 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-11-26 00:00:00 |
2021-11-26 00:00:00 |
No |
2022-07-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
D6BB11 |
N |
CA00763271, CA00763271 |
B, B |
SFY2021-22 |
920000077 |
ALAMEDA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-07-19 00:00:00 |
920017791 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2022-06-15 00:00:00 |
2022-06-15 00:00:00 |
No |
2022-08-09 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
VDLY11 |
N |
CA00786215 |
A |
SFY2022-23 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-07-27 00:00:00 |
920017830 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-01-07 00:00:00 |
2022-01-07 00:00:00 |
Yes |
2022-08-17 00:00:00 |
2022-08-05 00:00:00 |
A |
None |
25000 |
75000 |
0 |
0 |
75000 |
None |
JRKN11 |
N |
CA00787881, CA00787887, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906, CA00787906 |
B, B, A, A, A, A, A, A, A |
SFY2022-23 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-07-27 00:00:00 |
920017833 |
Open |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2022-01-07 00:00:00 |
2022-01-07 00:00:00 |
Yes |
2022-08-17 00:00:00 |
2022-08-15 00:00:00 |
WF |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
JRKN11 |
None |
CA00787881, CA00787887, CA00787906 |
B, B, A |
SFY2022-23 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-09-01 00:00:00 |
920017951 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-05-17 00:00:00 |
2022-05-17 00:00:00 |
No |
2022-09-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
EVGG11 |
N |
CA00785459 |
B |
SFY2022-23 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-09-01 00:00:00 |
920017952 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-07-18 00:00:00 |
2022-07-18 00:00:00 |
No |
2022-09-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
1RX611 |
N |
CA00791921, CA00791921, CA00791921, CA00795437, CA00795437 |
B, B, B, B, B |
SFY2022-23 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-09-20 00:00:00 |
920018006 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2022-07-29 00:00:00 |
2022-07-29 00:00:00 |
No |
2022-10-11 00:00:00 |
None |
B |
None |
2500 |
2500 |
-875 |
1625 |
0 |
None |
MR8Y11 |
N |
CA00796111 |
A |
SFY2022-23 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-09-20 00:00:00 |
920018007 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2022-07-29 00:00:00 |
2022-07-29 00:00:00 |
No |
2022-10-11 00:00:00 |
None |
B |
None |
2500 |
2500 |
-875 |
1625 |
0 |
None |
MR8Y11 |
N |
CA00796111 |
A |
SFY2022-23 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-09-30 00:00:00 |
920018025 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2022-08-01 00:00:00 |
2022-08-01 00:00:00 |
No |
2022-10-21 00:00:00 |
None |
AA |
None |
100000 |
100000 |
-35000 |
65000 |
0 |
None |
N6EF11 |
Y |
CA00796714 |
A |
SFY2022-23 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-10-26 00:00:00 |
920018117 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2022-08-18 00:00:00 |
2022-09-10 00:00:00 |
No |
2022-11-17 00:00:00 |
None |
B |
None |
3000 |
4150 |
-1050 |
3100 |
0 |
None |
T44K11 |
N |
CA00802964 |
A |
SFY2022-23 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-10-26 00:00:00 |
920018118 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2022-08-17 00:00:00 |
2022-09-10 00:00:00 |
No |
2022-11-17 00:00:00 |
None |
B |
None |
3000 |
4200 |
-1050 |
3150 |
0 |
None |
T44K11 |
N |
CA00802964, CA00802964 |
A, A |
SFY2022-23 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-04-20 00:00:00 |
920018659 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-02-10 00:00:00 |
2023-02-10 00:00:00 |
No |
2023-05-11 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
KLID11 |
N |
CA00826514, CA00826514, CA00826514 |
B, B, B |
SFY2022-23 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-04-26 00:00:00 |
920018691 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-03-15 00:00:00 |
2023-03-15 00:00:00 |
No |
2023-05-17 00:00:00 |
None |
B |
None |
3000 |
3100 |
0 |
0 |
3100 |
None |
MEKQ11 |
N |
CA00829943, CA00829943, CA00829943 |
B, B, B |
SFY2022-23 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-04-27 00:00:00 |
920018700 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2023-03-05 00:00:00 |
2023-03-05 00:00:00 |
No |
2023-05-18 00:00:00 |
None |
AA |
None |
120000 |
120000 |
-42000 |
78000 |
0 |
None |
AK4X11 |
Y |
CA00830041, CA00830325, CA00831186 |
A, B, A |
SFY2022-23 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-05-11 00:00:00 |
920018745 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2021-11-21 00:00:00 |
2021-11-21 00:00:00 |
No |
2023-06-02 00:00:00 |
None |
WF |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
4SX211 |
None |
CA00834790, CA00834961, CA00834961, CA00834961, CA00834961 |
B, B, B, B, B |
SFY2022-23 |
920000292 |
ARARAT NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-06-01 00:00:00 |
920018759 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2023-03-11 00:00:00 |
2023-03-11 00:00:00 |
Yes |
2023-06-22 00:00:00 |
2023-06-14 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
TQS211 |
Y |
CA00831523, CA00831523, CA00831523, CA00833802, CA00833802, CA00838613, CA00838613 |
A, A, A, B, B, B, B |
SFY2022-23 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-06-14 00:00:00 |
920018860 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-04-28 00:00:00 |
2023-04-28 00:00:00 |
No |
2023-07-06 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
3OJ811 |
N |
CA00838716, CA00838733, CA00839236, CA00839236 |
A, B, B, B |
SFY2022-23 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-06-14 00:00:00 |
920018861 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-04-28 00:00:00 |
2023-04-28 00:00:00 |
No |
2023-07-06 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
3OJ811 |
N |
CA00838716, CA00838716, CA00838733, CA00838733, CA00839236, CA00839236, CA00839236 |
A, A, B, B, B, B, B |
SFY2022-23 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-07-13 00:00:00 |
920018949 |
Open |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2023-05-10 00:00:00 |
2023-05-10 00:00:00 |
No |
2023-08-03 00:00:00 |
None |
B |
None |
3000 |
3850 |
0 |
3000 |
850 |
None |
MXTJ11 |
N |
CA00843072, CA00843072 |
A, A |
SFY2023-24 |
920000077 |
ALAMEDA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-07-20 00:00:00 |
920018975 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-05-25 00:00:00 |
2023-05-25 00:00:00 |
Yes |
2023-08-10 00:00:00 |
2023-07-27 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
G4GN11 |
N |
CA00842827, CA00843578 |
B, B |
SFY2023-24 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-08-10 00:00:00 |
920019049 |
Open |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2023-06-06 00:00:00 |
2023-06-06 00:00:00 |
No |
2023-08-31 00:00:00 |
None |
B |
None |
3000 |
3100 |
0 |
0 |
3100 |
None |
Q6WS11 |
N |
CA00845288, CA00845288, CA00845288 |
A, A, A |
SFY2023-24 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-08-18 00:00:00 |
920019074 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-06-17 00:00:00 |
2023-06-17 00:00:00 |
No |
2023-09-11 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
YDCF11 |
Y |
CA00847057 |
A |
SFY2023-24 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-09-01 00:00:00 |
920019127 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-18 00:00:00 |
2023-07-18 00:00:00 |
No |
2023-09-25 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
EEQZ11 |
N |
CA00851223, CA00851223 |
A, A |
SFY2023-24 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-09-07 00:00:00 |
920019139 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2023-05-04 00:00:00 |
2023-05-04 00:00:00 |
Yes |
2023-09-28 00:00:00 |
2023-09-27 00:00:00 |
AA |
None |
120000 |
120000 |
0 |
0 |
120000 |
None |
K5X311 |
Y |
CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00849619, CA00851412, CA00851412, CA00851412, CA00851412 |
B, B, B, B, B, B, B, A, A, A, A |
SFY2023-24 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-09-27 00:00:00 |
920019209 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-08-18 00:00:00 |
2023-08-18 00:00:00 |
No |
2023-10-18 00:00:00 |
None |
A |
None |
25000 |
75000 |
0 |
0 |
75000 |
None |
GV6911 |
N |
CA00856730, CA00856730 |
B, B |
SFY2023-24 |
920000001 |
ALL SAINTS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-11-30 00:00:00 |
920019421 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2023-10-18 00:00:00 |
2023-10-18 00:00:00 |
No |
2023-12-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
J7RW11 |
N |
None |
None |
SFY2023-24 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-01 00:00:00 |
920019435 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-06-29 00:00:00 |
2023-06-29 00:00:00 |
No |
2023-12-22 00:00:00 |
None |
A |
None |
25000 |
25050 |
0 |
25050 |
0 |
None |
YOPN11 |
N |
CA00864759, CA00864771, CA00864950 |
B, B, B |
SFY2023-24 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-07 00:00:00 |
920019453 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-10-15 00:00:00 |
2023-10-15 00:00:00 |
No |
2023-12-29 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
E58111 |
N |
CA00865650, CA00865650, CA00865928, CA00866000, CA00866000 |
B, B, B, B, B |
SFY2023-24 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-14 00:00:00 |
920019484 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-10-30 00:00:00 |
2023-10-30 00:00:00 |
No |
2024-01-05 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
FUV511 |
N |
None |
None |
SFY2023-24 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-21 00:00:00 |
920019522 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-11-13 00:00:00 |
2023-11-13 00:00:00 |
No |
2024-01-12 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
NSRC11 |
N |
CA00869726 |
A |
SFY2023-24 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-01-04 00:00:00 |
920019572 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-11-11 00:00:00 |
2023-11-11 00:00:00 |
No |
2024-01-25 00:00:00 |
None |
B |
None |
3000 |
9000 |
0 |
9000 |
0 |
None |
7YDN11 |
N |
CA00869680 |
A |
SFY2023-24 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-01-09 00:00:00 |
920019579 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-10-22 00:00:00 |
2023-10-22 00:00:00 |
No |
2024-01-30 00:00:00 |
None |
B |
None |
3000 |
9000 |
0 |
9000 |
0 |
None |
L05811 |
N |
CA00866812 |
C |
SFY2023-24 |
920000002 |
ASTORIA NURSING AND REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-01-23 00:00:00 |
920019625 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-12-03 00:00:00 |
2023-12-03 00:00:00 |
No |
2024-02-13 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
3DLY11 |
N |
CA00872727, CA00872735 |
B, B |
SFY2023-24 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-02-29 00:00:00 |
920019790 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-01-07 00:00:00 |
2024-01-07 00:00:00 |
No |
2024-03-21 00:00:00 |
None |
A |
None |
25000 |
75000 |
-26250 |
48750 |
0 |
None |
VZJR11 |
N |
CA00878585 |
B |
SFY2023-24 |
970000121 |
ALDEN TERRACE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-03-12 00:00:00 |
920019858 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-02-04 00:00:00 |
2024-02-04 00:00:00 |
No |
2024-04-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
75KZ11 |
N |
CA00884302, CA00884302, CA00884302 |
A, A, A |
SFY2023-24 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-06-11 00:00:00 |
920020296 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2024-02-20 00:00:00 |
2024-02-20 00:00:00 |
Yes |
2024-07-02 00:00:00 |
2024-06-24 00:00:00 |
AA |
None |
100000 |
100000 |
0 |
0 |
100000 |
None |
FW5Z11 |
N |
None |
None |
SFY2023-24 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-06-12 00:00:00 |
920020301 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-01-20 00:00:00 |
2024-01-20 00:00:00 |
Yes |
2024-07-03 00:00:00 |
2024-06-24 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
FW5Z11 |
N |
None |
None |
SFY2023-24 |
970000121 |
ALDEN TERRACE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-06-27 00:00:00 |
920020364 |
Open |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2024-05-12 00:00:00 |
2024-05-12 00:00:00 |
No |
2024-07-19 00:00:00 |
None |
WF |
None |
3500 |
3500 |
0 |
0 |
3500 |
None |
U5LJ11 |
None |
CA00900199 |
B |
SFY2023-24 |
920000292 |
ARARAT NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-06-28 00:00:00 |
920020368 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2024-03-09 00:00:00 |
2024-03-09 00:00:00 |
Yes |
2024-07-22 00:00:00 |
2024-07-08 00:00:00 |
AA |
None |
120000 |
120000 |
0 |
0 |
120000 |
None |
VX8N11 |
Y |
CA00896655, CA00896655, CA00896655 |
B, B, B |
SFY2023-24 |
970000121 |
ALDEN TERRACE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-06-28 00:00:00 |
920020372 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-05-12 00:00:00 |
2024-05-12 00:00:00 |
No |
2024-07-22 00:00:00 |
None |
B |
None |
3000 |
9000 |
0 |
0 |
9000 |
None |
U5LJ11 |
N |
CA00900199, CA00900199, CA00900199, CA00900199 |
B, B, B, B |
SFY2023-24 |
920000292 |
ARARAT NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-06-28 00:00:00 |
920020374 |
Open |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2024-05-13 00:00:00 |
2024-05-13 00:00:00 |
No |
2024-07-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
VX8N11 |
N |
CA00896655, CA00896655, CA00896655 |
B, B, B |
SFY2023-24 |
930000793 |
ALHAMBRA HOSPITAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2015-07-30 00:00:00 |
930011599 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-04-16 00:00:00 |
2015-04-16 00:00:00 |
No |
2015-08-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
X7O812 |
N |
None |
None |
SFY2015-16 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-06-26 00:00:00 |
940001399 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-29 00:00:00 |
None |
No |
2000-07-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
940005187 |
A99999 |
N |
None |
None |
SFY1999-00 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-10-25 00:00:00 |
940001438 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-07 00:00:00 |
None |
No |
2001-09-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940005636 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-11-14 00:00:00 |
940001439 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-10-15 00:00:00 |
None |
No |
2001-12-07 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
940005852 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-11-14 00:00:00 |
940001440 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-27 00:00:00 |
None |
No |
2001-12-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940005848 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000062 |
ALAMITOS BELMONT HEALTH AND REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2004-02-27 00:00:00 |
940001497 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Medication |
None |
2003-11-24 00:00:00 |
None |
No |
2004-03-19 00:00:00 |
None |
WF |
None |
2000 |
2000 |
-700 |
1300 |
0 |
940006926 |
A99999 |
None |
None |
None |
SFY2003-04 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-02-02 00:00:00 |
940001499 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Medication |
None |
2005-01-05 00:00:00 |
None |
No |
2005-02-24 00:00:00 |
None |
WF |
None |
2000 |
2000 |
-700 |
1300 |
0 |
940007369 |
A99999 |
None |
None |
None |
SFY2004-05 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-04-05 00:00:00 |
940001501 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2005-02-04 00:00:00 |
None |
No |
2005-04-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
940007386 |
A99999 |
N |
None |
None |
SFY2004-05 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-09-29 00:00:00 |
940001505 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-04-24 00:00:00 |
None |
No |
2005-10-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940007498 |
A99999 |
N |
None |
None |
SFY2005-06 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-01-09 00:00:00 |
940001518 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-06-28 00:00:00 |
None |
No |
2006-01-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940007549 |
A99999 |
N |
None |
None |
SFY2005-06 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2007-02-09 00:00:00 |
940003065 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-09-07 00:00:00 |
2004-09-07 00:00:00 |
No |
2007-03-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YWJT11 |
N |
CA00035257 |
C |
SFY2006-07 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-12-27 00:00:00 |
940003607 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-07-01 00:00:00 |
2005-07-01 00:00:00 |
No |
2007-01-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
7T1611 |
N |
CA00066468 |
B |
SFY2006-07 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-12-27 00:00:00 |
940003608 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-07-01 00:00:00 |
2005-07-01 00:00:00 |
No |
2007-01-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
7T1611 |
N |
CA00066468 |
B |
SFY2006-07 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2007-01-11 00:00:00 |
940003633 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-04 00:00:00 |
2006-11-04 00:00:00 |
No |
2007-02-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
L7XM11 |
N |
CA00098210 |
C |
SFY2006-07 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2007-02-05 00:00:00 |
940003683 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-05-18 00:00:00 |
