010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-02-10 00:00:00 |
010001716 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PT. CARE/ABUSE |
2000-01-18 00:00:00 |
None |
No |
2000-08-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010012111 |
A99999 |
N |
None |
None |
SFY1999-00 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-06-15 00:00:00 |
010001755 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-03-13 00:00:00 |
None |
Yes |
2001-04-13 00:00:00 |
2000-06-16 00:00:00 |
A |
A |
3500 |
3500 |
-3500 |
0 |
0 |
010012694 |
A99999 |
N |
None |
None |
SFY1999-00 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-07-20 00:00:00 |
010001764 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2000-06-27 00:00:00 |
2000-07-12 00:00:00 |
No |
2000-08-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010012877 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2000-10-19 00:00:00 |
010001788 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2000-09-03 00:00:00 |
2000-09-03 00:00:00 |
No |
2000-11-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010013308 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-02-08 00:00:00 |
010001829 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT CARE/RIGHTS |
2000-06-23 00:00:00 |
2000-06-26 00:00:00 |
No |
2001-03-05 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
010013978 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-10-05 00:00:00 |
010001887 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-06-19 00:00:00 |
2001-06-19 00:00:00 |
No |
2001-10-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010014660 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-11-16 00:00:00 |
010001909 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-07-14 00:00:00 |
2001-07-14 00:00:00 |
No |
2001-12-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010014865 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-11-27 00:00:00 |
010001910 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-11-05 00:00:00 |
2001-11-08 00:00:00 |
No |
2001-12-18 00:00:00 |
None |
B |
None |
1000 |
1100 |
-100 |
1000 |
0 |
010014891 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-07 00:00:00 |
010001914 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-25 00:00:00 |
2001-11-05 00:00:00 |
No |
2002-01-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010014914 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-12-18 00:00:00 |
010001915 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-06-26 00:00:00 |
2001-11-20 00:00:00 |
No |
2002-01-10 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
010014935 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000934 |
CANYON MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-02-08 00:00:00 |
010001922 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-04 00:00:00 |
2001-10-04 00:00:00 |
No |
2002-03-11 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
010015038 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-02-28 00:00:00 |
010001930 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-08 00:00:00 |
2002-02-08 00:00:00 |
Yes |
2002-03-21 00:00:00 |
2002-03-02 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
010015092 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-04-23 00:00:00 |
010001944 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-10 00:00:00 |
2002-02-15 00:00:00 |
No |
2002-05-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015255 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-05-16 00:00:00 |
010001947 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-04 00:00:00 |
2002-03-12 00:00:00 |
Yes |
2002-11-01 00:00:00 |
2002-05-31 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
010015342 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-05-16 00:00:00 |
010001948 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-04 00:00:00 |
2002-03-12 00:00:00 |
Yes |
2002-11-01 00:00:00 |
2002-05-31 00:00:00 |
B |
B |
1000 |
3000 |
0 |
3000 |
0 |
010015343 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-06-11 00:00:00 |
010001956 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-05-06 00:00:00 |
2002-05-06 00:00:00 |
Yes |
2002-07-08 00:00:00 |
2002-06-14 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
010015423 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-06-11 00:00:00 |
010001957 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-04-15 00:00:00 |
2002-04-15 00:00:00 |
Yes |
2002-07-08 00:00:00 |
2002-06-14 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
010015424 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-07-02 00:00:00 |
010001961 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-04-17 00:00:00 |
2002-04-25 00:00:00 |
Yes |
2002-07-24 00:00:00 |
2002-07-26 00:00:00 |
A |
B |
12500 |
7500 |
0 |
7500 |
0 |
010015505 |
A99999 |
Y |
None |
None |
SFY2002-03 |
010000834 |
CALISTOGA HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2002-07-03 00:00:00 |
010001963 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-12-26 00:00:00 |
2002-04-02 00:00:00 |
No |
2002-07-25 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
010015508 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-08-14 00:00:00 |
010001970 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-06-07 00:00:00 |
2002-06-15 00:00:00 |
Yes |
2002-09-05 00:00:00 |
2002-08-16 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010015639 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-08-30 00:00:00 |
010001977 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-28 00:00:00 |
2002-07-28 00:00:00 |
Yes |
2002-09-23 00:00:00 |
2002-09-08 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
010015711 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-09-26 00:00:00 |
010001987 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PT CARE/STAFFING/P |
2002-06-13 00:00:00 |
2002-06-20 00:00:00 |
Yes |
2002-10-18 00:00:00 |
2003-05-03 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010015812 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-09-26 00:00:00 |
010001989 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT CARE/RIGHTS |
2002-06-15 00:00:00 |
2002-06-17 00:00:00 |
Yes |
2002-10-17 00:00:00 |
2003-05-03 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
010015814 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-10-02 00:00:00 |
010001992 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-08-31 00:00:00 |
2002-09-12 00:00:00 |
No |
2002-11-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010015835 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2002-10-17 00:00:00 |
010001994 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-07-18 00:00:00 |
2002-08-20 00:00:00 |
No |
2002-11-07 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010015870 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-02-18 00:00:00 |
010002009 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-11-17 00:00:00 |
2002-11-17 00:00:00 |
Yes |
2003-12-22 00:00:00 |
2004-01-30 00:00:00 |
A |
B |
15000 |
5000 |
0 |
5000 |
0 |
010016219 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-06-17 00:00:00 |
010002034 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
C, PR |
2003-04-02 00:00:00 |
2003-04-13 00:00:00 |
Yes |
2003-07-09 00:00:00 |
2003-06-17 00:00:00 |
B |
B Trebled |
900 |
2700 |
0 |
2700 |
0 |
010016715 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-07-31 00:00:00 |
010002046 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-03 00:00:00 |
2003-07-03 00:00:00 |
Yes |
2003-08-21 00:00:00 |
2003-07-31 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
010016797 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-01-08 00:00:00 |
010002078 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-03-10 00:00:00 |
2003-03-10 00:00:00 |
Yes |
2004-01-30 00:00:00 |
2004-01-08 00:00:00 |
A |
B |
16000 |
1000 |
0 |
1000 |
0 |
010016451 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000597 |
COOPER HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-02-05 00:00:00 |
010002083 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2003-11-25 00:00:00 |
2003-11-25 00:00:00 |
No |
2004-03-01 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
010017160 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000792 |
CROSSROADS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-03-11 00:00:00 |
010002092 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-03-01 00:00:00 |
2004-03-01 00:00:00 |
No |
2004-04-02 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
010017533 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000597 |
COOPER HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-12-21 00:00:00 |
010002137 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
C |
2004-10-19 00:00:00 |
2004-10-19 00:00:00 |
No |
2005-01-18 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010018103 |
A99999 |
N |
None |
None |
SFY2004-05 |
020000276 |
CANYON CREEK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-01-06 00:00:00 |
020002470 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
1999-11-08 00:00:00 |
1999-11-16 00:00:00 |
No |
2000-02-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
020011052 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000048 |
CHAPARRAL HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-08-23 00:00:00 |
020002541 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2000-01-26 00:00:00 |
None |
Yes |
2001-01-19 00:00:00 |
2001-01-12 00:00:00 |
AA |
A |
15000 |
6500 |
0 |
6500 |
0 |
020012091 |
A99999 |
Y |
None |
None |
SFY2000-01 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-02-01 00:00:00 |
020002589 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-10-03 00:00:00 |
None |
No |
2001-02-28 00:00:00 |
None |
A |
None |
12000 |
12000 |
-4200 |
7800 |
0 |
020012948 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000053 |
CRESTWOOD MANOR - FREMONT |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-02-28 00:00:00 |
020002594 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2000-12-24 00:00:00 |
None |
Yes |
2001-03-26 00:00:00 |
2001-03-01 00:00:00 |
AA |
AA |
50000 |
20000 |
0 |
20000 |
0 |
020013122 |
A99999 |
Y |
None |
None |
SFY2000-01 |
020000276 |
CANYON CREEK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-03-01 00:00:00 |
020002688 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-11 00:00:00 |
None |
No |
2002-03-29 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
020013993 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-07-16 00:00:00 |
020002711 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-03-26 00:00:00 |
2002-04-01 00:00:00 |
Yes |
2002-08-08 00:00:00 |
2002-07-23 00:00:00 |
A |
A |
18000 |
9000 |
0 |
9000 |
0 |
020014240 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000048 |
CHAPARRAL HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-07-18 00:00:00 |
020002762 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-03-12 00:00:00 |
None |
No |
2003-08-12 00:00:00 |
None |
A |
None |
12000 |
12000 |
-4200 |
7800 |
0 |
020015253 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-12-09 00:00:00 |
020002783 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-10-19 00:00:00 |
None |
No |
2004-01-07 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
020015865 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-01-29 00:00:00 |
020002793 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-21 00:00:00 |
None |
No |
2004-03-01 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
020015949 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-05-26 00:00:00 |
020002801 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-27 00:00:00 |
None |
No |
2004-06-22 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
020016355 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-05-26 00:00:00 |
020002802 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2004-04-27 00:00:00 |
None |
No |
2004-06-22 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
020016355 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-05-26 00:00:00 |
020002803 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-03-10 00:00:00 |
None |
No |
2004-06-22 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
020016356 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000017 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2005-05-09 00:00:00 |
020002830 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-01-18 00:00:00 |
None |
No |
2005-06-06 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
020016787 |
A99999 |
N |
None |
None |
SFY2004-05 |
020000276 |
CANYON CREEK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2007-05-07 00:00:00 |
020003934 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-04-05 00:00:00 |
2007-04-05 00:00:00 |
No |
2007-05-28 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
ECQ9 |
N |
CA00111438 |
B |
SFY2006-07 |
140000138 |
CREEKSIDE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2007-11-20 00:00:00 |
020004461 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-10-14 00:00:00 |
2006-10-14 00:00:00 |
No |
2007-12-13 00:00:00 |
None |
B |
None |
700 |
1150 |
0 |
1150 |
0 |
None |
630111 |
N |
CA00095973 |
B |
SFY2007-08 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2008-05-22 00:00:00 |
020005057 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-04-25 00:00:00 |
2008-04-25 00:00:00 |
No |
2008-06-17 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
C9RW11 |
N |
CA00148477 |
B |
SFY2007-08 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2009-08-20 00:00:00 |
020006479 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-06-06 00:00:00 |
2009-06-06 00:00:00 |
Yes |
2009-09-11 00:00:00 |
2009-08-25 00:00:00 |
B |
B |
600 |
390 |
0 |
390 |
0 |
None |
JOZN11 |
N |
CA00191017 |
C |
SFY2009-10 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2009-10-21 00:00:00 |
020006626 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-04 00:00:00 |
2009-04-04 00:00:00 |
Yes |
2009-12-03 00:00:00 |
2009-10-30 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
None |
2GXO11 |
N |
CA00199301 |
C |
SFY2009-10 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2010-01-07 00:00:00 |
020006881 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-30 00:00:00 |
2009-07-30 00:00:00 |
No |
2010-02-01 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
522011 |
N |
CA00198631 |
C |
SFY2009-10 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2010-03-26 00:00:00 |
020007077 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-03-29 00:00:00 |
2008-03-29 00:00:00 |
No |
2010-04-26 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
LXZT11 |
N |
CA00165850 |
C |
SFY2009-10 |
020000276 |
CANYON CREEK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2010-04-08 00:00:00 |
020007101 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-23 00:00:00 |
2010-03-23 00:00:00 |
No |
2010-04-29 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
Z66Y11 |
N |
None |
None |
SFY2009-10 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2012-03-20 00:00:00 |
020009162 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-10-06 00:00:00 |
2010-10-06 00:00:00 |
No |
2012-04-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
IPEX11 |
N |
CA00246053 |
B |
SFY2011-12 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2013-12-06 00:00:00 |
020010295 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-09-14 00:00:00 |
2013-09-14 00:00:00 |
No |
2013-12-30 00:00:00 |
None |
B |
None |
1200 |
1200 |
-420 |
780 |
0 |
None |
02CG11 |
N |
CA00371398 |
B |
SFY2013-14 |
020000053 |
CRESTWOOD MANOR - FREMONT |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2014-06-06 00:00:00 |
020010747 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-11-23 00:00:00 |
2013-11-23 00:00:00 |
Yes |
2014-06-27 00:00:00 |
2014-06-16 00:00:00 |
A |
A |
15000 |
10000 |
0 |
10000 |
0 |
None |
DLZS11 |
N |
CA00380844 |
C |
SFY2013-14 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2014-10-02 00:00:00 |
020011038 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-07-14 00:00:00 |
2014-07-14 00:00:00 |
No |
2014-10-23 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
ZMT411 |
N |
CA00406001, CA00406007 |
B, B |
SFY2014-15 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2014-10-09 00:00:00 |
020011061 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-04-17 00:00:00 |
2014-04-17 00:00:00 |
No |
2014-10-30 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
D9U211 |
N |
CA00395447 |
C |
SFY2014-15 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2015-02-13 00:00:00 |
020011276 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-09-13 00:00:00 |
2014-09-13 00:00:00 |
No |
2015-03-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
DGWP11 |
N |
CA00413465 |
C |
SFY2014-15 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2015-02-13 00:00:00 |
020011279 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-07-29 00:00:00 |
2014-07-29 00:00:00 |
No |
2015-03-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KI0M11 |
N |
CA00408737 |
C |
SFY2014-15 |
020000053 |
CRESTWOOD MANOR - FREMONT |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2015-07-13 00:00:00 |
020011617 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2014-07-26 00:00:00 |
2014-07-26 00:00:00 |
Yes |
2015-08-03 00:00:00 |
2015-07-15 00:00:00 |
AA |
AA |
100000 |
50000 |
0 |
50000 |
0 |
None |
HLUU11 |
Y |
CA00407437 |
B |
SFY2015-16 |
020000048 |
CHAPARRAL HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2018-09-28 00:00:00 |
020012919 |
Open |
Citation |
Citation B (HSC 1424) |
Immediate Jeopardy |
None |
2016-11-28 00:00:00 |
2016-11-28 00:00:00 |
Yes |
2018-10-19 00:00:00 |
2017-02-03 00:00:00 |
B |
None |
1200 |
1200 |
0 |
0 |
1200 |
None |
RVP911 |
N |
CA00512605 |
A |
SFY2018-19 |
020000048 |
CHAPARRAL HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2018-09-28 00:00:00 |
020012920 |
Open |
Citation |
Citation B (HSC 1424) |
Immediate Jeopardy |
None |
2016-11-28 00:00:00 |
2016-11-28 00:00:00 |
Yes |
2018-10-19 00:00:00 |
2017-02-03 00:00:00 |
B |
None |
1200 |
1200 |
0 |
0 |
1200 |
None |
RVP911 |
N |
CA00512605 |
A |
SFY2018-19 |
020000276 |
CANYON CREEK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2019-06-10 00:00:00 |
020015135 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-02-15 00:00:00 |
2019-02-15 00:00:00 |
No |
2019-07-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
XZEY11 |
N |
CA00625626 |
B |
SFY2018-19 |
020000053 |
CRESTWOOD MANOR - FREMONT |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2019-10-15 00:00:00 |
020015432 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-05-09 00:00:00 |
2019-05-09 00:00:00 |
Yes |
2019-11-05 00:00:00 |
2019-10-17 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
G1WC11 |
N |
CA00637045, CA00637045 |
A, A |
SFY2019-20 |
020000053 |
CRESTWOOD MANOR - FREMONT |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2023-10-16 00:00:00 |
020019251 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Accidents |
2021-11-30 00:00:00 |
2021-11-30 00:00:00 |
No |
2023-11-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
N0DR11 |
N |
CA00763500 |
B |
SFY2023-24 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-06-05 00:00:00 |
030002020 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-01-27 00:00:00 |
None |
Yes |
2000-07-12 00:00:00 |
2000-06-12 00:00:00 |
A |
A |
8000 |
8000 |
-6000 |
2000 |
0 |
030014156 |
A99999 |
N |
None |
None |
SFY1999-00 |
030001202 |
CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-05-31 00:00:00 |
030002021 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-12-31 00:00:00 |
None |
Yes |
2000-06-29 00:00:00 |
2000-06-16 00:00:00 |
A |
B |
6000 |
6000 |
0 |
6000 |
0 |
030014238 |
A99999 |
N |
None |
None |
SFY1999-00 |
030001202 |
CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-05-31 00:00:00 |
030002022 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
1999-12-30 00:00:00 |
None |
Yes |
2000-07-11 00:00:00 |
2000-06-20 00:00:00 |
A |
A |
6000 |
5000 |
0 |
5000 |
0 |
030014237 |
A99999 |
N |
None |
None |
SFY1999-00 |
030000005 |
COLLEGE OAK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-11-06 00:00:00 |
030002044 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-10-08 00:00:00 |
None |
No |
2000-11-30 00:00:00 |
None |
A |
None |
6000 |
6000 |
-2100 |
3900 |
0 |
030014727 |
A99999 |
N |
None |
None |
SFY2000-01 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-02-01 00:00:00 |
030002055 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-06-07 00:00:00 |
None |
Yes |
2001-02-26 00:00:00 |
2001-02-21 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
030015117 |
A99999 |
N |
None |
None |
SFY2000-01 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-04-18 00:00:00 |
030002062 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
DIGNITY/PATIENT CARE |
2001-02-06 00:00:00 |
None |
No |
2001-05-11 00:00:00 |
None |
B |
B |
800 |
800 |
-640 |
160 |
0 |
030015299 |
A99999 |
N |
None |
None |
SFY2000-01 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-01-17 00:00:00 |
030002088 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-06-29 00:00:00 |
None |
Yes |
2002-02-08 00:00:00 |
2002-01-28 00:00:00 |
A |
B |
10000 |
5000 |
0 |
5000 |
0 |
030015951 |
A99999 |
N |
None |
None |
SFY2001-02 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-03-15 00:00:00 |
030002090 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-13 00:00:00 |
None |
No |
2002-04-08 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
030016076 |
A99999 |
N |
None |
None |
SFY2001-02 |
030000005 |
COLLEGE OAK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-06-07 00:00:00 |
030002094 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-03-08 00:00:00 |
None |
Yes |
2002-07-02 00:00:00 |
2002-06-20 00:00:00 |
A |
None |
15000 |
15000 |
0 |
15000 |
0 |
030016316 |
A99999 |
N |
None |
None |
SFY2001-02 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-07-10 00:00:00 |
030002097 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-04-24 00:00:00 |
None |
Yes |
2002-08-05 00:00:00 |
2002-07-26 00:00:00 |
A |
A |
16000 |
6000 |
0 |
6000 |
0 |
030016452 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-08-13 00:00:00 |
030002100 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-06-08 00:00:00 |
None |
Yes |
2002-09-09 00:00:00 |
2002-08-26 00:00:00 |
A |
B |
10000 |
6600 |
0 |
6600 |
0 |
030016607 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-08-28 00:00:00 |
030002101 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-06-25 00:00:00 |
None |
Yes |
2002-09-24 00:00:00 |
2002-09-10 00:00:00 |
A |
A |
10000 |
6700 |
0 |
6700 |
0 |
030016648 |
A99999 |
N |
None |
None |
SFY2002-03 |
030001202 |
CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-12-11 00:00:00 |
030002116 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-01 00:00:00 |
2002-10-05 00:00:00 |
Yes |
2003-01-08 00:00:00 |
2002-12-18 00:00:00 |
B |
None |
600 |
600 |
0 |
600 |
0 |
030017014 |
A99999 |
N |
None |
None |
SFY2002-03 |
030001202 |
CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-12-27 00:00:00 |
030002117 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-15 00:00:00 |
None |
Yes |
2003-01-28 00:00:00 |
2003-01-03 00:00:00 |
B |
None |
600 |
600 |
0 |
600 |
0 |
030017004 |
A99999 |
N |
None |
None |
SFY2002-03 |
030001202 |
CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2003-03-18 00:00:00 |
030002125 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-03 00:00:00 |
None |
No |
2003-04-14 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
030016656 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-03-20 00:00:00 |
030002126 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-11-28 00:00:00 |
None |
Yes |
2003-04-15 00:00:00 |
2003-03-26 00:00:00 |
A |
A Trebled |
20000 |
60000 |
-25570 |
34430 |
0 |
030017220 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-05-23 00:00:00 |
030002132 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-04-13 00:00:00 |
None |
Yes |
2003-06-20 00:00:00 |
2003-06-03 00:00:00 |
B |
B |
800 |
459 |
0 |
459 |
0 |
030017548 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-06-18 00:00:00 |
030002134 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-19 00:00:00 |
None |
No |
2003-07-10 00:00:00 |
None |
B |
B |
1000 |
574 |
0 |
574 |
0 |
030017355 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000066 |
CERES POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2003-08-13 00:00:00 |
030002145 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-03-16 00:00:00 |
None |
No |
2003-09-08 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
030017429 |
A99999 |
N |
None |
None |
SFY2003-04 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-09-10 00:00:00 |
030002147 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-24 00:00:00 |
2003-06-24 00:00:00 |
Yes |
2003-10-06 00:00:00 |
2003-09-18 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
030017906 |
A99999 |
N |
None |
None |
SFY2003-04 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-02-10 00:00:00 |
030002160 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-08 00:00:00 |
None |
No |
2004-03-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
030017811 |
A99999 |
N |
None |
None |
SFY2003-04 |
030001202 |
CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2004-03-04 00:00:00 |
030002165 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-08-01 00:00:00 |
None |
No |
2004-04-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030018080 |
A99999 |
N |
None |
None |
SFY2003-04 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-04-01 00:00:00 |
030002167 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-12-31 00:00:00 |
2003-12-31 00:00:00 |
Yes |
2004-04-29 00:00:00 |
2004-04-20 00:00:00 |
B |
B |
500 |
500 |
0 |
500 |
0 |
030018324 |
A99999 |
N |
None |
None |
SFY2003-04 |
030000005 |
COLLEGE OAK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-05-03 00:00:00 |
030002170 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-01-09 00:00:00 |
None |
No |
2004-05-24 00:00:00 |
None |
A |
None |
18000 |
18300 |
0 |
18300 |
0 |
030017385 |
A99999 |
N |
None |
None |
SFY2003-04 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-06-02 00:00:00 |
030002203 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
TRANSFER/DISCHARGE |
2000-04-13 00:00:00 |
None |
No |
2000-06-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
030019186 |
A99999 |
N |
None |
None |
SFY1999-00 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-03-07 00:00:00 |
030002204 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-12-19 00:00:00 |
None |
Yes |
2001-03-28 00:00:00 |
2001-03-27 00:00:00 |
B |
B |
900 |
900 |
0 |
900 |
0 |
030019193 |
A99999 |
N |
None |
None |
SFY2000-01 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-03-13 00:00:00 |
030002205 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-23 00:00:00 |
None |
Yes |
2002-04-04 00:00:00 |
2002-03-27 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
030019205 |
A99999 |
N |
None |
None |
SFY2001-02 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-02-03 00:00:00 |
030002215 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-08-13 00:00:00 |
None |
Yes |
2000-02-29 00:00:00 |
2000-02-24 00:00:00 |
A |
A |
10000 |
7500 |
0 |
7500 |
0 |
030019284 |
A99999 |
N |
None |
None |
SFY1999-00 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-10-17 00:00:00 |
030002216 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-05-10 00:00:00 |
None |
No |
2001-11-07 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
030019297 |
A99999 |
N |
None |
None |
SFY2001-02 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-09-10 00:00:00 |
030002217 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2002-07-16 00:00:00 |
None |
No |
2002-10-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030019320 |
A99999 |
N |
None |
None |
SFY2002-03 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-12-31 00:00:00 |
030002218 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-09-13 00:00:00 |
None |
No |
2003-01-23 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
030019325 |
A99999 |
N |
None |
None |
SFY2002-03 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-11-21 00:00:00 |
030002272 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
INADEQUATE SUPERV |
2000-05-25 00:00:00 |
None |
No |
2000-12-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030019917 |
A99999 |
N |
None |
None |
SFY2000-01 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-03-25 00:00:00 |
030002273 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-20 00:00:00 |
None |
No |
2002-04-18 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
030019927 |
A99999 |
N |
None |
None |
SFY2001-02 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-04-04 00:00:00 |
030002274 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PHYS./MENTAL ABUSE |
2002-03-17 00:00:00 |
None |
No |
2002-04-29 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
030019930 |
A99999 |
N |
None |
None |
SFY2001-02 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-05-02 00:00:00 |
030002275 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-01-30 00:00:00 |
None |
No |
2003-06-03 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
030019950 |
A99999 |
N |
None |
None |
SFY2002-03 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-05-13 00:00:00 |
030002276 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-28 00:00:00 |
None |
No |
2003-06-06 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
030019951 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-12-01 00:00:00 |
030002303 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-03-05 00:00:00 |
None |
No |
2004-12-31 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
030020260 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-12-14 00:00:00 |
030002307 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-06-03 00:00:00 |
None |
No |
2005-01-04 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
030018459 |
A99999 |
N |
None |
None |
SFY2004-05 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-01-06 00:00:00 |
030002312 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-10-31 00:00:00 |
None |
No |
2005-01-26 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
030020330 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-03-28 00:00:00 |
030002318 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-09-25 00:00:00 |
None |
No |
2005-05-02 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
030020420 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000005 |
COLLEGE OAK NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-06-07 00:00:00 |
030002327 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-07-06 00:00:00 |
None |
Yes |
2005-06-28 00:00:00 |
2005-06-07 00:00:00 |
A |
A |
16000 |
16000 |
0 |
16000 |
0 |
030017788 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-09-02 00:00:00 |
030002332 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-11-08 00:00:00 |
None |
No |
2005-10-17 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
030020451 |
A99999 |
N |
None |
None |
SFY2005-06 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-10-28 00:00:00 |
030002339 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-06-23 00:00:00 |
None |
No |
2005-12-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020459 |
A99999 |
N |
None |
None |
SFY2005-06 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-01-05 00:00:00 |
030002916 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2005-03-20 00:00:00 |
2005-03-20 00:00:00 |
Yes |
2008-03-14 00:00:00 |
2008-03-26 00:00:00 |
AA |
A |
90000 |
32500 |
0 |
32500 |
0 |
None |
1UO911 |
Y |
CA00041684 |
C |
SFY2006-07 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-06-28 00:00:00 |
030003180 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2005-09-03 00:00:00 |
2005-09-03 00:00:00 |
No |
2006-07-20 00:00:00 |
None |
AA |
None |
100000 |
100000 |
-35000 |
65000 |
0 |
None |
IUPT11 |
Y |
CA00060356, CA00060576, CA00060997 |
B, B, B |
SFY2005-06 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-06-15 00:00:00 |
030003214 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-28 00:00:00 |
2006-05-28 00:00:00 |
No |
2007-07-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C7A711 |
N |
CA00082206, CA00082401 |
B, B |
SFY2006-07 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-09-25 00:00:00 |
030003354 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
Facility Report |
2006-08-19 00:00:00 |
2006-08-19 00:00:00 |
No |
2006-10-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
YTW211 |
N |
CA00090743 |
B |
SFY2006-07 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-10-17 00:00:00 |
030003410 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-08-06 00:00:00 |
2004-08-06 00:00:00 |
No |
2006-11-07 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
IUO911 |
N |
CA00041684 |
C |
SFY2006-07 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-11-17 00:00:00 |
030003489 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse - Facility Reported |
2005-10-19 00:00:00 |
2005-10-19 00:00:00 |
No |
2006-12-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
RX6R11 |
N |
CA00064288 |
C |
SFY2006-07 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-11-27 00:00:00 |
030003503 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2006-04-08 00:00:00 |
2006-04-08 00:00:00 |
No |
2006-12-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
II9811 |
N |
CA00080621 |
B |
SFY2006-07 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-01-04 00:00:00 |
030003610 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-03-06 00:00:00 |
2005-03-06 00:00:00 |
No |
2007-01-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CEVJ11 |
N |
CA00060515 |
C |
SFY2006-07 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-06-15 00:00:00 |
030003864 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-29 00:00:00 |
2006-05-29 00:00:00 |
No |
2007-07-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
C7A711 |
N |
CA00082206, CA00082401 |
B, B |
SFY2006-07 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-04-17 00:00:00 |
030003891 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-03-05 00:00:00 |
2006-03-05 00:00:00 |
No |
2007-05-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9CI311 |
N |
CA00076296, CA00076462 |
A, A |
SFY2006-07 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-06-19 00:00:00 |
030004027 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-20 00:00:00 |
2006-05-20 00:00:00 |
No |
2007-07-11 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
OJBU11 |
N |
CA00081922 |
B |
SFY2006-07 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-06-19 00:00:00 |
030004032 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-04-07 00:00:00 |
2006-04-07 00:00:00 |
Yes |
2008-03-06 00:00:00 |
2008-02-22 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
C2P311 |
N |
CA00101049 |
B |
SFY2006-07 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-06-19 00:00:00 |
030004034 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-01-02 00:00:00 |
2006-01-02 00:00:00 |
No |
2007-07-11 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
4SW611 |
N |
CA00069495 |
B |
SFY2006-07 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-06-21 00:00:00 |
030004037 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-02-04 00:00:00 |
2007-02-04 00:00:00 |
Yes |
2008-03-18 00:00:00 |
2008-02-29 00:00:00 |
AA |
AA |
100000 |
50000 |
0 |
50000 |
0 |
None |
ZUX711 |
Y |
CA00107145 |
B |
SFY2006-07 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-06-27 00:00:00 |
030004042 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-02-14 00:00:00 |
2007-02-14 00:00:00 |
No |
2007-07-19 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
TFHN11 |
N |
CA00106568 |
B |
SFY2006-07 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-06-27 00:00:00 |
030004043 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-02-04 00:00:00 |
2007-02-04 00:00:00 |
No |
2007-07-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LW1E11 |
N |
CA00106063 |
B |
SFY2006-07 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-06-27 00:00:00 |
030004044 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-01-28 00:00:00 |
2007-01-28 00:00:00 |
No |
2007-07-19 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
1DUQ11 |
N |
CA00105619 |
B |
SFY2006-07 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-07-24 00:00:00 |
030004113 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-14 00:00:00 |
2006-06-14 00:00:00 |
No |
2007-08-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IPKB11 |
N |
CA00083823 |
B |
SFY2007-08 |
100000175 |
CASA DEL MAR #2 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2007-07-24 00:00:00 |
030004115 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-02-16 00:00:00 |
2007-02-16 00:00:00 |
Yes |
2007-08-14 00:00:00 |
2007-08-10 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
SFOV11 |
N |
CA00106954 |
B |
SFY2007-08 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-09-07 00:00:00 |
030004243 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-07-02 00:00:00 |
2007-07-02 00:00:00 |
No |
2007-09-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QYCH11 |
N |
CA00119687 |
B |
SFY2007-08 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-09-07 00:00:00 |
030004244 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-02 00:00:00 |
2007-07-02 00:00:00 |
No |
2007-09-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QYCH11 |
N |
CA00119687 |
B |
SFY2007-08 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-09-21 00:00:00 |
030004281 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-01 00:00:00 |
2007-09-01 00:00:00 |
No |
2007-10-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
84Y311 |
N |
CA00125370 |
B |
SFY2007-08 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-09-21 00:00:00 |
030004282 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-09-01 00:00:00 |
2007-09-01 00:00:00 |
No |
2007-10-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
84Y311 |
N |
CA00125370 |
B |
SFY2007-08 |
100000962 |
CAPITAL POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-01 00:00:00 |
030004294 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-24 00:00:00 |
2007-07-24 00:00:00 |
No |
2007-10-23 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
53OT11 |
N |
CA00121612 |
B |
SFY2007-08 |
100000036 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2007-10-04 00:00:00 |
030004323 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2007-06-19 00:00:00 |
2007-06-19 00:00:00 |
Yes |
2007-10-31 00:00:00 |
2007-10-05 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
I76411 |
N |
CA00084285 |
B |
SFY2007-08 |
100000036 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2007-12-13 00:00:00 |
030004512 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-03-10 00:00:00 |
2007-03-10 00:00:00 |
Yes |
2008-01-09 00:00:00 |
2007-12-18 00:00:00 |
A |
A |
15000 |
10000 |
0 |
10000 |
0 |
None |
EEXN11 |
N |
CA00108984 |
B |
SFY2007-08 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-04-30 00:00:00 |
030004968 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-08-14 00:00:00 |
2007-08-14 00:00:00 |
No |
2008-05-27 00:00:00 |
None |
B |
None |
1000 |
1200 |
-350 |
850 |
0 |
None |
XPT911 |
N |
CA00126902 |
B |
SFY2007-08 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-05-19 00:00:00 |
030005046 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-10 00:00:00 |
2007-10-10 00:00:00 |
Yes |
2008-06-12 00:00:00 |
2008-05-22 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
GSJT11 |
N |
CA00129052 |
E |
SFY2007-08 |
100000524 |
CASA DEL MAR #4 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2008-06-19 00:00:00 |
030005156 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-06-02 00:00:00 |
2007-06-02 00:00:00 |
Yes |
2008-07-11 00:00:00 |
2008-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
NYU911 |
N |
CA00119015 |
B |
SFY2007-08 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-06-27 00:00:00 |
030005176 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-05-01 00:00:00 |
2007-05-01 00:00:00 |
No |
2008-07-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QRQV11 |
N |
CA00111294 |
B |
SFY2007-08 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-08-01 00:00:00 |
030005278 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-05-25 00:00:00 |
2007-05-25 00:00:00 |
No |
2008-08-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BON311 |
N |
CA00141047 |
B |
SFY2008-09 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-08-01 00:00:00 |
030005280 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-05-25 00:00:00 |
2007-05-25 00:00:00 |
No |
2008-08-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BON311 |
N |
CA00122740, CA00129774, CA00141047 |
B, B, B |
SFY2008-09 |
030001202 |
CENTRAL VALLEY SPECIALTY HOSPITAL - SKILLED NURSING FACILITY |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2008-08-05 00:00:00 |
030005281 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse-Facility Reported |
2007-10-16 00:00:00 |
2007-10-16 00:00:00 |
No |
2008-08-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3YY411 |
N |
CA00130404 |
B |
SFY2008-09 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-09-12 00:00:00 |
030005409 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-02-24 00:00:00 |
2007-02-24 00:00:00 |
No |
2008-10-06 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
L2KD11 |
N |
CA00113691 |
B |
SFY2008-09 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-09-18 00:00:00 |
030005441 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-03-29 00:00:00 |
2008-03-29 00:00:00 |
Yes |
2008-10-23 00:00:00 |
2008-10-01 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
VJIR11 |
N |
CA00145454 |
B |
SFY2008-09 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-09-29 00:00:00 |
030005471 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2007-05-01 00:00:00 |
2007-05-01 00:00:00 |
No |
2008-10-21 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
616Q11 |
N |
CA00114484 |
B |
SFY2008-09 |
030000066 |
CERES POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2008-11-19 00:00:00 |
030005628 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-06-28 00:00:00 |
2007-06-28 00:00:00 |
Yes |
2008-12-15 00:00:00 |
2008-11-21 00:00:00 |
A |
None |
16000 |
16250 |
-5600 |
10650 |
0 |
None |
JBTJ11 |
N |
CA00121131 |
B |
SFY2008-09 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2009-10-22 00:00:00 |
030006639 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-06-13 00:00:00 |
2007-06-13 00:00:00 |
No |
2009-11-17 00:00:00 |
None |
AA |
None |
90000 |
90000 |
-31500 |
58500 |
0 |
None |
UHT111 |
Y |
CA00132271 |
B |
SFY2009-10 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-12-15 00:00:00 |
030006765 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-03-10 00:00:00 |
2008-03-10 00:00:00 |
No |
2010-01-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
57SQ11 |
N |
CA00144219, CA00178326 |
B, B |
SFY2009-10 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-12-15 00:00:00 |
030006766 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-03-10 00:00:00 |
2009-03-10 00:00:00 |
No |
2010-01-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
57SQ11 |
N |
CA00144219, CA00178326 |
B, B |
SFY2009-10 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2009-12-29 00:00:00 |
030006774 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-07-20 00:00:00 |
2009-07-20 00:00:00 |
Yes |
2010-01-25 00:00:00 |
2010-01-04 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
None |
YJMS11 |
N |
CA00196787 |
B |
SFY2009-10 |
100000522 |
CASA DEL MAR #3 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2010-03-04 00:00:00 |
030007020 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-02-21 00:00:00 |
2008-02-21 00:00:00 |
Yes |
2010-03-26 00:00:00 |
2010-03-08 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
ES1Z11 |
N |
CA00141765 |
C |
SFY2009-10 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2010-03-04 00:00:00 |
030007021 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-08-16 00:00:00 |
2009-08-16 00:00:00 |
Yes |
2010-03-30 00:00:00 |
2010-03-15 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
None |
SENN11 |
N |
CA00198804 |
B |
SFY2009-10 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2010-03-26 00:00:00 |
030007032 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-11-11 00:00:00 |
2007-11-11 00:00:00 |
No |
2010-04-21 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
9I6Z11 |
N |
CA00130915 |
C |
SFY2009-10 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2010-03-26 00:00:00 |
030007070 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Admission, Transfer&Disch |
2009-08-21 00:00:00 |
2009-08-21 00:00:00 |
Yes |
2010-04-21 00:00:00 |
2010-04-15 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
6K9Q11 |
N |
CA00199317 |
A |
SFY2009-10 |
100000021 |
CASA COLOMA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-05-12 00:00:00 |
030007208 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-21 00:00:00 |
2010-03-21 00:00:00 |
No |
2010-06-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5J2411 |
N |
None |
None |
SFY2009-10 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-07-02 00:00:00 |
030007346 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-10 00:00:00 |
2008-08-10 00:00:00 |
Yes |
2010-08-04 00:00:00 |
2010-07-09 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
Y9RW11 |
N |
CA00159708 |
B |
SFY2010-11 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-07-20 00:00:00 |
030007388 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-29 00:00:00 |
2008-11-29 00:00:00 |
No |
2010-08-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QNW211 |
N |
CA00170767 |
B |
SFY2010-11 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-07-20 00:00:00 |
030007389 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-10-08 00:00:00 |
2008-10-08 00:00:00 |
No |
2010-08-12 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
97DO11 |
N |
CA00235529 |
B |
SFY2010-11 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-07-28 00:00:00 |
030007421 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-16 00:00:00 |
2008-07-16 00:00:00 |
No |
2010-08-23 00:00:00 |
None |
B |
None |
800 |
1100 |
-280 |
820 |
0 |
None |
IYQ111 |
N |
CA00102077, CA00157701 |
B, B |
SFY2010-11 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2010-08-30 00:00:00 |
030007510 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-07-04 00:00:00 |
2008-07-04 00:00:00 |
No |
2010-09-22 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
87HS11 |
N |
CA00160294 |
B |
SFY2010-11 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-12-02 00:00:00 |
030007736 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-11-23 00:00:00 |
2008-11-23 00:00:00 |
Yes |
2010-12-23 00:00:00 |
2010-12-21 00:00:00 |
A |
A |
20000 |
16500 |
0 |
16500 |
0 |
None |
HRPZ11 |
N |
CA00192882 |
B |
SFY2010-11 |
100000031 |
CASA DE MODESTO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2011-04-06 00:00:00 |
030008080 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-13 00:00:00 |
2009-08-13 00:00:00 |
No |
2011-04-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YFO911 |
N |
CA00198603 |
B |
SFY2010-11 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2011-03-30 00:00:00 |
030008087 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-09-07 00:00:00 |
2008-09-07 00:00:00 |
No |
2011-04-21 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
TXDH11 |
N |
CA00167209 |
C |
SFY2010-11 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-05-26 00:00:00 |
030008270 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-03-01 00:00:00 |
2008-03-01 00:00:00 |
No |
2011-06-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
BK5811 |
N |
CA00156568 |
B |
SFY2010-11 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-05-26 00:00:00 |
030008271 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-03-01 00:00:00 |
2008-03-01 00:00:00 |
No |
2011-06-17 00:00:00 |
None |
B |
None |
700 |
700 |
0 |
700 |
0 |
None |
BK5811 |
N |
CA00156568 |
B |
SFY2010-11 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2011-06-15 00:00:00 |
030008293 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2008-10-23 00:00:00 |
2008-10-23 00:00:00 |
Yes |
2011-10-06 00:00:00 |
2011-10-04 00:00:00 |
AA |
AA |
100000 |
70000 |
0 |
70000 |
0 |
None |
N3TQ11 |
Y |
CA00167537 |
B |
SFY2010-11 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-06-24 00:00:00 |
030008321 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-11 00:00:00 |
2009-01-11 00:00:00 |
No |
2011-07-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
H0MV11 |
N |
CA00175222 |
A |
SFY2010-11 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2011-08-04 00:00:00 |
030008435 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-03-17 00:00:00 |
2009-03-17 00:00:00 |
No |
2011-08-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
STLX11 |
N |
CA00181650 |
C |
SFY2011-12 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2011-08-04 00:00:00 |
030008436 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-04-10 00:00:00 |
2009-04-10 00:00:00 |
No |
2011-08-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
579U11 |
N |
CA00184721 |
B |
SFY2011-12 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-01-06 00:00:00 |
030008848 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-06-25 00:00:00 |
2010-06-25 00:00:00 |
No |
2012-01-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LSMP11 |
N |
CA00233733 |
B |
SFY2011-12 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-01-30 00:00:00 |
030008941 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-24 00:00:00 |
2009-05-24 00:00:00 |
No |
2012-02-21 00:00:00 |
None |
B |
None |
800 |
900 |
-280 |
620 |
0 |
None |
286J11 |
N |
CA00192441 |
A |
SFY2011-12 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-01-30 00:00:00 |
030008942 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2009-06-15 00:00:00 |
2009-06-15 00:00:00 |
No |
2012-02-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
286J11 |
N |
CA00192441 |
A |
SFY2011-12 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-02-15 00:00:00 |
030009001 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
No |
2012-03-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YEXM11 |
N |
CA00179602, CA00179611 |
B, B |
SFY2011-12 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-05-03 00:00:00 |
030009263 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-05-03 00:00:00 |
2009-05-03 00:00:00 |
No |
2012-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YCMX11 |
N |
CA00189866 |
B |
SFY2011-12 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-05-03 00:00:00 |
030009264 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-05-21 00:00:00 |
2009-05-21 00:00:00 |
No |
2012-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
X87Z11 |
N |
CA00190259 |
B |
SFY2011-12 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-05-03 00:00:00 |
030009265 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-05-26 00:00:00 |
2009-05-26 00:00:00 |
No |
2012-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Y5S911 |
N |
CA00201109 |
B |
SFY2011-12 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-05-03 00:00:00 |
030009278 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-05-18 00:00:00 |
2009-05-18 00:00:00 |
No |
2012-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
X87Z11 |
N |
CA00190259 |
B |
SFY2011-12 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-07-26 00:00:00 |
030009414 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-07-10 00:00:00 |
2009-07-10 00:00:00 |
No |
2012-08-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XJ5111 |
N |
CA00194821 |
B |
SFY2012-13 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-07-26 00:00:00 |
030009418 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-03-20 00:00:00 |
2008-03-20 00:00:00 |
No |
2012-08-16 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
Y41011 |
N |
CA00144628 |
C |
SFY2012-13 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-08-30 00:00:00 |
030009462 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-03-15 00:00:00 |
2010-03-15 00:00:00 |
No |
2012-09-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
60X311 |
N |
CA00262231 |
B |
SFY2012-13 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-10-12 00:00:00 |
030009544 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-01-04 00:00:00 |
2009-01-04 00:00:00 |
Yes |
2012-11-02 00:00:00 |
2012-10-31 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PA6N11 |
N |
CA00182759, CA00184726 |
B, B |
SFY2012-13 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-10-12 00:00:00 |
030009545 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-01-04 00:00:00 |
2009-01-04 00:00:00 |
Yes |
2012-11-02 00:00:00 |
2012-10-31 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PA6N11 |
N |
CA00182759, CA00184726 |
B, B |
SFY2012-13 |
100000036 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2012-11-08 00:00:00 |
030009568 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-12-24 00:00:00 |
2009-12-24 00:00:00 |
No |
2012-12-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
LT3Q11 |
N |
CA00214434 |
C |
SFY2012-13 |
100000015 |
CRESCENT COURT NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-11-08 00:00:00 |
030009571 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-07-21 00:00:00 |
2009-07-21 00:00:00 |
No |
2012-12-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
MMG711 |
N |
CA00195839 |
B |
SFY2012-13 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-11-28 00:00:00 |
030009613 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-17 00:00:00 |
2009-07-17 00:00:00 |
No |
2012-12-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HW7R11 |
N |
CA00196584 |
B |
SFY2012-13 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-01-18 00:00:00 |
030009698 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-05-27 00:00:00 |
2008-05-27 00:00:00 |
No |
2013-02-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
D7US11 |
N |
CA00152040, CA00152583, CA00153330, CA00154846, CA00157068, CA00173777, CA00183459, CA00183470, CA00194415 |
C, C, C, C, C, B, B, B, C |
SFY2012-13 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-03-07 00:00:00 |
030009770 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-11-02 00:00:00 |
2010-11-02 00:00:00 |
No |
2013-03-28 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
QOTO11 |
N |
CA00248164 |
B |
SFY2012-13 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-03-08 00:00:00 |
030009775 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-07-30 00:00:00 |
2011-07-30 00:00:00 |
No |
2013-03-29 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
GE7U11 |
N |
CA00278143, CA00278586 |
B, B |
SFY2012-13 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-05-16 00:00:00 |
030009885 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-02-13 00:00:00 |
2011-02-13 00:00:00 |
No |
2013-06-07 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
ADZG11 |
Y |
CA00265051 |
B |
SFY2012-13 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-05-16 00:00:00 |
030009887 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-11-28 00:00:00 |
2010-11-28 00:00:00 |
No |
2013-06-07 00:00:00 |
None |
B |
None |
1000 |
1350 |
-350 |
1000 |
0 |
None |
EC9Y11 |
N |
CA00250717 |
B |
SFY2012-13 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-05-17 00:00:00 |
030009910 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-08-12 00:00:00 |
2011-08-12 00:00:00 |
No |
2013-06-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
7QZ211 |
N |
CA00279216, CA00282332 |
B, B |
SFY2012-13 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-08-14 00:00:00 |
030010044 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-07-23 00:00:00 |
2010-07-23 00:00:00 |
No |
2013-09-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
FUWW11 |
N |
CA00241942 |
B |
SFY2013-14 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-10-30 00:00:00 |
030010237 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-01-21 00:00:00 |
2011-01-21 00:00:00 |
No |
2013-11-21 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
IIZJ11 |
N |
CA00255627 |
B |
SFY2013-14 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2013-11-13 00:00:00 |
030010244 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-06-30 00:00:00 |
2011-06-30 00:00:00 |
No |
2013-12-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
J7AX11 |
N |
CA00275021, CA00275065, CA00365708 |
C, B, B |
SFY2013-14 |
100000021 |
CASA COLOMA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-11-14 00:00:00 |
030010252 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-09-30 00:00:00 |
2013-09-30 00:00:00 |
No |
2013-12-09 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
MWG511 |
N |
CA00372475 |
B |
SFY2013-14 |
100000522 |
CASA DEL MAR #3 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2013-11-26 00:00:00 |
030010272 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-11-18 00:00:00 |
2011-11-18 00:00:00 |
No |
2013-12-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
8JZL11 |
N |
CA00290355, CA00290364 |
B, B |
SFY2013-14 |
100000522 |
CASA DEL MAR #3 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2013-11-26 00:00:00 |
030010273 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2011-11-18 00:00:00 |
2011-11-18 00:00:00 |
No |
2013-12-19 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
8JZL11 |
N |
CA00290355, CA00290364, CA00290364, CA00290364 |
B, B, B, B |
SFY2013-14 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-01-23 00:00:00 |
030010397 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-01-26 00:00:00 |
2011-01-26 00:00:00 |
No |
2014-02-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
JUJ711 |
N |
CA00257105, CA00257217 |
B, B |
SFY2013-14 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-10-17 00:00:00 |
030011077 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-12-16 00:00:00 |
2013-12-16 00:00:00 |
No |
2014-11-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
5L7E11 |
Y |
CA00380729 |
A |
SFY2014-15 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2016-04-15 00:00:00 |
030012175 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-07-23 00:00:00 |
2014-07-23 00:00:00 |
No |
2016-05-06 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
5X3K11 |
N |
CA00436710 |
B |
SFY2015-16 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2016-06-08 00:00:00 |
030012313 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-08-08 00:00:00 |
2012-08-08 00:00:00 |
No |
2016-06-29 00:00:00 |
None |
A |
None |
4000 |
4000 |
-1400 |
2600 |
0 |
None |
WMMK11 |
N |
CA00322035 |
B |
SFY2015-16 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2016-07-27 00:00:00 |
030012428 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Patient Safety |
2016-06-11 00:00:00 |
2016-06-11 00:00:00 |
No |
2016-08-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
EPVA11 |
N |
CA00493031 |
A |
SFY2016-17 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2016-10-05 00:00:00 |
030012617 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-06-05 00:00:00 |
2016-06-05 00:00:00 |
No |
2016-10-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
2UL011 |
N |
CA00495545 |
B |
SFY2016-17 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2016-11-10 00:00:00 |
030012717 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-04-02 00:00:00 |
2016-04-02 00:00:00 |
No |
2016-12-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
80YP11 |
N |
CA00483112 |
B |
SFY2016-17 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2017-02-03 00:00:00 |
030012933 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to Issue Bed-Hold |
2016-03-25 00:00:00 |
2016-03-25 00:00:00 |
No |
2017-02-27 00:00:00 |
None |
B |
None |
2000 |
2200 |
-700 |
1500 |
0 |
None |
YS2211 |
N |
CA00480931, CA00496976 |
A, C |
SFY2016-17 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2017-10-05 00:00:00 |
030013526 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2017-07-25 00:00:00 |
2017-07-25 00:00:00 |
No |
2017-10-26 00:00:00 |
None |
B |
None |
2150 |
2150 |
-700 |
1450 |
0 |
None |
CFXI11 |
N |
CA00548020 |
B |
SFY2017-18 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2017-10-20 00:00:00 |
030013560 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-02-01 00:00:00 |
2017-02-01 00:00:00 |
No |
2017-11-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
HNBB11 |
N |
CA00526036 |
B |
SFY2017-18 |
630013324 |
CITRUS HOME ICF/DD-N |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2017-11-01 00:00:00 |
030013591 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to Report |
2017-07-26 00:00:00 |
2017-07-26 00:00:00 |
No |
2017-11-27 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
26RO11 |
N |
None |
None |
SFY2017-18 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2018-01-04 00:00:00 |
030013706 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to readmit |
2016-05-16 00:00:00 |
2016-05-16 00:00:00 |
No |
2018-01-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
BFEE11 |
N |
CA00488423, CA00488688 |
A, A |
SFY2017-18 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2018-10-18 00:00:00 |
030014484 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-11-23 00:00:00 |
2015-11-23 00:00:00 |
Yes |
2018-11-08 00:00:00 |
2018-11-01 00:00:00 |
A |
A |
12000 |
8850 |
0 |
8850 |
0 |
None |
1BI211 |
Y |
CA00466845 |
B |
SFY2018-19 |
100000524 |
CASA DEL MAR #4 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2019-02-12 00:00:00 |
030014794 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-08-06 00:00:00 |
2018-08-06 00:00:00 |
No |
2019-03-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
14ZL11 |
N |
None |
None |
SFY2018-19 |
100000173 |
CASA DEL MAR #1 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2019-02-12 00:00:00 |
030014806 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-07-20 00:00:00 |
2018-07-20 00:00:00 |
No |
2019-03-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
NPZV11 |
N |
None |
None |
SFY2018-19 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-04-10 00:00:00 |
030014925 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Resident Safety/Supervisi |
2018-11-13 00:00:00 |
2018-11-13 00:00:00 |
No |
2019-05-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
JHBC11 |
N |
CA00612246, CA00612246 |
B, B |
SFY2018-19 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-04-29 00:00:00 |
030014994 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to Report |
2018-12-07 00:00:00 |
2018-12-07 00:00:00 |
No |
2019-05-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Z4R911 |
N |
CA00620411 |
B |
SFY2018-19 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-05-14 00:00:00 |
030015036 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-02-21 00:00:00 |
2019-02-21 00:00:00 |
No |
2019-06-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FYDV11 |
Y |
CA00627723 |
B |
SFY2018-19 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2019-05-08 00:00:00 |
030015040 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-01-18 00:00:00 |
2019-01-18 00:00:00 |
No |
2019-05-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0QUI11 |
N |
CA00608431 |
B |
SFY2018-19 |
630013324 |
CITRUS HOME ICF/DD-N |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2019-05-23 00:00:00 |
030015090 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-03-10 00:00:00 |
2018-03-10 00:00:00 |
Yes |
2019-06-14 00:00:00 |
2019-06-05 00:00:00 |
B |
B |
2000 |
1400 |
0 |
1400 |
0 |
None |
OR3Q11 |
N |
CA00606209 |
B |
SFY2018-19 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-07-11 00:00:00 |
030015194 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-12-31 00:00:00 |
2016-12-31 00:00:00 |
No |
2019-08-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
RJQ911 |
N |
CA00516747 |
B |
SFY2019-20 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-07-11 00:00:00 |
030015224 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2018-07-24 00:00:00 |
2018-07-24 00:00:00 |
Yes |
2019-08-01 00:00:00 |
2019-07-18 00:00:00 |
A |
B |
10000 |
10000 |
0 |
10000 |
0 |
None |
5G3Y11 |
N |
CA00596620, CA00596620, CA00596707, CA00596707 |
A, A, B, B |
SFY2019-20 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2019-08-14 00:00:00 |
030015300 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-07-22 00:00:00 |
2018-07-22 00:00:00 |
No |
2019-09-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
E2HZ11 |
N |
CA00596360 |
B |
SFY2019-20 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-08-14 00:00:00 |
030015302 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Patient Rights/Failure No |
2019-03-06 00:00:00 |
2019-03-06 00:00:00 |
No |
2019-09-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FKEH11 |
N |
CA00627659 |
B |
SFY2019-20 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-08-14 00:00:00 |
030015306 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-02-18 00:00:00 |
2019-02-18 00:00:00 |
No |
2019-09-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5M7O11 |
N |
CA00624919, CA00624919 |
B, B |
SFY2019-20 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-12-06 00:00:00 |
030015563 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-10-01 00:00:00 |
2019-10-01 00:00:00 |
No |
2019-12-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
UIL011 |
N |
CA00657571 |
B |
SFY2019-20 |
100000524 |
CASA DEL MAR #4 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2019-12-04 00:00:00 |
030015564 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-06-02 00:00:00 |
2017-06-02 00:00:00 |
No |
2019-12-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
IYDF11 |
N |
CA00539757 |
B |
SFY2019-20 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2021-08-31 00:00:00 |
030016833 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-08-10 00:00:00 |
2021-08-10 00:00:00 |
Yes |
2021-09-22 00:00:00 |
2021-09-08 00:00:00 |
B |
B |
2000 |
2000 |
0 |
2000 |
0 |
None |
4EN111 |
N |
CA00688063, CA00688063 |
B, B |
SFY2021-22 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2021-08-31 00:00:00 |
030016834 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-04-23 00:00:00 |
2021-04-23 00:00:00 |
Yes |
2021-09-22 00:00:00 |
2021-09-08 00:00:00 |
B |
Drop>Deficiency |
2000 |
3000 |
-3000 |
0 |
0 |
None |
2TCD11 |
N |
CA00686020 |
C |
SFY2021-22 |
100001332 |
CARCIDO'S ICF/DD-H #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Stockton |
2022-09-14 00:00:00 |
030017977 |
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 |
2022-10-05 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
D0E811 |
N |
None |
None |
SFY2022-23 |
100000773 |
CLEARWATER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2022-09-26 00:00:00 |
030017996 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2022-04-20 00:00:00 |
2022-04-20 00:00:00 |
No |
2022-10-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
CY8411 |
N |
CA00798869 |
A |
SFY2022-23 |
100000021 |
CASA COLOMA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2022-10-06 00:00:00 |
030018044 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2021-12-14 00:00:00 |
2021-12-28 00:00:00 |
No |
2022-10-27 00:00:00 |
None |
B |
None |
2000 |
2700 |
-700 |
2000 |
0 |
None |
H82111 |
N |
CA00765195 |
A |
SFY2022-23 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2022-10-19 00:00:00 |
030018062 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Refusal to Readmit |
2022-04-18 00:00:00 |
2022-04-18 00:00:00 |
No |
2022-11-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
EEWU11 |
N |
CA00781725 |
A |
SFY2022-23 |
100000021 |
CASA COLOMA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2022-10-13 00:00:00 |
030018070 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2021-12-16 00:00:00 |
2021-12-16 00:00:00 |
No |
2022-11-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6T7W11 |
N |
CA00765211, CA00765264 |
A, A |
SFY2022-23 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-03-09 00:00:00 |
030018486 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2022-10-27 00:00:00 |
2022-10-27 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
7QW611 |
N |
CA00813019 |
B |
SFY2022-23 |
100000962 |
CAPITAL POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-03-29 00:00:00 |
030018506 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2019-08-15 00:00:00 |
2019-08-15 00:00:00 |
No |
2023-04-20 00:00:00 |
None |
AA |
None |
100000 |
100000 |
-35000 |
65000 |
0 |
None |
2FQV11 |
Y |
CA00651365 |
B |
SFY2022-23 |
100000524 |
CASA DEL MAR #4 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2023-03-16 00:00:00 |
030018515 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-08-21 00:00:00 |
2019-08-21 00:00:00 |
Yes |
2023-04-07 00:00:00 |
2023-03-29 00:00:00 |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Z7HN11 |
N |
CA00652585, CA00652585 |
B, B |
SFY2022-23 |
100000962 |
CAPITAL POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-03-29 00:00:00 |
030018584 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-10-12 00:00:00 |
2021-10-12 00:00:00 |
No |
2023-04-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
NM3N11 |
N |
CA00756812, CA00756812 |
B, B |
SFY2022-23 |
030001815 |
COURTYARD HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-04-26 00:00:00 |
030018680 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-04-20 00:00:00 |
2021-04-20 00:00:00 |
Yes |
2023-05-17 00:00:00 |
2023-05-12 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
VFN011 |
Y |
CA00733760, CA00737092 |
B, B |
SFY2022-23 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2024-03-13 00:00:00 |
030019840 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-01-05 00:00:00 |
2024-01-05 00:00:00 |
No |
2024-04-04 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
4ERW11 |
N |
CA00878419 |
C |
SFY2023-24 |
100000962 |
CAPITAL POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2024-05-09 00:00:00 |
030020136 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-03-16 00:00:00 |
2024-03-16 00:00:00 |
No |
2024-05-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
JJ9811 |
N |
CA00892478 |
B |
SFY2023-24 |
040000026 |
COUNTRYSIDE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-06-29 00:00:00 |
040001179 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-06 00:00:00 |
2000-03-06 00:00:00 |
Yes |
2001-03-05 00:00:00 |
2001-02-28 00:00:00 |
B |
Drop>Deficiency |
1000 |
757 |
0 |
757 |
0 |
040010985 |
A99999 |
N |
None |
None |
SFY1999-00 |
040000049 |
COVENANT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-12-06 00:00:00 |
040001196 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-07-10 00:00:00 |
2000-07-10 00:00:00 |
No |
2001-01-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040011527 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000474 |
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-01-16 00:00:00 |
040001202 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
NURSING SERVICES |
2000-08-16 00:00:00 |
2000-08-16 00:00:00 |
No |
2001-02-06 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
040011214 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000038 |
COMMUNITY LIVING CENTER - FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-06-26 00:00:00 |
040001221 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NURSING SERVICE |
2001-02-02 00:00:00 |
2001-02-02 00:00:00 |
Yes |
2001-07-20 00:00:00 |
2001-07-23 00:00:00 |
B |
None |
900 |
900 |
0 |
900 |
0 |
040011889 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000534 |
CASA TERCEIRA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2001-07-25 00:00:00 |
040001225 |
Closed |
Citation |
Citation A (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2001-04-29 00:00:00 |
2001-04-29 00:00:00 |
Yes |
2001-12-14 00:00:00 |
2001-08-08 00:00:00 |
A |
A |
10000 |
10000 |
0 |
10000 |
0 |
040012059 |
A99999 |
N |
None |
None |
SFY2001-02 |
040000022 |
COALINGA DISTINGUISHED COMMUNITY CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-05-01 00:00:00 |
040001248 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-12-25 00:00:00 |
2001-12-25 00:00:00 |
No |
2002-05-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040012832 |
A99999 |
N |
None |
None |
SFY2001-02 |
040000798 |
COALINGA REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-05-21 00:00:00 |
040001252 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NURSING SERVICE-GENE |
2002-02-26 00:00:00 |
2002-02-26 00:00:00 |
No |
2002-06-21 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
040013056 |
A99999 |
N |
None |
None |
SFY2001-02 |
040000022 |
COALINGA DISTINGUISHED COMMUNITY CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-08-20 00:00:00 |
040001266 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
ACCIDENTS |
2002-05-21 00:00:00 |
2002-05-21 00:00:00 |
Yes |
2002-09-16 00:00:00 |
2002-08-27 00:00:00 |
A |
A |
20000 |
11477 |
0 |
11477 |
0 |
040013372 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000049 |
COVENANT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-10-31 00:00:00 |
040001326 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2002-07-15 00:00:00 |
2002-07-15 00:00:00 |
No |
2002-11-27 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
040013555 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000474 |
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2003-02-11 00:00:00 |
040001328 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-09-26 00:00:00 |
2002-09-26 00:00:00 |
No |
2003-03-12 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
040013801 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000833 |
CLAREMY HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2003-08-21 00:00:00 |
040001353 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2002-12-09 00:00:00 |
2002-12-09 00:00:00 |
Yes |
2003-09-12 00:00:00 |
2003-09-02 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
040014302 |
A99999 |
N |
None |
None |
SFY2003-04 |
040000875 |
CASA SANTA MARIA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2004-03-30 00:00:00 |
040001354 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-08-11 00:00:00 |
2003-08-11 00:00:00 |
No |
2004-04-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040015087 |
A99999 |
N |
None |
None |
SFY2003-04 |
040000474 |
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2004-05-13 00:00:00 |
040001359 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2003-07-20 00:00:00 |
2003-07-20 00:00:00 |
No |
2004-06-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040015263 |
A99999 |
N |
None |
None |
SFY2003-04 |
040000022 |
COALINGA DISTINGUISHED COMMUNITY CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2004-07-13 00:00:00 |
040001361 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2004-06-30 00:00:00 |
2004-06-30 00:00:00 |
No |
2004-08-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040015971 |
A99999 |
N |
None |
None |
SFY2004-05 |
040000022 |
COALINGA DISTINGUISHED COMMUNITY CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2004-07-14 00:00:00 |
040001362 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2004-05-20 00:00:00 |
2004-06-30 00:00:00 |
No |
2004-08-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
040016012 |
A99999 |
N |
None |
None |
SFY2004-05 |
040000474 |
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2005-06-27 00:00:00 |
040001374 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2004-06-27 00:00:00 |
2004-06-27 00:00:00 |
No |
2005-07-21 00:00:00 |
None |
AA |
None |
80000 |
80000 |
-28000 |
52000 |
0 |
040016639 |
A99999 |
Y |
None |
None |
SFY2004-05 |
040000833 |
CLAREMY HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2005-09-12 00:00:00 |
040001377 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-20 00:00:00 |
2004-04-20 00:00:00 |
No |
2005-10-05 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
040016642 |
A99999 |
N |
None |
None |
SFY2005-06 |
040000022 |
COALINGA DISTINGUISHED COMMUNITY CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2005-12-08 00:00:00 |
040001378 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2005-11-07 00:00:00 |
2005-11-07 00:00:00 |
No |
2005-12-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
040016645 |
A99999 |
N |
None |
None |
SFY2005-06 |
040000875 |
CASA SANTA MARIA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2008-02-07 00:00:00 |
040004671 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-11 00:00:00 |
2007-04-11 00:00:00 |
No |
2008-03-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6RBT11 |
N |
CA00112036 |
C |
SFY2007-08 |
040000474 |
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2010-01-06 00:00:00 |
040006887 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-08-20 00:00:00 |
2009-08-20 00:00:00 |
Yes |
2010-01-29 00:00:00 |
2010-01-14 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
DIF711 |
N |
CA00200176 |
B |
SFY2009-10 |
040000790 |
CHOWCHILLA MEMORIAL HEALTHCARE DISTRICT |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2011-01-25 00:00:00 |
040007860 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-11-26 00:00:00 |
2010-11-26 00:00:00 |
No |
2011-02-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LN7F11 |
N |
CA00250947 |
C |
SFY2010-11 |
040000798 |
COALINGA REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2012-04-03 00:00:00 |