2006-05-18 00:00:00 |
No |
2007-02-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XNC511 |
N |
CA00083372 |
C |
SFY2006-07 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2007-02-28 00:00:00 |
940003760 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2007-01-25 00:00:00 |
2007-01-25 00:00:00 |
No |
2007-03-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
09JI11 |
N |
CA00091797 |
B |
SFY2006-07 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-04-15 00:00:00 |
940004421 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-11-01 00:00:00 |
2007-11-01 00:00:00 |
Yes |
2008-05-06 00:00:00 |
2008-04-22 00:00:00 |
B |
B |
1000 |
1800 |
0 |
1800 |
0 |
None |
J2CB11 |
N |
CA00124203 |
D |
SFY2007-08 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-05-23 00:00:00 |
940005070 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-01-28 00:00:00 |
2007-01-28 00:00:00 |
Yes |
2011-09-26 00:00:00 |
2011-09-20 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
TXCY11 |
Y |
CA00109996 |
B |
SFY2007-08 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-03-10 00:00:00 |
940006558 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2009-03-24 00:00:00 |
2009-03-24 00:00:00 |
No |
2011-04-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
YXQP11 |
N |
CA00175910 |
A |
SFY2010-11 |
940000093 |
ARTESIA CHRISTIAN HOME INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-04-19 00:00:00 |
940007724 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-09-30 00:00:00 |
2010-09-30 00:00:00 |
Yes |
2011-05-10 00:00:00 |
2011-05-04 00:00:00 |
A |
A |
15000 |
15000 |
0 |
15000 |
0 |
None |
C80M11 |
Y |
CA00245336 |
C |
SFY2010-11 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-04-20 00:00:00 |
940008175 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-11-17 00:00:00 |
2010-11-17 00:00:00 |
Yes |
2011-05-11 00:00:00 |
2011-04-27 00:00:00 |
B |
B |
1000 |
530 |
0 |
530 |
0 |
None |
UFV411 |
Y |
CA00216242 |
C |
SFY2010-11 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-05-26 00:00:00 |
940008277 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2007-07-28 00:00:00 |
2007-07-28 00:00:00 |
No |
2011-06-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
KZFE11 |
N |
CA00121721 |
B |
SFY2010-11 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-03-06 00:00:00 |
940009064 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-11-26 00:00:00 |
2011-11-26 00:00:00 |
Yes |
2012-03-27 00:00:00 |
2012-04-06 00:00:00 |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
MOG811 |
N |
CA00290918 |
B |
SFY2011-12 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-11-30 00:00:00 |
940009634 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-02-03 00:00:00 |
2012-02-03 00:00:00 |
No |
2012-12-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
URF411 |
N |
CA00301515 |
B |
SFY2012-13 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-09-23 00:00:00 |
940010691 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-09-30 00:00:00 |
2013-09-30 00:00:00 |
No |
2014-10-14 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
0FZ511 |
N |
CA00372631, CA00372655 |
C, B |
SFY2014-15 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2015-05-01 00:00:00 |
940011430 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-10-07 00:00:00 |
2013-10-07 00:00:00 |
No |
2015-05-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
0D5P11 |
N |
None |
None |
SFY2014-15 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2015-05-06 00:00:00 |
940011447 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-12-30 00:00:00 |
2013-12-30 00:00:00 |
No |
2015-05-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
JKC311 |
N |
CA00383209, CA00383221 |
E, E |
SFY2014-15 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-05-26 00:00:00 |
940012227 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-03-20 00:00:00 |
2016-03-20 00:00:00 |
No |
2016-06-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
59C811 |
N |
CA00481117 |
B |
SFY2015-16 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-05-26 00:00:00 |
940012231 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-08-10 00:00:00 |
2015-08-10 00:00:00 |
Yes |
2016-06-17 00:00:00 |
2016-06-10 00:00:00 |
A |
B |
20000 |
10000 |
0 |
10000 |
0 |
None |
59C811 |
N |
CA00454015 |
B |
SFY2015-16 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-05-26 00:00:00 |
940012232 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-01-18 00:00:00 |
2016-01-18 00:00:00 |
No |
2016-06-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
59C811 |
N |
None |
None |
SFY2015-16 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-05-26 00:00:00 |
940012233 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-01-18 00:00:00 |
2016-01-18 00:00:00 |
Yes |
2016-06-17 00:00:00 |
2016-06-10 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
59C811 |
N |
CA00473520 |
A |
SFY2015-16 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-05-26 00:00:00 |
940012234 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-04-04 00:00:00 |
2016-04-04 00:00:00 |
Yes |
2016-06-17 00:00:00 |
2016-06-10 00:00:00 |
A |
B |
16000 |
3000 |
0 |
3000 |
0 |
None |
59C811 |
N |
CA00483076 |
B |
SFY2015-16 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-07-13 00:00:00 |
940012367 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-05-27 00:00:00 |
2016-05-27 00:00:00 |
Yes |
2016-08-03 00:00:00 |
2016-07-27 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
VSL511 |
N |
CA00490287 |
B |
SFY2016-17 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-08-19 00:00:00 |
940012519 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-04-18 00:00:00 |
2015-04-18 00:00:00 |
No |
2016-09-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
IN4W11 |
N |
CA00439800, CA00442385 |
B, B |
SFY2016-17 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-09-23 00:00:00 |
940012596 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-04-15 00:00:00 |
2014-04-15 00:00:00 |
No |
2016-10-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
ZKPQ11 |
N |
CA00397032 |
B |
SFY2016-17 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-01-06 00:00:00 |
940012864 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2014-12-15 00:00:00 |
2014-12-15 00:00:00 |
No |
2017-01-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
L18H11 |
N |
CA00423852 |
B |
SFY2016-17 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-03-31 00:00:00 |
940012913 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-09-25 00:00:00 |
2016-09-25 00:00:00 |
Yes |
2017-04-21 00:00:00 |
2017-04-04 00:00:00 |
A |
A |
20000 |
35000 |
0 |
35000 |
0 |
None |
VAOZ11 |
N |
CA00504455 |
B |
SFY2016-17 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-03-01 00:00:00 |
940012986 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-07-02 00:00:00 |
2016-07-02 00:00:00 |
No |
2017-03-22 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
22EX11 |
N |
CA00509193 |
A |
SFY2016-17 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-02-24 00:00:00 |
940013001 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-06-30 00:00:00 |
2016-06-30 00:00:00 |
No |
2017-03-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
22EX11 |
N |
CA00509193 |
A |
SFY2016-17 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-02-24 00:00:00 |
940013002 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Quality of Care |
2016-07-14 00:00:00 |
2016-07-14 00:00:00 |
Yes |
2017-03-17 00:00:00 |
2017-03-17 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
22EX11 |
N |
CA00509193 |
A |
SFY2016-17 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-02-24 00:00:00 |
940013003 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Quality of Care |
2016-06-03 00:00:00 |
2016-06-03 00:00:00 |
No |
2017-03-17 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
22EX11 |
N |
CA00509193 |
A |
SFY2016-17 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-12-01 00:00:00 |
940013004 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-09-08 00:00:00 |
2017-09-08 00:00:00 |
No |
2017-12-22 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
3WCT11 |
N |
CA00509193, CA00509193, CA00509193, CA00509193, CA00509193, CA00551846 |
A, A, A, A, A, A |
SFY2017-18 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-04-28 00:00:00 |
940013130 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2017-03-14 00:00:00 |
2017-03-14 00:00:00 |
No |
2017-05-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
08F611 |
N |
None |
None |
SFY2016-17 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-04-28 00:00:00 |
940013131 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-03-14 00:00:00 |
2017-03-14 00:00:00 |
No |
2017-05-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
08F611 |
N |
None |
None |
SFY2016-17 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-04-28 00:00:00 |
940013132 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-03-14 00:00:00 |
2017-03-14 00:00:00 |
No |
2017-05-19 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
08F611 |
N |
None |
None |
SFY2016-17 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-04-28 00:00:00 |
940013133 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-01-07 00:00:00 |
2016-01-07 00:00:00 |
No |
2017-05-19 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
08F611 |
N |
None |
None |
SFY2016-17 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-08-15 00:00:00 |
940013427 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-01-01 00:00:00 |
2015-01-01 00:00:00 |
No |
2017-09-06 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
XSRW11 |
N |
CA00443043 |
B |
SFY2017-18 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-09-22 00:00:00 |
940013478 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-05-13 00:00:00 |
2017-05-13 00:00:00 |
No |
2017-10-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
C7CI11 |
N |
CA00535564, CA00537830 |
C, A |
SFY2017-18 |
940000007 |
ATLANTIC MEMORIAL HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-10-05 00:00:00 |
940013530 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-05-29 00:00:00 |
2017-05-29 00:00:00 |
No |
2017-10-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
MIW311 |
N |
CA00538579 |
A |
SFY2017-18 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-10-27 00:00:00 |
940013562 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-04-29 00:00:00 |
2017-04-29 00:00:00 |
No |
2017-11-20 00:00:00 |
None |
A |
None |
20000 |
60000 |
-21000 |
39000 |
0 |
None |
XKTW11 |
N |
CA00534240 |
A |
SFY2017-18 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-10-27 00:00:00 |
940013564 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-04-30 00:00:00 |
2017-04-30 00:00:00 |
No |
2017-11-20 00:00:00 |
None |
A |
None |
20000 |
60000 |
-21000 |
39000 |
0 |
None |
XKTW11 |
N |
CA00534240 |
A |
SFY2017-18 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-12-13 00:00:00 |
940013692 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-08-14 00:00:00 |
2017-08-14 00:00:00 |
Yes |
2018-01-04 00:00:00 |
2017-12-20 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
VW6V11 |
N |
CA00548796, CA00549941, CA00550338 |
A, A, B |
SFY2017-18 |
940000093 |
ARTESIA CHRISTIAN HOME INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-01-12 00:00:00 |
940013726 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-07-12 00:00:00 |
2017-07-12 00:00:00 |
No |
2018-02-02 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
2ZBT11 |
N |
CA00543753 |
B |
SFY2017-18 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-04-27 00:00:00 |
940014034 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-12-29 00:00:00 |
2017-12-29 00:00:00 |
Yes |
2018-05-18 00:00:00 |
2018-04-30 00:00:00 |
B |
None |
2000 |
6000 |
0 |
0 |
6000 |
None |
TU1G11 |
N |
CA00567157, CA00567891 |
A, C |
SFY2017-18 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-06-01 00:00:00 |
940014112 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-01-12 00:00:00 |
2018-01-12 00:00:00 |
Yes |
2018-06-22 00:00:00 |
2018-06-05 00:00:00 |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
None |
55CD11 |
N |
CA00572390, CA00572390 |
B, B |
SFY2017-18 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-06-01 00:00:00 |
940014113 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-01-12 00:00:00 |
2018-01-12 00:00:00 |
Yes |
2018-06-22 00:00:00 |
2018-06-05 00:00:00 |
A |
A |
20000 |
20000 |
0 |
20000 |
0 |
None |
55CD11 |
N |
CA00572390, CA00572390, CA00572390 |
B, B, B |
SFY2017-18 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-06-24 00:00:00 |
940014176 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-12-26 00:00:00 |
2017-12-26 00:00:00 |
Yes |
2018-07-16 00:00:00 |
2018-06-25 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
VGSK11 |
N |
CA00575702 |
B |
SFY2017-18 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-06-22 00:00:00 |
940014179 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-04-05 00:00:00 |
2018-04-05 00:00:00 |
Yes |
2018-07-16 00:00:00 |
2018-07-16 00:00:00 |
A |
A |
20000 |
30000 |
0 |
30000 |
0 |
None |
FWGE11 |
N |
CA00581958 |
A |
SFY2017-18 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-07-06 00:00:00 |
940014216 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-01-14 00:00:00 |
2018-01-14 00:00:00 |
Yes |
2018-07-27 00:00:00 |
2018-07-17 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
IPUG11 |
N |
CA00577578, CA00577578 |
A, A |
SFY2018-19 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-07-26 00:00:00 |
940014271 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-04-11 00:00:00 |
2018-04-11 00:00:00 |
Yes |
2018-08-16 00:00:00 |
2018-08-06 00:00:00 |
A |
B |
20000 |
2000 |
0 |
2000 |
0 |
None |
MO4H11 |
N |
CA00580395 |
B |
SFY2018-19 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-08-08 00:00:00 |
940014323 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-06-13 00:00:00 |
2018-06-13 00:00:00 |
Yes |
2018-08-29 00:00:00 |
2018-08-09 00:00:00 |
B |
B |
2000 |
1400 |
0 |
1400 |
0 |
None |
RFFS11 |
N |
None |
None |
SFY2018-19 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-10-11 00:00:00 |
940014473 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-06-14 00:00:00 |
2017-06-14 00:00:00 |
No |
2018-11-01 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
T3U111 |
N |
CA00540091, CA00540091 |
B, B |
SFY2018-19 |
940000062 |
ALAMITOS BELMONT HEALTH AND REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-01-25 00:00:00 |
940014760 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-09-10 00:00:00 |
2017-09-10 00:00:00 |
Yes |
2019-02-15 00:00:00 |
2019-01-25 00:00:00 |
A |
None |
16000 |
16000 |
0 |
16000 |
0 |
None |
ZMJL11 |
N |
CA00552299 |
B |
SFY2018-19 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-02-15 00:00:00 |
940014819 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Unusual Occurrences |
2018-11-17 00:00:00 |
2018-11-17 00:00:00 |
No |
2019-03-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
D3D911 |
Y |
CA00614024 |
B |
SFY2018-19 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-02-22 00:00:00 |
950001381 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-11-17 00:00:00 |
None |
No |
2001-04-19 00:00:00 |
None |
B |
B |
1000 |
1300 |
-800 |
500 |
0 |
950006801 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000045 |
ARCADIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-06-12 00:00:00 |
950001395 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-31 00:00:00 |
None |
No |
2001-07-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
950006964 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000045 |
ARCADIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-06-12 00:00:00 |
950001396 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-31 00:00:00 |
None |
Yes |
2001-09-24 00:00:00 |
2001-07-02 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
950006964 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2003-02-12 00:00:00 |
950001423 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-01-11 00:00:00 |
None |
No |
2003-03-06 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
950007726 |
A99999 |
N |
None |
None |
SFY2002-03 |
950000039 |
ATHERTON BAPTIST HOME-SAM B. WEST |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2003-05-15 00:00:00 |
950001426 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-02-11 00:00:00 |
None |
Yes |
2003-06-13 00:00:00 |
2003-06-06 00:00:00 |
A |
A |
5000 |
2000 |
0 |
2000 |
0 |
950007773 |
A99999 |
N |
None |
None |
SFY2002-03 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2010-10-15 00:00:00 |
950007462 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-04-12 00:00:00 |
2010-04-12 00:00:00 |
No |
2010-11-08 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
None |
459D11 |
N |
None |
None |
SFY2010-11 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2010-10-15 00:00:00 |
950007463 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-04-10 00:00:00 |
2010-04-10 00:00:00 |
No |
2010-11-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
459D11 |
N |
None |
None |
SFY2010-11 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2010-10-15 00:00:00 |
950007464 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-03-06 00:00:00 |
2010-03-06 00:00:00 |
No |
2010-11-08 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
459D11 |
N |
None |
None |
SFY2010-11 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2010-10-15 00:00:00 |
950007465 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-03-06 00:00:00 |