040009205 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-11-22 00:00:00 |
2011-11-22 00:00:00 |
No |
2012-04-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GSR111 |
N |
CA00290641 |
C |
SFY2011-12 |
040000308 |
CASA FLAMENGOS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2013-04-25 00:00:00 |
040009853 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-12-21 00:00:00 |
2012-12-21 00:00:00 |
No |
2013-05-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
839X11 |
N |
CA00337417 |
B |
SFY2012-13 |
100000036 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2013-08-15 00:00:00 |
040010097 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-12-04 00:00:00 |
2012-12-04 00:00:00 |
Yes |
2013-09-06 00:00:00 |
2013-08-27 00:00:00 |
B |
B |
800 |
600 |
0 |
600 |
0 |
None |
LX0F11 |
N |
CA00335226 |
B |
SFY2013-14 |
100000036 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2013-10-03 00:00:00 |
040010178 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-10-01 00:00:00 |
2012-10-01 00:00:00 |
Yes |
2013-10-24 00:00:00 |
2013-10-09 00:00:00 |
B |
B |
2000 |
1000 |
0 |
1000 |
0 |
None |
MJDE11 |
N |
CA00337332 |
B |
SFY2013-14 |
040000474 |
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2014-08-28 00:00:00 |
040010961 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2014-07-29 00:00:00 |
2014-07-29 00:00:00 |
No |
2014-09-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
17L211 |
N |
CA00407483 |
B |
SFY2014-15 |
040000833 |
CLAREMY HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2015-05-01 00:00:00 |
040011427 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-12-07 00:00:00 |
2014-12-07 00:00:00 |
No |
2015-05-22 00:00:00 |
None |
B |
None |
1000 |
1200 |
-350 |
850 |
0 |
None |
1ZMU11 |
N |
CA00424290 |
B |
SFY2014-15 |
040000474 |
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2016-02-24 00:00:00 |
040012044 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2015-10-14 00:00:00 |
2015-10-14 00:00:00 |
Yes |
2016-03-16 00:00:00 |
2016-03-07 00:00:00 |
B |
None |
1500 |
1500 |
0 |
0 |
1500 |
None |
63X511 |
N |
None |
None |
SFY2015-16 |
040000474 |
COMMUNITY SUBACUTE AND TRANSITIONAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2016-03-02 00:00:00 |
040012057 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2015-12-30 00:00:00 |
2015-12-30 00:00:00 |
No |
2016-03-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
63X512 |
N |
None |
None |
SFY2015-16 |
030000066 |
CERES POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2016-03-14 00:00:00 |
040012076 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2015-11-19 00:00:00 |
2015-11-19 00:00:00 |
No |
2016-04-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
WW6Z11 |
N |
CA00466410 |
B |
SFY2015-16 |
040000308 |
CASA FLAMENGOS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2016-05-09 00:00:00 |
040012239 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-12-23 00:00:00 |
2015-12-23 00:00:00 |
No |
2016-05-31 00:00:00 |
None |
A |
None |
10000 |
10500 |
-3500 |
7000 |
0 |
None |
0AEJ11 |
N |
CA00470725 |
B |
SFY2015-16 |
040000049 |
COVENANT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2018-10-24 00:00:00 |
040014527 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-07-02 00:00:00 |
2018-07-02 00:00:00 |
No |
2018-11-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
2T1H11 |
N |
CA00593826 |
B |
SFY2018-19 |
040000308 |
CASA FLAMENGOS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2019-02-27 00:00:00 |
040014842 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-10-16 00:00:00 |
2018-10-16 00:00:00 |
No |
2019-03-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
E7IQ11 |
N |
None |
None |
SFY2018-19 |
040000308 |
CASA FLAMENGOS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2019-02-27 00:00:00 |
040014844 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-10-16 00:00:00 |
2018-10-16 00:00:00 |
No |
2019-03-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
E7IQ11 |
N |
None |
None |
SFY2018-19 |
040000077 |
CORNERSTONE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2023-12-07 00:00:00 |
040019444 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-02-06 00:00:00 |
2023-02-06 00:00:00 |
No |
2023-12-29 00:00:00 |
None |
B |
None |
2500 |
2500 |
-875 |
1625 |
0 |
None |
2TYU11 |
N |
CA00825435 |
B |
SFY2023-24 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-01-04 00:00:00 |
050001353 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-03-27 00:00:00 |
1999-03-27 00:00:00 |
No |
2000-01-28 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
050013406 |
A99999 |
N |
None |
None |
SFY1999-00 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-01-04 00:00:00 |
050001355 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT CARE & RIGHT |
1999-10-25 00:00:00 |
None |
Yes |
2000-05-29 00:00:00 |
2000-05-03 00:00:00 |
B |
B |
800 |
500 |
0 |
500 |
0 |
050013408 |
A99999 |
N |
None |
None |
SFY1999-00 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-04-19 00:00:00 |
050001375 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NEGLECT/ABUSE |
2000-03-11 00:00:00 |
2000-03-11 00:00:00 |
Yes |
2000-05-19 00:00:00 |
2000-04-20 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
050013763 |
A99999 |
N |
None |
None |
SFY1999-00 |
050000045 |
CASA DE VIDA |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2000-05-02 00:00:00 |
050001378 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-02 00:00:00 |
None |
Yes |
2000-08-17 00:00:00 |
2000-05-17 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
050013830 |
A99999 |
N |
None |
None |
SFY1999-00 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-06-14 00:00:00 |
050001387 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-11-28 00:00:00 |
1999-11-28 00:00:00 |
No |
2000-07-13 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
050013993 |
A99999 |
N |
None |
None |
SFY1999-00 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-09-20 00:00:00 |
050001395 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-08-15 00:00:00 |
2000-08-15 00:00:00 |
Yes |
2000-10-13 00:00:00 |
2000-10-23 00:00:00 |
B |
B Trebled |
1000 |
2250 |
0 |
2250 |
0 |
050014327 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-09-29 00:00:00 |
050001396 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2000-08-24 00:00:00 |
2000-08-24 00:00:00 |
Yes |
2000-10-31 00:00:00 |
2000-10-23 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
050014353 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-10-05 00:00:00 |
050001398 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2000-06-01 00:00:00 |
2000-08-20 00:00:00 |
Yes |
2000-11-06 00:00:00 |
2000-10-18 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
050014363 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-11-20 00:00:00 |
050001400 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-09-11 00:00:00 |
2000-09-11 00:00:00 |
Yes |
2000-12-19 00:00:00 |
2000-11-21 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
050014473 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000066 |
COASTAL VIEW HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-12-05 00:00:00 |
050001402 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-10-08 00:00:00 |
2000-10-08 00:00:00 |
Yes |
2001-07-05 00:00:00 |
2001-07-02 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
050014525 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000066 |
COASTAL VIEW HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2000-12-19 00:00:00 |
050001406 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-10-08 00:00:00 |
2000-10-08 00:00:00 |
Yes |
2001-07-05 00:00:00 |
2001-07-02 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
050014572 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2001-01-17 00:00:00 |
050001436 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2000-10-28 00:00:00 |
None |
Yes |
2001-02-28 00:00:00 |
2001-01-22 00:00:00 |
B |
B Trebled |
1000 |
2250 |
0 |
2250 |
0 |
050014645 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2001-07-27 00:00:00 |
050001462 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2001-03-18 00:00:00 |
2001-03-18 00:00:00 |
No |
2001-08-20 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
050015274 |
A99999 |
N |
None |
None |
SFY2001-02 |
050001345 |
CHUPARROSA STREET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2001-08-15 00:00:00 |
050001464 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2001-06-09 00:00:00 |
2001-06-09 00:00:00 |
Yes |
2001-11-28 00:00:00 |
2001-08-17 00:00:00 |
A |
A |
1200 |
1200 |
0 |
1200 |
0 |
050015328 |
A99999 |
N |
None |
None |
SFY2001-02 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2001-11-01 00:00:00 |
050001477 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2001-07-03 00:00:00 |
2001-07-03 00:00:00 |
Yes |
2001-11-27 00:00:00 |
2001-11-06 00:00:00 |
AA |
AA |
60000 |
33435 |
0 |
33435 |
0 |
050015496 |
A99999 |
Y |
None |
None |
SFY2001-02 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2002-03-18 00:00:00 |
050001495 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-26 00:00:00 |
None |
No |
2002-04-10 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
050015761 |
A99999 |
N |
None |
None |
SFY2001-02 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2002-04-26 00:00:00 |
050001500 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-12-24 00:00:00 |
None |
Yes |
2002-05-21 00:00:00 |
2002-05-01 00:00:00 |
A |
B |
5000 |
7000 |
0 |
7000 |
0 |
050015827 |
A99999 |
N |
None |
None |
SFY2001-02 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2002-08-14 00:00:00 |
050001515 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-06-15 00:00:00 |
None |
No |
2002-09-12 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
050016060 |
A99999 |
N |
None |
None |
SFY2002-03 |
050000045 |
CASA DE VIDA |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2002-09-19 00:00:00 |
050001521 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-08-18 00:00:00 |
None |
Yes |
2003-02-04 00:00:00 |
2002-10-10 00:00:00 |
B |
B |
500 |
500 |
0 |
500 |
0 |
050016138 |
A99999 |
N |
None |
None |
SFY2002-03 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2002-10-24 00:00:00 |
050001531 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-08-10 00:00:00 |
2002-08-10 00:00:00 |
No |
2002-11-15 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
050016225 |
A99999 |
N |
None |
None |
SFY2002-03 |
050000718 |
CASA DEL SOL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2002-12-05 00:00:00 |
050001541 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-21 00:00:00 |
None |
Yes |
2002-12-27 00:00:00 |
2002-12-12 00:00:00 |
B |
Drop>Deficiency |
800 |
0 |
0 |
0 |
0 |
050016307 |
A99999 |
N |
None |
None |
SFY2002-03 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-03-28 00:00:00 |
050001560 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-06 00:00:00 |
None |
No |
2003-04-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050016559 |
A99999 |
N |
None |
None |
SFY2002-03 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-03-28 00:00:00 |
050001561 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-06 00:00:00 |
None |
No |
2003-04-21 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
050016559 |
A99999 |
N |
None |
None |
SFY2002-03 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-04-28 00:00:00 |
050001564 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-08 00:00:00 |
None |
No |
2003-05-21 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
050016603 |
A99999 |
N |
None |
None |
SFY2002-03 |
050000718 |
CASA DEL SOL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2003-05-07 00:00:00 |
050001567 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-13 00:00:00 |
None |
Yes |
2003-05-30 00:00:00 |
2003-05-13 00:00:00 |
B |
None |
500 |
500 |
0 |
500 |
0 |
050016630 |
A99999 |
N |
None |
None |
SFY2002-03 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-10-27 00:00:00 |
050001590 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-06-24 00:00:00 |
None |
No |
2003-11-20 00:00:00 |
None |
A |
None |
3500 |
3500 |
-1225 |
2275 |
0 |
050016890 |
A99999 |
N |
None |
None |
SFY2003-04 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-11-06 00:00:00 |
050001591 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-06-03 00:00:00 |
None |
No |
2003-12-10 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
050016900 |
A99999 |
N |
None |
None |
SFY2003-04 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-11-13 00:00:00 |
050001593 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-08-25 00:00:00 |
None |
Yes |
2003-12-26 00:00:00 |
2003-11-20 00:00:00 |
B |
B |
500 |
500 |
0 |
500 |
0 |
050016906 |
A99999 |
N |
None |
None |
SFY2003-04 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2003-12-02 00:00:00 |
050001596 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-16 00:00:00 |
None |
No |
2003-12-26 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
050016928 |
A99999 |
N |
None |
None |
SFY2003-04 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2004-03-11 00:00:00 |
050001599 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-12-24 00:00:00 |
None |
No |
2004-04-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050017104 |
A99999 |
N |
None |
None |
SFY2003-04 |
050000718 |
CASA DEL SOL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2004-11-22 00:00:00 |
050001615 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-08-19 00:00:00 |
None |
No |
2004-12-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050017650 |
A99999 |
N |
None |
None |
SFY2004-05 |
050000718 |
CASA DEL SOL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2004-11-22 00:00:00 |
050001616 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-01 00:00:00 |
2004-07-31 00:00:00 |
No |
2004-12-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050017650 |
A99999 |
N |
None |
None |
SFY2004-05 |
050000718 |
CASA DEL SOL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2004-11-22 00:00:00 |
050001617 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2004-08-06 00:00:00 |
None |
No |
2004-12-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050017650 |
A99999 |
N |
None |
None |
SFY2004-05 |
050000718 |
CASA DEL SOL |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2005-11-22 00:00:00 |
050001636 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-02-19 00:00:00 |
2005-02-19 00:00:00 |
Yes |
2005-12-19 00:00:00 |
2005-11-28 00:00:00 |
B |
None |
1000 |
3000 |
-3000 |
0 |
0 |
050017841 |
A99999 |
N |
None |
None |
SFY2005-06 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2006-01-05 00:00:00 |
050001643 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2005-12-11 00:00:00 |
2005-12-11 00:00:00 |
No |
2006-01-27 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
050017850 |
A99999 |
N |
None |
None |
SFY2005-06 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2006-10-27 00:00:00 |
050003453 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2006-10-17 00:00:00 |
2006-10-17 00:00:00 |
No |
2006-11-20 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
Q3GG11 |
N |
CA00096617 |
B |
SFY2006-07 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2006-11-08 00:00:00 |
050003469 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-12 00:00:00 |
2004-12-12 00:00:00 |
No |
2006-12-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
EKYW11 |
N |
CA00037194 |
C |
SFY2006-07 |
050000045 |
CASA DE VIDA |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2006-11-08 00:00:00 |
050003471 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-03-11 00:00:00 |
2006-03-11 00:00:00 |
Yes |
2006-12-04 00:00:00 |
2006-11-16 00:00:00 |
B |
B |
600 |
300 |
0 |
300 |
0 |
None |
POK211 |
N |
CA00077672, CA00077701 |
C, C |
SFY2006-07 |
050000045 |
CASA DE VIDA |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2006-11-28 00:00:00 |
050003528 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Rights |
None |
2006-09-20 00:00:00 |
2006-09-20 00:00:00 |
Yes |
2006-12-19 00:00:00 |
2007-09-12 00:00:00 |
AA |
A |
25000 |
10000 |
0 |
10000 |
0 |
None |
MFWL11 |
Y |
CA00094033, CA00094056 |
B, B |
SFY2006-07 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-01-18 00:00:00 |
050003644 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2006-10-31 00:00:00 |
2006-10-31 00:00:00 |
No |
2007-02-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YOR811 |
N |
CA00097552, CA00097845 |
C, B |
SFY2006-07 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-05-27 00:00:00 |
050003732 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-07-20 00:00:00 |
2006-07-20 00:00:00 |
No |
2008-06-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PXTD11 |
N |
CA00097222, CA00097976 |
C, A |
SFY2007-08 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-05-23 00:00:00 |
050003735 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-01 00:00:00 |
2006-06-01 00:00:00 |
No |
2007-06-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
O7ZJ11 |
N |
CA00082668, CA00083141 |
C, C |
SFY2006-07 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-03-21 00:00:00 |
050003736 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-10 00:00:00 |
2006-11-10 00:00:00 |
No |
2007-04-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1E5M11 |
N |
CA00099034 |
C |
SFY2006-07 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-03-21 00:00:00 |
050003833 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-16 00:00:00 |
2006-11-16 00:00:00 |
No |
2007-04-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1E5M11 |
N |
CA00099034 |
C |
SFY2006-07 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-07-11 00:00:00 |
050003876 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2006-07-28 00:00:00 |
2006-07-28 00:00:00 |
No |
2007-08-01 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
U2XR11 |
N |
None |
None |
SFY2007-08 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-12-18 00:00:00 |
050003921 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-08-15 00:00:00 |
2006-08-15 00:00:00 |
No |
2009-01-14 00:00:00 |
None |
A |
None |
7500 |
7500 |
-2625 |
4875 |
0 |
None |
4ZW511 |
N |
CA00090257 |
C |
SFY2008-09 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-07-06 00:00:00 |
050003962 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-01-30 00:00:00 |
2007-01-30 00:00:00 |
No |
2007-07-27 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
73R411 |
N |
CA00111181 |
C |
SFY2007-08 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-07-12 00:00:00 |
050003971 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-04-28 00:00:00 |
2007-04-28 00:00:00 |
No |
2007-08-02 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
4QXD11 |
N |
CA00113668 |
B |
SFY2007-08 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-05-29 00:00:00 |
050003991 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-01-27 00:00:00 |
2007-01-27 00:00:00 |
No |
2007-06-19 00:00:00 |
None |
B |
None |
800 |
850 |
-280 |
570 |
0 |
None |
O38211 |
N |
CA00107185 |
C |
SFY2006-07 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-08-30 00:00:00 |
050004173 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-07-30 00:00:00 |
2006-07-30 00:00:00 |
No |
2007-09-21 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
OSTW11 |
N |
CA00088756, CA00090392 |
C, C |
SFY2007-08 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2007-11-21 00:00:00 |
050004396 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-06 00:00:00 |
2007-10-06 00:00:00 |
No |
2007-12-17 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
7SNN11 |
N |
CA00128659 |
C |
SFY2007-08 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-07-14 00:00:00 |
050004851 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-02-26 00:00:00 |
2008-02-26 00:00:00 |
Yes |
2008-08-15 00:00:00 |
2008-07-29 00:00:00 |
A |
None |
10000 |
30000 |
0 |
30000 |
0 |
None |
99B611 |
N |
CA00142300, CA00144105 |
C, C |
SFY2008-09 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-10-02 00:00:00 |
050005375 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to Report |
2008-06-30 00:00:00 |
2008-06-30 00:00:00 |
No |
2008-10-29 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
XJS411 |
N |
CA00158299 |
C |
SFY2008-09 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2008-12-31 00:00:00 |
050005650 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2008-11-24 00:00:00 |
2008-11-24 00:00:00 |
Yes |
2009-01-28 00:00:00 |
2009-01-20 00:00:00 |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
S1Q411 |
N |
None |
None |
SFY2008-09 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2009-03-09 00:00:00 |
050005743 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-01 00:00:00 |
2008-11-01 00:00:00 |
No |
2009-04-01 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
KU0J11 |
N |
CA00171288 |
C |
SFY2008-09 |
630010001 |
CARING CONCERN RESIDENTIAL HOMES INC - DANA POINT |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2009-04-23 00:00:00 |
050006007 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-02-27 00:00:00 |
2009-02-27 00:00:00 |
No |
2009-05-28 00:00:00 |
None |
B |
None |
1000 |
1350 |
-350 |
1000 |
0 |
None |
6F3F11 |
N |
CA00179642 |
C |
SFY2008-09 |
050000046 |
CASA DORINDA |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2009-06-10 00:00:00 |
050006178 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-04-12 00:00:00 |
2009-04-12 00:00:00 |
Yes |
2009-07-06 00:00:00 |
2009-06-12 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
None |
GZLB11 |
N |
CA00184870 |
C |
SFY2008-09 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2010-06-16 00:00:00 |
050006267 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-19 00:00:00 |
2009-03-19 00:00:00 |
No |
2010-07-13 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
None |
38UG11 |
N |
CA00185940 |
B |
SFY2009-10 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-06-01 00:00:00 |
050006663 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-06-05 00:00:00 |
2009-06-05 00:00:00 |
No |
2011-06-22 00:00:00 |
None |
A |
None |
9000 |
9000 |
-3150 |
5850 |
0 |
None |
HUMD11 |
N |
CA00191416 |
C |
SFY2010-11 |
050000006 |
CAMARILLO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-06-01 00:00:00 |
050006906 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-12-12 00:00:00 |
2009-12-12 00:00:00 |
No |
2011-06-22 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
None |
189H11 |
N |
CA00211685 |
B |
SFY2010-11 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2010-04-07 00:00:00 |
050007026 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-12-09 00:00:00 |
2009-12-09 00:00:00 |
No |
2010-05-19 00:00:00 |
None |
A |
None |
9000 |
9000 |
0 |
9000 |
0 |
None |
MWIO11 |
N |
CA00211693 |
C |
SFY2009-10 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2010-04-07 00:00:00 |
050007076 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-01-21 00:00:00 |
2010-01-21 00:00:00 |
No |
2010-05-19 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
L78B11 |
N |
CA00216730, CA00221498 |
C, C |
SFY2009-10 |
050000066 |
COASTAL VIEW HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2010-10-20 00:00:00 |
050007475 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-05-11 00:00:00 |
2010-05-11 00:00:00 |
Yes |
2014-05-05 00:00:00 |
2010-11-01 00:00:00 |
A |
A |
4000 |
4000 |
0 |
4000 |
0 |
None |
75WJ11 |
N |
CA00228734 |
A |
SFY2010-11 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-04-20 00:00:00 |
050007580 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
Failure to Report Abuse |
2010-06-19 00:00:00 |
2010-06-19 00:00:00 |
No |
2011-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I4R111 |
N |
CA00233765 |
B |
SFY2010-11 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-04-20 00:00:00 |
050007581 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
Resident to Resident Abus |
2010-06-18 00:00:00 |
2010-06-18 00:00:00 |
No |
2011-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I4R111 |
N |
CA00233765 |
B |
SFY2010-11 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-08-23 00:00:00 |
050007730 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-09-06 00:00:00 |
2010-09-06 00:00:00 |
Yes |
2011-09-13 00:00:00 |
2011-08-23 00:00:00 |
B |
B |
500 |
325 |
0 |
325 |
0 |
None |
W6RQ11 |
N |
CA00243408 |
B |
SFY2011-12 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-04-20 00:00:00 |
050007732 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-06-07 00:00:00 |
2010-06-07 00:00:00 |
Yes |
2014-05-05 00:00:00 |
2011-04-29 00:00:00 |
B |
B |
800 |
800 |
-800 |
0 |
0 |
None |
FK7U11 |
N |
CA00234124 |
C |
SFY2010-11 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-09-08 00:00:00 |
050008438 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-07-19 00:00:00 |
2011-07-19 00:00:00 |
No |
2011-09-30 00:00:00 |
None |
B |
None |
800 |
800 |
-800 |
0 |
0 |
None |
J8OC11 |
N |
CA00276905, CA00277082, CA00277296 |
B, B, B |
SFY2011-12 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-08-24 00:00:00 |
050008448 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
failure to report |
2011-07-20 00:00:00 |
2011-07-20 00:00:00 |
Yes |
2011-09-14 00:00:00 |
2011-08-24 00:00:00 |
B |
B |
500 |
325 |
0 |
325 |
0 |
None |
P7SM11 |
N |
None |
None |
SFY2011-12 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-08-23 00:00:00 |
050008481 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-07-19 00:00:00 |
2011-07-19 00:00:00 |
Yes |
2011-09-13 00:00:00 |
2011-08-23 00:00:00 |
B |
B |
700 |
455 |
0 |
455 |
0 |
None |
J8OC11 |
N |
CA00276905, CA00277082, CA00277296 |
B, B, B |
SFY2011-12 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2011-08-24 00:00:00 |
050008482 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-08-02 00:00:00 |
2011-08-02 00:00:00 |
Yes |
2011-09-14 00:00:00 |
2011-08-24 00:00:00 |
A |
None |
20000 |
20000 |
-20000 |
0 |
0 |
None |
FP1S11 |
N |
CA00278451 |
B |
SFY2011-12 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2015-04-02 00:00:00 |
050011239 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-10-13 00:00:00 |
2014-10-13 00:00:00 |
No |
2015-04-23 00:00:00 |
None |
A |
None |
5000 |
5600 |
-1750 |
3850 |
0 |
None |
SCMM11 |
N |
CA00416899 |
C |
SFY2014-15 |
050000141 |
COMMUNITY MEMORIAL CONTINUING CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2016-08-08 00:00:00 |
050012340 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-02-22 00:00:00 |
2016-02-22 00:00:00 |
No |
2016-08-29 00:00:00 |
None |
A |
None |
15543 |
15543 |
-5440.05 |
10102.95 |
0 |
None |
EH4U11 |
N |
CA00477195 |
B |
SFY2016-17 |
050000007 |
CHANNEL ISLANDS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2017-05-08 00:00:00 |
050013045 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-01-21 00:00:00 |
2017-01-21 00:00:00 |
Yes |
2017-05-30 00:00:00 |
2017-05-30 00:00:00 |
A |
Dismissed by Court |
18000 |
0 |
0 |
0 |
0 |
None |
CCDB11 |
N |
CA00519053 |
B |
SFY2016-17 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2017-05-08 00:00:00 |
050013143 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
Abuse / facility not self |
2017-01-08 00:00:00 |
2017-01-08 00:00:00 |
No |
2017-05-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
OPA411 |
N |
CA00498214, CA00517862, CA00518044 |
B, A, A |
SFY2016-17 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2017-05-08 00:00:00 |
050013144 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2017-01-08 00:00:00 |
2017-01-08 00:00:00 |
No |
2017-05-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
OPA411 |
N |
CA00517862, CA00518044 |
A, A |
SFY2016-17 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2017-05-08 00:00:00 |
050013145 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-05-02 00:00:00 |
2016-05-02 00:00:00 |
No |
2017-05-30 00:00:00 |
None |
A |
None |
15433 |
15433 |
0 |
15433 |
0 |
None |
OPA411 |
N |
CA00498214 |
B |
SFY2016-17 |
050000046 |
CASA DORINDA |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2019-10-10 00:00:00 |
050015244 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-05-07 00:00:00 |
2019-05-07 00:00:00 |
No |
2019-10-31 00:00:00 |
None |
A |
None |
17000 |
17000 |
-5950 |
11050 |
0 |
None |
EFKQ11 |
N |
CA00636685 |
B |
SFY2019-20 |
060000194 |
CHAPMAN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-05-25 00:00:00 |
060001024 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-01-07 00:00:00 |
None |
Yes |
2000-11-02 00:00:00 |
2000-06-07 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
060009531 |
A99999 |
N |
None |
None |
SFY1999-00 |
060000194 |
CHAPMAN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-11-08 00:00:00 |
060001033 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-04-09 00:00:00 |
None |
No |
2000-12-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060009888 |
A99999 |
N |
None |
None |
SFY2000-01 |
060001575 |
CRIS AVENUE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2001-01-23 00:00:00 |
060001038 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-11-16 00:00:00 |
None |
Yes |
2001-07-19 00:00:00 |
2001-02-01 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
060010245 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000047 |
COVENTRY COURT HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-03-05 00:00:00 |
060001047 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-10-02 00:00:00 |
None |
Yes |
2001-03-27 00:00:00 |
2001-03-14 00:00:00 |
A |
B |
5000 |
5000 |
0 |
5000 |
0 |
060010390 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000047 |
COVENTRY COURT HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-03-19 00:00:00 |
060001051 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
INFORMED CONSENT |
2000-12-06 00:00:00 |
None |
No |
2001-04-10 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
060010454 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000129 |
CRYSTAL COVE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-07-13 00:00:00 |
060001065 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-05-13 00:00:00 |
None |
No |
2001-08-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060010856 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000194 |
CHAPMAN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-01-04 00:00:00 |
060001075 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-25 00:00:00 |
None |
No |
2002-01-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
060011242 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000037 |
CAPISTRANO BEACH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-02-07 00:00:00 |
060001086 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-19 00:00:00 |
None |
No |
2002-03-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060011499 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000037 |
CAPISTRANO BEACH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-05-03 00:00:00 |
060001102 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-03-25 00:00:00 |
None |
No |
2002-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060011728 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000047 |
COVENTRY COURT HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-09-19 00:00:00 |
060001116 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-06-26 00:00:00 |
None |
No |
2002-10-15 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
060012458 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000195 |
COUNTRY CLUB CONVALESCENT HOSPITAL, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-08-25 00:00:00 |
060001145 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-27 00:00:00 |
None |
Yes |
2003-12-12 00:00:00 |
2003-11-20 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
060013727 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000037 |
CAPISTRANO BEACH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-12-23 00:00:00 |
060001157 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-16 00:00:00 |
None |
No |
2004-01-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060014084 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000037 |
CAPISTRANO BEACH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-12-23 00:00:00 |
060001158 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-25 00:00:00 |
None |
No |
2004-01-15 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
060014085 |
A99999 |
N |
None |
None |
SFY2003-04 |
060001053 |
CHRISTOPHER LANE ONE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2004-09-16 00:00:00 |
060001179 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2004-08-17 00:00:00 |
None |
No |
2004-10-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060014987 |
A99999 |
N |
None |
None |
SFY2004-05 |
060000037 |
CAPISTRANO BEACH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2005-01-05 00:00:00 |
060001185 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-09-25 00:00:00 |
None |
No |
2005-02-08 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
060015278 |
A99999 |
N |
None |
None |
SFY2004-05 |
060000037 |
CAPISTRANO BEACH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2006-10-02 00:00:00 |
060003382 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-12-25 00:00:00 |
2005-12-25 00:00:00 |
No |
2006-10-24 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
6H6611 |
N |
CA00086804 |
C |
SFY2006-07 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2006-10-31 00:00:00 |
060003455 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2006-10-16 00:00:00 |
2006-10-16 00:00:00 |
No |
2006-11-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
OOFC11 |
N |
CA00095664 |
C |
SFY2006-07 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2007-11-15 00:00:00 |
060004441 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2007-10-08 00:00:00 |
2007-10-08 00:00:00 |
No |
2007-12-10 00:00:00 |
None |
A |
None |
10000 |
10050 |
0 |
10050 |
0 |
None |
7Z0611 |
N |
CA00128722 |
C |
SFY2007-08 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-01-12 00:00:00 |
060005776 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2008-12-10 00:00:00 |
2008-12-10 00:00:00 |
No |
2009-02-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
F4I311 |
N |
CA00171619 |
B |
SFY2008-09 |
060001053 |
CHRISTOPHER LANE ONE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-01-12 00:00:00 |
060005779 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2008-12-10 00:00:00 |
2008-12-10 00:00:00 |
No |
2009-02-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
999999 |
N |
None |
None |
SFY2008-09 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-02-03 00:00:00 |
060005852 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
No |
2009-02-27 00:00:00 |
None |
A |
None |
10000 |
10100 |
-3500 |
6600 |
0 |
None |
DSC111 |
N |
CA00173338 |
C |
SFY2008-09 |
060001053 |
CHRISTOPHER LANE ONE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-04-03 00:00:00 |
060006043 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2009-03-18 00:00:00 |
2009-03-18 00:00:00 |
Yes |
2009-04-30 00:00:00 |
2009-04-23 00:00:00 |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3UV111 |
N |
None |
None |
SFY2008-09 |
060001053 |
CHRISTOPHER LANE ONE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-04-07 00:00:00 |
060006044 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2009-03-18 00:00:00 |
2009-03-18 00:00:00 |
Yes |
2009-04-30 00:00:00 |
2009-04-23 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
3UV111 |
N |
None |
None |
SFY2008-09 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-04-22 00:00:00 |
060006114 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-15 00:00:00 |
2009-03-15 00:00:00 |
Yes |
2009-05-15 00:00:00 |
2009-04-24 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
5I7O11 |
N |
None |
None |
SFY2008-09 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-04-22 00:00:00 |
060006119 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-03-18 00:00:00 |
2009-03-18 00:00:00 |
Yes |
2009-12-14 00:00:00 |
2009-12-07 00:00:00 |
A |
A |
10000 |
7500 |
0 |
7500 |
0 |
None |
5I7O11 |
N |
None |
None |
SFY2008-09 |
060001053 |
CHRISTOPHER LANE ONE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-09-30 00:00:00 |
060006595 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-09-03 00:00:00 |
2009-09-03 00:00:00 |
No |
2009-10-26 00:00:00 |
None |
B |
None |
1000 |
1400 |
-350 |
1050 |
0 |
None |
3L3X11 |
N |
CA00200625 |
C |
SFY2009-10 |
060001450 |
CACHUELA ICF/DD-N HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-10-26 00:00:00 |
060006648 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-10-02 00:00:00 |
2009-10-02 00:00:00 |
No |
2009-11-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
10OW11 |
N |
CA00204301 |
C |
SFY2009-10 |
060001450 |
CACHUELA ICF/DD-N HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-10-26 00:00:00 |
060006650 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-10-02 00:00:00 |
2009-10-02 00:00:00 |
No |
2009-11-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
10OW11 |
N |
CA00204301 |
C |
SFY2009-10 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2011-06-24 00:00:00 |
060008322 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-04-04 00:00:00 |
2011-04-04 00:00:00 |
No |
2011-07-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
MP1M11 |
N |
CA00270211 |
C |
SFY2010-11 |
060001652 |
CASA DE YORBA LINDA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2011-11-22 00:00:00 |
060008756 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-10-17 00:00:00 |
2011-10-17 00:00:00 |
No |
2011-12-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
999999 |
N |
None |
None |
SFY2011-12 |
060001053 |
CHRISTOPHER LANE ONE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2011-12-23 00:00:00 |
060008830 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2011-11-24 00:00:00 |
2011-11-24 00:00:00 |
Yes |
2012-01-18 00:00:00 |
2011-12-28 00:00:00 |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6SO411 |
N |
CA00290999 |
C |
SFY2011-12 |
630012563 |
CRESCENT HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2012-01-20 00:00:00 |
060008928 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-12-21 00:00:00 |
2011-12-21 00:00:00 |
No |
2012-02-10 00:00:00 |
None |
A |
None |
5500 |
5500 |
-1925 |
3575 |
0 |
None |
9N6W11 |
N |
CA00293421 |
C |
SFY2011-12 |
630012563 |
CRESCENT HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2012-06-06 00:00:00 |
060009354 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-01-30 00:00:00 |
2012-01-30 00:00:00 |
No |
2012-06-27 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
89ZF11 |
N |
CA00298031 |
D |
SFY2011-12 |
060000129 |
CRYSTAL COVE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2012-12-03 00:00:00 |
060009572 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-12-02 00:00:00 |
2011-12-02 00:00:00 |
Yes |
2012-12-24 00:00:00 |