2010-03-06 00:00:00 |
No |
2010-11-08 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
459D11 |
N |
None |
None |
SFY2010-11 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2010-10-15 00:00:00 |
950007478 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-03-06 00:00:00 |
2010-03-06 00:00:00 |
Yes |
2010-11-08 00:00:00 |
2010-11-10 00:00:00 |
A |
A |
5000 |
5000 |
0 |
5000 |
0 |
None |
459D11 |
N |
None |
None |
SFY2010-11 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2010-11-22 00:00:00 |
950007696 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-05-30 00:00:00 |
2010-05-30 00:00:00 |
No |
2010-12-21 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
459D11 |
N |
None |
None |
SFY2010-11 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2011-09-19 00:00:00 |
950008449 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-07-13 00:00:00 |
2009-07-13 00:00:00 |
No |
2011-10-10 00:00:00 |
None |
A |
None |
15000 |
15050 |
0 |
15050 |
0 |
None |
K04T11 |
N |
CA00192629 |
H |
SFY2011-12 |
950000045 |
ARCADIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-06-04 00:00:00 |
950009303 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-08-03 00:00:00 |
2011-08-03 00:00:00 |
Yes |
2012-06-25 00:00:00 |
2012-06-22 00:00:00 |
A |
A |
10000 |
5000 |
0 |
5000 |
0 |
None |
PEKW11 |
N |
CA00278771 |
B |
SFY2011-12 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-11-16 00:00:00 |
950012756 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-07-08 00:00:00 |
2016-07-08 00:00:00 |
No |
2016-12-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
RRDF11 |
N |
CA00494079 |
B |
SFY2016-17 |
950000045 |
ARCADIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-11-17 00:00:00 |
950012761 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-08-27 00:00:00 |
2016-08-27 00:00:00 |
No |
2016-12-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
49QC11 |
N |
CA00501412 |
A |
SFY2016-17 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-11-23 00:00:00 |
950012777 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-06-30 00:00:00 |
2016-06-30 00:00:00 |
No |
2016-12-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
OY1P11 |
N |
CA00493616 |
B |
SFY2016-17 |
950000101 |
ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-02-24 00:00:00 |
950013006 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-12-09 00:00:00 |
2016-12-09 00:00:00 |
No |
2017-03-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ESPO11 |
N |
CA00513848 |
B |
SFY2016-17 |
950000039 |
ATHERTON BAPTIST HOME-SAM B. WEST |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-06-16 00:00:00 |
950013297 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2017-05-20 00:00:00 |
2017-05-20 00:00:00 |
No |
2017-07-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
THR311 |
N |
CA00536375 |
B |
SFY2016-17 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-11-09 00:00:00 |
950014576 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2018-08-08 00:00:00 |
2018-08-08 00:00:00 |
No |
2018-12-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QNZI11 |
N |
CA00599544 |
B |
SFY2018-19 |
920000306 |
AUTUMN HILLS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2019-08-13 00:00:00 |
950015303 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-05-20 00:00:00 |
2019-05-20 00:00:00 |
Yes |
2019-09-03 00:00:00 |
2019-09-03 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
MSM711 |
N |
CA00639436 |
B |
SFY2019-20 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2020-04-17 00:00:00 |
950015853 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-04-16 00:00:00 |
2020-04-16 00:00:00 |
No |
2020-05-08 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
5WU611 |
N |
CA00672565, CA00672565, CA00672565 |
A, A, A |
SFY2019-20 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2020-04-17 00:00:00 |
950015854 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-04-16 00:00:00 |
2020-04-16 00:00:00 |
No |
2020-05-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
5WU611 |
N |
CA00672565, CA00672565 |
A, A |
SFY2019-20 |
950000039 |
ATHERTON BAPTIST HOME-SAM B. WEST |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-02-12 00:00:00 |
950016286 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-12-11 00:00:00 |
2020-12-11 00:00:00 |
No |
2021-03-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
D63411 |
N |
CA00715957, CA00715957 |
B, B |
SFY2020-21 |
950000045 |
ARCADIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-06-29 00:00:00 |
950016651 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-05-14 00:00:00 |
2021-05-14 00:00:00 |
No |
2021-07-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
UUXN11 |
N |
CA00737317 |
A |
SFY2020-21 |
970000091 |
ARARAT CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-10-26 00:00:00 |
950017041 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-09-27 00:00:00 |
2020-09-27 00:00:00 |
No |
2021-11-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
403R11 |
N |
CA00707048 |
B |
SFY2021-22 |
950000101 |
ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-05-06 00:00:00 |
950017628 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-01-27 00:00:00 |
2022-01-27 00:00:00 |
No |
2022-05-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
QVIF11 |
N |
CA00772256, CA00772256 |
B, B |
SFY2021-22 |
950000045 |
ARCADIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-07-22 00:00:00 |
950017818 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-04-06 00:00:00 |
2022-04-06 00:00:00 |
No |
2022-08-12 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
GUTO11 |
N |
CA00783125 |
A |
SFY2022-23 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-08 00:00:00 |
950018230 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-09-29 00:00:00 |
2022-09-29 00:00:00 |
No |
2022-12-29 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
VLF411 |
N |
CA00805752 |
A |
SFY2022-23 |
970000105 |
ARARAT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-04-28 00:00:00 |
950018708 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2023-03-17 00:00:00 |
2023-03-17 00:00:00 |
No |
2023-05-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
MGS811 |
N |
CA00831749 |
A |
SFY2022-23 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-05-23 00:00:00 |
950018787 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-03-16 00:00:00 |
2023-03-16 00:00:00 |
No |
2023-06-14 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
0C7L11 |
N |
CA00830137, CA00830137, CA00830137, CA00830137, CA00830137, CA00830137 |
B, B, B, B, B, B |
SFY2022-23 |
950000039 |
ATHERTON BAPTIST HOME-SAM B. WEST |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-06-02 00:00:00 |
950018817 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-04-15 00:00:00 |
2023-04-15 00:00:00 |
No |
2023-06-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
IWWD11 |
N |
CA00836697 |
A |
SFY2022-23 |
970000091 |
ARARAT CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-06-14 00:00:00 |
950018858 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2023-03-31 00:00:00 |
2023-03-31 00:00:00 |
No |
2023-07-06 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
1SNF11 |
N |
CA00835700, CA00835700 |
A, A |
SFY2022-23 |
970000105 |
ARARAT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-02-02 00:00:00 |
950019675 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2023-10-29 00:00:00 |
2023-10-29 00:00:00 |
Yes |
2024-02-26 00:00:00 |
2024-02-09 00:00:00 |
AA |
None |
120000 |
120000 |
0 |
0 |
120000 |
None |
PF8D11 |
Y |
None |
None |
SFY2023-24 |
970000105 |
ARARAT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-02-15 00:00:00 |
950019750 |
Open |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2023-12-21 00:00:00 |
2023-12-21 00:00:00 |
No |
2024-03-07 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
1WU511 |
N |
CA00882005 |
B |
SFY2023-24 |
950000045 |
ARCADIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-02-21 00:00:00 |
950019761 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-01-02 00:00:00 |
2024-01-02 00:00:00 |
No |
2024-03-13 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
URUY11 |
N |
CA00877983, CA00877983 |
B, B |
SFY2023-24 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-03-13 00:00:00 |
950019861 |
Open |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2024-01-24 00:00:00 |
2024-01-24 00:00:00 |
No |
2024-04-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
9FVG11 |
N |
None |
None |
SFY2023-24 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-03-13 00:00:00 |
950019865 |
Open |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2024-01-22 00:00:00 |
2024-01-22 00:00:00 |
No |
2024-04-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
9FVG11 |
N |
None |
None |
SFY2023-24 |
950000101 |
ALHAMBRA HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-05-31 00:00:00 |
950020254 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2024-04-17 00:00:00 |
2024-04-17 00:00:00 |
Yes |
2024-06-21 00:00:00 |
2024-06-12 00:00:00 |
AA |
None |
120000 |
120000 |
0 |
0 |
120000 |
None |
OFYG11 |
Y |
CA00895525 |
A |
SFY2023-24 |
960001694 |
ASTORIA HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-06-30 00:00:00 |
960000856 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-06-10 00:00:00 |
None |
No |
2000-07-24 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
960007167 |
A99999 |
N |
None |
None |
SFY1999-00 |
960001984 |
ARLETA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-03-21 00:00:00 |
960000889 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-02-22 00:00:00 |
None |
No |
2001-05-18 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
960007582 |
A99999 |
N |
None |
None |
SFY2000-01 |
960001482 |
ARLINGTON HOME #2 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-07-31 00:00:00 |
960000920 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-07-20 00:00:00 |
None |
No |
2001-09-14 00:00:00 |
None |
A |
None |
3000 |
3100 |
-1050 |
2050 |
0 |
960007928 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001831 |
ARLINGTON HOME #6 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-11-30 00:00:00 |
960000942 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-10-15 00:00:00 |
None |
No |
2001-12-21 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
960008179 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001646 |
ARLINGTON HOME #5 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2002-04-17 00:00:00 |
960000968 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-12-02 00:00:00 |
None |
No |
2002-05-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960008206 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001643 |
ARLINGTON HOME #4 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2002-07-10 00:00:00 |
960000984 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-03 00:00:00 |
None |
No |
2002-08-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960008656 |
A99999 |
N |
None |
None |
SFY2002-03 |
960001984 |
ARLETA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-01-29 00:00:00 |
960001001 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2003-01-08 00:00:00 |
None |
No |
2003-02-25 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
960008981 |
A99999 |
N |
None |
None |
SFY2002-03 |
960001482 |
ARLINGTON HOME #2 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-07-18 00:00:00 |
960001025 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-06-20 00:00:00 |
None |
No |
2003-08-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009272 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001818 |
ACRE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-06-04 00:00:00 |
960001075 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-10-10 00:00:00 |
None |
No |
2004-07-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
960009712 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001643 |
ARLINGTON HOME #4 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-06-15 00:00:00 |
960001077 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-28 00:00:00 |
None |
No |
2004-07-20 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
960009759 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001482 |
ARLINGTON HOME #2 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-12-03 00:00:00 |
960001098 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-09-22 00:00:00 |
None |
No |
2005-01-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009984 |
A99999 |
N |
None |
None |
SFY2004-05 |
960001975 |
ARMSTRONG HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-04-08 00:00:00 |
960001109 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-03-22 00:00:00 |
2005-03-25 00:00:00 |
No |
2005-05-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010127 |
A99999 |
N |
None |
None |
SFY2004-05 |
960001643 |
ARLINGTON HOME #4 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-04-22 00:00:00 |
960001111 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-04-07 00:00:00 |
None |
No |
2005-05-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010137 |
A99999 |
N |
None |
None |
SFY2004-05 |
960001694 |
ASTORIA HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-05-19 00:00:00 |
960001113 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-05-02 00:00:00 |
None |
No |
2005-06-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010165 |
A99999 |
N |
None |
None |
SFY2004-05 |
960001900 |
ABLANO HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-03-29 00:00:00 |
960002999 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-02-17 00:00:00 |
2006-02-17 00:00:00 |
No |
2006-05-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
E04P11 |
N |
None |
None |
SFY2005-06 |
960001646 |
ARLINGTON HOME #5 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2008-07-31 00:00:00 |
960005282 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-07-12 00:00:00 |
2008-07-12 00:00:00 |
No |
2008-08-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BSTU11 |
N |
None |
None |
SFY2008-09 |
960001984 |
ARLETA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-05-13 00:00:00 |
960007212 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-04-14 00:00:00 |
2010-04-14 00:00:00 |
No |
2010-06-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BOEY11 |
N |
None |
None |
SFY2009-10 |
960001831 |
ARLINGTON HOME #6 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2011-07-22 00:00:00 |
960008405 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-04-16 00:00:00 |
2011-04-16 00:00:00 |
No |
2011-08-12 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
8GS711 |
N |
CA00266555 |
C |
SFY2011-12 |
960001900 |
ABLANO HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2013-10-18 00:00:00 |
960010223 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-05-23 00:00:00 |
2013-05-23 00:00:00 |
No |
2013-11-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
DWYX11 |
N |
None |
None |
SFY2013-14 |
960001975 |
ARMSTRONG HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2022-09-02 00:00:00 |
960017939 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
AB-Abuse |
2022-07-12 00:00:00 |
2022-07-12 00:00:00 |
No |
2022-09-26 00:00:00 |
None |
A |
None |
4000 |
4700 |
0 |
4700 |
0 |
None |
K9E211 |
N |
CA00793418, CA00793418 |
A, A |
SFY2022-23 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-03-30 00:00:00 |
970001002 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2000-03-23 00:00:00 |
None |
Yes |
2000-04-20 00:00:00 |
2000-04-11 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005080 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000087 |
ALLIANCE NURSING CENTER OF ECHO PARK |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-06-21 00:00:00 |
970001045 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-24 00:00:00 |
2000-05-31 00:00:00 |
Yes |
2000-07-13 00:00:00 |
2000-06-22 00:00:00 |
B |
None |
900 |
900 |
0 |
900 |
0 |
970005210 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-07-13 00:00:00 |
970001047 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-06-28 00:00:00 |
2000-07-11 00:00:00 |
Yes |
2000-08-24 00:00:00 |
2000-07-14 00:00:00 |
B |
None |
900 |
900 |
0 |
900 |
0 |
970005244 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-10-18 00:00:00 |
970001055 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2000-09-26 00:00:00 |
None |
No |
2000-11-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970005388 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-02-01 00:00:00 |
970001070 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-07 00:00:00 |
None |
Yes |
2001-06-04 00:00:00 |
2001-05-15 00:00:00 |
B |
B |
700 |
300 |
0 |
300 |
0 |
970005498 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-02-01 00:00:00 |
970001071 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-28 00:00:00 |
None |
Yes |
2001-05-18 00:00:00 |
2001-05-17 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
970005499 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-02-01 00:00:00 |
970001072 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
F225/F226 UO |
2000-12-07 00:00:00 |
None |
Yes |
2001-05-16 00:00:00 |
2001-04-30 00:00:00 |
B |
Drop>Deficiency |
800 |
0 |
0 |
0 |
0 |
970005500 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000121 |
ALDEN TERRACE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-09-21 00:00:00 |
970001364 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-18 00:00:00 |
None |
Yes |
2001-11-23 00:00:00 |
2001-10-01 00:00:00 |
B |
B |
800 |
300 |
0 |
300 |
0 |
970006824 |
A99999 |
N |
None |
None |
SFY2001-02 |
970000121 |
ALDEN TERRACE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-01-17 00:00:00 |
970001385 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-12-01 00:00:00 |
None |
Yes |
2003-02-10 00:00:00 |
2003-01-24 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
970007499 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001389 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001390 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001391 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-14 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001392 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001393 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-25 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001394 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001395 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-25 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001396 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001397 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001398 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001399 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001400 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
800 |
800 |
-800 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001401 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-25 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
800 |
800 |
-800 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-05-01 00:00:00 |
970001402 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-13 00:00:00 |
None |
No |
2003-06-09 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
970007623 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-12-22 00:00:00 |
970001449 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-11-18 00:00:00 |
None |
No |
2004-01-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970007873 |
A99999 |
N |
None |
None |
SFY2003-04 |
970000121 |
ALDEN TERRACE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2004-02-09 00:00:00 |
970001450 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-12-02 00:00:00 |
None |
Yes |
2004-03-11 00:00:00 |
2004-02-12 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
970007947 |
A99999 |
N |
None |
None |
SFY2003-04 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2009-09-15 00:00:00 |
970004723 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-01-16 00:00:00 |
2008-01-16 00:00:00 |
Yes |
2011-08-15 00:00:00 |
2011-08-10 00:00:00 |
A |
B |
20000 |
1000 |
0 |
1000 |
0 |
None |
EC3U11 |
N |
CA00128929 |
C |
SFY2009-10 |
970000121 |
ALDEN TERRACE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2008-04-09 00:00:00 |
970004890 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-30 00:00:00 |
2007-10-30 00:00:00 |
Yes |
2008-04-30 00:00:00 |
2008-04-16 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
ZMTM11 |
N |
None |
None |
SFY2007-08 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2009-05-28 00:00:00 |
970005303 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-01-04 00:00:00 |
2007-01-04 00:00:00 |
Yes |
2009-06-25 00:00:00 |
2009-07-24 00:00:00 |
AA |
A |
100000 |
20000 |
0 |
20000 |
0 |
None |
PRQJ11 |
Y |
CA00103271 |
C |
SFY2008-09 |
630014956 |
ALL CARE - AMALFI |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2017-07-27 00:00:00 |
980013387 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2017-05-09 00:00:00 |
2017-05-09 00:00:00 |
No |
2017-08-17 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
QZ7X11 |
N |
CA00535161 |
B |
SFY2017-18 |
630014956 |
ALL CARE - AMALFI |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2018-01-25 00:00:00 |
980013764 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2017-10-31 00:00:00 |
2017-10-31 00:00:00 |
No |
2018-02-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
RQGR11 |
N |
CA00558804 |
A |
SFY2017-18 |
630014956 |
ALL CARE - AMALFI |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2018-05-31 00:00:00 |
980014115 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-02-13 00:00:00 |
2018-02-13 00:00:00 |
Yes |
2018-06-21 00:00:00 |
2018-05-31 00:00:00 |
A |
A |
10000 |
6300 |
0 |
6300 |
0 |
None |
07WV11 |
N |
CA00576448 |
B |
SFY2017-18 |
630013981 |
ADONAI CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2018-07-02 00:00:00 |
980014202 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-02-03 00:00:00 |
2018-02-03 00:00:00 |
Yes |
2018-07-24 00:00:00 |
2018-07-02 00:00:00 |
A |
None |
10000 |
10150 |
0 |
0 |
10150 |
None |
ZJD411 |
N |
CA00572703, CA00572703 |
B, B |
SFY2018-19 |
630015908 |
ALL VALLEY CONGREGATE LIVING INC |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2018-10-19 00:00:00 |
980014504 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-08-31 00:00:00 |
2018-08-31 00:00:00 |
No |
2018-11-09 00:00:00 |
None |
B |
None |
1000 |
1300 |
0 |
1300 |
0 |
None |
9OJE11 |
N |
CA00602646 |
A |
SFY2018-19 |
630014071 |
ADONAI CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2021-03-05 00:00:00 |
980016322 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-01-06 00:00:00 |
2021-01-06 00:00:00 |
No |
2021-03-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
N4GN11 |
N |
CA00719942, CA00720217 |
A, A |
SFY2020-21 |
630016841 |
ALL CARE - S.F. VALLEY |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2021-04-22 00:00:00 |
980016435 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-02-16 00:00:00 |
2021-02-16 00:00:00 |
No |
2021-05-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I1VB11 |
N |
CA00726008, CA00726008 |
A, A |
SFY2020-21 |
630013981 |
ADONAI CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2021-08-13 00:00:00 |
980016817 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-07-08 00:00:00 |
2021-07-08 00:00:00 |
No |
2021-09-03 00:00:00 |
None |
B |
None |
1000 |
1550 |
0 |
1550 |
0 |
None |
Z84Z11 |
N |
None |
None |
SFY2021-22 |
630014956 |
ALL CARE - AMALFI |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2022-03-04 00:00:00 |
980017468 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-01-03 00:00:00 |
2022-01-03 00:00:00 |
No |
2022-03-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BM5711 |
N |
CA00766988 |
A |
SFY2021-22 |
630014956 |
ALL CARE - AMALFI |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2022-06-24 00:00:00 |
980017737 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-04-28 00:00:00 |
2022-04-28 00:00:00 |
No |
2022-07-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JJRS11 |
N |
CA00782480, CA00782480, CA00782480, CA00782480 |
A, A, A, A |
SFY2021-22 |
630016841 |
ALL CARE - S.F. VALLEY |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2022-07-12 00:00:00 |
980017776 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2022-05-13 00:00:00 |
2022-05-13 00:00:00 |
No |
2022-08-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D8XE11 |
N |
CA00784770, CA00784770, CA00784770 |
A, A, A |
SFY2022-23 |
630016523 |
ALLWELL RESIDENTIAL CARE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2022-11-01 00:00:00 |
980018128 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2022-07-06 00:00:00 |
2022-07-06 00:00:00 |
No |
2022-11-23 00:00:00 |
None |
B |
None |
1000 |
1650 |
-350 |
1300 |
0 |
None |
9NML11 |
N |
CA00791881, CA00791881 |
A, A |
SFY2022-23 |
630014071 |
ADONAI CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-02-15 00:00:00 |
980019746 |
Open |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2024-01-30 00:00:00 |
2024-01-30 00:00:00 |
No |
2024-03-08 00:00:00 |
None |
B |
None |
1000 |
2200 |
0 |
1000 |
1200 |
None |
T5FT11 |
N |
None |
None |
SFY2023-24 |
630014071 |
ADONAI CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-02-15 00:00:00 |
980019747 |
Open |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2024-01-31 00:00:00 |
2024-01-31 00:00:00 |
No |
2024-03-08 00:00:00 |
None |
B |
None |
1000 |
1750 |
0 |
1000 |
750 |
None |
T5FT11 |
N |
None |
None |
SFY2023-24 |
630014071 |
ADONAI CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-02-15 00:00:00 |
980019748 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-01-30 00:00:00 |
2024-01-30 00:00:00 |
No |
2024-03-08 00:00:00 |
None |
B |
None |
1000 |
2200 |
0 |
1000 |
1200 |
None |
T5FT11 |
N |
None |
None |
SFY2023-24 |
630015683 |
ANGEL CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-04-12 00:00:00 |
980019998 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-03-29 00:00:00 |
2024-03-29 00:00:00 |
No |
2024-05-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9VU211 |
N |
None |
None |
SFY2023-24 |
020000010 |
ASHBY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2012-08-24 00:00:00 |
020009459 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2011-07-12 00:00:00 |
2011-10-08 00:00:00 |
No |
2012-09-08 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
J2O511 |
None |
None |
None |
SFY2012-13 |
030000280 |
AUBURN OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-09-12 00:00:00 |
030009490 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-02-01 00:00:00 |
2012-04-17 00:00:00 |
No |
2012-09-27 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
HTD611 |
None |
None |
None |
SFY2012-13 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-05-14 00:00:00 |
030015045 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2018-02-04 00:00:00 |
2018-05-06 00:00:00 |
No |
2019-05-29 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
FU3F11 |
None |
None |
None |
SFY2018-19 |
100000022 |
ARBOR REHABILITATION & NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-07-15 00:00:00 |
030016701 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
2021-07-30 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
RY6T11 |
None |
None |
None |
SFY2021-22 |
030000013 |
AUBURN RAVINE TERRACE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-08-03 00:00:00 |
030019005 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
Yes |
2023-08-24 00:00:00 |
2023-08-10 00:00:00 |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
J1QW11 |
None |
None |
None |
SFY2023-24 |
060000031 |
ANAHEIM CREST NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2014-07-31 00:00:00 |
060010884 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2013-09-08 00:00:00 |
2013-12-08 00:00:00 |
Yes |
2014-08-15 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
Q3S211 |
None |
None |
None |
SFY2014-15 |
080000056 |
ABBY GARDENS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2015-03-12 00:00:00 |
080011309 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2014-07-21 00:00:00 |
2014-10-20 00:00:00 |
No |
2015-03-27 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
6ZZ711 |
None |
None |
None |
SFY2014-15 |
090000029 |
ARROYO VISTA NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2018-06-21 00:00:00 |
090014160 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-01-04 00:00:00 |
2017-04-05 00:00:00 |
No |
2018-07-06 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
8VQC11 |
None |
None |
None |
SFY2017-18 |
090000102 |
AMAYA SPRINGS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2018-08-28 00:00:00 |
090014351 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-02-27 00:00:00 |
2017-05-29 00:00:00 |
No |
2018-09-12 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
JKGV11 |
None |
None |
None |
SFY2018-19 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2019-08-13 00:00:00 |
170015279 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-10-01 00:00:00 |
2017-12-31 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
SIDU11 |
None |
None |
None |
SFY2019-20 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2019-05-21 00:00:00 |
220015073 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2018-03-17 00:00:00 |
2018-06-16 00:00:00 |
No |
2019-06-05 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
KYF611 |
None |
None |
None |
SFY2018-19 |
240001011 |
APPLE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2023-01-12 00:00:00 |
240018301 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
9KED11 |
None |
None |
None |
SFY2022-23 |
220000047 |
ATHERTON PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2020-08-04 00:00:00 |
810015956 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-03-17 00:00:00 |
2019-06-16 00:00:00 |
No |
2020-08-19 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
FRZF11 |
None |
None |
None |
SFY2020-21 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2020-11-09 00:00:00 |
810016127 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-03-17 00:00:00 |
2019-06-16 00:00:00 |
No |
2020-11-24 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
NV3H11 |
None |
None |
None |
SFY2020-21 |
070000095 |
A GRACE SUB ACUTE & SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-11-10 00:00:00 |
810016128 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-03-31 00:00:00 |
2019-06-30 00:00:00 |
No |
2020-11-25 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
3CHX11 |
None |
None |
None |
SFY2020-21 |
230000283 |
ALMOND VIEW CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2021-05-11 00:00:00 |
810016451 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
2021-05-26 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
3PQR11 |
None |
None |
None |
SFY2020-21 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-07-01 00:00:00 |
810016513 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
ND5N11 |
None |
None |
None |
SFY2021-22 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-09-23 00:00:00 |
810016556 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
2021-10-08 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
LGJ211 |
None |
None |
None |
SFY2021-22 |
920000077 |
ALAMEDA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-06-09 00:00:00 |
810016576 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
NNT611 |
None |
None |
None |
SFY2020-21 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-05-18 00:00:00 |
810016583 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
ND5N11 |
None |
None |
None |
SFY2020-21 |
970000001 |
ALCOTT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-06-18 00:00:00 |
810016639 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
7HQD11 |
None |
None |
None |
SFY2020-21 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2021-08-27 00:00:00 |
810016835 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-09-11 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
UMG711 |
None |
None |
None |
SFY2021-22 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-11-04 00:00:00 |
810017017 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-11-19 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
E1J511 |
None |
None |
None |
SFY2021-22 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2021-12-15 00:00:00 |
810017163 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-12-30 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
BYP111 |
None |
None |
None |
SFY2021-22 |
970000003 |
ALEXANDRIA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-12-16 00:00:00 |
810017171 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-12-31 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
0SRU11 |
None |
None |
None |
SFY2021-22 |
080001540 |
ANAHEIM TERRACE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2022-01-26 00:00:00 |
810017271 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-02-10 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
0EQC11 |
None |
None |
None |
SFY2021-22 |
240000097 |
ARROWHEAD SPRINGS HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2022-04-15 00:00:00 |
810017552 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-04-30 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
F22C11 |
None |
None |
None |
SFY2021-22 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-04-29 00:00:00 |
810017593 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-05-14 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
NNYN11 |
None |
None |
None |
SFY2021-22 |
070000019 |
AVE MARIA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-06-30 00:00:00 |
810017733 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-07-15 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
-15000 |
0 |
0 |
None |
D50H11 |
None |
None |
None |
SFY2021-22 |
060000039 |
ANAHEIM POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2022-07-06 00:00:00 |
810017748 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
2022-07-21 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
NQ2111 |
None |
None |
None |
SFY2022-23 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2022-08-02 00:00:00 |
810017824 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-08-17 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
H1KB11 |
None |
None |
None |
SFY2022-23 |
920000280 |
ANTELOPE VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-09-16 00:00:00 |
810017837 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
5X3D11 |
None |
None |
None |
SFY2021-22 |
060000031 |
ANAHEIM CREST NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2022-10-25 00:00:00 |
810018092 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
2022-11-09 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
YN2311 |
None |
None |
None |
SFY2022-23 |
250000010 |
ALTA VISTA HEALTHCARE & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2022-11-30 00:00:00 |
810018177 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