2012-12-04 00:00:00 |
A |
A |
10000 |
4000 |
0 |
4000 |
0 |
None |
JKNF11 |
N |
CA00305639, CA00380973 |
C, B |
SFY2012-13 |
060001652 |
CASA DE YORBA LINDA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2017-09-13 00:00:00 |
060013489 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-05-09 00:00:00 |
2017-05-09 00:00:00 |
No |
2017-10-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CDGI11 |
N |
None |
None |
SFY2017-18 |
060001450 |
CACHUELA ICF/DD-N HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2018-09-21 00:00:00 |
060014422 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-07-31 00:00:00 |
2018-07-31 00:00:00 |
No |
2018-10-12 00:00:00 |
None |
B |
None |
1000 |
1550 |
-350 |
1200 |
0 |
None |
DI1F11 |
N |
None |
None |
SFY2018-19 |
060001450 |
CACHUELA ICF/DD-N HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2018-11-20 00:00:00 |
060014592 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-05-05 00:00:00 |
2018-05-05 00:00:00 |
No |
2018-12-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
N1TM11 |
N |
CA00601333, CA00601333 |
B, B |
SFY2018-19 |
060001450 |
CACHUELA ICF/DD-N HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-06-03 00:00:00 |
060015089 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-03-11 00:00:00 |
2019-03-11 00:00:00 |
No |
2019-06-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
N33511 |
N |
CA00630017 |
B |
SFY2018-19 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-09-11 00:00:00 |
060015377 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-08-07 00:00:00 |
2019-08-07 00:00:00 |
No |
2019-10-02 00:00:00 |
None |
B |
None |
1000 |
1650 |
-350 |
1300 |
0 |
None |
FEL611 |
N |
CA00649294 |
C |
SFY2019-20 |
060001052 |
CHRISTOPHER LANE TWO |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2020-06-23 00:00:00 |
060015903 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-01-28 00:00:00 |
2020-01-28 00:00:00 |
No |
2020-07-14 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
6F8611 |
N |
CA00673448 |
B |
SFY2019-20 |
060001652 |
CASA DE YORBA LINDA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2021-02-16 00:00:00 |
060016275 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-01-03 00:00:00 |
2021-01-03 00:00:00 |
No |
2021-03-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I2PR11 |
N |
CA00719985 |
B |
SFY2020-21 |
060000194 |
CHAPMAN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2022-01-20 00:00:00 |
060017263 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-10-23 00:00:00 |
2021-10-23 00:00:00 |
No |
2022-02-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
BVR111 |
N |
CA00758367 |
B |
SFY2021-22 |
060000047 |
COVENTRY COURT HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2022-02-03 00:00:00 |
060017309 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-01-04 00:00:00 |
2022-01-04 00:00:00 |
No |
2022-02-25 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
HVRK11 |
N |
CA00763402 |
B |
SFY2021-22 |
070000033 |
CARMEL CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-02-03 00:00:00 |
070002313 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-12-23 00:00:00 |
None |
No |
2000-02-29 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
070014488 |
A99999 |
N |
None |
None |
SFY1999-00 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-04-18 00:00:00 |
070002323 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-29 00:00:00 |
None |
Yes |
2000-09-18 00:00:00 |
2000-05-10 00:00:00 |
B |
B Trebled |
1000 |
3000 |
0 |
3000 |
0 |
070014646 |
A99999 |
N |
None |
None |
SFY1999-00 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-08-07 00:00:00 |
070002338 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-18 00:00:00 |
None |
Yes |
2002-05-07 00:00:00 |
2000-08-17 00:00:00 |
B |
B Trebled |
1000 |
3000 |
0 |
3000 |
0 |
070015057 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-08-09 00:00:00 |
070002339 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-07-14 00:00:00 |
None |
No |
2000-08-31 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070015061 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-08-24 00:00:00 |
070002349 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-07-08 00:00:00 |
None |
No |
2000-09-19 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
070015123 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-10-20 00:00:00 |
070002358 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-09-03 00:00:00 |
None |
No |
2000-11-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
070015198 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-04-10 00:00:00 |
070002381 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-02-26 00:00:00 |
None |
Yes |
2001-05-01 00:00:00 |
2001-04-27 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
070016001 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-07-18 00:00:00 |
070002396 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-28 00:00:00 |
None |
No |
2001-08-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070016318 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-01-25 00:00:00 |
070002428 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-12-12 00:00:00 |
2001-12-15 00:00:00 |
No |
2002-02-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070016810 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-03-07 00:00:00 |
070002431 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2001-12-12 00:00:00 |
2001-12-16 00:00:00 |
No |
2002-03-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070016911 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-03-20 00:00:00 |
070002434 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-03-31 00:00:00 |
None |
Yes |
2002-04-17 00:00:00 |
2002-04-11 00:00:00 |
A |
A |
20000 |
11145 |
0 |
11145 |
0 |
070016828 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-03-20 00:00:00 |
070002435 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-02-11 00:00:00 |
None |
Yes |
2002-04-17 00:00:00 |
2002-04-08 00:00:00 |
B |
B |
1000 |
557 |
0 |
557 |
0 |
070016828 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-03-20 00:00:00 |
070002436 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-12-12 00:00:00 |
None |
Yes |
2002-04-17 00:00:00 |
2002-04-08 00:00:00 |
A |
B |
20000 |
11145 |
0 |
11145 |
0 |
070016828 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-03-20 00:00:00 |
070002437 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-01 00:00:00 |
None |
Yes |
2002-04-17 00:00:00 |
2002-04-10 00:00:00 |
B |
Drop>Deficiency |
1000 |
557 |
0 |
557 |
0 |
070016828 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-04-08 00:00:00 |
070002443 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-12-28 00:00:00 |
None |
No |
2002-05-07 00:00:00 |
None |
A |
B |
20000 |
9500 |
0 |
9500 |
0 |
070016875 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-04-19 00:00:00 |
070002449 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-27 00:00:00 |
None |
No |
2002-05-15 00:00:00 |
None |
B |
B |
600 |
390 |
0 |
390 |
0 |
070017150 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-05-03 00:00:00 |
070002450 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-04-20 00:00:00 |
None |
No |
2002-05-28 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
070017216 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-05-16 00:00:00 |
070002452 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-04-27 00:00:00 |
None |
No |
2002-06-11 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
070017286 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-05-31 00:00:00 |
070002455 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-05-18 00:00:00 |
None |
No |
2002-06-26 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
070017356 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000033 |
CARMEL CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-06-12 00:00:00 |
070002459 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-10-02 00:00:00 |
None |
No |
2002-07-10 00:00:00 |
None |
B |
None |
1000 |
1850 |
-1850 |
0 |
0 |
070017300 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000033 |
CARMEL CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-07-11 00:00:00 |
070002463 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-07 00:00:00 |
None |
No |
2002-08-06 00:00:00 |
None |
B |
None |
1000 |
1350 |
-1350 |
0 |
0 |
070017519 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-08-22 00:00:00 |
070002472 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-08-13 00:00:00 |
None |
No |
2002-09-19 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
070017672 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-12-17 00:00:00 |
070002488 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-11-09 00:00:00 |
None |
No |
2003-01-09 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
070018500 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-01-15 00:00:00 |
070002494 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-12-18 00:00:00 |
None |
Yes |
2003-02-10 00:00:00 |
2003-01-24 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
070018541 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-01-23 00:00:00 |
070002495 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-01-08 00:00:00 |
None |
Yes |
2003-02-19 00:00:00 |
2003-02-05 00:00:00 |
B |
B |
800 |
446 |
0 |
446 |
0 |
070018601 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-01-22 00:00:00 |
070002496 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-12-27 00:00:00 |
None |
No |
2003-02-13 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070018577 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-02-04 00:00:00 |
070002499 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-01-17 00:00:00 |
None |
Yes |
2003-03-06 00:00:00 |
2003-02-18 00:00:00 |
B |
B |
1000 |
557 |
0 |
557 |
0 |
070018634 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-02-13 00:00:00 |
070002503 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-01-30 00:00:00 |
None |
No |
2003-03-10 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
070018670 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000033 |
CARMEL CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-05-21 00:00:00 |
070002508 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-22 00:00:00 |
None |
No |
2003-06-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
070019027 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-05-28 00:00:00 |
070002511 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2003-01-16 00:00:00 |
None |
Yes |
2003-06-23 00:00:00 |
2003-06-23 00:00:00 |
B |
None |
600 |
600 |
-600 |
0 |
0 |
070018904 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-06-10 00:00:00 |
070002512 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-21 00:00:00 |
None |
Yes |
2003-07-02 00:00:00 |
2003-07-03 00:00:00 |
B |
None |
1000 |
3000 |
-3000 |
0 |
0 |
070018863 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-06-10 00:00:00 |
070002513 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-21 00:00:00 |
None |
Yes |
2003-07-02 00:00:00 |
2003-07-03 00:00:00 |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
070018863 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-07-31 00:00:00 |
070002522 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-05 00:00:00 |
None |
Yes |
2003-08-27 00:00:00 |
2003-08-15 00:00:00 |
B |
B |
1000 |
757 |
0 |
757 |
0 |
070019196 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-10-08 00:00:00 |
070002539 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-09-09 00:00:00 |
None |
No |
2003-11-03 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
070019475 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-02-05 00:00:00 |
070002555 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-01-18 00:00:00 |
None |
Yes |
2004-03-02 00:00:00 |
2004-02-13 00:00:00 |
B |
None |
600 |
1800 |
-1800 |
0 |
0 |
070019792 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000034 |
CARMEL VALLEY MANOR |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-05-03 00:00:00 |
070002575 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2004-03-01 00:00:00 |
None |
No |
2004-06-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
070019973 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-05-20 00:00:00 |
070002579 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-04-15 00:00:00 |
None |
No |
2004-06-16 00:00:00 |
None |
B |
None |
900 |
2700 |
-945 |
1755 |
0 |
070020013 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-05-20 00:00:00 |
070002580 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-29 00:00:00 |
None |
No |
2004-06-16 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
070020013 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-06-24 00:00:00 |
070002584 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-02 00:00:00 |
None |
Yes |
2004-07-22 00:00:00 |
2004-06-28 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
070020074 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-07-08 00:00:00 |
070002586 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-25 00:00:00 |
None |
No |
2004-08-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070020102 |
A99999 |
N |
None |
None |
SFY2004-05 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-07-27 00:00:00 |
070002589 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-05-28 00:00:00 |
None |
No |
2004-08-19 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070020093 |
A99999 |
N |
None |
None |
SFY2004-05 |
070000028 |
CAPITOLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-09-21 00:00:00 |
070002590 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-05-11 00:00:00 |
None |
No |
2004-10-15 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070020266 |
A99999 |
N |
None |
None |
SFY2004-05 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2005-05-02 00:00:00 |
070002598 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-12-08 00:00:00 |
2004-12-08 00:00:00 |
Yes |
2005-05-23 00:00:00 |
2005-05-13 00:00:00 |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
070020480 |
A99999 |
N |
CA00042373 |
B |
SFY2004-05 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-03-15 00:00:00 |
070002935 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2006-03-05 00:00:00 |
2006-03-05 00:00:00 |
No |
2006-04-06 00:00:00 |
None |
B |
None |
850 |
850 |
-297.5 |
552.5 |
0 |
None |
IUY011 |
N |
CA00074156, CA00074510 |
B, B |
SFY2005-06 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-05-18 00:00:00 |
070003103 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-04-03 00:00:00 |
2006-04-03 00:00:00 |
Yes |
2006-06-13 00:00:00 |
2006-05-23 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
6BRU11 |
N |
CA00076983 |
B |
SFY2005-06 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-05-18 00:00:00 |
070003107 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-04-03 00:00:00 |
2006-04-03 00:00:00 |
Yes |
2006-06-13 00:00:00 |
2006-05-23 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
6BRU11 |
N |
CA00076983 |
B |
SFY2005-06 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-07-06 00:00:00 |
070003124 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-03-30 00:00:00 |
2006-03-30 00:00:00 |
Yes |
2006-07-27 00:00:00 |
2006-07-14 00:00:00 |
A |
A |
20000 |
8000 |
0 |
8000 |
0 |
None |
6BRU11 |
Y |
CA00079887 |
B |
SFY2006-07 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-08-21 00:00:00 |
070003304 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-07-19 00:00:00 |
2006-07-19 00:00:00 |
Yes |
2006-09-12 00:00:00 |
2006-08-25 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
FZE911 |
N |
CA00088306 |
B |
SFY2006-07 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-09-26 00:00:00 |
070003371 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-06-16 00:00:00 |
2006-06-16 00:00:00 |
Yes |
2006-10-18 00:00:00 |
2006-10-12 00:00:00 |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
VIZ611 |
N |
CA00083911 |
B |
SFY2006-07 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-09-26 00:00:00 |
070003373 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-06-28 00:00:00 |
2006-06-28 00:00:00 |
Yes |
2006-10-18 00:00:00 |
2006-10-12 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
VIZ611 |
N |
CA00088868, CA00089152 |
B, B |
SFY2006-07 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-10-19 00:00:00 |
070003426 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2006-07-24 00:00:00 |
2006-07-24 00:00:00 |
Yes |
2006-11-16 00:00:00 |
2006-10-23 00:00:00 |
AA |
AA |
100000 |
100000 |
-86855 |
13145 |
0 |
None |
8VSP11 |
Y |
CA00087808, CA00088047, CA00092697 |
B, B, B |
SFY2006-07 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-11-02 00:00:00 |
070003427 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2006-06-11 00:00:00 |
2006-06-11 00:00:00 |
Yes |
2006-11-28 00:00:00 |
2006-11-03 00:00:00 |
AA |
AA |
100000 |
100000 |
-86855 |
13145 |
0 |
None |
8VSP11 |
Y |
CA00089987 |
B |
SFY2006-07 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-10-19 00:00:00 |
070003428 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-08-31 00:00:00 |
2006-08-31 00:00:00 |
Yes |
2006-11-09 00:00:00 |
2006-10-23 00:00:00 |
A |
A |
20000 |
20000 |
-17371 |
2629 |
0 |
None |
8VSP11 |
N |
CA00091847, CA00093777 |
B, B |
SFY2006-07 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-10-19 00:00:00 |
070003429 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-09-26 00:00:00 |
2006-09-26 00:00:00 |
Yes |
2006-11-09 00:00:00 |
2006-10-23 00:00:00 |
B |
B |
1000 |
1000 |
-869 |
131 |
0 |
None |
8VSP11 |
N |
CA00093260 |
B |
SFY2006-07 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-01-08 00:00:00 |
070003595 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-09-16 00:00:00 |
2006-09-16 00:00:00 |
No |
2007-02-06 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
Y8R311 |
N |
CA00097452 |
B |
SFY2006-07 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-03-06 00:00:00 |
070003772 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-02-13 00:00:00 |
2007-02-13 00:00:00 |
No |
2007-03-30 00:00:00 |
None |
B |
B Trebled |
1000 |
3000 |
-2606 |
394 |
0 |
None |
Y0VE11 |
N |
CA00106500, CA00106593 |
C, A |
SFY2006-07 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-04-24 00:00:00 |
070003892 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-03-07 00:00:00 |
2007-03-07 00:00:00 |
Yes |
2007-05-15 00:00:00 |
2007-05-01 00:00:00 |
B |
B |
700 |
350 |
0 |
350 |
0 |
None |
Q8WW11 |
N |
CA00110542 |
B |
SFY2006-07 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-08-17 00:00:00 |
070004063 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-06-12 00:00:00 |
2007-06-12 00:00:00 |
Yes |
2007-09-10 00:00:00 |
2007-08-24 00:00:00 |
B |
B Trebled |
1000 |
1500 |
0 |
1500 |
0 |
None |
TVZF11 |
N |
CA00117618 |
B |
SFY2007-08 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-08-17 00:00:00 |
070004193 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-06-12 00:00:00 |
2007-06-12 00:00:00 |
Yes |
2007-09-10 00:00:00 |
2007-08-24 00:00:00 |
B |
B |
600 |
300 |
0 |
300 |
0 |
None |
TVZF11 |
N |
CA00117618 |
B |
SFY2007-08 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-12-20 00:00:00 |
070004495 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-08-25 00:00:00 |
2007-08-25 00:00:00 |
No |
2008-01-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
T0DJ11 |
N |
CA00131090, CA00132389 |
D, B |
SFY2007-08 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-12-20 00:00:00 |
070004496 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-10-25 00:00:00 |
2007-10-25 00:00:00 |
No |
2008-01-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
T0DJ11 |
N |
CA00131090, CA00132389 |
D, B |
SFY2007-08 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-12-20 00:00:00 |
070004497 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-10-25 00:00:00 |
2007-10-25 00:00:00 |
No |
2008-01-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
T0DJ11 |
N |
CA00130495 |
C |
SFY2007-08 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-12-20 00:00:00 |
070004531 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-11-20 00:00:00 |
2007-11-20 00:00:00 |
No |
2008-01-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
T0DJ11 |
N |
CA00130490, CA00133177 |
B, B |
SFY2007-08 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-03-12 00:00:00 |
070004726 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-11-19 00:00:00 |
2007-11-19 00:00:00 |
No |
2008-04-04 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
TYSP11 |
N |
CA00133433, CA00141880 |
B, B |
SFY2007-08 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-03-12 00:00:00 |
070004727 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-11-19 00:00:00 |
2007-11-19 00:00:00 |
No |
2008-04-04 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
TYSP11 |
N |
CA00138955 |
B |
SFY2007-08 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-03-12 00:00:00 |
070004759 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-16 00:00:00 |
2008-02-16 00:00:00 |
No |
2008-04-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
BTMF11 |
N |
CA00141045, CA00141385 |
B, B |
SFY2007-08 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-05-05 00:00:00 |
070004951 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-09 00:00:00 |
2008-04-09 00:00:00 |
Yes |
2008-05-29 00:00:00 |
2008-05-13 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
None |
R18V11 |
N |
CA00147018, CA00147061, CA00147188, CA00147209 |
B, B, A, A |
SFY2007-08 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-05-05 00:00:00 |
070004987 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-04-09 00:00:00 |
2008-04-09 00:00:00 |
Yes |
2008-05-29 00:00:00 |
2008-05-13 00:00:00 |
B |
B |
700 |
350 |
0 |
350 |
0 |
None |
R18V11 |
N |
CA00147018, CA00147061, CA00147188, CA00147209 |
B, B, A, A |
SFY2007-08 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-05-05 00:00:00 |
070004988 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-09 00:00:00 |
2008-04-09 00:00:00 |
Yes |
2008-05-29 00:00:00 |
2008-05-13 00:00:00 |
B |
B |
700 |
350 |
0 |
350 |
0 |
None |
R18V11 |
N |
CA00147018, CA00147061, CA00147188, CA00147209 |
B, B, A, A |
SFY2007-08 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-05-09 00:00:00 |
070005009 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-04-03 00:00:00 |
2008-04-03 00:00:00 |
No |
2008-06-02 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
P3JW11 |
N |
CA00146234 |
C |
SFY2007-08 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-09-05 00:00:00 |
070005379 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-08-28 00:00:00 |
2008-08-28 00:00:00 |
No |
2008-10-03 00:00:00 |
None |
A |
None |
12000 |
12000 |
-4200 |
7800 |
0 |
None |
M04W11 |
N |
CA00160432, CA00161069 |
B, B |
SFY2008-09 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-10-01 00:00:00 |
070005473 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-09-24 00:00:00 |
2008-09-24 00:00:00 |
No |
2008-10-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TOP811 |
N |
CA00163528 |
B |
SFY2008-09 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-03-10 00:00:00 |
070005949 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
No |
2009-04-03 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
None |
COMK11 |
N |
CA00178932, CA00179566 |
B, B |
SFY2008-09 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-03-17 00:00:00 |
070005970 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-13 00:00:00 |
2009-02-13 00:00:00 |
No |
2009-04-08 00:00:00 |
None |
A |
None |
7000 |
21000 |
-7350 |
13650 |
0 |
None |
HLWS11 |
N |
CA00177995, CA00180960 |
B, B |
SFY2008-09 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-04-30 00:00:00 |
070006136 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-17 00:00:00 |
2009-04-17 00:00:00 |
No |
2009-05-26 00:00:00 |
None |
B |
None |
850 |
850 |
0 |
850 |
0 |
None |
REO711 |
N |
CA00184846 |
B |
SFY2008-09 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-06-16 00:00:00 |
070006294 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-10 00:00:00 |
2009-04-10 00:00:00 |
No |
2009-07-07 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
WHZX11 |
N |
CA00184878 |
B |
SFY2008-09 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-07-08 00:00:00 |
070006333 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2009-05-31 00:00:00 |
2009-05-31 00:00:00 |
No |
2009-08-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4JMM11 |
N |
CA00192373 |
B |
SFY2009-10 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-07-08 00:00:00 |
070006374 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2009-05-31 00:00:00 |
2009-05-31 00:00:00 |
No |
2009-08-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4JMM11 |
N |
CA00192373 |
B |
SFY2009-10 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-07-08 00:00:00 |
070006375 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2009-05-31 00:00:00 |
2009-05-31 00:00:00 |
No |
2009-08-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4JMM11 |
N |
CA00192373 |
B |
SFY2009-10 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-07-31 00:00:00 |
070006439 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2009-04-03 00:00:00 |
2009-04-03 00:00:00 |
Yes |
2009-09-01 00:00:00 |
2009-08-05 00:00:00 |
AA |
A |
80000 |
20000 |
0 |
20000 |
0 |
None |
441R11 |
Y |
CA00193421 |
B |
SFY2009-10 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-08-27 00:00:00 |
070006504 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-28 00:00:00 |
2009-07-28 00:00:00 |
Yes |
2009-10-19 00:00:00 |
2009-08-31 00:00:00 |
B |
Drop>Deficiency |
800 |
0 |
0 |
0 |
0 |
None |
QCLZ11 |
N |
CA00198829 |
B |
SFY2009-10 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-08-27 00:00:00 |
070006505 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-11 00:00:00 |
2009-08-11 00:00:00 |
Yes |
2009-10-19 00:00:00 |
2009-08-31 00:00:00 |
B |
Drop>Deficiency |
700 |
0 |
0 |
0 |
0 |
None |
QCLZ11 |
N |
None |
None |
SFY2009-10 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-08-31 00:00:00 |
070006513 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-08-15 00:00:00 |
2009-08-15 00:00:00 |
No |
2009-09-22 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
L76311 |
N |
CA00198722, CA00198941, CA00199088, CA00199391 |
B, B, A, B |
SFY2009-10 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-08-31 00:00:00 |
070006514 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-08-15 00:00:00 |
2009-08-15 00:00:00 |
No |
2009-09-22 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
L76311 |
N |
CA00198941, CA00199391 |
B, B |
SFY2009-10 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-10-19 00:00:00 |
070006627 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-10-12 00:00:00 |
2009-10-12 00:00:00 |
Yes |
2009-12-03 00:00:00 |
2009-11-09 00:00:00 |
B |
B |
750 |
375 |
0 |
375 |
0 |
None |
9XS211 |
N |
CA00204850 |
B |
SFY2009-10 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-10-19 00:00:00 |
070006630 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-10-12 00:00:00 |
2009-10-12 00:00:00 |
Yes |
2009-12-03 00:00:00 |
2009-11-09 00:00:00 |
B |
B |
750 |
375 |
0 |
375 |
0 |
None |
9XS211 |
N |
CA00204850 |
B |
SFY2009-10 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-11-30 00:00:00 |
070006737 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-09-29 00:00:00 |
2009-09-29 00:00:00 |
No |
2009-12-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
EIXQ11 |
N |
CA00208109 |
C |
SFY2009-10 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-12-24 00:00:00 |
070006850 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-12-04 00:00:00 |
2009-12-04 00:00:00 |
No |
2010-01-20 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
B8JB11 |
N |
CA00210405 |
B |
SFY2009-10 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-03-18 00:00:00 |
070007036 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-02-26 00:00:00 |
2010-02-26 00:00:00 |
No |
2010-04-21 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
JZC711 |
N |
CA00219994 |
A |
SFY2009-10 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-04-23 00:00:00 |
070007110 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-25 00:00:00 |
2010-03-25 00:00:00 |
Yes |
2010-05-18 00:00:00 |
2010-05-12 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
HYN911 |
N |
CA00223635, CA00224122 |
B, B |
SFY2009-10 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-04-23 00:00:00 |
070007161 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-04-06 00:00:00 |
2010-04-06 00:00:00 |
Yes |
2010-05-18 00:00:00 |
2010-05-12 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
HYN911 |
N |
CA00223635, CA00224122 |
B, B |
SFY2009-10 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-07-16 00:00:00 |
070007397 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-10-20 00:00:00 |
2009-10-20 00:00:00 |
Yes |
2010-08-06 00:00:00 |
2010-07-22 00:00:00 |
B |
None |
900 |
900 |
0 |
900 |
0 |
None |
5MCW11 |
N |
None |
None |
SFY2010-11 |
070000032 |
CANTERBURY WOODS |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-07-29 00:00:00 |
070007403 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-06-10 00:00:00 |
2010-06-10 00:00:00 |
No |
2010-08-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TTWF11 |
N |
None |
None |
SFY2010-11 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-11-01 00:00:00 |
070007562 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2009-08-17 00:00:00 |
2009-08-17 00:00:00 |
No |
2010-11-23 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
None |
S2NN11 |
N |
CA00240862 |
B |
SFY2010-11 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-09-21 00:00:00 |
070007591 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-08-28 00:00:00 |
2010-08-28 00:00:00 |
No |
2010-10-12 00:00:00 |
None |
B |
None |
650 |
650 |
-227.5 |
422.5 |
0 |
None |
37H011 |
N |
CA00241236 |
B |
SFY2010-11 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-11-10 00:00:00 |
070007681 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-09-26 00:00:00 |
2010-09-26 00:00:00 |
Yes |
2010-12-06 00:00:00 |
2010-11-17 00:00:00 |
B |
B |
700 |
1500 |
0 |
1500 |
0 |
None |
ELW911 |
N |
CA00244237 |
C |
SFY2010-11 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-12-02 00:00:00 |
070007743 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-10-17 00:00:00 |
2010-10-17 00:00:00 |
Yes |
2010-12-23 00:00:00 |
2010-12-14 00:00:00 |
B |
B |
850 |
700 |
0 |
700 |
0 |
None |
9GRE11 |
N |
CA00248213 |
B |
SFY2010-11 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-12-14 00:00:00 |
070007758 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-11-04 00:00:00 |
2010-11-04 00:00:00 |
No |
2011-01-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
2O0M11 |
N |
CA00248177 |
B |
SFY2010-11 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-12-31 00:00:00 |
070007802 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-12-10 00:00:00 |
2010-12-10 00:00:00 |
No |
2011-01-24 00:00:00 |
None |
A |
None |
12000 |
12000 |
-4200 |
7800 |
0 |
None |
MNH411 |
N |
CA00252276 |
B |
SFY2010-11 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-12-30 00:00:00 |
070007804 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-12-18 00:00:00 |
2010-12-18 00:00:00 |
No |
2011-01-21 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
X1CC11 |
N |
CA00252758, CA00253676 |
B, B |
SFY2010-11 |
070000032 |
CANTERBURY WOODS |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-02-07 00:00:00 |
070007918 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2011-01-27 00:00:00 |
2011-01-27 00:00:00 |
No |
2011-03-01 00:00:00 |
None |
B |
None |
650 |
650 |
-227.5 |
422.5 |
0 |
None |
EG0J11 |
N |
CA00256464 |
B |
SFY2010-11 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-02-07 00:00:00 |
070007925 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-01-17 00:00:00 |
2011-01-17 00:00:00 |
No |
2011-03-01 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
J3I311 |
N |
CA00255929 |
B |
SFY2010-11 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-03-22 00:00:00 |
070007991 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-02-24 00:00:00 |
2011-02-24 00:00:00 |
No |
2011-04-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PZKA11 |
N |
CA00259217, CA00259296 |
B, B |
SFY2010-11 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-05-09 00:00:00 |
070008139 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-05-20 00:00:00 |
2010-05-20 00:00:00 |
Yes |
2011-05-31 00:00:00 |
2011-05-16 00:00:00 |
B |
Drop>Deficiency |
500 |
0 |
0 |
0 |
0 |
None |
Z7QB11 |
N |
CA00263606 |
B |
SFY2010-11 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-05-05 00:00:00 |
070008141 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-03-30 00:00:00 |
2011-03-30 00:00:00 |
No |
2011-05-26 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
61LL11 |
N |
CA00264444 |
B |
SFY2010-11 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-07-13 00:00:00 |
070008239 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-05-05 00:00:00 |
2011-05-05 00:00:00 |
No |
2011-08-03 00:00:00 |
None |
B |
None |
650 |
650 |
-227.5 |
422.5 |
0 |
None |
E23B11 |
N |
CA00267621, CA00268317 |
B, B |
SFY2011-12 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-06-21 00:00:00 |
070008286 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2011-05-27 00:00:00 |
2011-05-27 00:00:00 |
No |
2011-07-13 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
F5PD11 |
N |
CA00266183 |
B |
SFY2010-11 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-06-16 00:00:00 |
070008312 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-02-28 00:00:00 |
2011-02-28 00:00:00 |
Yes |
2011-07-08 00:00:00 |
2011-06-22 00:00:00 |
B |
B |
750 |
562.5 |
0 |
562.5 |
0 |
None |
N8FQ11 |
N |
CA00269214 |
B |
SFY2010-11 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-07-13 00:00:00 |
070008378 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach of IT system theft/loss of edevice/med rec |
None |
2011-05-24 08:00:00 |
2011-05-24 08:00:00 |
No |
2011-08-03 00:00:00 |
None |
FTR RES |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
MNSF11 |
None |
CA00274998 |
B |
SFY2011-12 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-07-13 00:00:00 |
070008379 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach of IT system theft/loss of edevice/med rec |
None |
2011-05-24 08:00:00 |
2011-05-24 08:00:00 |
No |
2011-08-03 00:00:00 |
None |
FTR BR |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
MNSF11 |
None |
CA00274998 |
B |
SFY2011-12 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-07-13 00:00:00 |
070008380 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach of IT system theft/loss of edevice/med rec |
None |
2011-05-10 08:00:00 |
2011-05-10 08:00:00 |
No |
2011-08-03 00:00:00 |
None |
FTR RES |
None |
4200 |
4200 |
0 |
4200 |
0 |
None |
E23B11 |
None |
CA00267621, CA00268317 |
B, B |
SFY2011-12 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-09-02 00:00:00 |
070008516 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2010-12-25 00:00:00 |
2010-12-25 00:00:00 |
No |
2011-09-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XJXR11 |
N |
None |
None |
SFY2011-12 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-09-02 00:00:00 |
070008529 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-08-16 00:00:00 |
2011-08-16 00:00:00 |
No |
2011-09-26 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
XJXR11 |
N |
None |
None |
SFY2011-12 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-10-26 00:00:00 |
070008670 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-10-04 00:00:00 |
2011-10-04 00:00:00 |
No |
2011-11-17 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
97BE11 |
N |
CA00285875 |
B |
SFY2011-12 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-10-26 00:00:00 |
070008673 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-10-10 00:00:00 |
2011-10-10 00:00:00 |
No |
2011-11-17 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
97BE11 |
N |
CA00285773 |
B |
SFY2011-12 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-11-10 00:00:00 |
070008744 |
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 |
2011-10-12 08:00:00 |
2011-10-12 08:00:00 |
No |
2011-12-06 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
-25 |
75 |
0 |
None |
DUPZ11 |
None |
CA00287083 |
B |
SFY2011-12 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-11-10 00:00:00 |
070008745 |
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 |
2011-10-12 08:00:00 |
2011-10-12 08:00:00 |
No |
2011-12-06 00:00:00 |
None |
FTR RES |
None |
1600 |
1600 |
-400 |
1200 |
0 |
None |
DUPZ11 |
None |
CA00287083 |
B |
SFY2011-12 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2012-02-14 00:00:00 |
070008957 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-01-13 00:00:00 |
2012-01-13 00:00:00 |
No |
2012-03-07 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
None |
CFPM11 |
N |
CA00295034 |
B |
SFY2011-12 |
070001089 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2014-05-13 00:00:00 |
070010713 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-04-28 00:00:00 |
2014-04-28 00:00:00 |
No |
2014-06-04 00:00:00 |
None |
B |
None |
1200 |
1200 |
-420 |
780 |
0 |
None |
Z92C11 |
N |
CA00397377 |
B |
SFY2013-14 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2014-05-28 00:00:00 |
070010740 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-04-02 00:00:00 |
2014-04-02 00:00:00 |
Yes |
2014-06-18 00:00:00 |
2014-06-20 00:00:00 |
A |
A |
12000 |
8950 |
-1150 |
7800 |
0 |
None |
SOTI11 |
N |
CA00394887, CA00394887, CA00394887 |
B, B, B |
SFY2013-14 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2014-12-09 00:00:00 |
070011143 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-11-10 00:00:00 |
2014-11-10 00:00:00 |
No |
2014-12-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
WM5L11 |
N |
CA00420521 |
B |
SFY2014-15 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-02-23 00:00:00 |
070012037 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-01-21 00:00:00 |
2016-01-21 00:00:00 |
No |
2016-03-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
T88511 |
N |
CA00473799 |
B |
SFY2015-16 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-03-25 00:00:00 |
070012145 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-03-05 00:00:00 |
2016-03-05 00:00:00 |
No |
2016-04-18 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
JT6911 |
N |
CA00479326 |
B |
SFY2015-16 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-04-22 00:00:00 |
070012196 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-03-05 00:00:00 |
2016-03-05 00:00:00 |
No |
2016-05-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
VCKZ11 |
N |
CA00483615 |
B |
SFY2015-16 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-04-22 00:00:00 |
070012205 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-03-31 00:00:00 |
2016-03-31 00:00:00 |
No |
2016-05-13 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
VCKZ11 |
N |
CA00483027 |
B |
SFY2015-16 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-05-27 00:00:00 |
070012250 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2016-04-02 00:00:00 |
2016-04-02 00:00:00 |
No |
2016-06-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
YYH011 |
N |
CA00483902 |
A |
SFY2015-16 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-06-15 00:00:00 |
070012252 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-04-26 00:00:00 |
2016-04-26 00:00:00 |
No |
2016-07-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1V8D11 |
N |
CA00486865 |
B |
SFY2015-16 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-07-14 00:00:00 |
070012390 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-06-19 00:00:00 |
2016-06-19 00:00:00 |
No |
2016-08-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PXZB11 |
N |
CA00492690 |
B |
SFY2016-17 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-07-14 00:00:00 |
070012391 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-06-19 00:00:00 |
2016-06-19 00:00:00 |
No |
2016-08-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PXZB11 |
N |
CA00492690 |
B |
SFY2016-17 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-07-20 00:00:00 |
070012423 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-07-11 00:00:00 |
2016-07-11 00:00:00 |
No |
2016-08-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
QSJS11 |
N |
CA00494202 |
B |
SFY2016-17 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-07-26 00:00:00 |
070012424 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Improper Discharge |
2016-05-20 00:00:00 |
2016-05-20 00:00:00 |
No |
2016-08-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
O7Q811 |
N |
CA00489686 |
B |
SFY2016-17 |
070001089 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-08-16 00:00:00 |
070012510 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-07-16 00:00:00 |
2016-07-16 00:00:00 |
No |
2016-09-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
IKET11 |
N |
CA00496667 |
B |
SFY2016-17 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-11-22 00:00:00 |
070012773 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-09-25 00:00:00 |
2016-09-25 00:00:00 |
No |
2016-12-15 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
CG1611 |
N |
CA00504765, CA00506586 |
B, B |
SFY2016-17 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-12-12 00:00:00 |
070012806 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-09-20 00:00:00 |
2016-09-20 00:00:00 |
No |
2017-01-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
1UV411 |
N |
CA00509539 |
B |
SFY2016-17 |
070001089 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-12-09 00:00:00 |
070012807 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2016-09-07 00:00:00 |
2016-09-07 00:00:00 |
No |
2017-01-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ZJYN11 |
N |
CA00512044 |
B |
SFY2016-17 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-02-03 00:00:00 |
070012938 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-10-25 00:00:00 |
2016-10-25 00:00:00 |
No |
2017-02-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
MEE911 |
N |
None |
None |
SFY2016-17 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-02-03 00:00:00 |
070012939 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-01-09 00:00:00 |
2017-01-09 00:00:00 |
No |
2017-02-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
MEE911 |
N |
None |
None |
SFY2016-17 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-03-16 00:00:00 |
070013054 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-11-22 00:00:00 |
2016-11-22 00:00:00 |
No |
2017-04-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
OQB711 |
N |
None |
None |
SFY2016-17 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-04-12 00:00:00 |
070013106 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-03-24 00:00:00 |
2017-03-24 00:00:00 |
No |
2017-05-03 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
6PX411 |
N |
CA00528225 |
B |
SFY2016-17 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-05-03 00:00:00 |
070013159 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-04-12 00:00:00 |
2017-04-12 00:00:00 |
No |
2017-05-24 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
IRIO11 |
N |
CA00531875, CA00531880 |
B, B |
SFY2016-17 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-06-14 00:00:00 |
070013229 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2017-03-18 00:00:00 |
2017-03-18 00:00:00 |
No |
2017-07-06 00:00:00 |
None |
AA |
None |
100000 |
100000 |
-35000 |
65000 |
0 |
None |
WON711 |
Y |
CA00527071 |
A |
SFY2016-17 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-06-01 00:00:00 |
070013241 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2017-04-24 00:00:00 |
2017-04-24 00:00:00 |
No |
2017-06-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
N35911 |
N |
CA00533881 |
B |
SFY2016-17 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-08-07 00:00:00 |
070013408 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-07-26 00:00:00 |
2017-07-26 00:00:00 |
No |
2017-08-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
20P111 |
N |
CA00544851 |
B |
SFY2017-18 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-08-10 00:00:00 |
070013423 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-07-22 00:00:00 |
2017-07-22 00:00:00 |
No |
2017-08-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PX9011 |
N |
CA00545367, CA00546115 |
B, B |
SFY2017-18 |
070000032 |
CANTERBURY WOODS |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-08-15 00:00:00 |
070013425 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-07-11 00:00:00 |
2017-07-11 00:00:00 |
No |
2017-09-06 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
F5T611 |
N |
CA00543879, CA00544575 |
B, B |
SFY2017-18 |
630010977 |
CIRCLE OF CARE ICF/DD-N |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Jose |
2017-11-27 00:00:00 |
070013622 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2017-07-24 00:00:00 |
2017-07-24 00:00:00 |
No |
2017-12-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
DJ2N11 |
N |
None |
None |
SFY2017-18 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-12-11 00:00:00 |
070013681 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-10-26 00:00:00 |
2017-10-26 00:00:00 |
No |
2018-01-02 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
E7PC11 |
N |
CA00558628 |
B |
SFY2017-18 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-01-22 00:00:00 |
070013749 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-01-11 00:00:00 |
2018-01-11 00:00:00 |
No |
2018-02-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QQ1T11 |
N |
CA00568936 |
B |
SFY2017-18 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-02-22 00:00:00 |
070013807 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-01-21 00:00:00 |
2018-01-21 00:00:00 |
No |
2018-03-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PRUW11 |
N |
CA00570330, CA00570905 |
B, B |
SFY2017-18 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-02-12 00:00:00 |
070013808 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-10-09 00:00:00 |
2017-10-09 00:00:00 |
No |
2018-03-05 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
C8ZH11 |
N |
CA00566647 |
B |
SFY2017-18 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-03-26 00:00:00 |
070013905 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-12-04 00:00:00 |
2017-12-04 00:00:00 |
No |
2018-04-16 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
D33H11 |
N |
None |
None |
SFY2017-18 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-03-30 00:00:00 |
070013938 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-03-13 00:00:00 |
2018-03-13 00:00:00 |
No |
2018-04-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
Y6WY11 |
N |
None |
None |
SFY2017-18 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-05-03 00:00:00 |
070014045 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-04-06 00:00:00 |
2018-04-06 00:00:00 |
No |
2018-05-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
XDDL11 |
N |
CA00581804, CA00581835 |
B, B |
SFY2017-18 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-05-07 00:00:00 |
070014050 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2018-03-26 00:00:00 |
2018-03-26 00:00:00 |
No |
2018-05-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
E0UD11 |
N |
CA00580385 |
B |
SFY2017-18 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-10-10 00:00:00 |
070014472 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-09-28 00:00:00 |
2018-09-28 00:00:00 |
No |
2018-10-31 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
TKM211 |
N |
CA00605634, CA00605634 |
A, A |
SFY2018-19 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-01-03 00:00:00 |
070014643 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-10-07 00:00:00 |
2018-10-07 00:00:00 |
No |
2019-01-24 00:00:00 |
None |
B |
None |
2000 |
2150 |
0 |
2150 |
0 |
None |
D9HG11 |
N |
CA00607947 |
B |
SFY2018-19 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-02-28 00:00:00 |
070014830 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-12-17 00:00:00 |
2018-12-17 00:00:00 |
No |
2019-03-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
26X111 |
N |
CA00617061, CA00617066, CA00617073 |
A, A, A |
SFY2018-19 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-03-05 00:00:00 |
070014839 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-01-30 00:00:00 |
2019-01-30 00:00:00 |
No |
2019-03-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
14TP11 |
N |
CA00623600 |
B |
SFY2018-19 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-03-05 00:00:00 |
070014848 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Discharge (Unsafe) |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-03-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
YQ8P11 |
N |
CA00621152 |
A |
SFY2018-19 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-03-19 00:00:00 |
070014865 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-08-27 00:00:00 |
2018-08-27 00:00:00 |
No |
2019-04-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
8BWG11 |
N |
None |
None |
SFY2018-19 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-03-19 00:00:00 |
070014866 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-03-03 00:00:00 |
2019-03-03 00:00:00 |
No |
2019-04-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
8BWG11 |
N |
CA00627942 |
B |
SFY2018-19 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-04-18 00:00:00 |
070014947 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-04-04 00:00:00 |
2019-04-04 00:00:00 |
No |
2019-05-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
DABZ11 |
N |
None |
None |
SFY2018-19 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-04-24 00:00:00 |
070014959 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-04-08 00:00:00 |
2019-04-08 00:00:00 |
No |
2019-05-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
D3LM11 |
N |
None |
None |
SFY2018-19 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-04-24 00:00:00 |
070014960 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-04-11 00:00:00 |
2019-04-11 00:00:00 |
No |
2019-05-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
D3LM11 |
N |
None |
None |
SFY2018-19 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-04-24 00:00:00 |
070014961 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-04-11 00:00:00 |
2019-04-11 00:00:00 |
No |
2019-05-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
D3LM11 |
N |
None |
None |
SFY2018-19 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-08-02 00:00:00 |
070015248 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-05-27 00:00:00 |
2019-05-27 00:00:00 |
No |
2019-08-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
2B5B11 |
N |
CA00639888 |
B |
SFY2019-20 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-09-25 00:00:00 |
070015410 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-07-17 00:00:00 |
2019-07-17 00:00:00 |
No |
2019-10-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
30G311 |
N |
CA00646586, CA00647184 |
B, B |
SFY2019-20 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-11-21 00:00:00 |
070015509 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-10-22 00:00:00 |
2019-10-22 00:00:00 |
No |
2019-12-12 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
8FB011 |
N |
CA00656488 |
B |
SFY2019-20 |
220001048 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-01-30 00:00:00 |
070015720 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2020-01-19 00:00:00 |
2020-01-19 00:00:00 |
No |
2020-02-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
8F3J11 |
N |
None |
None |
SFY2019-20 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-03-09 00:00:00 |
070015789 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2020-02-29 00:00:00 |
2020-02-29 00:00:00 |
No |
2020-03-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
0HDB11 |
N |
CA00678592, CA00678623 |
B, B |
SFY2019-20 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-03-17 00:00:00 |
070015797 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-03-02 00:00:00 |
2020-03-02 00:00:00 |
No |
2020-04-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
E0WG11 |
N |
None |
None |
SFY2019-20 |
070000034 |
CARMEL VALLEY MANOR |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-07-16 00:00:00 |
070015929 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Reporting Of Outbreaks |
2020-07-08 00:00:00 |
2020-07-08 00:00:00 |
No |
2020-08-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
D6TU11 |
N |
None |
None |
SFY2020-21 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-07-20 00:00:00 |
070015930 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Reporting Of Outbreaks |
2020-06-28 00:00:00 |
2020-06-28 00:00:00 |
No |
2020-08-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
R8N411 |
N |
None |
None |
SFY2020-21 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-09-23 00:00:00 |
070016036 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Reporting Of Outbreaks |
2020-08-27 00:00:00 |
2020-08-27 00:00:00 |
No |
2020-10-14 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
PM3X11 |
N |
None |
None |
SFY2020-21 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-03-12 00:00:00 |
070016343 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-10-08 00:00:00 |
2020-10-08 00:00:00 |
No |
2021-04-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
HBVW11 |
N |
None |
None |
SFY2020-21 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-03-19 00:00:00 |
070016368 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-12-29 00:00:00 |
2020-12-29 00:00:00 |
No |
2021-04-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
IXC811 |
N |
CA00718427 |
B |
SFY2020-21 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-06-30 00:00:00 |
070016666 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-06-07 00:00:00 |
2021-06-07 00:00:00 |
No |
2021-07-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
170Y11 |
N |
None |
None |
SFY2020-21 |
070001089 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC HOSPI |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-07-27 00:00:00 |
070016761 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-03-30 00:00:00 |
2021-03-30 00:00:00 |
No |
2021-08-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
H4H011 |
N |
CA00683520 |
B |
SFY2021-22 |
070000815 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - PEDIATRIC DAY H |
LTC |
PDHRCF |
Pediatric Day Health & Respite Care Facility |
San Jose |
2021-09-17 00:00:00 |
070016763 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-03-16 00:00:00 |
2021-03-16 00:00:00 |
No |
2021-10-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
DCMY11 |
N |
CA00682209 |
B |
SFY2021-22 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-08-06 00:00:00 |
070016792 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2021-07-20 00:00:00 |
2021-07-20 00:00:00 |
No |
2021-08-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
J24F11 |
N |
None |
None |
SFY2021-22 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-08-06 00:00:00 |
070016793 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-05-24 00:00:00 |
2021-05-24 00:00:00 |
No |
2021-08-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
J24F11 |
N |
None |
None |
SFY2021-22 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-08-06 00:00:00 |
070016795 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2021-07-20 00:00:00 |
2021-07-20 00:00:00 |
No |
2021-08-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
J24F11 |
N |
None |
None |
SFY2021-22 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-02-14 00:00:00 |
070017352 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-06-21 00:00:00 |
2021-06-21 00:00:00 |
No |
2022-03-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
ZK9711 |
N |
CA00741289, CA00741289, CA00752535, CA00752535 |
B, B, B, B |
SFY2021-22 |
070000073 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-07-11 00:00:00 |
070017774 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-07-17 00:00:00 |
2021-07-17 00:00:00 |
No |
2022-08-01 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
68SG11 |
N |
CA00747458 |
B |
SFY2022-23 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-08-25 00:00:00 |
070017904 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2022-08-05 00:00:00 |
2022-08-08 00:00:00 |
No |
2022-09-16 00:00:00 |
None |
B |
None |
3000 |
3150 |
-1050 |
2100 |
0 |
None |
9CIJ11 |
N |
CA00798189 |
A |
SFY2022-23 |
070000086 |
CREEKSIDE POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-09-02 00:00:00 |
070017959 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Sexual Abuse |
2022-04-23 00:00:00 |
2022-04-23 00:00:00 |
No |
2022-09-26 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
LGUE11 |
N |
CA00782007, CA00782832 |
A, A |
SFY2022-23 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2023-03-13 00:00:00 |
070018409 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-10-26 00:00:00 |
2022-10-26 00:00:00 |
No |
2023-04-04 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
YSZ011 |
N |
None |
None |
SFY2022-23 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2023-08-31 00:00:00 |
070018929 |
Open |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2023-02-24 00:00:00 |
2023-02-24 00:00:00 |
No |
2023-09-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
1950 |
1050 |
None |
OZM211 |
N |
CA00834969, CA00841567 |
A, A |
SFY2023-24 |
070000031 |
CAMDEN POSTACUTE CARE, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-06-05 00:00:00 |
070020263 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-04-19 00:00:00 |
2024-04-19 00:00:00 |
No |
2024-06-26 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
T53D11 |
N |
CA00896615 |
A |
SFY2023-24 |
080000685 |
CASA DE LAS CAMPANAS |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-06-13 00:00:00 |
080002754 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-15 00:00:00 |
2000-06-13 00:00:00 |
No |
2000-07-07 00:00:00 |
None |
B |
None |
650 |
650 |
0 |
650 |
0 |
080021822 |
A99999 |
N |
None |
None |
SFY1999-00 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-06-30 00:00:00 |
080002757 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-04-21 00:00:00 |
2000-04-21 00:00:00 |
No |
2000-07-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
080021920 |
A99999 |
N |
None |
None |
SFY1999-00 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-10-05 00:00:00 |
080002768 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NEGLECT/ABUSE |
2000-08-11 00:00:00 |
None |
Yes |
2001-02-06 00:00:00 |
2000-10-23 00:00:00 |
B |
B |
750 |
750 |
-600 |
150 |
0 |
080022144 |
A99999 |
N |
None |
None |
SFY2000-01 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-01-05 00:00:00 |
080002770 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-08-12 00:00:00 |
None |
No |
2001-01-29 00:00:00 |
None |
B |
Drop>Deficiency |
1000 |
3000 |
0 |
3000 |
0 |
080022678 |
A99999 |
N |
None |
None |
SFY2000-01 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-04-17 00:00:00 |
080002777 |
Closed |
Citation |
Citation AA (HSC 1424) |
Other |
CARE AND ENVIRONMENT |
2001-02-14 00:00:00 |
None |
Yes |
2001-08-10 00:00:00 |
2001-08-09 00:00:00 |
AA |
AA |
60000 |
25000 |
0 |
25000 |
0 |
080023037 |
A99999 |
Y |
None |
None |
SFY2000-01 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-04-27 00:00:00 |
080002778 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-02 00:00:00 |
None |
Yes |
2001-05-25 00:00:00 |
2001-06-13 00:00:00 |
B |
B |
800 |
800 |
-640 |
160 |
0 |
080023077 |
A99999 |
N |
None |
None |
SFY2000-01 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-03-01 00:00:00 |
080002816 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE FAC SELF REPOR |
2002-01-04 00:00:00 |
None |
No |
2002-03-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
080023885 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-05-07 00:00:00 |
080002823 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-12-20 00:00:00 |
None |
No |
2002-06-03 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
080024122 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-07-31 00:00:00 |
080002826 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2002-05-05 00:00:00 |
2002-05-05 00:00:00 |
No |
2002-11-04 00:00:00 |
None |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
080024487 |
A99999 |
N |
None |
None |
SFY2002-03 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-08-02 00:00:00 |
080002827 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
ABUSE/FAC REPORTED |
2002-06-04 00:00:00 |
None |
Yes |
2002-08-26 00:00:00 |
2002-08-08 00:00:00 |
A |
B |
15000 |
8250 |
0 |
8250 |
0 |
080024662 |
A99999 |
N |
None |
None |
SFY2002-03 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2005-05-04 00:00:00 |
080002870 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-04-05 00:00:00 |
2005-04-05 00:00:00 |
Yes |
2005-06-03 00:00:00 |
2005-05-16 00:00:00 |
B |
B |
1000 |
625 |
0 |
625 |
0 |
080027716 |
A99999 |
N |
None |
None |
SFY2004-05 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2005-05-19 00:00:00 |
080002872 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-03-31 00:00:00 |
None |
No |
2005-06-13 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
080027718 |
A99999 |
N |
None |
None |
SFY2004-05 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2005-08-23 00:00:00 |
080002873 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-04-27 00:00:00 |
None |
Yes |
2005-09-19 00:00:00 |
2005-08-24 00:00:00 |
A |
None |
18000 |
18000 |
-18000 |
0 |
0 |
080027721 |
A99999 |
N |
None |
None |
SFY2005-06 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2005-08-30 00:00:00 |
080002874 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-07-31 00:00:00 |
2005-07-31 00:00:00 |
Yes |
2005-09-27 00:00:00 |
2005-09-07 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
080027722 |
A99999 |
N |
None |
None |
SFY2005-06 |
080000031 |
COUNTRY MANOR LA MESA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2005-10-21 00:00:00 |
080002875 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-15 00:00:00 |
None |
No |
2005-11-15 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
080027725 |
A99999 |
N |
None |
None |
SFY2005-06 |
080000685 |
CASA DE LAS CAMPANAS |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2006-03-06 00:00:00 |
080002883 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Neglect |
2005-12-11 00:00:00 |
2005-12-11 00:00:00 |
No |
2006-03-27 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
BTW111 |
N |
CA00069937 |
B |
SFY2005-06 |
080000470 |
CASA PALMERA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2006-09-15 00:00:00 |
080003339 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Pharmacy Services |
2006-08-23 00:00:00 |
2006-08-23 00:00:00 |
No |
2006-10-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SVEF11 |
N |
None |
None |
SFY2006-07 |
080000470 |
CASA PALMERA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2006-09-15 00:00:00 |
080003340 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Staff Development/Dietary |
2006-08-23 00:00:00 |
2006-08-23 00:00:00 |
No |
2006-10-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SVEF11 |
N |
None |
None |
SFY2006-07 |
080000470 |
CASA PALMERA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2006-09-15 00:00:00 |
080003341 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Pt. Care Policies & Proc. |
2006-08-23 00:00:00 |
2006-08-23 00:00:00 |
No |
2006-10-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SVEF11 |
N |
None |
None |
SFY2006-07 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2008-12-18 00:00:00 |
080005709 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-11-17 00:00:00 |
2008-11-17 00:00:00 |
No |
2009-01-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
T1LA11 |
N |
None |
None |
SFY2008-09 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-01-07 00:00:00 |
080005754 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-11-21 00:00:00 |
2008-11-21 00:00:00 |
No |
2009-01-28 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
None |
THQ811 |
N |
CA00170132 |
C |
SFY2008-09 |
080000810 |
CARE MERIDIAN |
LTC |
CLHF |
Congregate Living Health Facility |
San Diego |
2009-02-24 00:00:00 |
080005876 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-01-29 00:00:00 |
2009-01-29 00:00:00 |
Yes |
2009-04-03 00:00:00 |
2009-03-12 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
VUQ811 |
N |
CA00176056 |
A |
SFY2008-09 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-05-07 00:00:00 |
080006165 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-14 00:00:00 |
2009-04-14 00:00:00 |
No |
2009-05-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CMR911 |
N |
CA00184894 |
C |
SFY2008-09 |
080000685 |
CASA DE LAS CAMPANAS |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-09-03 00:00:00 |
080006531 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-29 00:00:00 |
2009-07-29 00:00:00 |
Yes |
2009-09-29 00:00:00 |
2009-09-03 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
6MIN11 |
N |
CA00196580 |
C |
SFY2009-10 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-11-13 00:00:00 |
080006715 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2009-10-28 00:00:00 |
2009-10-28 00:00:00 |
No |
2009-12-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
GFRL11 |
N |
CA00206514 |
A |
SFY2009-10 |
630009562 |
CENTER FOR DISCOVERY LA JOLLA |
LTC |
CLHF |
Congregate Living Health Facility |
San Diego |
2010-04-22 00:00:00 |
080007153 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2010-01-12 00:00:00 |
2010-01-12 00:00:00 |
No |
2010-05-20 00:00:00 |
None |
B |
None |
1000 |
1700 |
-350 |
1350 |
0 |
None |
PN1C11 |
N |
CA00212744 |
C |
SFY2009-10 |
630009562 |
CENTER FOR DISCOVERY LA JOLLA |
LTC |
CLHF |
Congregate Living Health Facility |
San Diego |
2010-04-22 00:00:00 |
080007154 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-03 00:00:00 |
2010-02-03 00:00:00 |
No |
2010-05-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PN1C11 |
N |
CA00212744 |
C |
SFY2009-10 |
630009562 |
CENTER FOR DISCOVERY LA JOLLA |
LTC |
CLHF |
Congregate Living Health Facility |
San Diego |
2010-04-22 00:00:00 |
080007155 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-05 00:00:00 |
2010-02-05 00:00:00 |
No |
2010-05-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PN1C11 |
N |
CA00212744 |
C |
SFY2009-10 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-12-03 00:00:00 |
080007751 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-10-11 00:00:00 |
2010-10-11 00:00:00 |
No |
2010-12-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZU7311 |
N |
CA00245451 |
B |
SFY2010-11 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-03-16 00:00:00 |
080008021 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-02-02 00:00:00 |
2011-02-02 00:00:00 |
No |
2011-04-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
K3E511 |
N |
CA00257773 |
B |
SFY2010-11 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-06-02 00:00:00 |
080008285 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2011-03-15 00:00:00 |
2011-03-15 00:00:00 |
No |
2011-06-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6G5F11 |
N |
CA00262650 |
B |
SFY2010-11 |
080000692 |
CARMEL MOUNTAIN REHABILITATION & HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-10-26 00:00:00 |
080008672 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-08-09 00:00:00 |
2011-08-09 00:00:00 |
No |
2011-11-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CF6X11 |
N |
CA00279174 |
B |
SFY2011-12 |
080000685 |
CASA DE LAS CAMPANAS |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-11-22 00:00:00 |
080008765 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-06-05 00:00:00 |
2011-06-05 00:00:00 |
Yes |
2011-12-15 00:00:00 |
2011-11-22 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
5LZ311 |
N |
CA00271977 |
B |
SFY2011-12 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2018-06-11 00:00:00 |
080014130 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-01-28 00:00:00 |
2018-01-28 00:00:00 |
No |
2018-07-02 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
SCSP11 |
N |
CA00571883 |
A |
SFY2017-18 |
090001130 |
CONTINENTAL REHAB HOSPITAL OF SAN DIEGO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-03-03 00:00:00 |
090002745 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
DECUBITUS ULCERS |
1999-06-26 00:00:00 |
None |
No |
2000-03-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090021456 |
A99999 |
N |
None |
None |
SFY1999-00 |
090000041 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-12-27 00:00:00 |
090002764 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-07-21 00:00:00 |
None |
No |
2001-01-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090022400 |
A99999 |
N |
None |
None |
SFY2000-01 |
090001576 |
CUMBRE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2002-10-07 00:00:00 |
090002814 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-08-10 00:00:00 |
2002-08-10 00:00:00 |
No |
2002-10-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090024348 |
A99999 |
N |
None |
None |
SFY2002-03 |
090001576 |
CUMBRE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2003-05-09 00:00:00 |
090002830 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2002-10-21 00:00:00 |
2002-10-21 00:00:00 |
No |
2003-06-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090025184 |
A99999 |
N |
None |
None |
SFY2002-03 |
090000729 |
CORTE MARIA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2004-05-26 00:00:00 |
090002837 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-05-07 00:00:00 |
2004-05-07 00:00:00 |
No |
2004-06-17 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
090026767 |
A99999 |
N |
None |
None |
SFY2003-04 |
090001576 |
CUMBRE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2005-03-25 00:00:00 |
090002850 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-02-17 00:00:00 |
2005-02-17 00:00:00 |
No |
2005-04-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090027464 |
A99999 |
N |
None |
None |
SFY2004-05 |
090000729 |
CORTE MARIA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2006-09-01 00:00:00 |
090003316 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-07-31 00:00:00 |
2006-07-31 00:00:00 |
No |
2006-09-25 00:00:00 |
None |
B |
None |
850 |
850 |
-297.5 |
552.5 |
0 |
None |
D5T711 |
N |
CA00088759 |
B |
SFY2006-07 |
090000475 |
CASTLE MANOR NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2006-11-08 00:00:00 |
090003468 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-03-25 00:00:00 |
2006-03-25 00:00:00 |
Yes |
2006-12-04 00:00:00 |
2006-11-15 00:00:00 |
A |
A |
15000 |
15000 |
0 |
15000 |
0 |
None |
E0TI11 |
N |
CA00076504 |
B |
SFY2006-07 |
090000714 |
CB/FORTUNA GROUP HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2007-01-12 00:00:00 |
090003634 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-12-08 00:00:00 |
2006-12-08 00:00:00 |
No |
2007-02-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
OKTM11 |
N |
CA00100889 |
B |
SFY2006-07 |
090000729 |
CORTE MARIA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2007-10-05 00:00:00 |
090004326 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-13 00:00:00 |
2007-09-13 00:00:00 |
No |
2007-10-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
8F8Q11 |
N |
CA00126364 |
B |
SFY2007-08 |
090000041 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-09-25 00:00:00 |
090006584 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-13 00:00:00 |
2009-08-13 00:00:00 |
No |
2009-10-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GBAD11 |
N |
CA00198713 |
C |
SFY2009-10 |
090000074 |
COTTONWOOD CANYON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-04-20 00:00:00 |
090007145 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2010-01-14 00:00:00 |
2010-01-14 00:00:00 |
No |
2010-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
70XL11 |
N |
CA00221578 |
B |
SFY2009-10 |
090000074 |
COTTONWOOD CANYON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-08-31 00:00:00 |
090008521 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-12-01 00:00:00 |
2010-12-01 00:00:00 |
Yes |
2011-09-22 00:00:00 |
2011-09-15 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
HM2J11 |
N |
CA00251223 |
C |
SFY2011-12 |
090000714 |
CB/FORTUNA GROUP HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2016-04-21 00:00:00 |
090012185 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-11-04 00:00:00 |
2015-11-04 00:00:00 |
No |
2016-05-12 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
ID9J11 |
N |
CA00464779 |
B |
SFY2015-16 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-04-20 00:00:00 |
100002011 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-11-25 00:00:00 |
None |
No |
2000-05-11 00:00:00 |
None |
A |
None |
4000 |
4000 |
-1400 |
2600 |
0 |
100014070 |
A99999 |
N |
None |
None |
SFY1999-00 |
100000036 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-09-20 00:00:00 |
100002035 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2000-05-22 00:00:00 |
None |
No |
2000-10-11 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
100014537 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2001-08-28 00:00:00 |
100002101 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-14 00:00:00 |
None |
No |
2001-09-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
100015682 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-02-22 00:00:00 |
100002136 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-02-02 00:00:00 |
None |
No |
2002-03-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
100016230 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000034 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-03-07 00:00:00 |
100002139 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-01-22 00:00:00 |
None |
Yes |
2002-03-29 00:00:00 |
2002-03-12 00:00:00 |
A |
A |
16000 |
10000 |
0 |
10000 |
0 |
100016288 |
A99999 |
N |
None |
None |
SFY2001-02 |
100001166 |
CARCIDO'S ICF/DD-H #1 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Stockton |
2002-06-04 00:00:00 |
100002162 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-04-08 00:00:00 |
None |
No |
2002-06-28 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
100016570 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000962 |
CAPITAL POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-06-04 00:00:00 |
100002163 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-03-29 00:00:00 |
None |
Yes |
2002-09-18 00:00:00 |
2002-09-04 00:00:00 |
A |
A |
16000 |
16238 |
0 |
16238 |
0 |
100016440 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000524 |
CASA DEL MAR #4 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2002-08-02 00:00:00 |
100002170 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-05-01 00:00:00 |
None |
Yes |
2002-11-13 00:00:00 |
2002-10-31 00:00:00 |
A |
B |
10000 |
6500 |
0 |
6500 |
0 |
100016537 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000031 |
CASA DE MODESTO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-11-18 00:00:00 |
100002189 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-10-22 00:00:00 |
None |
No |
2002-12-13 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
100017153 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2002-11-14 00:00:00 |
100002190 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-09-23 00:00:00 |
None |
Yes |
2003-03-12 00:00:00 |
2002-12-03 00:00:00 |
B |
B |
500 |
500 |
0 |
500 |
0 |
100017093 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000175 |
CASA DEL MAR #2 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2003-01-02 00:00:00 |
100002197 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-09-05 00:00:00 |
None |
No |
2003-01-30 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
100017160 |
A99999 |
N |
None |
None |
SFY2002-03 |
100000021 |
CASA COLOMA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-12-23 00:00:00 |
100002248 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-12-09 00:00:00 |
None |
Yes |
2004-01-23 00:00:00 |
2004-01-14 00:00:00 |
A |
A |
18000 |
2000 |
0 |
2000 |
0 |
100018591 |
A99999 |
N |
None |
None |
SFY2003-04 |
100000962 |
CAPITAL POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-01-02 00:00:00 |
100002250 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-30 00:00:00 |
None |
No |
2004-02-03 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
100017961 |
A99999 |
N |
None |
None |
SFY2003-04 |
100000962 |
CAPITAL POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-12-13 00:00:00 |
100002280 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2004-05-04 00:00:00 |
None |
Yes |
2005-01-13 00:00:00 |
2004-12-17 00:00:00 |
AA |
A |
80000 |
100000 |
0 |
100000 |
0 |
100019764 |
A99999 |
Y |
None |
None |
SFY2004-05 |
100000015 |
CRESCENT COURT NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-03-29 00:00:00 |
100002285 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-21 00:00:00 |
None |
No |
2005-04-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
100019940 |
A99999 |
N |
CA00036558 |
C |
SFY2004-05 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-06-07 00:00:00 |
100002295 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-05-17 00:00:00 |
None |
No |
2005-06-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
100019955 |
A99999 |
N |
None |