2022-12-21 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
L5Q411 |
None |
None |
None |
SFY2022-23 |
010001005 |
ALDERSLY SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2023-01-04 00:00:00 |
810018261 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2023-01-26 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
E9X611 |
None |
None |
None |
SFY2022-23 |
950000012 |
ARBOR GLEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-01-26 00:00:00 |
810018325 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
2023-02-16 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
SYJ511 |
None |
None |
None |
SFY2022-23 |
040000225 |
ANBERRY NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2023-02-14 00:00:00 |
810018381 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
Yes |
2023-03-08 00:00:00 |
2023-03-08 00:00:00 |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
IIK911 |
None |
None |
None |
SFY2022-23 |
940000062 |
ALAMITOS BELMONT HEALTH AND REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-02-16 00:00:00 |
810018393 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
2023-03-10 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
4UF011 |
None |
None |
None |
SFY2022-23 |
100000001 |
ASBURY PARK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-03-14 00:00:00 |
810018469 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
2023-04-05 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
FWMV11 |
None |
None |
None |
SFY2022-23 |
230000255 |
ARBOR POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2023-02-07 00:00:00 |
810018475 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
YIVL11 |
None |
None |
None |
SFY2022-23 |
020000043 |
ALAMEDA HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2023-06-06 00:00:00 |
810018810 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
2023-06-27 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
0 |
50000 |
None |
3M1T11 |
None |
None |
None |
SFY2022-23 |
020000010 |
ASHBY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2023-06-09 00:00:00 |
810018823 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2023-06-30 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
0 |
50000 |
None |
PEZ311 |
None |
None |
None |
SFY2022-23 |
240000106 |
ARROWHEAD HEALTHCARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2023-05-30 00:00:00 |
810018946 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2023-06-28 00:00:00 |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
XK9E11 |
None |
None |
None |
SFY2022-23 |
090000102 |
AMAYA SPRINGS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2023-08-15 00:00:00 |
810019026 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2023-09-06 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
0FJL11 |
None |
None |
None |
SFY2023-24 |
100000025 |
ARDEN PARK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-08-28 00:00:00 |
810019033 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
2023-09-19 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
WJTT11 |
None |
None |
None |
SFY2023-24 |
230000283 |
ALMOND VIEW CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2023-08-29 00:00:00 |
810019086 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2023-09-20 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
FRE811 |
None |
None |
None |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-06 00:00:00 |
810019407 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2023-12-28 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
6F6811 |
None |
None |
None |
SFY2023-24 |
970000105 |
ARARAT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-12-13 00:00:00 |
810019468 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
MYTO11 |
None |
None |
None |
SFY2023-24 |
060000022 |
ALAMITOS WEST HEALTH & REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2024-05-22 00:00:00 |
810020191 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-06-13 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
336H11 |
None |
None |
None |
SFY2023-24 |
100000038 |
ALMOND VISTA HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2024-06-13 00:00:00 |
810020261 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-07-05 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
D54R11 |
None |
None |
None |
SFY2023-24 |
970000139 |
ALTA VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2013-05-09 00:00:00 |
910009872 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2012-03-28 00:00:00 |
2012-06-12 00:00:00 |
No |
2013-05-24 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
H93J11 |
None |
None |
None |
SFY2012-13 |
970000129 |
ALVARADO CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2014-07-10 00:00:00 |
910010844 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2013-09-24 00:00:00 |
2013-12-24 00:00:00 |
Yes |
2014-07-25 00:00:00 |
None |
AP NHPPD |
REVERSED |
15000 |
0 |
0 |
0 |
0 |
None |
9X9U11 |
None |
None |
None |
SFY2014-15 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-01-27 00:00:00 |
910017168 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-02-11 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
05LT11 |
None |
None |
None |
SFY2021-22 |
970000123 |
ANGELS NURSING HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-05 00:00:00 |
920019441 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
8TIJ11 |
None |
None |
None |
SFY2023-24 |
940000111 |
ARTESIA PALMS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-06-03 00:00:00 |
940010322 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-07-02 00:00:00 |
2012-09-16 00:00:00 |
Yes |
2014-06-18 00:00:00 |
None |
AP NHPPD |
APPEAL WITHDRAWN BY |
15000 |
15000 |
0 |
15000 |
0 |
None |
QSMR11 |
None |
None |
None |
SFY2013-14 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-01-24 00:00:00 |
940010329 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2013-01-01 00:00:00 |
2013-03-18 00:00:00 |
No |
2014-02-08 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
19ZC11 |
None |
None |
None |
SFY2013-14 |
940000051 |
AVALON VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-01-07 00:00:00 |
940011904 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2015-01-05 00:00:00 |
2015-04-06 00:00:00 |
Yes |
2016-01-22 00:00:00 |
None |
AP NHPPD |
APPEAL WITHDRAWN BY |
30000 |
30000 |
0 |
30000 |
0 |
None |
OW1Q11 |
None |
None |
None |
SFY2015-16 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-03-10 00:00:00 |
020004764 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2007-12-28 23:15:00 |
2007-12-28 23:15:00 |
No |
2008-04-01 00:00:00 |
None |
FTR AE |
None |
3300 |
3300 |
0 |
3300 |
0 |
None |
GMRT11 |
N |
CA00139822 |
C |
SFY2007-08 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-03-25 00:00:00 |
020004813 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-01-30 12:00:00 |
2008-01-30 12:00:00 |
No |
2008-04-16 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
TZIK11 |
N |
CA00140723 |
C |
SFY2007-08 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-04-16 00:00:00 |
020004931 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-02-18 11:00:00 |
2008-02-18 11:00:00 |
No |
2008-05-08 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
UVKD11 |
N |
CA00142659 |
C |
SFY2007-08 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-08-12 00:00:00 |
020005313 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-05-23 13:30:00 |
2008-05-23 13:30:00 |
No |
2008-09-04 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
YYHG11 |
N |
CA00152584 |
C |
SFY2008-09 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-08-26 00:00:00 |
020005328 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE12 - Medication error |
None |
2008-03-21 10:00:00 |
2008-03-21 10:00:00 |
No |
2008-09-18 00:00:00 |
None |
FTR AE |
None |
13200 |
13200 |
0 |
13200 |
0 |
None |
9RB711 |
N |
CA00157036, CA00159255 |
C, C |
SFY2008-09 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-04-20 00:00:00 |
020006108 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2008-03-11 15:34:00 |
2008-03-11 15:34:00 |
No |
2009-05-11 00:00:00 |
None |
FTR AE |
None |
36100 |
36100 |
0 |
36100 |
0 |
None |
K42P11 |
N |
CA00181312 |
C |
SFY2008-09 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-06-05 00:00:00 |
020006196 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2008-12-22 00:00:00 |
2008-12-22 00:00:00 |
No |
2009-06-29 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
TQ7G11 |
N |
CA00173006 |
B |
SFY2008-09 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-06-09 00:00:00 |
020006261 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-04-06 15:00:00 |
2009-04-06 15:00:00 |
No |
2009-06-30 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
QT9T11 |
N |
CA00186078 |
C |
SFY2008-09 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-12-03 00:00:00 |
020006746 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2009-11-02 10:00:00 |
2009-11-02 10:00:00 |
No |
2009-12-28 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
47R911 |
N |
CA00208539 |
C |
SFY2009-10 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-10-04 00:00:00 |
020007608 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2010-03-20 20:13:00 |
2010-03-20 20:13:00 |
No |
2010-10-27 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
0 |
300 |
0 |
None |
QWYN11 |
None |
CA00223831 |
D |
SFY2010-11 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-10-04 00:00:00 |
020007610 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2010-03-20 20:13:00 |
2010-03-20 20:13:00 |
No |
2010-10-27 00:00:00 |
None |
FTR RES |
None |
300 |
300 |
0 |
300 |
0 |
None |
QWYN11 |
None |
CA00223831 |
D |
SFY2010-11 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2011-02-17 00:00:00 |
020007949 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2010-12-20 20:29:00 |
2010-12-20 20:29:00 |
No |
2011-03-11 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
P0CS11 |
N |
CA00253693 |
B |
SFY2010-11 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2012-05-23 00:00:00 |
020008812 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2011-09-24 00:00:00 |
2011-09-24 00:00:00 |
No |
2013-09-06 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
QM2W11 |
N |
CA00284528 |
B |
SFY2011-12 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2012-01-24 00:00:00 |
020009043 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2011-05-09 13:30:00 |
2011-05-09 13:30:00 |
No |
2012-02-14 00:00:00 |
None |
FTR AE |
None |
1800 |
1800 |
0 |
1800 |
0 |
None |
X34B11 |
N |
CA00271179 |
C |
SFY2011-12 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2012-04-11 00:00:00 |
020009215 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2011-05-02 16:56:00 |
2011-05-02 16:56:00 |
No |
2012-05-02 00:00:00 |
None |
FTR BR |
None |
900 |
900 |
0 |
900 |
0 |
None |
197S11 |
None |
CA00269481 |
D |
SFY2011-12 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2012-06-20 00:00:00 |
020009290 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2011-11-27 00:00:00 |
2011-11-27 00:00:00 |
No |
2012-11-02 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
86R611 |
Y |
CA00291607 |
C |
SFY2011-12 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2014-02-27 00:00:00 |
020010511 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2013-08-30 00:00:00 |
2013-08-30 00:00:00 |
No |
2014-05-22 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
0HT111 |
N |
CA00368387 |
C |
SFY2013-14 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2014-03-11 00:00:00 |
020010533 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2013-03-25 00:00:00 |
2013-03-25 00:00:00 |
No |
2014-05-22 00:00:00 |
None |
AP IJ |
None |
100000 |
100000 |
0 |
100000 |
0 |
None |
0HT111 |
Y |
CA00373507 |
C |
SFY2013-14 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2014-04-02 00:00:00 |
020010583 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2013-03-25 09:31:00 |
2013-03-25 09:31:00 |
No |
2014-04-23 00:00:00 |
None |
FTR AE |
None |
18700 |
18700 |
0 |
18700 |
0 |
None |
0HT111 |
Y |
CA00373507 |
C |
SFY2013-14 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2018-01-18 00:00:00 |
020013743 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
Anesthesia |
2017-01-12 00:00:00 |
2017-01-12 00:00:00 |
No |
2018-02-08 00:00:00 |
None |
AP NON-IJ |
None |
4125 |
4125 |
0 |
4125 |
0 |
None |
D77311 |
N |
CA00518548 |
C |
SFY2017-18 |
140000246 |
AXIS COMMUNITY HEALTH |
Non-LTC |
COMTYC |
Primary Care Clinic |
East Bay |
2018-04-13 00:00:00 |
020014071 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2015-12-28 00:00:00 |
2015-12-28 00:00:00 |
No |
2018-05-04 00:00:00 |
None |
AP BR |
None |
0 |
0 |
0 |
0 |
0 |
None |
TMK111 |
None |
CA00472536 |
D |
SFY2017-18 |
140000425 |
ALTA BATES SUMMIT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2018-05-21 00:00:00 |
020014090 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2015-09-11 00:00:00 |
2015-09-11 00:00:00 |
No |
2018-06-12 00:00:00 |
None |
AP NON-IJ |
None |
3937 |
3937 |
0 |
3937 |
0 |
None |
2XD511 |
N |
CA00458606 |
C |
SFY2017-18 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2022-01-14 00:00:00 |
020014627 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2017-10-13 00:00:00 |
2017-10-13 00:00:00 |
No |
2022-02-22 00:00:00 |
None |
AP BR |
None |
15000 |
15000 |
-3750 |
11250 |
0 |
None |
9MN311 |
None |
CA00570954 |
D |
SFY2021-22 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2022-01-14 00:00:00 |
020014850 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Deliberate breach of PHI by health care worker |
None |
2017-10-13 00:00:00 |
2017-10-13 00:00:00 |
No |
2022-02-04 00:00:00 |
None |
FTR RES |
None |
4900 |
4900 |
-1225 |
3675 |
0 |
None |
9MN311 |
None |
CA00570954, CA00570954 |
D, D |
SFY2021-22 |
140000012 |
ALTA BATES SUMMIT MEDICAL CENTER-ALTA BATES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2024-03-05 00:00:00 |
020020218 |
Open |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Deliberate breach of PHI by health care worker |
None |
2020-04-09 00:00:00 |
2020-04-09 00:00:00 |
Yes |
2024-03-26 00:00:00 |
2024-06-06 00:00:00 |
FTR BR |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
VKB911 |
None |
CA00692515 |
C |
SFY2023-24 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2008-05-14 00:00:00 |
030005039 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2007-12-11 00:00:00 |
2007-12-11 00:00:00 |
No |
2008-06-10 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
G8YC11 |
N |
CA00135716 |
B |
SFY2007-08 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2015-06-08 00:00:00 |
030011535 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2012-03-22 00:00:00 |
2012-03-22 00:00:00 |
No |
2015-06-29 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
Y0LB11 |
N |
CA00305090 |
D |
SFY2014-15 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2016-08-29 00:00:00 |
030012546 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2009-03-17 00:00:00 |
2009-03-17 00:00:00 |
No |
2016-09-20 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
0 |
100 |
0 |
None |
FWIY11 |
None |
CA00182267 |
B |
SFY2016-17 |
100001060 |
ADVANCED HOME HEALTH, INC |
Non-LTC |
HHA |
Home Health Agency |
Sacramento |
2017-04-07 00:00:00 |
030013091 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2015-05-29 00:00:00 |
2015-05-29 00:00:00 |
No |
2017-04-28 00:00:00 |
None |
FTR BR |
None |
4000 |
4000 |
0 |
4000 |
0 |
None |
W7I211 |
None |
CA00452465 |
D |
SFY2016-17 |
100001060 |
ADVANCED HOME HEALTH, INC |
Non-LTC |
HHA |
Home Health Agency |
Sacramento |
2017-04-07 00:00:00 |
030013092 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2015-05-29 00:00:00 |
2015-05-29 00:00:00 |
No |
2017-04-28 00:00:00 |
None |
FTR RES |
None |
3500 |
3500 |
0 |
3500 |
0 |
None |
W7I211 |
None |
CA00452465 |
D |
SFY2016-17 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2017-08-01 00:00:00 |
030013407 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2016-12-14 00:00:00 |
2016-12-14 00:00:00 |
No |
2017-08-22 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
B1UP11 |
N |
CA00518997 |
B |
SFY2017-18 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2017-11-07 00:00:00 |
030013603 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2015-04-26 00:00:00 |
2015-04-26 00:00:00 |
No |
2017-12-01 00:00:00 |
None |
FTR AE |
None |
4700 |
4700 |
0 |
4700 |
0 |
None |
M0S711 |
N |
CA00447030 |
D |
SFY2017-18 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2018-07-19 00:00:00 |
030014251 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2014-06-18 00:00:00 |
2014-06-18 00:00:00 |
No |
2018-08-09 00:00:00 |
None |
FTR AE |
None |
1400 |
1400 |
0 |
1400 |
0 |
None |
KLIP11 |
N |
CA00404647 |
D |
SFY2018-19 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2023-02-07 00:00:00 |
030019047 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2017-04-04 00:00:00 |
2017-04-04 00:00:00 |
No |
2023-09-14 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
TPJJ11 |
None |
CA00531520 |
D |
SFY2022-23 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2023-12-20 00:00:00 |
030019503 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2023-06-30 00:00:00 |
2023-06-30 00:00:00 |
No |
2024-01-11 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
4NRF11 |
N |
CA00823398, CA00849852 |
E, E |
SFY2023-24 |
030001799 |
ADVENTIST HEALTH SONORA |
Non-LTC |
GACH |
General Acute Care Hospital |
Sacramento |
2023-12-05 00:00:00 |
030020042 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2018-06-07 00:00:00 |