None |
SFY2004-05 |
090000729 |
CORTE MARIA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2023-02-06 00:00:00 |
100018372 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ftr elopement |
2022-08-28 00:00:00 |
2022-08-28 00:00:00 |
No |
2023-02-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
37IM11 |
N |
CA00801764 |
B |
SFY2022-23 |
090000074 |
COTTONWOOD CANYON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2023-08-31 00:00:00 |
100019110 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-06-18 00:00:00 |
2023-06-18 00:00:00 |
No |
2023-09-22 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
OVM611 |
N |
CA00846283 |
B |
SFY2023-24 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-10-09 00:00:00 |
110001866 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2001-07-16 00:00:00 |
2001-07-16 00:00:00 |
No |
2001-11-06 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110015245 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-04-29 00:00:00 |
110001972 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-10-08 00:00:00 |
2000-10-08 00:00:00 |
No |
2002-05-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110014603 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000016 |
CRESTWOOD MANOR VALLEJO |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-04-29 00:00:00 |
110001973 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-05-06 00:00:00 |
2000-05-06 00:00:00 |
No |
2002-05-23 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110014474 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000016 |
CRESTWOOD MANOR VALLEJO |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-06-13 00:00:00 |
110001976 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2002-05-15 00:00:00 |
2002-05-15 00:00:00 |
Yes |
2002-12-17 00:00:00 |
2002-12-03 00:00:00 |
B |
Drop>Deficiency |
1000 |
800 |
0 |
800 |
0 |
110015920 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000016 |
CRESTWOOD MANOR VALLEJO |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-08-13 00:00:00 |
110001995 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2002-02-14 00:00:00 |
2002-02-14 00:00:00 |
Yes |
2002-09-09 00:00:00 |
2002-08-21 00:00:00 |
AA |
A |
75000 |
70000 |
0 |
70000 |
0 |
110015673 |
A99999 |
Y |
None |
None |
SFY2002-03 |
110000016 |
CRESTWOOD MANOR VALLEJO |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-08-16 00:00:00 |
110001996 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-01 00:00:00 |
2001-08-01 00:00:00 |
Yes |
2002-09-12 00:00:00 |
2002-08-26 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
110014861 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-30 00:00:00 |
110002025 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-22 00:00:00 |
2002-11-22 00:00:00 |
No |
2003-02-24 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
110016520 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-02-05 00:00:00 |
110002029 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-10-06 00:00:00 |
2002-10-06 00:00:00 |
No |
2003-03-04 00:00:00 |
None |
A |
A |
18000 |
10329 |
0 |
10329 |
0 |
110016588 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-03-18 00:00:00 |
110002034 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-10-13 00:00:00 |
2002-10-13 00:00:00 |
Yes |
2003-04-14 00:00:00 |
2003-03-28 00:00:00 |
A |
A |
20000 |
11477 |
0 |
11477 |
0 |
110016519 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-08-13 00:00:00 |
110002062 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-14 00:00:00 |
2003-05-27 00:00:00 |
No |
2003-09-09 00:00:00 |
None |
B |
B |
1000 |
574 |
0 |
574 |
0 |
110017087 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-10-28 00:00:00 |
110002130 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-05-28 00:00:00 |
2003-05-28 00:00:00 |
Yes |
2003-11-24 00:00:00 |
2003-10-30 00:00:00 |
A |
A Trebled |
20000 |
34430 |
0 |
34430 |
0 |
110017184 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-10-30 00:00:00 |
110002131 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-02 00:00:00 |
2003-07-02 00:00:00 |
Yes |
2003-11-25 00:00:00 |
2003-11-05 00:00:00 |
B |
B Trebled |
1000 |
1721 |
0 |
1721 |
0 |
110017185 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-06 00:00:00 |
110002134 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-10-02 00:00:00 |
2003-10-02 00:00:00 |
Yes |
2003-12-04 00:00:00 |
2003-11-12 00:00:00 |
B |
B Trebled |
1000 |
1721 |
0 |
1721 |
0 |
110017736 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000016 |
CRESTWOOD MANOR VALLEJO |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-06 00:00:00 |
110002137 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-12 00:00:00 |
2003-07-12 00:00:00 |
Yes |
2003-12-04 00:00:00 |
2003-11-11 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
110017193 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-07 00:00:00 |
110002139 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2003-09-22 00:00:00 |
2003-09-22 00:00:00 |
Yes |
2003-12-04 00:00:00 |
2003-11-12 00:00:00 |
B |
B |
1000 |
574 |
0 |
574 |
0 |
110017359 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-12-18 00:00:00 |
110002148 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-11-17 00:00:00 |
2003-11-17 00:00:00 |
No |
2004-01-14 00:00:00 |
None |
A |
A |
18000 |
10329 |
0 |
10329 |
0 |
110017857 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000016 |
CRESTWOOD MANOR VALLEJO |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-01-09 00:00:00 |
110002150 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2003-09-22 00:00:00 |
2003-09-22 00:00:00 |
Yes |
2003-02-05 00:00:00 |
2004-01-12 00:00:00 |
AA |
AA |
100000 |
25000 |
0 |
25000 |
0 |
110017719 |
A99999 |
Y |
None |
None |
SFY2003-04 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-07-19 00:00:00 |
110002199 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-28 00:00:00 |
2004-04-28 00:00:00 |
No |
2004-08-09 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
110018348 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-09-19 00:00:00 |
110003033 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-02-19 00:00:00 |
2006-02-19 00:00:00 |
Yes |
2006-10-11 00:00:00 |
2006-09-27 00:00:00 |
A |
A |
18000 |
9000 |
0 |
9000 |
0 |
None |
SEZO11 |
N |
CA00072930 |
B |
SFY2006-07 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-10-04 00:00:00 |
110003289 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-08 00:00:00 |
2005-11-08 00:00:00 |
No |
2006-10-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
KZNB11 |
N |
CA00065570 |
A |
SFY2006-07 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-03-14 00:00:00 |
110003798 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-08-23 00:00:00 |
2006-08-23 00:00:00 |
No |
2007-04-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
YHXI11 |
N |
None |
None |
SFY2006-07 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-07-25 00:00:00 |
110003884 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-03-28 00:00:00 |
2007-03-28 00:00:00 |
No |
2007-08-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5OF711 |
N |
CA00110894 |
B |
SFY2007-08 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2007-11-07 00:00:00 |
110003968 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-05-10 00:00:00 |
2007-05-10 00:00:00 |
Yes |
2011-12-01 00:00:00 |
2011-10-18 00:00:00 |
A |
A |
9000 |
5850 |
0 |
5850 |
0 |
None |
2D5211 |
N |
CA00114518, CA00114622 |
B, B |
SFY2007-08 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-07-25 00:00:00 |
110004075 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-03-28 00:00:00 |
2007-03-28 00:00:00 |
No |
2007-08-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5OF711 |
N |
CA00110894 |
B |
SFY2007-08 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2007-11-15 00:00:00 |
110004306 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-25 00:00:00 |
2006-05-25 00:00:00 |
No |
2007-12-11 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
94VY11 |
N |
None |
None |
SFY2007-08 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-10-18 00:00:00 |
110004373 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-10-16 00:00:00 |
2006-10-16 00:00:00 |
No |
2007-11-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SFK911 |
N |
CA00097288, CA00097464 |
B, B |
SFY2007-08 |
110000002 |
CALISTOGA GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-04-15 00:00:00 |
110004681 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-05-25 00:00:00 |
2007-05-25 00:00:00 |
No |
2008-05-06 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
306W11 |
N |
CA00120566 |
B |
SFY2007-08 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-02-20 00:00:00 |
110004703 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Patient Rights, Care |
2007-10-06 00:00:00 |
2007-10-06 00:00:00 |
No |
2008-03-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LFH511 |
N |
CA00129592 |
A |
SFY2007-08 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-04-22 00:00:00 |
110004933 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-08 00:00:00 |
2008-02-08 00:00:00 |
No |
2008-05-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
30RM11 |
N |
CA00140354 |
A |
SFY2007-08 |
110000016 |
CRESTWOOD MANOR VALLEJO |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-07-29 00:00:00 |
110005265 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-10-16 00:00:00 |
2007-10-16 00:00:00 |
Yes |
2008-08-20 00:00:00 |
2008-07-30 00:00:00 |
AA |
AA |
100000 |
65000 |
0 |
65000 |
0 |
None |
U3BH11 |
Y |
CA00129313 |
A |
SFY2008-09 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-02-27 00:00:00 |
110005549 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-03-27 00:00:00 |
2008-03-27 00:00:00 |
No |
2009-03-23 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
C3S811 |
Y |
CA00145710 |
A |
SFY2008-09 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-02-11 00:00:00 |
110005633 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-18 00:00:00 |
2008-11-18 00:00:00 |
No |
2009-03-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HMY011 |
N |
CA00169263 |
B |
SFY2008-09 |
010000792 |
CROSSROADS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2008-12-19 00:00:00 |
110005701 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-12-01 00:00:00 |
2008-12-01 00:00:00 |
No |
2009-01-12 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
EJ1L11 |
N |
CA00171412 |
A |
SFY2008-09 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-01-27 00:00:00 |
110005761 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-10-18 00:00:00 |
2008-10-18 00:00:00 |
No |
2009-02-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YDU611 |
N |
CA00166968 |
A |
SFY2008-09 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-01-27 00:00:00 |
110005819 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-02 00:00:00 |
2008-12-02 00:00:00 |
No |
2009-02-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CY9V11 |
N |
CA00170954 |
B |
SFY2008-09 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-01-27 00:00:00 |
110005820 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-10-18 00:00:00 |
2008-10-18 00:00:00 |
No |
2009-02-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YDU611 |
N |
CA00166968 |
A |
SFY2008-09 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-03-17 00:00:00 |
110005892 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-01-20 00:00:00 |
2009-01-20 00:00:00 |
Yes |
2011-11-17 00:00:00 |
2011-11-02 00:00:00 |
A |
B |
16000 |
16000 |
0 |
16000 |
0 |
None |
3CWW11 |
N |
CA00174894 |
B |
SFY2008-09 |
010000597 |
COOPER HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2009-04-14 00:00:00 |
110005963 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-11 00:00:00 |
2009-01-11 00:00:00 |
No |
2009-05-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
N2YY11 |
N |
CA00174786 |
B |
SFY2008-09 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-23 00:00:00 |
110006025 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-15 00:00:00 |
2009-01-15 00:00:00 |
Yes |
2009-05-18 00:00:00 |
2009-05-11 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
2YFQ11 |
N |
CA00175083 |
A |
SFY2008-09 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-23 00:00:00 |
110006026 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-15 00:00:00 |
2009-01-15 00:00:00 |
Yes |
2009-05-18 00:00:00 |
2009-05-11 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
2YFQ11 |
N |
CA00175083 |
A |
SFY2008-09 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-16 00:00:00 |
110006082 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-08 00:00:00 |
2008-08-08 00:00:00 |
No |
2009-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
UD9K11 |
N |
CA00159936 |
B |
SFY2008-09 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-16 00:00:00 |
110006083 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-08 00:00:00 |
2008-08-08 00:00:00 |
No |
2009-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
UD9K11 |
N |
CA00159936 |
B |
SFY2008-09 |
630010921 |
CROSSROADS III |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2009-06-11 00:00:00 |
110006170 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Patient Care/Admission |
2008-08-26 00:00:00 |
2008-08-26 00:00:00 |
Yes |
2009-07-06 00:00:00 |
2009-06-26 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
None |
3HX411 |
N |
CA00185583 |
A |
SFY2008-09 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-06-17 00:00:00 |
110006219 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-30 00:00:00 |
2008-08-30 00:00:00 |
No |
2009-07-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
R7AM11 |
N |
CA00162300 |
A |
SFY2008-09 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-07-24 00:00:00 |
110006406 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-05-23 00:00:00 |
2009-05-23 00:00:00 |
No |
2009-08-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JXK111 |
N |
CA00189749 |
A |
SFY2009-10 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-10-25 00:00:00 |
110006580 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-09-19 00:00:00 |
2009-09-19 00:00:00 |
No |
2010-11-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9GYJ11 |
Y |
CA00202450 |
B |
SFY2010-11 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-10-09 00:00:00 |
110006601 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-18 00:00:00 |
2009-08-18 00:00:00 |
No |
2009-11-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
OJ1K11 |
N |
CA00198624 |
C |
SFY2009-10 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-10-21 00:00:00 |
110006621 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-02 00:00:00 |
2009-07-02 00:00:00 |
No |
2009-11-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HJIF11 |
N |
CA00193902 |
A |
SFY2009-10 |
010000792 |
CROSSROADS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2010-11-05 00:00:00 |
110007300 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-02-15 00:00:00 |
2010-02-15 00:00:00 |
Yes |
2010-12-01 00:00:00 |
2010-11-15 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
H30W11 |
N |
CA00223731 |
A |
SFY2010-11 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-03-17 00:00:00 |
110007358 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-06-21 00:00:00 |
2010-06-21 00:00:00 |
Yes |
2011-04-08 00:00:00 |
2011-04-05 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
OUBG11 |
N |
CA00233220 |
A |
SFY2010-11 |
010000792 |
CROSSROADS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2010-11-05 00:00:00 |
110007359 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-05-29 00:00:00 |
2010-05-29 00:00:00 |
Yes |
2010-12-02 00:00:00 |
2010-11-15 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
P55J11 |
N |
CA00230718 |
A |
SFY2010-11 |
010000792 |
CROSSROADS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2010-11-05 00:00:00 |
110007512 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-02-15 00:00:00 |
2010-02-15 00:00:00 |
Yes |
2010-12-01 00:00:00 |
2010-11-15 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
H30W11 |
N |
CA00223731 |
A |
SFY2010-11 |
630010921 |
CROSSROADS III |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2010-10-05 00:00:00 |
110007571 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-08-10 00:00:00 |
2010-08-10 00:00:00 |
No |
2010-10-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PML911 |
N |
CA00238454 |
A |
SFY2010-11 |
010000792 |
CROSSROADS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2010-11-05 00:00:00 |
110007576 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-05-29 00:00:00 |
2010-05-29 00:00:00 |
Yes |
2010-12-01 00:00:00 |
2010-11-15 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
P55J11 |
N |
CA00230718 |
A |
SFY2010-11 |
630010921 |
CROSSROADS III |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2010-10-05 00:00:00 |
110007600 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-08-03 00:00:00 |
2010-08-03 00:00:00 |
No |
2010-10-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PML911 |
N |
None |
None |
SFY2010-11 |
110000016 |
CRESTWOOD MANOR VALLEJO |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-03-10 00:00:00 |
110007700 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-04-07 00:00:00 |
2010-04-07 00:00:00 |
Yes |
2011-04-01 00:00:00 |
2011-03-17 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
None |
W1Z111 |
N |
CA00224594 |
A |
SFY2010-11 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-05-17 00:00:00 |
110008237 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-26 00:00:00 |
2010-02-26 00:00:00 |
Yes |
2011-06-08 00:00:00 |
2011-05-31 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
ED0711 |
N |
CA00228443 |
B |
SFY2010-11 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-09-16 00:00:00 |
110008556 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-02-23 00:00:00 |
2010-02-23 00:00:00 |
No |
2011-10-07 00:00:00 |
None |
A |
None |
17000 |
17000 |
-5950 |
11050 |
0 |
None |
YWHJ11 |
N |
CA00219568 |
B |
SFY2011-12 |
630010921 |
CROSSROADS III |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2015-03-13 00:00:00 |
110009175 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-01-13 00:00:00 |
2012-01-13 00:00:00 |
Yes |
2015-04-06 00:00:00 |
2015-03-19 00:00:00 |
B |
None |
2000 |
2300 |
-2300 |
0 |
0 |
None |
RWEQ11 |
N |
CA00296099, CA00296102 |
A, A |
SFY2014-15 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-05-16 00:00:00 |
110009252 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-04-20 00:00:00 |
2012-04-20 00:00:00 |
No |
2012-06-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
91T511 |
N |
None |
None |
SFY2011-12 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-02-15 00:00:00 |
110009476 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-11-25 00:00:00 |
2011-11-25 00:00:00 |
No |
2013-03-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SVRC11 |
N |
CA00292637 |
A |
SFY2012-13 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-02-15 00:00:00 |
110009477 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-11-25 00:00:00 |
2011-11-25 00:00:00 |
No |
2013-03-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SVRC11 |
N |
CA00292637 |
A |
SFY2012-13 |
630010921 |
CROSSROADS III |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2012-12-06 00:00:00 |
110009593 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2011-11-22 00:00:00 |
2011-11-22 00:00:00 |
Yes |
2012-12-28 00:00:00 |
2012-12-12 00:00:00 |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
N0RN11 |
N |
CA00290656 |
B |
SFY2012-13 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2013-01-10 00:00:00 |
110009687 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-02-01 00:00:00 |
2011-02-01 00:00:00 |
No |
2013-02-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
J3OU11 |
N |
CA00258548, CA00295822 |
A, H |
SFY2012-13 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-10 00:00:00 |
110011805 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-08-29 00:00:00 |
2015-08-29 00:00:00 |
No |
2016-10-31 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
V1YU11 |
N |
CA00456430 |
B |
SFY2016-17 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-10 00:00:00 |
110011806 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-09-01 00:00:00 |
2015-09-01 00:00:00 |
No |
2016-10-31 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
V1YU11 |
N |
CA00456745 |
B |
SFY2016-17 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-10 00:00:00 |
110011807 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-04-14 00:00:00 |
2015-04-14 00:00:00 |
No |
2016-10-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
V1YU11 |
N |
CA00439154 |
B |
SFY2016-17 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-10 00:00:00 |
110011808 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-04-14 00:00:00 |
2015-04-14 00:00:00 |
No |
2016-10-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
V1YU11 |
N |
CA00439154 |
B |
SFY2016-17 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-10 00:00:00 |
110011820 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-08-14 00:00:00 |
2015-08-14 00:00:00 |
No |
2016-10-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
V1YU11 |
N |
None |
None |
SFY2016-17 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-10 00:00:00 |
110011821 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-08-15 00:00:00 |
2015-08-15 00:00:00 |
No |
2016-10-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
V1YU11 |
N |
None |
None |
SFY2016-17 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-10 00:00:00 |
110011822 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-08-16 00:00:00 |
2015-08-16 00:00:00 |
No |
2016-10-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
V1YU11 |
N |
None |
None |
SFY2016-17 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-03-28 00:00:00 |
110011994 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2015-04-20 00:00:00 |
2015-04-20 00:00:00 |
No |
2016-04-19 00:00:00 |
None |
B |
None |
2000 |
2200 |
-700 |
1500 |
0 |
None |
XGTZ11 |
N |
CA00442033 |
B |
SFY2015-16 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-06-15 00:00:00 |
110012260 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-05-07 00:00:00 |
2016-05-07 00:00:00 |
No |
2016-07-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
IC4011 |
N |
CA00487484 |
A |
SFY2015-16 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-25 00:00:00 |
110012382 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2015-04-01 00:00:00 |
2015-04-01 00:00:00 |
Yes |
2016-11-16 00:00:00 |
2016-10-31 00:00:00 |
AA |
A |
100000 |
32279.04 |
0 |
32279.04 |
0 |
None |
N0ZZ11 |
Y |
CA00437790, CA00437985 |
A, C |
SFY2016-17 |
010000037 |
CLOVERDALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-06-01 00:00:00 |
110013108 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-03-19 00:00:00 |
2017-03-19 00:00:00 |
No |
2017-06-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
0L1T11 |
N |
CA00527304 |
A |
SFY2016-17 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2019-08-29 00:00:00 |
110014677 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-12-07 00:00:00 |
2016-12-07 00:00:00 |
No |
2019-09-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
DC4Q11 |
N |
CA00513418 |
H |
SFY2019-20 |
630010921 |
CROSSROADS III |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2021-03-26 00:00:00 |
110015609 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2021-04-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
72M611 |
N |
CA00616887, CA00616887, CA00617317, CA00617317 |
B, B, C, C |
SFY2020-21 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-04-26 00:00:00 |
110015667 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-08-26 00:00:00 |
2019-08-26 00:00:00 |
No |
2021-05-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PMM711 |
N |
CA00652253 |
B |
SFY2020-21 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-04-28 00:00:00 |
110015668 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
Abuse/Facility Not Report |
2019-08-26 00:00:00 |
2019-08-26 00:00:00 |
No |
2021-05-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PMM711 |
N |
CA00652253 |
B |
SFY2020-21 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-06-03 00:00:00 |
110016539 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-11-22 00:00:00 |
2019-11-22 00:00:00 |
No |
2021-06-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
CZ0U11 |
N |
CA00665247, CA00665247 |
B, B |
SFY2020-21 |
010000864 |
CROSSROADS II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2022-07-01 00:00:00 |
110017658 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-02-05 00:00:00 |
2022-02-05 00:00:00 |
No |
2022-07-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
VBF711 |
N |
CA00772394, CA00772394, CA00772394 |
E, E, E |
SFY2022-23 |
960001152 |
CAPISTRANO DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2012-03-16 00:00:00 |
120009144 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-02-07 00:00:00 |
2012-02-07 00:00:00 |
No |
2012-04-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QOF011 |
N |
None |
None |
SFY2011-12 |
140000138 |
CREEKSIDE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-01-26 00:00:00 |
140002588 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-06-27 00:00:00 |
None |
Yes |
2001-02-27 00:00:00 |
2001-02-05 00:00:00 |
A |
A |
7000 |
7000 |
-5110 |
1890 |
0 |
140012919 |
A99999 |
N |
None |
None |
SFY2000-01 |
140000138 |
CREEKSIDE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-06-22 00:00:00 |
140002607 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-02-21 00:00:00 |
None |
Yes |
2001-07-24 00:00:00 |
2001-06-25 00:00:00 |
A |
A Trebled |
7000 |
21000 |
-14897 |
6103 |
0 |
140013194 |
A99999 |
N |
None |
None |
SFY2000-01 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-08-06 00:00:00 |
140002682 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-06-04 00:00:00 |
2003-06-04 00:00:00 |
Yes |
2003-08-29 00:00:00 |
2003-08-15 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
140015773 |
A99999 |
N |
None |
None |
SFY2003-04 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2005-01-05 00:00:00 |
140002738 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-08-11 00:00:00 |
None |
No |
2005-01-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
140017379 |
A99999 |
N |
None |
None |
SFY2004-05 |
140000136 |
CONCORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2005-09-15 00:00:00 |
140002756 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-05-29 00:00:00 |
None |
No |
2005-10-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
140017433 |
A99999 |
N |
None |
None |
SFY2005-06 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-04-13 00:00:00 |
170001666 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-03-14 00:00:00 |
None |
No |
2001-05-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170014142 |
A99999 |
N |
None |
None |
SFY2000-01 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-06-12 00:00:00 |
170001679 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2001-04-23 00:00:00 |
None |
No |
2001-07-03 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
170014362 |
A99999 |
N |
None |
None |
SFY2000-01 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-07-03 00:00:00 |
170001682 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-06-09 00:00:00 |
None |
No |
2001-07-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170014422 |
A99999 |
N |
None |
None |
SFY2001-02 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-07-31 00:00:00 |
170001690 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-06-25 00:00:00 |
None |
No |
2001-08-21 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
170014502 |
A99999 |
N |
None |
None |
SFY2001-02 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-09-14 00:00:00 |
170001693 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-01 00:00:00 |
2001-07-30 00:00:00 |
No |
2001-10-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170014630 |
A99999 |
N |
None |
None |
SFY2001-02 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2002-03-27 00:00:00 |
170001695 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-02-18 00:00:00 |
None |
No |
2002-04-23 00:00:00 |
None |
A |
None |
9000 |
27000 |
-9450 |
17550 |
0 |
170014951 |
A99999 |
N |
None |
None |
SFY2001-02 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2002-04-09 00:00:00 |
170001696 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-03-02 00:00:00 |
None |
No |
2002-05-03 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
170014966 |
A99999 |
N |
None |
None |
SFY2001-02 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2002-07-10 00:00:00 |
170001699 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-04-22 00:00:00 |
None |
No |
2002-08-02 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
170015044 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2002-07-31 00:00:00 |
170001703 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-01-12 00:00:00 |
None |
No |
2002-08-23 00:00:00 |
None |
A |
None |
10000 |
30000 |
0 |
30000 |
0 |
170014929 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2002-10-31 00:00:00 |
170001708 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-05-03 00:00:00 |
None |
No |
2002-11-26 00:00:00 |
None |
A |
None |
10000 |
30000 |
-10500 |
19500 |
0 |
170015073 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-03-28 00:00:00 |
170001738 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-12-21 00:00:00 |
None |
No |
2003-04-21 00:00:00 |
None |
A |
None |
10000 |
30000 |
-10500 |
19500 |
0 |
170015460 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-05-05 00:00:00 |
170001746 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-02-13 00:00:00 |
None |
No |
2003-05-27 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
170015534 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-06-04 00:00:00 |
170001748 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-02-03 00:00:00 |
None |
No |
2003-06-25 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
170016797 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-07-10 00:00:00 |
170001751 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-03-08 00:00:00 |
None |
No |
2002-08-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
170016210 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-07-15 00:00:00 |
170001773 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-02-25 00:00:00 |
None |
No |
2003-08-07 00:00:00 |
None |
B |
None |
700 |
2100 |
0 |
2100 |
0 |
170016180 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-05-16 00:00:00 |
170003102 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-09-14 00:00:00 |
2005-09-14 00:00:00 |
No |
2006-06-07 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
63YG11 |
N |
CA00061527 |
C |
SFY2005-06 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-06-19 00:00:00 |
170003152 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-09-14 00:00:00 |
2005-09-14 00:00:00 |
No |
2006-07-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
G8Y311 |
N |
CA00061528 |
C |
SFY2005-06 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-08-08 00:00:00 |
170003200 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-06-02 00:00:00 |
2006-06-02 00:00:00 |
No |
2006-08-29 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
None |
BVTZ |
N |
CA00078978 |
C |
SFY2006-07 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2010-12-13 00:00:00 |
170007499 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-04-21 00:00:00 |
2010-04-21 00:00:00 |
No |
2011-01-03 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
SYX011 |
N |
CA00226447 |
C |
SFY2010-11 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-01-24 00:00:00 |
170009363 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-12-17 00:00:00 |
2011-12-17 00:00:00 |
No |
2014-02-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
469311 |
N |
CA00294260 |
C |
SFY2013-14 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-04-10 00:00:00 |
170010492 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-10-19 00:00:00 |
2013-10-19 00:00:00 |
No |
2014-05-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4XUY11 |
N |
CA00374239 |
D |
SFY2013-14 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-04-14 00:00:00 |
170010493 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-10-12 00:00:00 |
2013-10-12 00:00:00 |
No |
2014-05-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4XUY11 |
N |
CA00373620 |
C |
SFY2013-14 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-04-14 00:00:00 |
170010494 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-08-07 00:00:00 |
2013-08-07 00:00:00 |
No |
2014-05-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4XUY11 |
N |
CA00365327, CA00368604, CA00369839 |
B, C, B |
SFY2013-14 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-04-14 00:00:00 |
170010615 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-10-02 00:00:00 |
2012-10-02 00:00:00 |
No |
2014-05-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
DDL411 |
N |
CA00328143 |
C |
SFY2013-14 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2018-04-12 00:00:00 |
170013962 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2017-09-02 00:00:00 |
2017-09-02 00:00:00 |
No |
2018-05-03 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
None |
2BYL11 |
N |
CA00554007 |
C |
SFY2017-18 |
170001776 |
CANYON SPRINGS |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2019-07-31 00:00:00 |
170015256 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-12-08 00:00:00 |
2018-12-08 00:00:00 |
No |
2019-08-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PM1D11 |
N |
CA00616473 |
C |
SFY2019-20 |
220000045 |
CARLMONT GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-03-16 00:00:00 |
220001036 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-11-26 00:00:00 |
None |
Yes |
2000-04-06 00:00:00 |
2000-04-18 00:00:00 |
A |
A |
7000 |
7100 |
-7100 |
0 |
0 |
220006884 |
A99999 |
N |
None |
None |
SFY1999-00 |
220000197 |
CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-04-18 00:00:00 |
220001041 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-01-05 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-04-27 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
220006924 |
A99999 |
N |
None |
None |
SFY1999-00 |
220000045 |
CARLMONT GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-05-19 00:00:00 |
220001043 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-02 00:00:00 |
None |
No |
2000-06-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
220006957 |
A99999 |
N |
None |
None |
SFY1999-00 |
220000197 |
CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-07-21 00:00:00 |
220001050 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2000-05-03 00:00:00 |
None |
No |
2000-08-11 00:00:00 |
None |
AA |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
220006986 |
A99999 |
Y |
None |
None |
SFY2000-01 |
220000045 |
CARLMONT GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-11-16 00:00:00 |
220001070 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-05-31 00:00:00 |
None |
Yes |
2001-06-21 00:00:00 |
2000-11-28 00:00:00 |
B |
B |
1000 |
3400 |
-3400 |
0 |
0 |
220007232 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000045 |
CARLMONT GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-11-16 00:00:00 |
220001071 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2000-05-31 00:00:00 |
None |
Yes |
2000-12-07 00:00:00 |
2000-11-28 00:00:00 |
B |
None |
500 |
900 |
-900 |
0 |
0 |
220007236 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000045 |
CARLMONT GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2000-11-16 00:00:00 |
220001072 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2000-08-07 00:00:00 |
None |
No |
2000-12-07 00:00:00 |
None |
B |
None |
600 |
1000 |
-1000 |
0 |
0 |
220007238 |
A99999 |
N |
None |
None |
SFY2000-01 |
220000197 |
CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2001-12-03 00:00:00 |
220001495 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2000-12-26 00:00:00 |
None |
Yes |
2001-12-24 00:00:00 |
2001-12-14 00:00:00 |
AA |
A |
80000 |
50000 |
0 |
50000 |
0 |
220010576 |
A99999 |
Y |
None |
None |
SFY2001-02 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-03-11 00:00:00 |
220001509 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-10-16 00:00:00 |
None |
Yes |
2002-10-07 00:00:00 |
2002-03-13 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
220011015 |
A99999 |
N |
None |
None |
SFY2001-02 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-05-07 00:00:00 |
220001512 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-05-01 00:00:00 |
None |
Yes |
2002-05-29 00:00:00 |
2002-05-24 00:00:00 |
A |
B |
16000 |
5089 |
0 |
5089 |
0 |
220011108 |
A99999 |
N |
None |
None |
SFY2001-02 |
220000046 |
CENTRAL GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-06-06 00:00:00 |
220001517 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-14 00:00:00 |
None |
No |
2002-07-05 00:00:00 |
None |
B |
None |
1000 |
1550 |
-350 |
1200 |
0 |
220010854 |
A99999 |
N |
None |
None |
SFY2001-02 |
220000045 |
CARLMONT GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-09-18 00:00:00 |
220001528 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-10-05 00:00:00 |
None |
No |
2002-10-09 00:00:00 |
None |
B |
None |
800 |
800 |
-800 |
0 |
0 |
220011054 |
A99999 |
N |
None |
None |
SFY2002-03 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-10-02 00:00:00 |
220001530 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-12-20 00:00:00 |
None |
Yes |
2003-02-27 00:00:00 |
2002-10-16 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
220011411 |
A99999 |
N |
None |
None |
SFY2002-03 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-10-02 00:00:00 |
220001531 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-29 00:00:00 |
None |
Yes |
2003-02-27 00:00:00 |
2002-10-16 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
220011411 |
A99999 |
Y |
None |
None |
SFY2002-03 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-10-02 00:00:00 |
220001532 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2002-01-01 00:00:00 |
None |
Yes |
2003-02-27 00:00:00 |
2003-02-13 00:00:00 |
B |
Drop>Deficiency |
1000 |
318 |
0 |
318 |
0 |
220010858 |
A99999 |
N |
None |
None |
SFY2002-03 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-10-03 00:00:00 |
220001533 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-07-29 00:00:00 |
None |
Yes |
2002-10-25 00:00:00 |
2002-10-18 00:00:00 |
A |
A |
20000 |
6361 |
0 |
6361 |
0 |
220011425 |
A99999 |
N |
None |
None |
SFY2002-03 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-12-18 00:00:00 |
220001536 |
Closed |
Citation |
Citation A (HSC 1424) |