2018-06-07 00:00:00 |
No |
2024-05-22 00:00:00 |
None |
AP BR |
None |
20000 |
20000 |
-5000 |
15000 |
0 |
None |
5B5W11 |
None |
CA00653645 |
D |
SFY2023-24 |
630012960 |
ADVENTIST HEALTH HANFORD |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2007-07-31 00:00:00 |
040004118 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-06-06 00:00:00 |
2007-06-06 00:00:00 |
Yes |
2007-08-21 00:00:00 |
2007-11-02 00:00:00 |
AP IJ |
AP IJ |
25000 |
18750 |
0 |
18750 |
0 |
None |
EFH111 |
N |
CA00181660 |
C |
SFY2007-08 |
630012960 |
ADVENTIST HEALTH HANFORD |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2009-06-16 00:00:00 |
040006391 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2009-02-24 00:00:00 |
2009-02-24 00:00:00 |
No |
2009-07-07 00:00:00 |
None |
FTR BR |
None |
1600 |
1600 |
0 |
1600 |
0 |
None |
QOKX11 |
None |
CA00181660 |
C |
SFY2008-09 |
630012960 |
ADVENTIST HEALTH HANFORD |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2010-03-10 00:00:00 |
040007038 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2008-12-23 13:03:00 |
2008-12-23 13:03:00 |
Yes |
2010-04-01 00:00:00 |
2010-03-22 00:00:00 |
FTR AE |
FTR AE |
2500 |
2500 |
0 |
2500 |
0 |
None |
Z69911 |
N |
CA00204947 |
C |
SFY2009-10 |
630012960 |
ADVENTIST HEALTH HANFORD |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2010-04-26 00:00:00 |
040007039 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2008-12-23 00:00:00 |
2008-12-23 00:00:00 |
Yes |
2010-05-17 00:00:00 |
2010-11-17 00:00:00 |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
Z69911 |
N |
CA00204947 |
C |
SFY2009-10 |
630012960 |
ADVENTIST HEALTH HANFORD |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2010-11-22 00:00:00 |
040007729 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-07-30 14:50:00 |
2010-07-30 14:50:00 |
No |
2010-12-15 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
0 |
700 |
0 |
None |
KUJR11 |
None |
CA00239202 |
D |
SFY2010-11 |
630012960 |
ADVENTIST HEALTH HANFORD |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2011-11-09 00:00:00 |
040008736 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2011-07-11 00:00:00 |
2011-07-11 00:00:00 |
No |
2013-02-26 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
B9A311 |
Y |
CA00276019 |
C |
SFY2011-12 |
630012960 |
ADVENTIST HEALTH HANFORD |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2019-04-10 00:00:00 |
040014945 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2017-12-06 00:00:00 |
2017-12-06 00:00:00 |
No |
2019-07-09 00:00:00 |
None |
AP IJ |
None |
42750 |
42750 |
0 |
42750 |
0 |
None |
688H11 |
N |
CA00569261, CA00569261 |
B, B |
SFY2018-19 |
630012960 |
ADVENTIST HEALTH HANFORD |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2022-04-26 00:00:00 |
040017598 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE03 - Wrong surgical procedure performed on a patient |
None |
2019-10-01 00:00:00 |
2019-10-01 00:00:00 |
No |
2022-05-17 00:00:00 |
None |
AP IJ |
None |
43177.5 |
43177.5 |
0 |
43177.5 |
0 |
None |
UL3N11 |
N |
CA00658107 |
A |
SFY2021-22 |
040000124 |
ADVENTIST HEALTH REEDLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2023-11-03 00:00:00 |
040019336 |
Open |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2020-02-29 00:00:00 |
2020-02-29 00:00:00 |
No |
2023-11-29 00:00:00 |
None |
AP NON-IJ |
None |
11250 |
11250 |
0 |
11250 |
0 |
None |
1HWR11 |
N |
CA00679234, CA00679234 |
A, A |
SFY2023-24 |
050000455 |
ADVENTIST HEALTH SIMI VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2008-04-09 00:00:00 |
050004885 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2008-01-03 00:00:00 |
2008-01-03 00:00:00 |
No |
2008-05-05 00:00:00 |
None |
FTR AE |
None |
1700 |
1700 |
0 |
1700 |
0 |
None |
ZDMF11 |
N |
CA00139215 |
C |
SFY2007-08 |
050000455 |
ADVENTIST HEALTH SIMI VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2008-04-10 00:00:00 |
050004892 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2008-02-20 00:00:00 |
2008-02-20 00:00:00 |
No |
2008-05-05 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
G8CF11 |
N |
CA00142789 |
B |
SFY2007-08 |
050000455 |
ADVENTIST HEALTH SIMI VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2008-11-13 00:00:00 |
050005610 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-10-01 00:00:00 |
2008-10-01 00:00:00 |
No |
2008-12-11 00:00:00 |
None |
FTR AE |
None |
100 |
100 |
0 |
100 |
0 |
None |
BQLE11 |
N |
CA00165721 |
B |
SFY2008-09 |
050000455 |
ADVENTIST HEALTH SIMI VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2010-02-09 00:00:00 |
050006933 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-07-02 00:00:00 |
2009-07-02 00:00:00 |
No |
2010-03-05 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
H39S11 |
N |
CA00194108 |
C |
SFY2009-10 |
050000455 |
ADVENTIST HEALTH SIMI VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2012-05-24 00:00:00 |
050008986 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2011-09-16 00:00:00 |
2011-09-16 00:00:00 |
No |
2013-06-26 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
IDQ711 |
N |
CA00284784 |
C |
SFY2011-12 |
050000455 |
ADVENTIST HEALTH SIMI VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2012-05-24 00:00:00 |
050008988 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2007-11-29 00:00:00 |
2007-11-29 00:00:00 |
No |
2012-09-20 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
DYY611 |
N |
CA00289851 |
C |
SFY2011-12 |
050000041 |
AURORA VISTA DEL MAR HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Ventura |
2017-04-20 00:00:00 |
050011995 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2015-10-11 00:00:00 |
2015-10-11 00:00:00 |
Yes |
2017-05-11 00:00:00 |
2017-04-27 00:00:00 |
AP IJ |
AP IJ |
75000 |
56250 |
0 |
56250 |
0 |
None |
J2UP11 |
Y |
CA00461741 |
A |
SFY2016-17 |
050000455 |
ADVENTIST HEALTH SIMI VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2019-01-03 00:00:00 |
050013779 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2017-10-11 00:00:00 |
2017-10-11 00:00:00 |
No |
2019-04-11 00:00:00 |
None |
AP IJ |
None |
45315 |
45315 |
0 |
45315 |
0 |
None |
63VD11 |
N |
CA00556765, CA00556765 |
B, B |
SFY2018-19 |
050000455 |
ADVENTIST HEALTH SIMI VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2022-03-24 00:00:00 |
050017500 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2021-09-21 00:00:00 |
2021-09-21 00:00:00 |
No |
2022-04-15 00:00:00 |
None |
AP NON-IJ |
None |
11250 |
11250 |
0 |
11250 |
0 |
None |
Q08V11 |
N |
CA00752344, CA00752344, CA00752344, CA00752344 |
B, B, B, B |
SFY2021-22 |
050000041 |
AURORA VISTA DEL MAR HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Ventura |
2023-05-01 00:00:00 |
050018679 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2022-05-04 00:00:00 |
2022-05-04 00:00:00 |
No |
2023-05-22 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
0WK311 |
Y |
CA00783550, CA00783550, CA00784021, CA00784021, CA00785118, CA00785118 |
A, A, B, B, B, B |
SFY2022-23 |
050000041 |
AURORA VISTA DEL MAR HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Ventura |
2023-06-14 00:00:00 |
050018852 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2022-07-14 00:00:00 |
2022-07-14 00:00:00 |
No |
2023-07-06 00:00:00 |
None |
AP NON-IJ |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
5QE811 |
N |
CA00811031, CA00811031 |
B, B |
SFY2022-23 |
060000001 |
ANAHEIM COMMUNITY HOSPITAL, LLC |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2008-06-03 00:00:00 |
060005075 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2008-02-21 00:00:00 |
2008-02-21 00:00:00 |
No |
2008-06-24 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
RJYK11 |
N |
CA00152236 |
A |
SFY2007-08 |
060000001 |
ANAHEIM COMMUNITY HOSPITAL, LLC |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2008-06-03 00:00:00 |
060005076 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2008-02-22 00:00:00 |
2008-02-22 00:00:00 |
No |
2008-06-24 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
VFYN11 |
N |
CA00152233 |
A |
SFY2007-08 |
060000001 |
ANAHEIM COMMUNITY HOSPITAL, LLC |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2008-06-03 00:00:00 |
060005077 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2008-02-20 00:00:00 |
2008-02-20 00:00:00 |
No |
2008-06-24 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
6Y6P11 |
N |
CA00152227 |
A |
SFY2007-08 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2010-03-16 00:00:00 |
060007048 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2009-07-24 00:00:00 |
2009-07-24 00:00:00 |
No |
2011-06-24 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
H1GX11 |
N |
CA00197340 |
B |
SFY2009-10 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2012-02-03 00:00:00 |
060008962 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2010-07-20 08:00:00 |
2010-07-20 08:00:00 |
No |
2012-02-27 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
F8TP11 |
N |
None |
None |
SFY2011-12 |
060000074 |
ANAHEIM GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2012-03-14 00:00:00 |
060009074 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-09-20 08:00:00 |
2010-09-20 08:00:00 |
No |
2012-04-04 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
-175 |
525 |
0 |
None |
GX7I11 |
None |
CA00245783 |
E |
SFY2011-12 |
060000074 |
ANAHEIM GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2012-03-14 00:00:00 |
060009077 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2010-09-20 08:00:00 |
2010-09-20 08:00:00 |
No |
2012-04-04 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
-175 |
525 |
0 |
None |
GX7I11 |
None |
CA00245783 |
E |
SFY2011-12 |
060000074 |
ANAHEIM GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2012-06-14 00:00:00 |
060009316 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2010-05-16 00:00:00 |
2010-05-16 00:00:00 |
No |
2013-05-07 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
RZHU11 |
Y |
CA00237384 |
B |
SFY2011-12 |
060000001 |
ANAHEIM COMMUNITY HOSPITAL, LLC |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-05-15 00:00:00 |
060010724 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE26 - Sexual assault on a patient |
None |
2012-11-22 00:00:00 |
2012-11-22 00:00:00 |
No |
2014-06-06 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
386W11 |
N |
CA00334068 |
A |
SFY2013-14 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-10-24 00:00:00 |
060011024 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2011-12-08 00:00:00 |
2011-12-08 00:00:00 |
No |
2014-11-17 00:00:00 |
None |
FTR BR |
None |
1700 |
1700 |
-425 |
1275 |
0 |
None |
9T2P11 |
None |
CA00409234 |
E |
SFY2014-15 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-10-24 00:00:00 |
060011025 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2011-12-08 00:00:00 |
2011-12-08 00:00:00 |
No |
2014-11-17 00:00:00 |
None |
FTR RES |
None |
1500 |
1500 |
-375 |
1125 |
0 |
None |
9T2P11 |
None |
CA00409234 |
E |
SFY2014-15 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-10-24 00:00:00 |
060011026 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2011-07-14 00:00:00 |
2011-07-14 00:00:00 |
No |
2014-11-17 00:00:00 |
None |
FTR BR |
None |
1100 |
1100 |
-275 |
825 |
0 |
None |
141Z11 |
None |
CA00279028 |
E |
SFY2014-15 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2015-03-30 00:00:00 |
060011363 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2011-11-13 00:00:00 |
2011-11-13 00:00:00 |
No |
2015-04-21 00:00:00 |
None |
FTR BR |
None |
2600 |
2600 |
-650 |
1950 |
0 |
None |
S38N11 |
None |
CA00412403 |
E |
SFY2014-15 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2015-03-30 00:00:00 |
060011364 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2012-07-02 00:00:00 |
2012-07-02 00:00:00 |
No |
2015-04-21 00:00:00 |
None |
FTR BR |
None |
600 |
600 |
-150 |
450 |
0 |
None |
CJR111 |
None |
CA00412438 |
E |
SFY2014-15 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2015-07-28 00:00:00 |
060011639 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2013-07-28 00:00:00 |
2013-07-28 00:00:00 |
No |
2015-08-18 00:00:00 |
None |
FTR RES |
None |
300 |
300 |
-75 |
225 |
0 |
None |
T1RX11 |
None |
CA00412447 |
E |
SFY2015-16 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2015-07-28 00:00:00 |
060011640 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2013-07-28 00:00:00 |
2013-07-28 00:00:00 |
No |
2015-08-18 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
-75 |
225 |
0 |
None |
T1RX11 |
None |
CA00412447 |
E |
SFY2015-16 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2015-12-14 00:00:00 |
060011887 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2015-02-14 00:00:00 |
2015-02-14 00:00:00 |
No |
2016-01-05 00:00:00 |
None |
AP IJ |
None |
47025 |
47025 |
0 |
47025 |
0 |
None |
GPK911 |
N |
CA00431780 |
A |
SFY2015-16 |
060000002 |
AHMC ANAHEIM REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2018-01-10 00:00:00 |
060013718 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2017-03-16 00:00:00 |
2017-03-16 00:00:00 |
No |
2018-02-06 00:00:00 |
None |
AP NON-IJ |
None |
13200 |
13200 |
0 |
13200 |
0 |
None |
SYOS11 |
N |
CA00529205 |
B |
SFY2017-18 |
060000074 |
ANAHEIM GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2019-05-16 00:00:00 |
060015068 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2018-08-12 00:00:00 |
2018-08-12 00:00:00 |
Yes |
2019-08-30 00:00:00 |
2019-08-12 00:00:00 |
AP IJ |
AP IJ |
75000 |
56250 |
0 |
56250 |
0 |
None |
18C311 |
Y |
CA00606397, CA00606397 |
B, B |
SFY2018-19 |
060000074 |
ANAHEIM GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2020-04-24 00:00:00 |
060015858 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2020-02-22 00:00:00 |
2020-02-22 00:00:00 |
No |
2020-05-15 00:00:00 |
None |
FTR AE |
None |
600 |
600 |
0 |
600 |
0 |
None |
NVTW11 |
N |
CA00679349 |
D |
SFY2019-20 |
060000074 |
ANAHEIM GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2022-04-04 00:00:00 |
060017541 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2021-09-07 00:00:00 |
2021-09-07 00:00:00 |
No |
2022-04-25 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
MCZT11 |
Y |
CA00754443 |
B |
SFY2021-22 |
060000074 |
ANAHEIM GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2023-05-02 00:00:00 |
060018699 |
Open |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2023-01-05 00:00:00 |
2023-01-05 00:00:00 |
Yes |
2023-05-23 00:00:00 |
2023-07-11 00:00:00 |
AP IJ |
AP IJ |
75000 |
63750 |
0 |
21250 |
42500 |
None |
ASW911 |
Y |
CA00831524 |
B |
SFY2022-23 |
080000665 |
AURORA SAN DIEGO |
Non-LTC |
APH |
Acute Psychiatric Hospital |
San Diego |
2011-06-28 00:00:00 |
080008332 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2010-07-19 00:00:00 |
2010-07-19 00:00:00 |
Yes |
2012-11-02 00:00:00 |
2012-10-15 00:00:00 |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
U2NC11 |
Y |
CA00236003 |
A |
SFY2010-11 |
080000130 |
ACCENTCARE HOME HEALTH OF CALIFORNIA, INC |
Non-LTC |
HHA |
Home Health Agency |
San Diego |
2012-06-27 00:00:00 |
080009381 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2011-04-21 12:00:00 |
2011-04-21 12:00:00 |
No |
2012-07-19 00:00:00 |
None |
FTR BR |
None |
2100 |
2100 |
-525 |
1575 |
0 |
None |
C3B511 |
None |
CA00305750 |
E |
SFY2011-12 |
080000665 |
AURORA SAN DIEGO |
Non-LTC |
APH |
Acute Psychiatric Hospital |
San Diego |
2013-06-18 00:00:00 |
080009953 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2012-11-19 00:00:00 |
2012-11-19 00:00:00 |
No |
2014-02-21 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
WGHG11 |
Y |
CA00333809 |
A |
SFY2012-13 |
080000156 |
ALVARADO PARKWAY INSTITUTE BEHAVIORAL HEALTH SYSTEM |
Non-LTC |
APH |
Acute Psychiatric Hospital |
San Diego |
2017-04-26 00:00:00 |
080013155 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2016-12-07 00:00:00 |
2016-12-07 00:00:00 |
No |
2017-05-17 00:00:00 |
None |
AP NON-IJ |
None |
3787 |
3787 |
0 |
3787 |
0 |
None |
5P3311 |
N |
CA00513828, CA00514049 |
B, B |
SFY2016-17 |
110000070 |
ADVENTIST HEALTH UKIAH VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2008-02-19 00:00:00 |
110004701 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE03 - Wrong surgical procedure performed on a patient |
None |
2007-10-01 01:19:00 |
2007-10-01 01:19:00 |
No |
2008-03-11 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
TEJW11 |
N |
CA00129108 |
B |
SFY2007-08 |
110000070 |
ADVENTIST HEALTH UKIAH VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2008-12-04 00:00:00 |
110005634 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-01-26 05:45:00 |
2008-01-26 05:45:00 |
No |
2008-12-26 00:00:00 |
None |
FTR AE |
None |
4100 |
4100 |
0 |
4100 |
0 |
None |
WFRQ11 |
N |
CA00143513 |
B |
SFY2008-09 |
110000044 |
ADVENTIST HEALTH CLEARLAKE |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2009-01-26 00:00:00 |
110005747 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-02-04 18:50:00 |
2008-02-04 18:50:00 |
No |
2009-02-18 00:00:00 |
None |
FTR AE |
None |
1600 |
1600 |
0 |
1600 |
0 |
None |
JES711 |
N |
CA00141923 |
B |
SFY2008-09 |
110000044 |
ADVENTIST HEALTH CLEARLAKE |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2009-04-24 00:00:00 |
110006130 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2008-10-28 00:00:00 |
2008-10-28 00:00:00 |
Yes |
2009-09-23 00:00:00 |
2009-09-10 00:00:00 |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
I3NU11 |
N |
CA00168577 |
B |
SFY2008-09 |
110000073 |
ADVENTIST HEALTH VALLEJO |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Santa Rosa |