Staffing |
None |
2001-10-01 00:00:00 |
None |
Yes |
2003-01-10 00:00:00 |
2002-12-30 00:00:00 |
A |
Drop>Deficiency |
15000 |
4921 |
0 |
4921 |
0 |
220011531 |
A99999 |
N |
None |
None |
SFY2002-03 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-12-18 00:00:00 |
220001537 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-05-01 00:00:00 |
None |
Yes |
2003-01-10 00:00:00 |
2002-12-30 00:00:00 |
A |
A |
20000 |
6511 |
0 |
6511 |
0 |
220011532 |
A99999 |
N |
None |
None |
SFY2002-03 |
220000205 |
CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2003-01-15 00:00:00 |
220001538 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-10-15 00:00:00 |
None |
Yes |
2003-02-10 00:00:00 |
2003-06-13 00:00:00 |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
220011576 |
A99999 |
N |
None |
None |
SFY2002-03 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2004-09-02 00:00:00 |
220001543 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-25 00:00:00 |
2002-01-25 00:00:00 |
Yes |
2004-10-01 00:00:00 |
2004-09-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
220010877 |
A99999 |
N |
None |
None |
SFY2004-05 |
220000197 |
CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2005-02-23 00:00:00 |
220001549 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-10-04 00:00:00 |
None |
No |
2005-03-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
220012573 |
A99999 |
N |
None |
None |
SFY2004-05 |
220001051 |
CEDAR CREST NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-09-26 00:00:00 |
220003367 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2006-08-08 00:00:00 |
2006-08-08 00:00:00 |
Yes |
2014-05-30 00:00:00 |
2006-10-06 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
None |
X48J11 |
N |
CA00092066 |
B |
SFY2006-07 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-04-03 00:00:00 |
220003849 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-02-06 00:00:00 |
2007-02-06 00:00:00 |
Yes |
2007-04-24 00:00:00 |
2007-04-09 00:00:00 |
AA |
A |
100000 |
7500 |
0 |
7500 |
0 |
None |
QUQK11 |
Y |
CA00105740 |
A |
SFY2006-07 |
220001192 |
CORINTHIAN CARE CENTER |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Jose |
2008-05-02 00:00:00 |
220004982 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-04-10 00:00:00 |
2007-04-10 00:00:00 |
No |
2008-05-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
HMNR11 |
N |
CA00111735 |
B |
SFY2007-08 |
220000046 |
CENTRAL GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-05-15 00:00:00 |
220005049 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-10-05 00:00:00 |
2007-10-05 00:00:00 |
No |
2008-06-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
X1H211 |
N |
CA00128380 |
A |
SFY2007-08 |
220001043 |
CASA OLGA INTERMEDIATE HEALTH CARE FACILITY |
LTC |
ICF |
Intermediate Care Facility |
San Francisco |
2008-05-21 00:00:00 |
220005060 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-19 00:00:00 |
2008-03-19 00:00:00 |
No |
2008-06-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
RXF611 |
N |
CA00144324 |
A |
SFY2007-08 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-07-03 00:00:00 |
220005210 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2008-02-14 00:00:00 |
2008-02-14 00:00:00 |
No |
2008-07-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S4UO11 |
N |
CA00139835 |
C |
SFY2008-09 |
220001043 |
CASA OLGA INTERMEDIATE HEALTH CARE FACILITY |
LTC |
ICF |
Intermediate Care Facility |
San Francisco |
2008-07-22 00:00:00 |
220005251 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2008-02-29 00:00:00 |
2008-02-29 00:00:00 |
No |
2008-08-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
Y68311 |
N |
CA00147241 |
B |
SFY2008-09 |
220000046 |
CENTRAL GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-08-13 00:00:00 |
220005315 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-23 00:00:00 |
2008-03-23 00:00:00 |
No |
2008-09-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
SJ4011 |
N |
CA00152791 |
C |
SFY2008-09 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-08-29 00:00:00 |
220005376 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-06-11 00:00:00 |
2008-06-11 00:00:00 |
Yes |
2008-09-22 00:00:00 |
2008-08-29 00:00:00 |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
E5VJ11 |
N |
CA00153558 |
B |
SFY2008-09 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-11-26 00:00:00 |
220005638 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-06-07 00:00:00 |
2008-06-07 00:00:00 |
Yes |
2012-07-09 00:00:00 |
2012-02-15 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
4G5K11 |
N |
CA00153509 |
B |
SFY2008-09 |
220001192 |
CORINTHIAN CARE CENTER |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Jose |
2008-12-12 00:00:00 |
220005689 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-05 00:00:00 |
2008-12-05 00:00:00 |
No |
2009-01-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
RCR311 |
N |
CA00171238 |
D |
SFY2008-09 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2009-01-20 00:00:00 |
220005793 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2008-04-26 00:00:00 |
2008-04-26 00:00:00 |
No |
2009-02-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C6S711 |
N |
CA00148541 |
B |
SFY2008-09 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2009-07-22 00:00:00 |
220006401 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-20 00:00:00 |
2009-01-20 00:00:00 |
No |
2009-08-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
FWH911 |
N |
CA00175464 |
C |
SFY2009-10 |
220001048 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-09-24 00:00:00 |
220006578 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-17 00:00:00 |
2008-11-17 00:00:00 |
Yes |
2009-10-16 00:00:00 |
2009-10-09 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
12XV11 |
N |
CA00174874 |
C |
SFY2009-10 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2009-12-11 00:00:00 |
220006767 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-26 00:00:00 |
2009-07-26 00:00:00 |
Yes |
2010-01-11 00:00:00 |
2009-12-21 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
KXRV11 |
N |
CA00199912 |
C |
SFY2009-10 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2010-04-22 00:00:00 |
220007113 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2010-01-27 00:00:00 |
2010-01-27 00:00:00 |
Yes |
2010-05-17 00:00:00 |
2010-04-28 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
W7IX11 |
N |
CA00215571 |
C |
SFY2009-10 |
220000205 |
CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2010-07-27 00:00:00 |
220007420 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2009-05-12 00:00:00 |
2009-05-12 00:00:00 |
No |
2010-08-17 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
KZHD11 |
N |
CA00188184 |
C |
SFY2010-11 |
220001048 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-09-14 00:00:00 |
220007533 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-06-14 00:00:00 |
2009-06-14 00:00:00 |
Yes |
2011-08-01 00:00:00 |
2011-06-30 00:00:00 |
A |
A |
20000 |
20000 |
0 |
20000 |
0 |
None |
217V11 |
N |
CA00193227 |
C |
SFY2010-11 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2010-10-14 00:00:00 |
220007556 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2010-01-27 00:00:00 |
2010-01-27 00:00:00 |
No |
2010-11-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
UZZJ11 |
N |
CA00215613, CA00216033 |
C, C |
SFY2010-11 |
220001048 |
CHILDREN'S HEALTHCARE ORGANIZATION OF NORTHERN CALIFORNIA - SARATOGA PEDIAT |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2012-09-25 00:00:00 |
220009515 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2010-12-29 00:00:00 |
2010-12-29 00:00:00 |
Yes |
2012-10-16 00:00:00 |
2012-10-09 00:00:00 |
A |
B |
20000 |
10000 |
0 |
10000 |
0 |
None |
ITJW11 |
N |
CA00254241 |
B |
SFY2012-13 |
220000197 |
CALIFORNIA PACIFIC MEDICAL CENTER - CALIFORNIA EAST CAMPUS HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2013-08-01 00:00:00 |
220010042 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-02-15 00:00:00 |
2012-02-15 00:00:00 |
No |
2013-08-22 00:00:00 |
None |
B |
None |
2000 |
3450 |
0 |
3450 |
0 |
None |
X7DV11 |
N |
CA00309448 |
B |
SFY2013-14 |
220000046 |
CENTRAL GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2014-08-13 00:00:00 |
220010921 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2013-04-03 00:00:00 |
2013-04-03 00:00:00 |
No |
2014-09-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
BJO811 |
N |
CA00375436 |
C |
SFY2014-15 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2015-07-08 00:00:00 |
220011607 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-04-12 00:00:00 |
2015-04-12 00:00:00 |
No |
2015-07-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
N2LS11 |
N |
CA00439123 |
C |
SFY2015-16 |
220000046 |
CENTRAL GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2015-09-10 00:00:00 |
220011716 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-04-18 00:00:00 |
2015-04-18 00:00:00 |
No |
2015-10-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
M4GZ11 |
N |
CA00439559 |
C |
SFY2015-16 |
220000242 |
CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2018-06-27 00:00:00 |
220014192 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-09-07 00:00:00 |
2017-09-07 00:00:00 |
Yes |
2018-07-19 00:00:00 |
2018-07-03 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
G0ER11 |
N |
CA00571131 |
C |
SFY2017-18 |
220000242 |
CALIFORNIA PACIFIC MEDICAL CENTER - ST. LUKE'S CAMPUS HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2018-06-27 00:00:00 |
220014194 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2017-09-07 00:00:00 |
2017-09-07 00:00:00 |
Yes |
2018-07-19 00:00:00 |
2018-07-03 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
G0ER11 |
N |
CA00571131 |
C |
SFY2017-18 |
220000082 |
CITY VIEW POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2022-12-28 00:00:00 |
220018263 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-04-26 00:00:00 |
2022-04-26 00:00:00 |
No |
2023-01-20 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
P0IO11 |
N |
CA00766658 |
C |
SFY2022-23 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2000-08-31 00:00:00 |
230000907 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-06-08 00:00:00 |
None |
No |
2000-09-25 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
230006552 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000247 |
CRESTWOOD WELLNESS AND RECOVERY CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2000-10-03 00:00:00 |
230000910 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-01-08 00:00:00 |
None |
No |
2000-11-06 00:00:00 |
None |
B |
Drop>Deficiency |
950 |
950 |
0 |
950 |
0 |
230006598 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2000-10-12 00:00:00 |
230000913 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-22 00:00:00 |
None |
No |
2000-11-06 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
230006624 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2000-10-25 00:00:00 |
230000914 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-13 00:00:00 |
None |
No |
2000-11-15 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
230006636 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-02-01 00:00:00 |
230000921 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-07-27 00:00:00 |
None |
Yes |
2001-02-27 00:00:00 |
2001-02-01 00:00:00 |
B |
None |
800 |
800 |
0 |
800 |
0 |
230006906 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-02-27 00:00:00 |
230000923 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-10-10 00:00:00 |
None |
No |
2001-03-21 00:00:00 |
None |
B |
None |
980 |
980 |
-343 |
637 |
0 |
230006941 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-03-20 00:00:00 |
230000930 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2000-04-29 00:00:00 |
None |
Yes |
2001-04-13 00:00:00 |
2001-03-29 00:00:00 |
AA |
AA |
50000 |
50000 |
-7050.75 |
42949.25 |
0 |
230006721 |
A99999 |
Y |
None |
None |
SFY2000-01 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-04-13 00:00:00 |
230000933 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2001-01-16 00:00:00 |
None |
No |
2001-05-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230007043 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-04-16 00:00:00 |
230000934 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-15 00:00:00 |
None |
Yes |
2001-05-07 00:00:00 |
2001-04-24 00:00:00 |
B |
B |
900 |
900 |
-720 |
180 |
0 |
230006921 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000247 |
CRESTWOOD WELLNESS AND RECOVERY CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-05-08 00:00:00 |
230000939 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-02-18 00:00:00 |
None |
Yes |
2001-06-01 00:00:00 |
2001-05-07 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
230006954 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-10-24 00:00:00 |
230000956 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2001-01-02 00:00:00 |
None |
Yes |
2001-11-19 00:00:00 |
2001-11-08 00:00:00 |
AA |
A |
80000 |
16000 |
0 |
16000 |
0 |
230006951 |
A99999 |
Y |
None |
None |
SFY2001-02 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-11-15 00:00:00 |
230000959 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-15 00:00:00 |
None |
No |
2001-12-14 00:00:00 |
None |
B |
None |
700 |
700 |
0 |
700 |
0 |
230007243 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-02-14 00:00:00 |
230000967 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-05-08 00:00:00 |
None |
No |
2002-03-12 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
230007176 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-02-26 00:00:00 |
230000968 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-25 00:00:00 |
None |
Yes |
2002-06-24 00:00:00 |
2002-02-26 00:00:00 |
B |
B |
700 |
800 |
0 |
800 |
0 |
230007597 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-02-26 00:00:00 |
230000969 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-06 00:00:00 |
None |
No |
2002-03-21 00:00:00 |
None |
B |
None |
600 |
700 |
-210 |
490 |
0 |
230007598 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-03-12 00:00:00 |
230000974 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-07-03 00:00:00 |
None |
Yes |
2002-04-08 00:00:00 |
2002-03-28 00:00:00 |
A |
B |
16000 |
9116 |
0 |
9116 |
0 |
230007476 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-06-07 00:00:00 |
230000986 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-10-19 00:00:00 |
None |
No |
2002-07-01 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
230006722 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-09-18 00:00:00 |
230000997 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-08-02 00:00:00 |
2002-08-02 00:00:00 |
Yes |
2003-04-03 00:00:00 |
2002-10-03 00:00:00 |
B |
B |
800 |
446 |
0 |
446 |
0 |
230008371 |
A99999 |
N |
None |
None |
SFY2002-03 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-10-29 00:00:00 |
230001000 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-08-22 00:00:00 |
2002-08-22 00:00:00 |
No |
2003-03-28 00:00:00 |
None |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
230008439 |
A99999 |
N |
None |
None |
SFY2002-03 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-12-30 00:00:00 |
230001013 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2002-03-22 00:00:00 |
2002-03-22 00:00:00 |
Yes |
2003-01-27 00:00:00 |
2003-01-07 00:00:00 |
AA |
A |
100000 |
20000 |
0 |
20000 |
0 |
230008774 |
A99999 |
Y |
None |
None |
SFY2002-03 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-12-30 00:00:00 |
230001014 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-03-19 00:00:00 |
2002-03-19 00:00:00 |
Yes |
2003-01-27 00:00:00 |
2003-01-07 00:00:00 |
A |
B |
18000 |
900 |
0 |
900 |
0 |
230008774 |
A99999 |
N |
None |
None |
SFY2002-03 |
230000247 |
CRESTWOOD WELLNESS AND RECOVERY CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2003-01-21 00:00:00 |
230001015 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-01-01 00:00:00 |
2002-01-01 00:00:00 |
Yes |
2003-02-11 00:00:00 |
2003-01-22 00:00:00 |
A |
B |
12000 |
4500 |
0 |
4500 |
0 |
230008846 |
A99999 |
N |
None |
None |
SFY2002-03 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2003-09-11 00:00:00 |
230001055 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-09 00:00:00 |
2003-07-09 00:00:00 |
No |
2003-10-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230009681 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2003-12-11 00:00:00 |
230001063 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2003-10-13 00:00:00 |
2003-10-13 00:00:00 |
No |
2004-01-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
230009825 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2004-03-18 00:00:00 |
230001070 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-01-30 00:00:00 |
2004-01-30 00:00:00 |
No |
2004-04-16 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
230010210 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2004-07-16 00:00:00 |
230001082 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-01-22 00:00:00 |
2004-01-22 00:00:00 |
No |
2004-08-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230010736 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000247 |
CRESTWOOD WELLNESS AND RECOVERY CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2004-07-21 00:00:00 |
230001084 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2001-06-01 00:00:00 |
2001-06-01 00:00:00 |
Yes |
2004-08-26 00:00:00 |
2004-07-21 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
230009249 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2004-12-21 00:00:00 |
230001102 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2004-09-01 00:00:00 |
2004-09-01 00:00:00 |
No |
2004-02-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
230011194 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000247 |
CRESTWOOD WELLNESS AND RECOVERY CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2004-12-22 00:00:00 |
230001117 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-05-21 00:00:00 |
2004-05-21 00:00:00 |
Yes |
2005-01-24 00:00:00 |
2004-12-23 00:00:00 |
B |
B |
1000 |
400 |
0 |
400 |
0 |
230011182 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2005-12-07 00:00:00 |
230001155 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
VERBAL ABUSE |
2005-09-21 00:00:00 |
2005-09-21 00:00:00 |
No |
2005-12-29 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
230011634 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2005-12-14 00:00:00 |
230001156 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2005-07-21 00:00:00 |
2005-07-21 00:00:00 |
No |
2006-01-17 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
230011635 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2005-12-28 00:00:00 |
230001158 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-08-07 00:00:00 |
2005-08-07 00:00:00 |
No |
2006-01-23 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
230011637 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2005-12-28 00:00:00 |
230001159 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-10-05 00:00:00 |
2005-10-05 00:00:00 |
No |
2006-01-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230011638 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-01-26 00:00:00 |
230001161 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-10-04 00:00:00 |
2004-10-04 00:00:00 |
No |
2006-02-23 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
230011642 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000247 |
CRESTWOOD WELLNESS AND RECOVERY CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-02-02 00:00:00 |
230001164 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
HEALTH & SAFETY |
2005-09-02 00:00:00 |
None |
Yes |
2006-03-01 00:00:00 |
2006-02-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
230011650 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000247 |
CRESTWOOD WELLNESS AND RECOVERY CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-02-02 00:00:00 |
230001165 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
483.13(C) |
2005-09-02 00:00:00 |
None |
Yes |
2006-03-01 00:00:00 |
2006-02-02 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
230011651 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000247 |
CRESTWOOD WELLNESS AND RECOVERY CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-02-02 00:00:00 |
230001166 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-11-17 00:00:00 |
None |
Yes |
2006-03-01 00:00:00 |
2006-02-02 00:00:00 |
B |
B |
750 |
450 |
0 |
450 |
0 |
230011652 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-04-06 00:00:00 |
230003002 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2005-08-10 00:00:00 |
2005-08-10 00:00:00 |
Yes |
2006-04-27 00:00:00 |
2006-04-25 00:00:00 |
B |
B |
750 |
375 |
0 |
375 |
0 |
None |
9QFG11 |
N |
CA00058228 |
B |
SFY2005-06 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-04-28 00:00:00 |
230003014 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2005-06-01 00:00:00 |
2005-06-01 00:00:00 |
No |
2006-05-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
R2J611 |
N |
CA00052998 |
C |
SFY2005-06 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-04-28 00:00:00 |
230003043 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2005-05-09 00:00:00 |
2005-05-09 00:00:00 |
No |
2006-05-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
KKBI11 |
N |
CA00048328 |
C |
SFY2005-06 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-04-28 00:00:00 |
230003044 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-06-01 00:00:00 |
2005-06-01 00:00:00 |
No |
2006-05-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
AJU811 |
N |
CA00068950 |
B |
SFY2005-06 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-06-13 00:00:00 |
230003064 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-02-09 00:00:00 |
2006-02-09 00:00:00 |
No |
2006-07-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
MECY11 |
N |
CA00072597 |
B |
SFY2005-06 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-03-06 00:00:00 |
230003690 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2006-01-26 00:00:00 |
2006-01-26 00:00:00 |
No |
2007-03-27 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
2ZUB11 |
N |
CA00071482 |
B |
SFY2006-07 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-03-14 00:00:00 |
230003706 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-10-10 00:00:00 |
2005-10-10 00:00:00 |
No |
2007-04-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
G3DJ11 |
N |
CA00063663 |
B |
SFY2006-07 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-03-29 00:00:00 |
230003707 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse Reporting |
2006-10-14 00:00:00 |
2006-10-14 00:00:00 |
No |
2007-04-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
TZR411 |
N |
CA00097185 |
B |
SFY2006-07 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-03-29 00:00:00 |
230003805 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-17 00:00:00 |
2006-06-17 00:00:00 |
No |
2007-04-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
GVLC11 |
N |
CA00086882 |
B |
SFY2006-07 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-03-20 00:00:00 |
230003815 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-02-23 00:00:00 |
2006-02-23 00:00:00 |
No |
2007-04-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
7IFQ11 |
N |
CA00078451 |
B |
SFY2006-07 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-03-29 00:00:00 |
230003839 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-12 00:00:00 |
2005-12-12 00:00:00 |
Yes |
2007-04-20 00:00:00 |
2007-04-02 00:00:00 |
B |
B |
800 |
500 |
0 |
500 |
0 |
None |
V42C11 |
N |
CA00067844 |
B |
SFY2006-07 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-09-19 00:00:00 |
230004248 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-02-14 00:00:00 |
2006-02-14 00:00:00 |
No |
2007-10-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
FXF711 |
N |
CA00072747 |
B |
SFY2007-08 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-10-18 00:00:00 |
230004334 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-12-04 00:00:00 |
2006-12-04 00:00:00 |
No |
2007-11-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QPSX11 |
N |
CA00101038 |
B |
SFY2007-08 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-10-18 00:00:00 |
230004340 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
abuse reporting |
2007-08-07 00:00:00 |
2007-08-07 00:00:00 |
No |
2007-11-08 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
U3E211 |
N |
CA00123122, CA00123466 |
B, B |
SFY2007-08 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-10-18 00:00:00 |
230004341 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
misappropriation property |
2007-08-07 00:00:00 |
2007-08-07 00:00:00 |
No |
2007-11-08 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
U3E211 |
N |
CA00123122, CA00123466 |
B, B |
SFY2007-08 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2007-11-29 00:00:00 |
230004463 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-01-05 00:00:00 |
2007-01-05 00:00:00 |
Yes |
2007-12-20 00:00:00 |
2007-11-29 00:00:00 |
B |
B |
750 |
750 |
-619 |
131 |
0 |
None |
QMHG11 |
Y |
CA00116052 |
B |
SFY2007-08 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-02-01 00:00:00 |
230004636 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-06-17 00:00:00 |
2007-06-17 00:00:00 |
No |
2008-02-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
42QR11 |
N |
CA00118444, CA00118448 |
C, C |
SFY2007-08 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-03-13 00:00:00 |
230004779 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2007-11-16 00:00:00 |
2007-11-16 00:00:00 |
Yes |
2008-04-04 00:00:00 |
2008-03-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
LII111 |
N |
CA00131947 |
C |
SFY2007-08 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-03-13 00:00:00 |
230004780 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-12-18 00:00:00 |
2007-12-18 00:00:00 |
No |
2008-04-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9L3911 |
N |
CA00135422 |
C |
SFY2007-08 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-04-02 00:00:00 |
230004800 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2007-06-27 00:00:00 |
2007-06-27 00:00:00 |
Yes |
2008-04-23 00:00:00 |
2008-04-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
4BEV11 |
N |
CA00117465 |
B |
SFY2007-08 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-05-29 00:00:00 |
230005083 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-19 00:00:00 |
2008-04-19 00:00:00 |
No |
2008-06-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
F93H11 |
N |
CA00147312 |
C |
SFY2007-08 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-05-29 00:00:00 |
230005084 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-20 00:00:00 |
2008-04-20 00:00:00 |
No |
2008-06-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
F93H11 |
N |
CA00147491 |
C |
SFY2007-08 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-07-02 00:00:00 |
230005191 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2008-04-30 00:00:00 |
2008-04-30 00:00:00 |
No |
2008-07-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
DKTZ11 |
N |
CA00148596 |
A |
SFY2008-09 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-07-02 00:00:00 |
230005192 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FAILURE TO REPORT |
2008-05-20 00:00:00 |
2008-05-20 00:00:00 |
No |
2008-07-24 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
DKTZ11 |
N |
CA00151687 |
C |
SFY2008-09 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-07-02 00:00:00 |
230005193 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-01 00:00:00 |
2008-04-01 00:00:00 |
No |
2008-07-24 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
None |
UF4K11 |
N |
CA00152621 |
B |
SFY2008-09 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-08-20 00:00:00 |
230005341 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2008-07-02 00:00:00 |
2008-07-02 00:00:00 |
Yes |
2008-09-11 00:00:00 |
2008-08-25 00:00:00 |
B |
B |
500 |
250 |
0 |
250 |
0 |
None |
OD8J11 |
N |
None |
None |
SFY2008-09 |
230000424 |
COLUSA MEDICAL CENTER - SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-09-19 00:00:00 |
230005414 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-05-12 00:00:00 |
2008-05-12 00:00:00 |
No |
2008-10-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
DGUH11 |
N |
CA00150000 |
C |
SFY2008-09 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-10-07 00:00:00 |
230005485 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-05-24 00:00:00 |
2008-05-24 00:00:00 |
No |
2008-10-29 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
U2ZC11 |
N |
CA00151733 |
B |
SFY2008-09 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-10-07 00:00:00 |
230005486 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
VERBAL ABUSE |
2008-05-24 00:00:00 |
2008-05-24 00:00:00 |
No |
2008-10-29 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
U2ZC11 |
N |
CA00151733 |
B |
SFY2008-09 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-11-06 00:00:00 |
230005583 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-09-24 00:00:00 |
2008-09-24 00:00:00 |
Yes |
2008-12-02 00:00:00 |
2008-11-13 00:00:00 |
B |
B |
600 |
300 |
0 |
300 |
0 |
None |
H8VS11 |
N |
CA00164681 |
C |
SFY2008-09 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-12-16 00:00:00 |
230005682 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-10-27 00:00:00 |
2008-10-27 00:00:00 |
Yes |
2009-01-07 00:00:00 |
2008-12-16 00:00:00 |
B |
B |
750 |
375 |
0 |
375 |
0 |
None |
HX1T11 |
N |
CA00167659 |
C |
SFY2008-09 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-01-22 00:00:00 |
230005807 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-23 00:00:00 |
2008-12-23 00:00:00 |
Yes |
2009-02-17 00:00:00 |
2009-01-28 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
2L4K11 |
N |
CA00173358 |
C |
SFY2008-09 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-01-22 00:00:00 |
230005810 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-29 00:00:00 |
2008-12-29 00:00:00 |
Yes |
2009-02-17 00:00:00 |
2009-01-29 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
DWPR11 |
N |
CA00173349 |
C |
SFY2008-09 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-03-17 00:00:00 |
230005979 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FTR within 24 hours |
2009-02-28 00:00:00 |
2009-02-28 00:00:00 |
Yes |
2009-04-20 00:00:00 |
2009-03-23 00:00:00 |
B |
B |
500 |
300 |
0 |
300 |
0 |
None |
6QME11 |
N |
CA00179749 |
D |
SFY2008-09 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-04-02 00:00:00 |
230006013 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Safeguard patients monies |
2009-01-13 00:00:00 |
2009-01-13 00:00:00 |
No |
2009-04-27 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
0XW211 |
N |
CA00179240 |
C |
SFY2008-09 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-04-22 00:00:00 |
230006112 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-10-31 00:00:00 |
2008-10-31 00:00:00 |
Yes |
2012-05-30 00:00:00 |
2012-05-04 00:00:00 |
A |
A |
10000 |
10000 |
0 |
10000 |
0 |
None |
65UW11 |
N |
CA00172194 |
C |
SFY2008-09 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-05-20 00:00:00 |
230006197 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-08 00:00:00 |
2009-04-08 00:00:00 |
Yes |
2009-07-02 00:00:00 |
2009-06-09 00:00:00 |
B |
B |
800 |
600 |
0 |
600 |
0 |
None |
EHHG11 |
N |
CA00184295 |
B |
SFY2008-09 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-06-26 00:00:00 |
230006312 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-05-19 00:00:00 |
2009-05-19 00:00:00 |
Yes |
2009-07-17 00:00:00 |
2009-07-07 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
Y2YI11 |
N |
CA00190363 |
D |
SFY2008-09 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-06-26 00:00:00 |
230006317 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-05-19 00:00:00 |
2009-05-19 00:00:00 |
Yes |
2009-07-17 00:00:00 |
2009-07-07 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
None |
Y2YI11 |
N |
CA00190363 |
D |
SFY2008-09 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-07-06 00:00:00 |
230006348 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-31 00:00:00 |
2009-01-31 00:00:00 |
No |
2009-07-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
7KNZ11 |
N |
CA00184692 |
C |
SFY2009-10 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-07-06 00:00:00 |
230006356 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-10 00:00:00 |
2009-04-10 00:00:00 |
No |
2009-07-27 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
7KNZ11 |
N |
CA00184692 |
C |
SFY2009-10 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-07-06 00:00:00 |
230006357 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FTR with in 24 hours |
2008-12-15 00:00:00 |
2008-12-15 00:00:00 |
No |
2009-07-27 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
7KNZ11 |
N |
CA00184692 |
C |
SFY2009-10 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-08-24 00:00:00 |
230006489 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-15 00:00:00 |
2009-08-15 00:00:00 |
No |
2009-09-15 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
TCR611 |
N |
CA00198685 |
C |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-10-30 00:00:00 |
230006669 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-10-13 00:00:00 |
2009-10-13 00:00:00 |
No |
2009-11-23 00:00:00 |
None |
B |
None |
500 |
1500 |
-525 |
975 |
0 |
None |
0DHI11 |
N |
CA00205333 |
B |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-10-30 00:00:00 |
230006670 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-10-15 00:00:00 |
2009-10-15 00:00:00 |
No |
2009-11-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0DHI11 |
N |
CA00205333 |
B |
SFY2009-10 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-12-16 00:00:00 |
230006776 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Health & Safety Code |
2009-10-22 00:00:00 |
2009-10-22 00:00:00 |
No |
2010-01-12 00:00:00 |
None |
B |
None |
300 |
300 |
0 |
300 |
0 |
None |
WK6T11 |
N |
CA00209496 |
C |
SFY2009-10 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-12-22 00:00:00 |
230006824 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-05-20 00:00:00 |
2009-05-20 00:00:00 |
No |
2010-01-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
NSJJ11 |
N |
CA00205600 |
D |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2009-12-22 00:00:00 |
230006829 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-11-26 00:00:00 |
2009-11-26 00:00:00 |
No |
2010-01-14 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
XAYF11 |
N |
CA00209668 |
C |
SFY2009-10 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-01-21 00:00:00 |
230006926 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-01-05 00:00:00 |
2010-01-05 00:00:00 |
No |
2010-02-11 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
511E11 |
N |
CA00213738 |
C |
SFY2009-10 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-02-03 00:00:00 |
230006942 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-12-08 00:00:00 |
2009-12-08 00:00:00 |
No |
2010-02-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9TLU11 |
N |
CA00210849, CA00210965, CA00211044 |
C, C, C |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-02-04 00:00:00 |
230006964 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-01-04 00:00:00 |
2010-01-04 00:00:00 |
Yes |
2010-02-25 00:00:00 |
2010-02-08 00:00:00 |
B |
B |
1000 |
1600 |
0 |
1600 |
0 |
None |
35EE11 |
N |
CA00213840 |
C |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-02-11 00:00:00 |
230006986 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-01-24 00:00:00 |
2010-01-24 00:00:00 |
Yes |
2010-03-04 00:00:00 |
2010-02-16 00:00:00 |
B |
B |
1000 |
1600 |
0 |
1600 |
0 |
None |
GY1I11 |
N |
CA00216400 |
C |
SFY2009-10 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-04-06 00:00:00 |
230007098 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-01-04 00:00:00 |
2010-01-04 00:00:00 |
No |
2010-04-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
V81X11 |
N |
CA00213768 |
C |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-04-28 00:00:00 |
230007172 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2010-03-09 00:00:00 |
2010-03-09 00:00:00 |
Yes |
2010-05-19 00:00:00 |
2010-05-11 00:00:00 |
B |
B |
1000 |
900 |
0 |
900 |
0 |
None |
1ZFW11 |
N |
CA00220950 |
C |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-05-10 00:00:00 |
230007193 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-04-07 00:00:00 |
2010-04-07 00:00:00 |
Yes |
2010-06-01 00:00:00 |
2010-05-17 00:00:00 |
B |
B |
1000 |
900 |
0 |
900 |
0 |
None |
OMMR11 |
N |
CA00224732 |
C |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-06-01 00:00:00 |
230007250 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-18 00:00:00 |
2010-02-18 00:00:00 |
Yes |
2010-06-22 00:00:00 |
2010-06-14 00:00:00 |
B |
B |
1000 |
900 |
0 |
900 |
0 |
None |
O48C11 |
N |
CA00218849 |
C |
SFY2009-10 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-06-01 00:00:00 |
230007253 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-18 00:00:00 |
2010-02-18 00:00:00 |
Yes |
2010-06-22 00:00:00 |
2010-06-14 00:00:00 |
B |
B Trebled |
1000 |
2700 |
0 |
2700 |
0 |
None |
O48C11 |
N |
CA00218845 |
C |
SFY2009-10 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-07-06 00:00:00 |
230007344 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-10-05 00:00:00 |
2009-10-05 00:00:00 |
No |
2010-07-27 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
F5S911 |
Y |
CA00207991 |
C |
SFY2010-11 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-08-11 00:00:00 |
230007483 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-07-23 00:00:00 |
2010-07-23 00:00:00 |
No |
2010-09-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HDS911 |
N |
CA00236783 |
B |
SFY2010-11 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-08-31 00:00:00 |
230007514 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-06-22 00:00:00 |
2010-06-22 00:00:00 |
Yes |
2010-09-24 00:00:00 |
2010-09-03 00:00:00 |
B |
B |
1000 |
1600 |
0 |
1600 |
0 |
None |
B9H311 |
N |
CA00233299 |
B |
SFY2010-11 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-08-31 00:00:00 |
230007526 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-07-24 00:00:00 |
2010-07-24 00:00:00 |
Yes |
2010-09-24 00:00:00 |
2010-09-03 00:00:00 |
B |
B |
1000 |
1600 |
0 |
1600 |
0 |
None |
1UY511 |
N |
CA00236762 |
B |
SFY2010-11 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-09-14 00:00:00 |
230007566 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2010-03-06 00:00:00 |
2010-03-06 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
8DLE11 |
N |
CA00223755 |
C |