2010-12-01 00:00:00 |
110007675 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
AE or Series of AE |
2009-05-04 00:00:00 |
2009-05-04 00:00:00 |
No |
2010-12-22 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
JM5J11 |
N |
CA00187794 |
A |
SFY2010-11 |
110000023 |
ADVENTIST HEALTH MENDOCINO COAST |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-01-11 00:00:00 |
110007728 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
Malicious breach of PHI |
2009-06-15 00:00:00 |
2009-06-15 00:00:00 |
No |
2012-10-04 00:00:00 |
None |
AP BR |
None |
42500 |
42500 |
-35500 |
7000 |
0 |
None |
CCJZ11 |
None |
CA00192541 |
C |
SFY2010-11 |
110000058 |
ADVENTIST HEALTH ST. HELENA |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-04-07 00:00:00 |
110008034 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2010-10-22 00:00:00 |
2010-10-22 00:00:00 |
No |
2011-04-28 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
0 |
100 |
0 |
None |
9UFU11 |
None |
CA00248962 |
C |
SFY2010-11 |
110000058 |
ADVENTIST HEALTH ST. HELENA |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-04-08 00:00:00 |
110008036 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach by h/c worker within facility/hc system |
None |
2010-10-22 00:00:00 |
2010-10-22 00:00:00 |
No |
2011-04-29 00:00:00 |
None |
FTR RES |
None |
100 |
100 |
0 |
100 |
0 |
None |
9UFU11 |
None |
CA00248962 |
C |
SFY2010-11 |
110000070 |
ADVENTIST HEALTH UKIAH VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2012-05-17 00:00:00 |
110009313 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2011-10-04 13:00:00 |
2011-10-04 13:00:00 |
No |
2012-06-08 00:00:00 |
None |
FTR BR |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
KMPM11 |
None |
CA00292068 |
C |
SFY2011-12 |
110000044 |
ADVENTIST HEALTH CLEARLAKE |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2014-11-14 00:00:00 |
110011005 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach by person other than a h/c worker |
None |
2010-12-07 00:00:00 |
2010-12-07 00:00:00 |
No |
2016-08-01 00:00:00 |
None |
AP BR |
None |
2500 |
2500 |
-625 |
1875 |
0 |
None |
7X4W11 |
None |
CA00251830 |
C |
SFY2014-15 |
110000070 |
ADVENTIST HEALTH UKIAH VALLEY |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2015-01-14 00:00:00 |
110011049 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2012-09-11 00:00:00 |
2012-09-11 00:00:00 |
No |
2015-02-05 00:00:00 |
None |
FTR RES |
None |
500 |
500 |
0 |
500 |
0 |
None |
OVPU11 |
None |
CA00325924 |
C |
SFY2014-15 |
110000044 |
ADVENTIST HEALTH CLEARLAKE |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2015-01-16 00:00:00 |
110011072 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2013-04-30 00:00:00 |
2013-04-30 00:00:00 |
No |
2015-02-09 00:00:00 |
None |
FTR RES |
None |
800 |
800 |
0 |
800 |
0 |
None |
V2VO11 |
None |
CA00354887 |
E |
SFY2014-15 |
110000044 |
ADVENTIST HEALTH CLEARLAKE |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2015-01-16 00:00:00 |
110011073 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2013-04-30 00:00:00 |
2013-04-30 00:00:00 |
No |
2015-02-09 00:00:00 |
None |
FTR BR |
None |
800 |
800 |
0 |
800 |
0 |
None |
V2VO11 |
None |
CA00354887 |
E |
SFY2014-15 |
110000073 |
ADVENTIST HEALTH VALLEJO |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Santa Rosa |
2016-03-16 00:00:00 |
110012074 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2013-02-01 00:00:00 |
2013-02-01 00:00:00 |
No |
2016-04-07 00:00:00 |
None |
FTR RES |
None |
300 |
300 |
0 |
300 |
0 |
None |
SBCX11 |
None |
CA00345403 |
E |
SFY2015-16 |
110000073 |
ADVENTIST HEALTH VALLEJO |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Santa Rosa |
2016-03-16 00:00:00 |
110012075 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2013-02-01 00:00:00 |
2013-02-01 00:00:00 |
No |
2016-04-07 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
0 |
300 |
0 |
None |
SBCX11 |
None |
CA00345403 |
E |
SFY2015-16 |
110000008 |
ADVENTIST HEALTH HOWARD MEMORIAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2018-07-20 00:00:00 |
110012080 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2012-07-19 00:00:00 |
2012-07-19 00:00:00 |
No |
2018-08-10 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-25000 |
0 |
0 |
None |
TVIR11 |
None |
CA00319835 |
C |
SFY2018-19 |
110000058 |
ADVENTIST HEALTH ST. HELENA |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2018-06-18 00:00:00 |
110014168 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2015-10-07 00:00:00 |
2015-10-07 00:00:00 |
No |
2018-07-10 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
550C11 |
N |
CA00462529 |
C |
SFY2017-18 |
110000058 |
ADVENTIST HEALTH ST. HELENA |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2018-06-18 00:00:00 |
110014169 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2015-09-01 00:00:00 |
2015-09-01 00:00:00 |
No |
2018-07-10 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
550C11 |
N |
CA00457208, CA00457208 |
C, C |
SFY2017-18 |
110000073 |
ADVENTIST HEALTH VALLEJO |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Santa Rosa |
2018-12-11 00:00:00 |
110014634 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2017-09-01 00:00:00 |
2017-09-01 00:00:00 |
No |
2019-01-02 00:00:00 |
None |
AP NON-IJ |
None |
4000 |
4000 |
0 |
4000 |
0 |
None |
TJF011 |
N |
CA00552016, CA00552016 |
B, B |
SFY2018-19 |
110000058 |
ADVENTIST HEALTH ST. HELENA |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2019-09-23 00:00:00 |
110015382 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2019-05-08 00:00:00 |
2019-05-08 00:00:00 |
No |
2019-10-14 00:00:00 |
None |
AP NON-IJ |
None |
4000 |
4000 |
0 |
4000 |
0 |
None |
SIDV11 |
N |
CA00637288, CA00637288, CA00637288 |
C, C, C |
SFY2019-20 |
110000073 |
ADVENTIST HEALTH VALLEJO |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Santa Rosa |
2019-09-23 00:00:00 |
110015392 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2018-10-16 00:00:00 |
2018-10-16 00:00:00 |
No |
2019-10-14 00:00:00 |
None |
AP NON-IJ |
None |
4000 |
4000 |
0 |
4000 |
0 |
None |
EF4H11 |
N |
CA00608020, CA00638713 |
A, C |
SFY2019-20 |
110000058 |
ADVENTIST HEALTH ST. HELENA |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2019-12-19 00:00:00 |
110015455 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2019-04-24 00:00:00 |
2019-04-24 00:00:00 |
No |
2020-01-10 00:00:00 |
None |
AP NON-IJ |
None |
12000 |
12000 |
0 |
12000 |
0 |
None |
FD1Y11 |
N |
CA00636313 |
B |
SFY2019-20 |
110000058 |
ADVENTIST HEALTH ST. HELENA |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2022-06-30 00:00:00 |
110017751 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2019-01-03 00:00:00 |
2019-01-03 00:00:00 |
No |
2022-07-22 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
6XNR11 |
Y |
CA00618518, CA00618518 |
B, B |
SFY2021-22 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2009-02-03 00:00:00 |
120005849 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-07-28 00:00:00 |
2008-07-28 00:00:00 |
No |
2009-02-26 00:00:00 |
None |
FTR AE |
None |
8100 |
8100 |
0 |
8100 |
0 |
None |
LXTV11 |
N |
CA00166884 |
B |
SFY2008-09 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2009-10-27 00:00:00 |
120006623 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-07-31 13:10:00 |
2009-07-31 13:10:00 |
No |
2009-11-18 00:00:00 |
None |
FTR AE |
None |
2800 |
2800 |
0 |
2800 |
0 |
None |
5SO611 |
N |
CA00166884 |
B |
SFY2009-10 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2010-06-07 00:00:00 |
120006658 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach to person/entity outside facility/hc system |
None |
2009-07-31 00:00:00 |
2009-07-31 00:00:00 |
No |
2010-07-01 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
9E5U11 |
None |
CA00197270 |
B |
SFY2009-10 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2010-01-07 00:00:00 |
120006678 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-01-26 02:54:00 |
2009-01-26 02:54:00 |
No |
2010-02-01 00:00:00 |
None |
FTR AE |
None |
20200 |
20200 |
0 |
20200 |
0 |
None |
WFBM11 |
N |
CA00199264 |
B |
SFY2009-10 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2010-01-21 00:00:00 |
120006812 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-09-11 08:20:00 |
2009-09-11 08:20:00 |
No |
2010-02-11 00:00:00 |
None |
FTR AE |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
OL5F11 |
N |
CA00203406 |
B |
SFY2009-10 |
120000336 |
ADVENTIST HEALTH DELANO |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2010-09-23 00:00:00 |
120007267 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2009-10-14 00:00:00 |
2009-10-14 00:00:00 |
No |
2010-12-15 00:00:00 |
None |
AP BR |
None |
60000 |
60000 |
-15000 |
45000 |
0 |
None |
LOL411 |
None |
CA00207243 |
B |
SFY2010-11 |
120001467 |
ADVENTIST HEALTH TULARE |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2015-08-18 00:00:00 |
120011674 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2015-05-05 00:00:00 |
2015-05-05 00:00:00 |
No |
2015-09-11 00:00:00 |
None |
AP NON-IJ |
None |
11812 |
11812 |
0 |
11812 |
0 |
None |
7V2Q11 |
N |
CA00442091 |
B |
SFY2015-16 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2015-09-28 00:00:00 |
120011748 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2010-08-11 00:00:00 |
2010-08-11 00:00:00 |
No |
2015-10-19 00:00:00 |
None |
FTR AE |
None |
2700 |
2700 |
0 |
2700 |
0 |
None |
55PT11 |
N |
CA00359400 |
B |
SFY2015-16 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2016-04-06 00:00:00 |
120012168 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2014-12-19 00:00:00 |
2014-12-19 00:00:00 |
Yes |
2016-04-27 00:00:00 |
2016-04-19 00:00:00 |
AP NON-IJ |
AP NON-IJ |
15750 |
11000 |
0 |
11000 |
0 |
None |
KSFD11 |
N |
CA00467713 |
C |
SFY2015-16 |
120001467 |
ADVENTIST HEALTH TULARE |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2016-06-21 00:00:00 |
120012342 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2016-02-03 00:00:00 |
2016-02-03 00:00:00 |
No |
2016-07-13 00:00:00 |
None |
AP NON-IJ |
None |
16500 |
16500 |
0 |
16500 |
0 |
None |
2JW311 |
N |
CA00486248 |
B |
SFY2015-16 |
120001467 |
ADVENTIST HEALTH TULARE |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2016-10-04 00:00:00 |
120012616 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2015-09-16 00:00:00 |
2015-09-16 00:00:00 |
No |
2016-10-25 00:00:00 |
None |
AP NON-IJ |
None |
16500 |
16500 |
0 |
16500 |
0 |
None |
8VWF11 |
N |
CA00488455 |
B |
SFY2016-17 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2017-01-30 00:00:00 |
120012925 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE07 - Use of device other than as intended |
None |
2016-11-29 00:00:00 |
2016-11-29 00:00:00 |
No |
2017-02-21 00:00:00 |
None |
AP NON-IJ |
None |
12000 |
12000 |
0 |
12000 |
0 |
None |
5WYU11 |
N |
CA00513448 |
B |
SFY2016-17 |
120001467 |
ADVENTIST HEALTH TULARE |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2017-03-02 00:00:00 |
120013012 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2015-09-16 00:00:00 |
2015-09-16 00:00:00 |
No |
2017-03-23 00:00:00 |
None |
FTR AE |
None |
21900 |
21900 |
0 |
21900 |
0 |
None |
8VWF11 |
N |
CA00488455 |
B |
SFY2016-17 |
120001467 |
ADVENTIST HEALTH TULARE |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2017-04-20 00:00:00 |
120013140 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2016-09-29 00:00:00 |
2016-09-29 00:00:00 |
No |
2017-05-11 00:00:00 |
None |
AP NON-IJ |
None |
16537 |
16537 |
0 |
16537 |
0 |
None |
5S0P11 |
N |
CA00507101 |
B |
SFY2016-17 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2017-06-13 00:00:00 |
120013279 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
Retained Foreign Object |
2017-03-01 00:00:00 |
2017-03-01 00:00:00 |
Yes |
2017-07-05 00:00:00 |
2017-06-23 00:00:00 |
AP NON-IJ |
AP NON-IJ |
11250 |
9000 |
0 |
9000 |
0 |
None |
GTRJ11 |
N |
CA00532765 |
B |
SFY2016-17 |
120000336 |
ADVENTIST HEALTH DELANO |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2018-03-14 00:00:00 |
120013904 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2008-05-22 00:00:00 |
2008-05-22 00:00:00 |
No |
2018-04-04 00:00:00 |
None |
FTR AE |
None |
11700 |
11700 |
0 |
11700 |
0 |
None |
BYDW11 |
N |
CA00546313 |
B |
SFY2017-18 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2019-11-06 00:00:00 |
120015518 |
Open |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2019-09-13 00:00:00 |
2019-09-13 00:00:00 |
Yes |
2019-11-27 00:00:00 |
2019-12-02 00:00:00 |
AP NON-IJ |
None |
15000 |
15000 |
0 |
0 |
15000 |
None |
Y6LE11 |
N |
CA00655647 |
B |
SFY2019-20 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2021-05-28 00:00:00 |
120016555 |
Open |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2020-03-05 00:00:00 |
2020-03-05 00:00:00 |
No |
2021-06-21 00:00:00 |
None |
AP NON-IJ |
None |
13200 |
13200 |
0 |
0 |
13200 |
None |
3E8611 |
N |
CA00680161 |
B |
SFY2020-21 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2022-03-17 00:00:00 |
120017502 |
Open |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2020-09-11 00:00:00 |
2020-09-11 00:00:00 |
No |
2022-04-08 00:00:00 |
None |
AP IJ |
None |
66600 |
66600 |
0 |
66600 |
0 |
None |
IZ4M11 |
N |
CA00714930, CA00736699 |
B, B |
SFY2021-22 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2022-07-01 00:00:00 |
120017758 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE03 - Wrong surgical procedure performed on a patient |
None |
2021-11-11 00:00:00 |
2021-11-11 00:00:00 |
No |
2022-07-25 00:00:00 |
None |
AP IJ |
None |
57750 |
57750 |
0 |
57750 |
0 |
None |
WCK411 |
N |
CA00765460, CA00770995 |
B, B |
SFY2022-23 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2023-05-16 00:00:00 |
120018967 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2020-11-11 00:00:00 |
2020-11-11 00:00:00 |
No |
2023-08-16 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
MWXT11 |
None |
CA00728403 |
D |
SFY2022-23 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2023-08-10 00:00:00 |
120019045 |
Open |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2022-01-06 00:00:00 |
2022-01-06 00:00:00 |
Yes |
2023-08-31 00:00:00 |
2023-11-07 00:00:00 |
AP IJ |
None |
125000 |
125000 |
0 |
0 |
125000 |
None |
CJTV11 |
Y |
CA00769103, CA00769103 |
B, B |
SFY2023-24 |
120000411 |
ADVENTIST HEALTH BAKERSFIELD |
Non-LTC |
GACH |
General Acute Care Hospital |
Bakersfield |
2023-11-21 00:00:00 |
120019992 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2020-03-01 00:00:00 |
2020-03-01 00:00:00 |
No |
2024-05-22 00:00:00 |
None |
AP BR |
None |
250000 |
250000 |
-62500 |
187500 |
0 |
None |
CM0E11 |
None |
CA00707914 |
C |
SFY2023-24 |
220000026 |
AHMC SETON MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2010-06-01 00:00:00 |
220007275 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-01-22 08:00:00 |
2009-01-22 08:00:00 |
No |
2010-06-22 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
026G11 |
N |
CA00177116 |
B |
SFY2009-10 |
220000662 |
ACCENTCARE HOME HEALTH OF CALIFORNIA, INC. |
Non-LTC |
HHA |
Home Health Agency |
San Francisco |
2013-08-13 00:00:00 |
220010064 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2012-10-22 00:00:00 |
2012-10-22 00:00:00 |
Yes |
2015-02-24 00:00:00 |
2015-02-06 00:00:00 |
AP BR |
AP BR |
150000 |
75000 |
0 |
75000 |
0 |
None |
4FIG11 |
None |
CA00330806 |
C |
SFY2013-14 |
220000026 |
AHMC SETON MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2014-02-24 00:00:00 |
220010496 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2013-08-01 08:00:00 |
2013-08-01 08:00:00 |
No |
2014-03-17 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
34IU11 |
N |
CA00365543 |
C |
SFY2013-14 |
220000026 |
AHMC SETON MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2015-02-26 00:00:00 |
220011292 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE22 - Death associated with a fall |
None |
2012-07-24 00:00:00 |
2012-07-24 00:00:00 |
Yes |
2015-03-19 00:00:00 |
2015-05-20 00:00:00 |
AP IJ |
AP IJ |
50000 |
10000 |
-9670 |
330 |
0 |
None |
KJCR11 |
N |
CA00320085 |
C |
SFY2014-15 |
220000026 |
AHMC SETON MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2015-10-22 00:00:00 |
220011794 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2015-07-07 00:00:00 |
2015-07-07 00:00:00 |
No |
2015-11-13 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
3GX311 |
N |
CA00451639 |
C |
SFY2015-16 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2007-08-03 00:00:00 |
230004144 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-06-18 00:00:00 |
2007-06-18 00:00:00 |
Yes |
2007-08-24 00:00:00 |
2007-11-02 00:00:00 |
AP IJ |
AP IJ |
25000 |
12500 |
0 |
12500 |
0 |
None |
R6O111 |
N |
None |
None |
SFY2007-08 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2007-08-03 00:00:00 |
230004145 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-06-18 00:00:00 |
2007-06-18 00:00:00 |
Yes |
2007-08-24 00:00:00 |
2007-11-02 00:00:00 |
AP IJ |
AP IJ |
25000 |
12500 |
0 |
12500 |
0 |
None |
R6O111 |
N |
None |
None |
SFY2007-08 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2009-02-05 00:00:00 |
230005605 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
FTR ADVERSE EVENT |
2008-06-30 09:50:00 |
2008-06-30 09:50:00 |
No |
2009-03-02 00:00:00 |
None |
FTR AE |
None |
8800 |
8800 |
0 |
8800 |
0 |
None |
MH5I11 |
N |
CA00164986 |
B |
SFY2008-09 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2009-02-20 00:00:00 |
230005893 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-12-03 00:00:00 |
2008-12-03 00:00:00 |
No |
2009-03-13 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
78TF11 |
N |
CA00171713 |
A |
SFY2008-09 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2009-11-05 00:00:00 |
230006624 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2009-01-23 00:00:00 |
2009-01-23 00:00:00 |
No |
2009-12-01 00:00:00 |
None |
AP BR |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
5U1K11 |
None |
CA00194379 |
D |
SFY2009-10 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2009-07-01 00:00:00 |
230006795 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2009-05-20 00:00:00 |
2009-05-20 00:00:00 |
No |
2012-10-04 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
XR5711 |
None |
CA00189266 |
B |
SFY2009-10 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2010-03-26 00:00:00 |
230007043 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
FTR AE TIMELY |
2010-01-26 00:00:00 |
2010-01-26 00:00:00 |
No |
2010-04-19 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
PXD811 |
N |
CA00217647 |
C |
SFY2009-10 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2010-03-26 00:00:00 |
230007044 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
FTR AE Timely |
2009-11-20 00:00:00 |
2009-11-20 00:00:00 |
No |
2010-04-20 00:00:00 |
None |
FTR AE |
None |
7700 |
7700 |
0 |
7700 |
0 |
None |
403Q11 |
N |
CA00218031 |
B |
SFY2009-10 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2010-08-23 00:00:00 |
230007251 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-02-26 00:00:00 |
2010-02-26 00:00:00 |
No |
2010-09-17 00:00:00 |
None |
FTR BR |
None |
3300 |
3300 |
-825 |
2475 |
0 |
None |
K46L11 |
None |
CA00224586 |
E |
SFY2010-11 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2010-08-05 00:00:00 |
230007433 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-04-15 00:00:00 |
2010-04-15 00:00:00 |
No |
2010-09-14 00:00:00 |
None |
FTR BR |
None |
1400 |
1400 |
-350 |
1050 |
0 |
None |
SW4E11 |
None |
CA00228022 |
E |
SFY2010-11 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2010-08-20 00:00:00 |
230007434 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2010-04-12 00:00:00 |
2010-04-12 00:00:00 |
No |
2010-09-14 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
LMCM11 |
N |
CA00225942 |
C |
SFY2010-11 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2011-03-15 00:00:00 |
230007874 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2010-06-10 00:00:00 |
2010-06-10 00:00:00 |
No |
2013-07-26 00:00:00 |
None |
AP BR |
None |
250000 |
250000 |
-62500 |
187500 |
0 |
None |
W1XC11 |
None |
CA00234147 |
B |
SFY2010-11 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2007-12-11 00:00:00 |
230008050 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2007-10-16 00:00:00 |
2007-10-16 00:00:00 |
No |
2008-01-03 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
IEIH11 |
N |
CA00130221 |
B |
SFY2007-08 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-04-04 00:00:00 |
230008490 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2011-05-25 00:00:00 |
2011-05-25 00:00:00 |
Yes |
2014-06-20 00:00:00 |
2014-06-09 00:00:00 |
AP BR |
AP IJ |
50000 |
50000 |
0 |
50000 |
0 |
None |
H14W11 |
None |
CA00273375 |
B |
SFY2011-12 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-04-04 00:00:00 |
230008491 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Deliberate breach of PHI by health care worker |
None |
2011-05-25 08:23:00 |
2011-05-25 08:23:00 |
No |
2012-04-25 00:00:00 |
None |
FTR BR |
None |
1500 |
1500 |
-375 |
1125 |
0 |
None |
H14W11 |
None |
CA00273375 |
B |
SFY2011-12 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-04-04 00:00:00 |
230008493 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Deliberate breach of PHI by health care worker |
None |
2011-05-25 08:23:00 |
2011-05-25 08:23:00 |
No |
2012-04-25 00:00:00 |
None |
FTR RES |
None |
1500 |
1500 |
-375 |
1125 |
0 |
None |
H14W11 |
None |
CA00273375 |
B |
SFY2011-12 |
230000499 |
ADVENTIST HEALTH HOME CARE SERVICES |
Non-LTC |
HHA |
Home Health Agency |
Chico |
2012-05-21 00:00:00 |
230009187 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2011-09-07 16:40:00 |
2011-09-07 16:40:00 |
No |
2012-06-12 00:00:00 |
None |
FTR RES |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
HFUN11 |
None |
CA00283331 |
B |
SFY2011-12 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2013-01-17 00:00:00 |
230009337 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2011-10-10 20:30:00 |
2011-10-10 20:30:00 |
No |
2013-02-08 00:00:00 |
None |
FTR BR |
None |
3100 |
3100 |
-775 |
2325 |
0 |
None |
XZ2Y11 |
None |
CA00289915 |
B |
SFY2012-13 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-05-25 00:00:00 |
230009338 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach by h/c worker within facility/hc system |
None |
2011-10-10 20:30:00 |
2011-10-10 20:30:00 |
No |
2012-06-18 00:00:00 |
None |
FTR RES |
None |
2500 |
2500 |
-625 |
1875 |
0 |
None |
XZ2Y11 |
None |
CA00289915 |
B |
SFY2011-12 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2013-04-02 00:00:00 |
230009339 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2011-10-10 00:00:00 |
2011-10-10 00:00:00 |
Yes |
2014-06-20 00:00:00 |
2014-06-09 00:00:00 |
AP BR |
AP BR |
42500 |
42500 |
0 |
42500 |
0 |
None |
XZ2Y11 |
None |
CA00289915 |
B |
SFY2012-13 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-07-10 00:00:00 |
230009359 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Deliberate breach of PHI by health care worker |
None |
2011-12-28 09:30:00 |
2011-12-28 09:30:00 |
No |
2012-07-31 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
-25 |
75 |
0 |
None |
3SWH11 |
None |
CA00295183 |
B |
SFY2012-13 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2013-11-27 00:00:00 |
230010283 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2012-01-07 09:30:00 |
2012-01-07 09:30:00 |
No |
2013-12-20 00:00:00 |
None |
FTR AE |
None |
600 |
600 |
0 |
600 |
0 |
None |
F61O11 |
N |
CA00296394 |
B |
SFY2013-14 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2014-06-18 00:00:00 |
230010362 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2012-09-15 00:00:00 |
2012-09-15 00:00:00 |
No |
2015-03-05 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
6WVT11 |
N |
CA00327421 |
A |
SFY2013-14 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2014-06-18 00:00:00 |
230010363 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE12 - Medication error |
None |
2012-09-15 07:30:00 |
2012-09-15 07:30:00 |
No |
2014-07-10 00:00:00 |
None |
FTR AE |
None |
800 |
800 |
0 |
800 |
0 |
None |
6WVT11 |
N |
CA00327421 |
A |
SFY2013-14 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2014-06-25 00:00:00 |
230010364 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2013-03-14 13:00:00 |
2013-03-14 13:00:00 |
No |
2014-07-17 00:00:00 |
None |
FTR AE |
None |
3600 |
3600 |
0 |
3600 |
0 |
None |
WL2011 |
N |
CA00368845 |
B |
SFY2013-14 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2015-11-03 00:00:00 |
230011823 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2013-08-04 00:00:00 |
2013-08-04 00:00:00 |
No |
2015-11-25 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
2DJO11 |
N |
CA00365821 |
B |
SFY2015-16 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2015-11-05 00:00:00 |
230011826 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2013-12-30 00:00:00 |
2013-12-30 00:00:00 |
No |
2015-12-01 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
HGJK11 |
N |
CA00383088 |
B |
SFY2015-16 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2016-03-24 00:00:00 |
230012140 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2013-04-03 00:00:00 |
2013-04-03 00:00:00 |
No |
2016-04-15 00:00:00 |
None |
FTR BR |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
KKFH11 |
None |
CA00352268 |
D |
SFY2015-16 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2016-03-24 00:00:00 |
230012142 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2014-08-15 00:00:00 |
2014-08-15 00:00:00 |
No |
2016-04-15 00:00:00 |
None |
FTR AE |
None |
1200 |
1200 |
0 |
1200 |
0 |
None |
CB1N11 |
N |
CA00422216 |
B |
SFY2015-16 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2016-10-18 00:00:00 |
230012630 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2014-03-23 00:00:00 |
2014-03-23 00:00:00 |
No |
2016-11-08 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
FCQI11 |
N |
CA00393336 |
B |
SFY2016-17 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2017-08-24 00:00:00 |
230013453 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2016-05-12 00:00:00 |
2016-05-12 00:00:00 |
No |
2017-09-15 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
6C5N11 |
N |
CA00488834 |
B |
SFY2017-18 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2018-05-08 00:00:00 |
230013601 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2016-09-13 00:00:00 |
2016-09-13 00:00:00 |
No |
2018-10-01 00:00:00 |
None |
AP BR |
None |
7500 |
7500 |
-1875 |
5625 |
0 |
None |
ZCXP11 |
None |
CA00516302, CA00516302 |
D, D |
SFY2017-18 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2017-11-21 00:00:00 |
230013800 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach to person/entity outside facility/hc system |
None |
2016-02-10 00:00:00 |
2016-02-10 00:00:00 |
No |
2017-12-14 00:00:00 |
None |
AP BR |
None |
0 |
0 |
0 |
0 |
0 |
None |
8ZOL11 |
None |
CA00478893 |
E |
SFY2017-18 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2017-12-06 00:00:00 |
230013812 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2016-11-02 00:00:00 |
2016-11-02 00:00:00 |
No |
2019-04-12 00:00:00 |
None |
AP BR |
None |
7500 |
7500 |
0 |
7500 |
0 |
None |
IFMZ11 |
None |
CA00510712 |
D |
SFY2017-18 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2018-01-11 00:00:00 |
230013867 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach to person/entity outside facility/hc system |
None |
2016-12-14 00:00:00 |
2016-12-14 00:00:00 |
No |
2019-04-12 00:00:00 |
None |
AP BR |
None |
7500 |
7500 |
-1875 |
5625 |
0 |
None |
5HZE11 |
None |
CA00516759 |
E |
SFY2017-18 |
230000005 |
ADVENTIST HEALTH FEATHER RIVER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2019-04-16 00:00:00 |
230014356 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2018-02-04 00:00:00 |
2018-02-04 00:00:00 |
No |
2019-05-07 00:00:00 |
None |
FTR AE |
None |
8300 |
8300 |
0 |
8300 |
0 |
None |
7H8X11 |
N |
CA00585546 |
C |
SFY2018-19 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2022-11-29 00:00:00 |
230017827 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2021-04-24 00:00:00 |
2021-04-24 00:00:00 |
No |
2022-12-20 00:00:00 |
None |
AP NON-IJ |
None |
12720 |
12720 |
0 |
12720 |
0 |
None |
NCSU11 |
N |
CA00739214 |
C |
SFY2022-23 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2023-05-30 00:00:00 |
230018979 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2018-09-13 00:00:00 |
2018-09-13 00:00:00 |
No |
2023-08-16 00:00:00 |
None |
AP BR |
None |
10000 |
10000 |
-2500 |
7500 |
0 |
None |
NDFZ11 |
None |
CA00606926 |
D |
SFY2022-23 |
230000261 |
ADVENTIST HEALTH AND RIDEOUT |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2023-10-01 00:00:00 |
230019734 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2022-07-08 00:00:00 |
2022-07-08 00:00:00 |
No |
2024-03-13 00:00:00 |
None |
AP BR |
None |
10000 |
10000 |
-2500 |
7500 |
0 |
None |
9D6211 |
None |
CA00793575 |
D |
SFY2023-24 |
240000100 |
ARROWHEAD REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2009-06-30 00:00:00 |
240006311 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2008-11-29 00:00:00 |
2008-11-29 00:00:00 |
No |
2009-07-21 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
IGQU11 |
N |
CA00172830 |
C |
SFY2008-09 |
240000100 |
ARROWHEAD REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2009-07-03 00:00:00 |
240006359 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2008-10-16 00:00:00 |
2008-10-16 00:00:00 |
No |
2009-07-24 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
72CP11 |
N |
CA00170371 |
C |
SFY2009-10 |
240000100 |
ARROWHEAD REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2014-04-18 00:00:00 |
240010641 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2011-10-07 00:00:00 |
2011-10-07 00:00:00 |
No |
2015-02-24 00:00:00 |
None |
AP BR |
None |
95000 |
95000 |
0 |
95000 |
0 |
None |
W6BR11 |
None |
CA00292182 |
E |
SFY2013-14 |
240000100 |
ARROWHEAD REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2015-01-14 00:00:00 |
240011233 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2012-02-01 00:00:00 |
2012-02-01 00:00:00 |
No |
2015-02-05 00:00:00 |
None |
FTR AE |
None |
7200 |
7200 |
0 |
7200 |
0 |
None |
BOTG11 |
N |
CA00307680 |
E |
SFY2014-15 |
240000100 |
ARROWHEAD REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2015-05-11 00:00:00 |
240011459 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2012-03-03 00:00:00 |
2012-03-03 00:00:00 |
No |
2015-06-02 00:00:00 |
None |
FTR AE |
None |
600 |
600 |
0 |
600 |
0 |
None |
S5KS11 |
N |
CA00303297 |
E |
SFY2014-15 |
240000100 |
ARROWHEAD REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2016-01-15 00:00:00 |
240011971 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2014-05-18 00:00:00 |
2014-05-18 00:00:00 |
No |
2018-01-30 00:00:00 |
None |
AP BR |
None |
7500 |
7500 |
0 |
7500 |
0 |
None |
8LH211 |
None |
CA00410428 |
C |
SFY2015-16 |
240000100 |
ARROWHEAD REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2016-05-17 00:00:00 |
240012178 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2013-02-27 00:00:00 |
2013-02-27 00:00:00 |
No |
2016-06-08 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
DMDU11 |
N |
CA00347383 |
E |
SFY2015-16 |
930000008 |
ANTELOPE VALLEY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2013-08-14 00:00:00 |
930010095 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2010-03-10 00:00:00 |
2010-03-10 00:00:00 |
No |
2013-11-14 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
T0WF11 |
N |
CA00235788 |
C |
SFY2013-14 |
930000137 |
AURORA LAS ENCINAS HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
LA Acute/Ancillary |
2014-07-15 00:00:00 |
930010868 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2013-10-07 00:00:00 |
2013-10-07 00:00:00 |
No |
2015-01-06 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
YYR511 |
N |
CA00374420 |
B |
SFY2014-15 |
930000012 |
ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2014-12-09 00:00:00 |
930011165 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2012-09-29 00:00:00 |
2012-09-29 00:00:00 |
Yes |
2015-03-05 00:00:00 |
2015-02-20 00:00:00 |
AP IJ |
AP IJ |
50000 |
32500 |
0 |
32500 |
0 |
None |
D0PK11 |
N |
CA00340949 |
C |
SFY2014-15 |
930000008 |
ANTELOPE VALLEY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2016-01-06 00:00:00 |
930011944 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach to person/entity outside facility/hc system |
None |
2010-03-16 00:00:00 |
2010-03-16 00:00:00 |
Yes |
2016-08-01 00:00:00 |
2016-07-21 00:00:00 |
AP BR |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
DR7511 |
None |
CA00222831 |
C |
SFY2015-16 |
930000191 |
ADVENTIST HEALTH WHITE MEMORIAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2016-04-11 00:00:00 |
930012167 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2013-01-07 00:00:00 |
2013-01-07 00:00:00 |
No |
2017-05-11 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
U5H511 |
N |
CA00341956, CA00348213 |
C, C |
SFY2015-16 |
930000008 |
ANTELOPE VALLEY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2016-08-19 00:00:00 |
930012522 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2016-05-17 00:00:00 |
2016-05-17 00:00:00 |
No |
2016-09-12 00:00:00 |
None |
FTR AE |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
MPD511 |
N |
CA00491055 |
C |
SFY2016-17 |
930000008 |
ANTELOPE VALLEY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-02-22 00:00:00 |
930013746 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2012-11-03 00:00:00 |
2012-11-03 00:00:00 |
No |
2018-03-16 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
W6Y611 |
Y |
CA00333458, CA00451789, CA00451789 |
C, C, C |
SFY2017-18 |
930000012 |
ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-03-20 00:00:00 |
930014893 |
Open |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2017-12-09 00:00:00 |
2017-12-09 00:00:00 |
Yes |
2019-04-11 00:00:00 |
2021-10-26 00:00:00 |
AP IJ |
None |
47025 |
47025 |
0 |
0 |
47025 |
None |
QGCR11 |
Y |
CA00564973 |
B |
SFY2018-19 |
930000008 |
ANTELOPE VALLEY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-04-25 00:00:00 |
930014995 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2017-05-18 00:00:00 |
2017-05-18 00:00:00 |
No |
2019-05-16 00:00:00 |
None |
FTR AE |
None |
2900 |
2900 |
0 |
2900 |
0 |
None |
8JX911 |
N |
CA00540839 |
B |
SFY2018-19 |
930000059 |
ADVENTIST HEALTH GLENDALE |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-09-11 00:00:00 |
930015381 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2017-07-18 00:00:00 |
2017-07-18 00:00:00 |
No |
2019-10-02 00:00:00 |
None |
AP NON-IJ |
None |
13200 |
13200 |
0 |
13200 |
0 |
None |
X49P11 |
N |
CA00549227 |
B |
SFY2019-20 |
930000008 |
ANTELOPE VALLEY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2022-02-16 00:00:00 |
930017361 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2020-05-03 00:00:00 |
2020-05-03 00:00:00 |
No |
2022-03-10 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
MKVP11 |
N |
CA00688347 |
B |
SFY2021-22 |