SFY2010-11 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-10-19 00:00:00 |
230007631 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-08-02 00:00:00 |
2010-08-02 00:00:00 |
No |
2010-11-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YER411 |
N |
CA00237938 |
B |
SFY2010-11 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-10-28 00:00:00 |
230007676 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2010-08-21 00:00:00 |
2010-08-21 00:00:00 |
No |
2010-11-19 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
JHKE11 |
N |
CA00240196 |
B |
SFY2010-11 |
230000424 |
COLUSA MEDICAL CENTER - SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-11-04 00:00:00 |
230007689 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2010-08-13 00:00:00 |
2010-08-13 00:00:00 |
No |
2010-11-30 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
NMDT11 |
N |
CA00241813 |
B |
SFY2010-11 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-11-22 00:00:00 |
230007723 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-09-10 00:00:00 |
2010-09-10 00:00:00 |
No |
2010-12-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
ESB111 |
N |
CA00242319 |
B |
SFY2010-11 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-12-02 00:00:00 |
230007737 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2010-09-20 00:00:00 |
2010-09-20 00:00:00 |
No |
2010-12-23 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
SLF111 |
N |
CA00243647 |
B |
SFY2010-11 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2010-12-02 00:00:00 |
230007740 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2010-09-30 00:00:00 |
2010-09-30 00:00:00 |
No |
2010-12-23 00:00:00 |
None |
B |
None |
300 |
900 |
0 |
900 |
0 |
None |
8XWK11 |
N |
CA00245283 |
B |
SFY2010-11 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-03-28 00:00:00 |
230008065 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-12-30 00:00:00 |
2010-12-30 00:00:00 |
Yes |
2011-04-19 00:00:00 |
2011-03-30 00:00:00 |
B |
B |
1000 |
1600 |
0 |
1600 |
0 |
None |
7N3P11 |
N |
CA00254053 |
B |
SFY2010-11 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-04-13 00:00:00 |
230008128 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FTR within 24 hours |
2010-11-11 00:00:00 |
2010-11-11 00:00:00 |
Yes |
2014-05-05 00:00:00 |
2014-04-16 00:00:00 |
B |
Drop>Deficiency |
1000 |
0 |
0 |
0 |
0 |
None |
2BH211 |
N |
CA00249631 |
B |
SFY2010-11 |
230000546 |
CALIFORNIA PARK REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-04-13 00:00:00 |
230008129 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-11-11 00:00:00 |
2010-11-11 00:00:00 |
Yes |
2014-05-05 00:00:00 |
2014-04-16 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
2BH211 |
N |
CA00249631 |
B |
SFY2010-11 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-08-30 00:00:00 |
230008450 |
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 |
2011-07-11 10:00:00 |
2011-07-11 10:00:00 |
No |
2011-09-21 00:00:00 |
None |
FTR RES |
None |
400 |
400 |
-100 |
300 |
0 |
None |
Q5ZI11 |
None |
CA00276366 |
E |
SFY2011-12 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-09-21 00:00:00 |
230008564 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2011-02-08 00:00:00 |
2011-02-08 00:00:00 |
Yes |
2011-10-12 00:00:00 |
2011-10-04 00:00:00 |
AA |
AA |
75000 |
65000 |
0 |
65000 |
0 |
None |
0NIH11 |
Y |
CA00258504 |
B |
SFY2011-12 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-10-20 00:00:00 |
230008640 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-08-08 00:00:00 |
2011-08-08 00:00:00 |
No |
2011-11-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
99IH11 |
N |
CA00281363 |
B |
SFY2011-12 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-04-19 00:00:00 |
230008886 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-08-20 00:00:00 |
2011-08-20 00:00:00 |
Yes |
2012-05-10 00:00:00 |
2012-04-23 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
24ZF11 |
N |
CA00294488 |
B |
SFY2011-12 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-02-14 00:00:00 |
230008979 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FTR within 24 hours |
2012-01-08 00:00:00 |
2012-01-08 00:00:00 |
No |
2012-03-07 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
NZIP11 |
N |
CA00295548 |
B |
SFY2011-12 |
230000351 |
COPPER RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-03-16 00:00:00 |
230008989 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-01-17 00:00:00 |
2012-01-17 00:00:00 |
Yes |
2012-04-06 00:00:00 |
2012-04-06 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
O8BN11 |
N |
CA00297517 |
A |
SFY2011-12 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-05-24 00:00:00 |
230009004 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Health & Safety |
2011-12-09 00:00:00 |
2011-12-09 00:00:00 |
Yes |
2012-06-15 00:00:00 |
2012-06-01 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
VBCI11 |
N |
CA00293258 |
B |
SFY2011-12 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-02-24 00:00:00 |
230009006 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-11-29 00:00:00 |
2011-11-29 00:00:00 |
No |
2012-03-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
39X811 |
N |
CA00291314 |
B |
SFY2011-12 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-03-02 00:00:00 |
230009063 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-10-26 00:00:00 |
2011-10-26 00:00:00 |
No |
2012-03-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6CHI11 |
N |
CA00288063 |
B |
SFY2011-12 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-05-24 00:00:00 |
230009071 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-12-09 00:00:00 |
2011-12-09 00:00:00 |
Yes |
2012-06-15 00:00:00 |
2012-06-01 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
VBCI11 |
N |
CA00293258 |
B |
SFY2011-12 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-03-15 00:00:00 |
230009116 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-08-14 00:00:00 |
2011-08-14 00:00:00 |
No |
2012-04-05 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
Z6QJ11 |
N |
CA00280009 |
B |
SFY2011-12 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2014-01-17 00:00:00 |
230009209 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-02-07 00:00:00 |
2012-02-07 00:00:00 |
No |
2014-02-10 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
KCBM11 |
N |
CA00300862 |
B |
SFY2013-14 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-05-16 00:00:00 |
230009304 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-11-15 00:00:00 |
2011-11-15 00:00:00 |
No |
2012-06-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Y95G11 |
N |
CA00290080 |
B |
SFY2011-12 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-07-06 00:00:00 |
230009326 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-04-28 00:00:00 |
2012-04-28 00:00:00 |
No |
2012-07-27 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
U6OD11 |
N |
CA00308696 |
B |
SFY2012-13 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2014-02-19 00:00:00 |
230009327 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-05-08 00:00:00 |
2012-05-08 00:00:00 |
No |
2014-03-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
ZIZL11 |
N |
CA00309783, CA00310353 |
B, B |
SFY2013-14 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2013-04-17 00:00:00 |
230009330 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-11-16 00:00:00 |
2011-11-16 00:00:00 |
No |
2013-05-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
79NU11 |
N |
CA00290173 |
B |
SFY2012-13 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-07-06 00:00:00 |
230009369 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-03-17 00:00:00 |
2012-03-17 00:00:00 |
No |
2012-07-27 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
F5KB11 |
N |
CA00303424 |
B |
SFY2012-13 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2013-04-17 00:00:00 |
230009421 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-11-19 00:00:00 |
2011-11-19 00:00:00 |
No |
2013-05-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
79NU11 |
N |
CA00290173 |
B |
SFY2012-13 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2013-12-17 00:00:00 |
230009704 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Neglect |
2013-01-04 00:00:00 |
2013-01-04 00:00:00 |
No |
2014-01-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
YLG311 |
N |
CA00339332 |
B |
SFY2013-14 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2013-02-20 00:00:00 |
230009708 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-09-09 00:00:00 |
2011-09-09 00:00:00 |
Yes |
2013-03-13 00:00:00 |
2013-03-15 00:00:00 |
A |
A |
10000 |
8000 |
-8000 |
0 |
0 |
None |
N2HZ11 |
N |
CA00282927 |
B |
SFY2012-13 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2016-04-22 00:00:00 |
230010255 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-04-19 00:00:00 |
2013-04-19 00:00:00 |
Yes |
2016-05-13 00:00:00 |
2016-05-09 00:00:00 |
A |
A |
10000 |
7500 |
0 |
7500 |
0 |
None |
VLRQ11 |
N |
CA00352043 |
B |
SFY2015-16 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2015-01-07 00:00:00 |
230011185 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-10-11 00:00:00 |
2012-10-11 00:00:00 |
No |
2015-01-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
4U3C11 |
N |
CA00330152 |
B |
SFY2014-15 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2015-01-07 00:00:00 |
230011190 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-10-11 00:00:00 |
2012-10-11 00:00:00 |
No |
2015-01-29 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
4U3C11 |
N |
CA00330152 |
B |
SFY2014-15 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2015-01-07 00:00:00 |
230011191 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-10-11 00:00:00 |
2012-10-11 00:00:00 |
No |
2015-01-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
4U3C11 |
N |
CA00330152 |
B |
SFY2014-15 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2017-12-13 00:00:00 |
230013688 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2017-03-24 00:00:00 |
2017-03-24 00:00:00 |
Yes |
2018-01-04 00:00:00 |
2017-12-27 00:00:00 |
B |
B |
2000 |
1700 |
0 |
1700 |
0 |
None |
LB3111 |
N |
CA00544596 |
B |
SFY2017-18 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2018-01-08 00:00:00 |
230013714 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-09-29 00:00:00 |
2015-09-29 00:00:00 |
No |
2018-01-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LYPO11 |
N |
CA00466312 |
B |
SFY2017-18 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2024-01-24 00:00:00 |
230019616 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-10-25 00:00:00 |
2023-10-25 00:00:00 |
Yes |
2024-02-14 00:00:00 |
2024-02-09 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
LLIJ11 |
N |
CA00867308 |
B |
SFY2023-24 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2024-04-04 00:00:00 |
230019866 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-02-07 00:00:00 |
2024-02-07 00:00:00 |
No |
2024-04-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
NFLD11 |
N |
CA00888245 |
A |
SFY2023-24 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-01-19 00:00:00 |
240001479 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
1999-01-15 00:00:00 |
None |
Yes |
2000-09-01 00:00:00 |
2000-01-20 00:00:00 |
A |
A |
10000 |
10000 |
0 |
10000 |
0 |
240011732 |
A99999 |
N |
None |
None |
SFY1999-00 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-04-11 00:00:00 |
240001484 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2000-02-06 00:00:00 |
None |
Yes |
2000-08-11 00:00:00 |
2000-04-19 00:00:00 |
B |
B |
1000 |
1050 |
0 |
1050 |
0 |
240011967 |
A99999 |
N |
None |
None |
SFY1999-00 |
240000035 |
CASA MARIA CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-04-05 00:00:00 |
240001665 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-03-29 00:00:00 |
2001-03-29 00:00:00 |
Yes |
2001-04-26 00:00:00 |
2001-04-11 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
240014008 |
A99999 |
N |
None |
None |
SFY2000-01 |
240001417 |
CHESTNUT HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2001-04-23 00:00:00 |
240001669 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-01-14 00:00:00 |
2001-01-14 00:00:00 |
Yes |
2001-05-14 00:00:00 |
2002-05-08 00:00:00 |
A |
B |
5000 |
4000 |
0 |
4000 |
0 |
240013810 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-05-09 00:00:00 |
240001674 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-27 00:00:00 |
2001-01-27 00:00:00 |
Yes |
2001-05-30 00:00:00 |
2001-05-17 00:00:00 |
B |
B |
900 |
900 |
0 |
900 |
0 |
240014175 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000035 |
CASA MARIA CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-06-18 00:00:00 |
240001680 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-26 00:00:00 |
2001-04-26 00:00:00 |
No |
2001-07-09 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
240014389 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000093 |
COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-10-16 00:00:00 |
240001697 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-03 00:00:00 |
2001-07-03 00:00:00 |
No |
2001-11-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014566 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2002-02-01 00:00:00 |
240001707 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-10-03 00:00:00 |
None |
Yes |
2002-03-06 00:00:00 |
2002-02-06 00:00:00 |
B |
B |
500 |
500 |
0 |
500 |
0 |
240015015 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000093 |
COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2002-04-23 00:00:00 |
240001718 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-04 00:00:00 |
None |
No |
2002-05-14 00:00:00 |
None |
B |
None |
1000 |
3150 |
-1050 |
2100 |
0 |
240015607 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2002-07-18 00:00:00 |
240001725 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-04-22 00:00:00 |
2002-04-22 00:00:00 |
Yes |
2002-08-08 00:00:00 |
2002-07-29 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
240015674 |
A99999 |
N |
None |
None |
SFY2002-03 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-01-30 00:00:00 |
240001748 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-06-07 00:00:00 |
2002-06-07 00:00:00 |
Yes |
2003-12-12 00:00:00 |
2003-02-13 00:00:00 |
B |
B |
1000 |
600 |
0 |
600 |
0 |
240017069 |
A99999 |
N |
None |
None |
SFY2002-03 |
240000093 |
COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-07-09 00:00:00 |
240001770 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-01 00:00:00 |
None |
No |
2003-07-30 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
240017765 |
A99999 |
N |
None |
None |
SFY2003-04 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-07-24 00:00:00 |
240001772 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-22 00:00:00 |
2003-03-22 00:00:00 |
Yes |
2003-08-14 00:00:00 |
2003-08-01 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
240017762 |
A99999 |
N |
None |
None |
SFY2003-04 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-09-11 00:00:00 |
240001777 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-16 00:00:00 |
None |
No |
2003-10-02 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
240018343 |
A99999 |
N |
None |
None |
SFY2003-04 |
240001828 |
COUNTRY MAUREEN'S HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2003-10-09 00:00:00 |
240001781 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2000-12-16 00:00:00 |
None |
No |
2003-11-04 00:00:00 |
None |
B |
None |
300 |
300 |
-105 |
195 |
0 |
240017642 |
A99999 |
N |
None |
None |
SFY2003-04 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-10-01 00:00:00 |
240001782 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2003-04-29 00:00:00 |
None |
Yes |
2003-10-27 00:00:00 |
2003-10-10 00:00:00 |
B |
None |
900 |
900 |
0 |
900 |
0 |
240017925 |
A99999 |
N |
None |
None |
SFY2003-04 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-11-24 00:00:00 |
240001784 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-11-26 00:00:00 |
2002-11-26 00:00:00 |
Yes |
2003-02-25 00:00:00 |
2003-02-03 00:00:00 |
A |
A |
10000 |
6000 |
0 |
6000 |
0 |
240017032 |
A99999 |
N |
None |
None |
SFY2003-04 |
240000035 |
CASA MARIA CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-02-03 00:00:00 |
240001791 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-12-06 00:00:00 |
None |
No |
2004-02-26 00:00:00 |
None |
A |
None |
9000 |
9000 |
-7650 |
1350 |
0 |
240017095 |
A99999 |
N |
None |
None |
SFY2003-04 |
240001697 |
CHRISTOPHER RANCH |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2004-03-25 00:00:00 |
240001799 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2003-08-10 00:00:00 |
2003-08-10 00:00:00 |
No |
2004-04-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240018625 |
A99999 |
N |
None |
None |
SFY2003-04 |
240001697 |
CHRISTOPHER RANCH |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2004-03-25 00:00:00 |
240001801 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-08-10 00:00:00 |
2003-08-10 00:00:00 |
No |
2004-04-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240018625 |
A99999 |
N |
None |
None |
SFY2003-04 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-05-04 00:00:00 |
240001805 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-01-25 00:00:00 |
2004-01-25 00:00:00 |
No |
2004-05-25 00:00:00 |
None |
B |
None |
750 |
2250 |
-787.5 |
1462.5 |
0 |
240019401 |
A99999 |
N |
None |
None |
SFY2003-04 |
240001089 |
COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-07-20 00:00:00 |
240001809 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2003-05-24 00:00:00 |
2003-05-24 00:00:00 |
No |
2004-08-10 00:00:00 |
None |
AA |
None |
50000 |
50000 |
-17500 |
32500 |
0 |
240018591 |
A99999 |
Y |
None |
None |
SFY2004-05 |
240000035 |
CASA MARIA CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-08-18 00:00:00 |
240001815 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2004-02-01 00:00:00 |
None |
No |
2004-09-09 00:00:00 |
None |
B |
None |
1000 |
1350 |
0 |
1350 |
0 |
240019334 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000035 |
CASA MARIA CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-08-19 00:00:00 |
240001817 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-09-30 00:00:00 |
None |
No |
2004-09-10 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
240018692 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000127 |
CIRCLEBROOK |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2004-08-24 00:00:00 |
240001819 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-08 00:00:00 |
None |
Yes |
2004-09-15 00:00:00 |
2004-10-19 00:00:00 |
B |
None |
500 |
500 |
0 |
500 |
0 |
240018077 |
A99999 |
N |
None |
None |
SFY2004-05 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-11-18 00:00:00 |
240001832 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-09-07 00:00:00 |
None |
Yes |
2004-12-13 00:00:00 |
2004-12-03 00:00:00 |
A |
A |
20000 |
12350 |
-350 |
12000 |
0 |
240019872 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-12-13 00:00:00 |
240001835 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-10-06 00:00:00 |
2004-10-06 00:00:00 |
Yes |
2005-01-03 00:00:00 |
2005-01-03 00:00:00 |
B |
B |
700 |
455 |
0 |
455 |
0 |
240019911 |
A99999 |
N |
CA00032721 |
B |
SFY2004-05 |
240001828 |
COUNTRY MAUREEN'S HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2004-12-20 00:00:00 |
240001836 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-09-19 00:00:00 |
2004-09-19 00:00:00 |
Yes |
2005-01-10 00:00:00 |
2004-12-31 00:00:00 |
B |
None |
400 |
400 |
-400 |
0 |
0 |
240019919 |
A99999 |
N |
CA00031956 |
C |
SFY2004-05 |
240000841 |
CLOCK HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2005-01-27 00:00:00 |
240001843 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
TRAINING |
2004-07-10 00:00:00 |
2004-07-10 00:00:00 |
Yes |
2013-08-22 00:00:00 |
2005-02-08 00:00:00 |
B |
B |
900 |
900 |
0 |
900 |
0 |
240019969 |
A99999 |
N |
None |
None |
SFY2004-05 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-02-15 00:00:00 |
240001848 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2004-10-10 00:00:00 |
None |
Yes |
2005-04-05 00:00:00 |
2004-02-24 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
240019987 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-05-31 00:00:00 |
240001858 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-04-09 00:00:00 |
None |
Yes |
2005-06-24 00:00:00 |
2005-06-17 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
240020010 |
A99999 |
N |
None |
None |
SFY2004-05 |
240001417 |
CHESTNUT HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2006-01-27 00:00:00 |
240001866 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2004-03-31 00:00:00 |
2004-03-31 00:00:00 |
Yes |
2006-02-21 00:00:00 |
2006-02-17 00:00:00 |
A |
A |
10000 |
1500 |
0 |
1500 |
0 |
240020022 |
A99999 |
N |
CA00021450 |
C |
SFY2005-06 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-03-23 00:00:00 |
240002943 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-06-07 00:00:00 |
2005-06-07 00:00:00 |
Yes |
2006-04-14 00:00:00 |
2006-03-27 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
420S11 |
N |
CA00051531 |
C |
SFY2005-06 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-03-17 00:00:00 |
240002945 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-03-22 00:00:00 |
2005-03-22 00:00:00 |
Yes |
2006-04-10 00:00:00 |
2006-03-27 00:00:00 |
A |
A |
17000 |
11050 |
0 |
11050 |
0 |
None |
67F911 |
N |
CA00043352 |
C |
SFY2005-06 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-04-04 00:00:00 |
240002964 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-12-08 00:00:00 |
2004-12-08 00:00:00 |
Yes |
2006-04-25 00:00:00 |
2006-04-04 00:00:00 |
A |
A |
18000 |
11950 |
-250 |
11700 |
0 |
None |
GRLO11 |
N |
None |
None |
SFY2005-06 |
240001743 |
CHRISTOPHER RANCH II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2006-04-17 00:00:00 |
240002966 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse/Fac. Self Reported |
2005-07-15 00:00:00 |
2005-07-15 00:00:00 |
No |
2006-05-08 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
YWVW11 |
N |
CA00055755 |
B |
SFY2005-06 |
240000127 |
CIRCLEBROOK |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2006-06-06 00:00:00 |
240003145 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2004-08-23 00:00:00 |
2004-08-23 00:00:00 |
Yes |
2008-04-14 00:00:00 |
2008-04-16 00:00:00 |
AA |
A |
25000 |
12250 |
-250 |
12000 |
0 |
None |
WTV811 |
Y |
CA00030473 |
B |
SFY2005-06 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-10-31 00:00:00 |
240003422 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-16 00:00:00 |
2006-05-16 00:00:00 |
Yes |
2006-11-22 00:00:00 |
2006-11-02 00:00:00 |
B |
B |
900 |
450 |
0 |
450 |
0 |
None |
XWJX11 |
N |
CA00078980 |
C |
SFY2006-07 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-11-30 00:00:00 |
240003533 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-02-09 00:00:00 |
2006-02-09 00:00:00 |
No |
2006-12-21 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
None |
19DU11 |
N |
CA00076480 |
C |
SFY2006-07 |
240000093 |
COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-04-10 00:00:00 |
240003879 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-05-31 00:00:00 |
2006-05-31 00:00:00 |
No |
2007-05-01 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
None |
7XHK11 |
N |
CA00082373 |
B |
SFY2006-07 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-10-11 00:00:00 |
240004343 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-02-24 00:00:00 |
2007-02-24 00:00:00 |
Yes |
2010-09-13 00:00:00 |
2010-08-26 00:00:00 |
AA |
AA |
100000 |
65000 |
0 |
65000 |
0 |
None |
PD4M11 |
Y |
CA00107421, CA00107476, CA00107656 |
C, C, C |
SFY2007-08 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-10-18 00:00:00 |
240004367 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-07-15 00:00:00 |
2006-07-15 00:00:00 |
Yes |
2007-11-08 00:00:00 |
2007-11-07 00:00:00 |
A |
A |
17000 |
10250 |
-50 |
10200 |
0 |
None |
Y9C011 |
N |
CA00093389 |
C |
SFY2007-08 |
240001697 |
CHRISTOPHER RANCH |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2008-01-02 00:00:00 |
240004551 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-01-27 00:00:00 |
2007-01-27 00:00:00 |
No |
2008-01-24 00:00:00 |
None |
A |
None |
10000 |
10050 |
-3500 |
6550 |
0 |
None |
COIL11 |
N |
CA00109239 |
C |
SFY2007-08 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-02-27 00:00:00 |
240004715 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-04-17 00:00:00 |
2006-04-17 00:00:00 |
Yes |
2008-03-19 00:00:00 |
2008-03-10 00:00:00 |
A |
A |
18500 |
12025 |
0 |
12025 |
0 |
None |
S0ZP11 |
N |
CA00081741 |
C |
SFY2007-08 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-04-29 00:00:00 |
240004965 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-06-07 00:00:00 |
2007-06-07 00:00:00 |
No |
2008-05-20 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
None |
879411 |
N |
CA00116656 |
C |
SFY2007-08 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-04-29 00:00:00 |
240004966 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-06-07 00:00:00 |
2007-06-07 00:00:00 |
No |
2008-05-20 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
None |
879411 |
N |
CA00116656 |
C |
SFY2007-08 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-07-08 00:00:00 |
240005215 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2007-12-12 00:00:00 |
2007-12-12 00:00:00 |
No |
2008-07-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
R19I11 |
N |
CA00134958, CA00135125 |
C, C |
SFY2008-09 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-09-03 00:00:00 |
240005374 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-27 00:00:00 |
2007-09-27 00:00:00 |
No |
2008-09-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
R19I11 |
N |
CA00133815 |
C |
SFY2008-09 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-02-24 00:00:00 |
240005897 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-11-07 00:00:00 |
2007-11-07 00:00:00 |
Yes |
2009-03-17 00:00:00 |
2009-02-27 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
91E511 |
N |
CA00131661 |
E |
SFY2008-09 |
240001089 |
COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-03-11 00:00:00 |
240005946 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-12 00:00:00 |
2006-11-12 00:00:00 |
No |
2009-04-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S5JK11 |
N |
CA00099949 |
C |
SFY2008-09 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-06-19 00:00:00 |
240006301 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-11-18 00:00:00 |
2008-11-18 00:00:00 |
No |
2009-07-10 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
FE4W11 |
N |
CA00169394 |
B |
SFY2008-09 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-08-13 00:00:00 |
240006464 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-05-15 00:00:00 |
2009-05-15 00:00:00 |
No |
2009-09-03 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
None |
4NCE11 |
N |
CA00189186 |
C |
SFY2009-10 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-08-20 00:00:00 |
240006483 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-10-20 00:00:00 |
2007-10-20 00:00:00 |
Yes |
2009-09-11 00:00:00 |
2009-09-01 00:00:00 |
A |
B |
10000 |
6000 |
0 |
6000 |
0 |
None |
BTIZ11 |
N |
CA00130752 |
C |
SFY2009-10 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-12-30 00:00:00 |
240006843 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-19 00:00:00 |
2007-09-19 00:00:00 |
No |
2010-01-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
43R311 |
N |
CA00127569 |
H |
SFY2009-10 |
240000409 |
COLTON HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2010-02-23 00:00:00 |
240007009 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-10-11 00:00:00 |
2005-10-11 00:00:00 |
No |
2010-03-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S86M11 |
N |
CA00063467 |
C |
SFY2009-10 |
240001462 |
CLIFFORD SHAKLEE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2011-03-03 00:00:00 |
240007063 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-10-02 00:00:00 |
2008-10-02 00:00:00 |
Yes |
2011-03-24 00:00:00 |
2011-03-03 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
OC9L11 |
N |
CA00167356 |
B |
SFY2010-11 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2010-10-12 00:00:00 |
240007625 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-06-24 00:00:00 |
2009-06-24 00:00:00 |
Yes |
2010-11-02 00:00:00 |
2010-10-13 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
I30B11 |
N |
CA00193103 |
C |
SFY2010-11 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2010-10-22 00:00:00 |
240007659 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fiduciary Abuse |
2009-07-14 00:00:00 |
2009-07-14 00:00:00 |
Yes |
2010-11-15 00:00:00 |
2010-10-22 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
S0ER11 |
N |
CA00193884 |
B |
SFY2010-11 |
240001753 |
CASA #2 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2011-03-02 00:00:00 |
240007978 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-10-11 00:00:00 |
2010-10-11 00:00:00 |
No |
2011-03-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
M0EE11 |
N |
CA00246047 |
C |
SFY2010-11 |
240001089 |
COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-05-06 00:00:00 |
240008216 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2008-02-02 00:00:00 |
2008-02-02 00:00:00 |
No |
2011-05-27 00:00:00 |
None |
AA |
None |
80000 |
80000 |
-28000 |
52000 |
0 |
None |
H3J911 |
Y |
CA00143412 |
C |
SFY2010-11 |
240000287 |
COMMUNITY EXTENDED CARE HOSPITAL OF MONTCLAIR |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-05-11 00:00:00 |
240008228 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-03-07 00:00:00 |
2008-03-07 00:00:00 |
Yes |
2011-06-02 00:00:00 |
2011-05-13 00:00:00 |
A |
A |
9000 |
9000 |
0 |
9000 |
0 |
None |
WG4911 |
N |
CA00143405 |
B |
SFY2010-11 |
240001089 |
COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-06-21 00:00:00 |
240008320 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-12-18 00:00:00 |
2006-12-18 00:00:00 |
No |
2011-07-13 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
Z5O111 |
Y |
CA00101640, CA00107824 |
A, C |
SFY2010-11 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-07-11 00:00:00 |
240008367 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-15 00:00:00 |
2007-09-15 00:00:00 |
No |
2011-08-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
43R311 |
N |
CA00126714 |
C |
SFY2011-12 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-07-21 00:00:00 |
240008395 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-07-13 00:00:00 |
2009-07-13 00:00:00 |
Yes |
2011-08-11 00:00:00 |
2011-08-01 00:00:00 |
A |
A |
10000 |
6500 |
0 |
6500 |
0 |
None |
RHTE11 |
N |
CA00219203 |
C |
SFY2011-12 |
240001089 |
COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-08-12 00:00:00 |
240008459 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-12-11 00:00:00 |
2010-12-11 00:00:00 |
No |
2011-09-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
606S11 |
N |
CA00252421 |
E |
SFY2011-12 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-08-16 00:00:00 |
240008469 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-01-31 00:00:00 |
2011-01-31 00:00:00 |
No |
2011-09-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
N81D11 |
N |
CA00258196 |
C |
SFY2011-12 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-08-22 00:00:00 |
240008470 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-10-19 00:00:00 |
2010-10-19 00:00:00 |
No |
2011-09-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZR5311 |
N |
CA00244959 |
C |
SFY2011-12 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-08-22 00:00:00 |
240008471 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-01-24 00:00:00 |
2011-01-24 00:00:00 |
No |
2011-09-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SHE811 |
N |
CA00256896 |
C |
SFY2011-12 |
240000127 |
CIRCLEBROOK |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2011-12-12 00:00:00 |
240008800 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-10-11 00:00:00 |
2010-10-11 00:00:00 |
No |
2012-01-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
9DQJ11 |
N |
CA00245907 |
B |
SFY2011-12 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-12-22 00:00:00 |
240008840 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-02-22 00:00:00 |
2009-02-22 00:00:00 |
No |
2012-01-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
7P8C11 |
Y |
CA00178772 |
C |
SFY2011-12 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-01-17 00:00:00 |
240008915 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-01-29 00:00:00 |
2011-01-29 00:00:00 |
Yes |
2012-02-07 00:00:00 |
2012-01-31 00:00:00 |
A |
A |
20000 |
15250 |
0 |
15250 |
0 |
None |
77F311 |
N |
CA00259141 |
H |
SFY2011-12 |
240001896 |
CASA #4 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2012-02-22 00:00:00 |
240009033 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-04-09 00:00:00 |
2011-04-09 00:00:00 |
No |
2012-03-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
VP7I11 |
N |
CA00266589 |
E |
SFY2011-12 |
240000841 |
CLOCK HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2012-05-09 00:00:00 |
240009284 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-03-16 00:00:00 |
2011-03-16 00:00:00 |
No |
2012-05-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
O5PE11 |
N |
CA00262657 |
B |
SFY2011-12 |
240001831 |
COLE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2012-05-11 00:00:00 |
240009286 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-04-07 00:00:00 |
2012-04-07 00:00:00 |
No |
2012-06-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
NZBV11 |
N |
CA00307538 |
C |
SFY2011-12 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-09-20 00:00:00 |
240009505 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-04-16 00:00:00 |
2011-04-16 00:00:00 |
No |
2012-10-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SZRT11 |
N |
CA00271164 |
C |
SFY2012-13 |
240000093 |
COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-10-18 00:00:00 |
240009556 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-12-07 00:00:00 |
2011-12-07 00:00:00 |
No |
2012-11-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PKUL11 |
N |
CA00292450 |
H |
SFY2012-13 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2016-11-09 00:00:00 |
240012736 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-12-28 00:00:00 |
2015-12-28 00:00:00 |
No |
2016-12-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
CJ3L11 |
N |
CA00471041 |
A |
SFY2016-17 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2016-12-27 00:00:00 |
240012846 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-11-27 00:00:00 |
2015-11-27 00:00:00 |
No |
2017-01-19 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
MMGO11 |
N |
CA00471550, CA00471550 |
A, A |
SFY2016-17 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2017-06-26 00:00:00 |
240013314 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2017-05-23 00:00:00 |
2017-05-23 00:00:00 |
No |
2017-07-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
NSB611 |
N |
CA00536615 |
A |
SFY2016-17 |
240001089 |
COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2018-07-26 00:00:00 |
240014270 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-04-16 00:00:00 |
2018-04-16 00:00:00 |
No |
2018-08-16 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
None |
O2M111 |
N |
CA00583231 |
A |
SFY2018-19 |
240001868 |
CASA #3 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2018-11-20 00:00:00 |
240014596 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2018-10-01 00:00:00 |
2018-10-01 00:00:00 |
No |
2018-12-13 00:00:00 |
None |
AA |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
GEBL11 |
Y |
CA00555247, CA00555247 |
E, E |
SFY2018-19 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2020-02-24 00:00:00 |
240015756 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-01-17 00:00:00 |
2018-01-17 00:00:00 |
No |
2020-03-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
78MC11 |
N |
CA00629005 |
B |
SFY2019-20 |
240001089 |
COMMUNITY HOSPITAL OF SAN BERNARDINO D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2022-10-06 00:00:00 |
240018033 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-08-09 00:00:00 |
2022-08-09 00:00:00 |
No |
2022-10-27 00:00:00 |
None |
B |
None |
150 |
150 |
0 |
150 |
0 |
None |
V3NK11 |
N |
CA00798123 |
A |
SFY2022-23 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2022-11-10 00:00:00 |
240018116 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-10-03 00:00:00 |
2022-10-03 00:00:00 |
No |
2022-12-05 00:00:00 |
None |
B |
None |
150 |
150 |
0 |
150 |
0 |
None |
JFGR11 |
N |
CA00806017 |
A |
SFY2022-23 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2023-10-12 00:00:00 |
240019254 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-08-01 00:00:00 |
2023-08-01 00:00:00 |
Yes |
2023-11-02 00:00:00 |
2023-10-13 00:00:00 |
A |
None |
5000 |
5000 |
0 |
0 |
5000 |
None |
PMDC11 |
N |
CA00854235 |
B |
SFY2023-24 |
250000113 |
COLLEGE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2000-01-04 00:00:00 |
250001470 |
Closed |
Citation |
Citation A (HSC 1424) |
Administration |
None |
1999-12-17 00:00:00 |
None |
Yes |
2000-07-12 00:00:00 |
2000-06-27 00:00:00 |
A |
B |
10000 |
5000 |
0 |
5000 |
0 |
250011491 |
A99999 |
N |
None |
None |
SFY1999-00 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2000-08-16 00:00:00 |
250001483 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-04-14 00:00:00 |
None |
No |
2000-09-08 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
250012008 |
A99999 |
N |
None |
None |
SFY2000-01 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2000-10-24 00:00:00 |
250001484 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-02-10 00:00:00 |
None |
No |
2000-11-14 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
250012180 |
A99999 |
N |
None |
None |
SFY2000-01 |
250000113 |
COLLEGE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2001-01-11 00:00:00 |
250001489 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-10-15 00:00:00 |
None |
Yes |
2001-02-05 00:00:00 |
2001-02-02 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
250012311 |
A99999 |
N |
None |
None |
SFY2000-01 |
250000043 |
COMMUNITY CARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2001-02-26 00:00:00 |
250001490 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2000-09-23 00:00:00 |
None |
Yes |
2002-05-23 00:00:00 |
2002-05-23 00:00:00 |
A |
B |
10000 |
10000 |
0 |
10000 |
0 |
250012473 |
A99999 |
N |
None |
None |
SFY2000-01 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-04-25 00:00:00 |
250001509 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-19 00:00:00 |
None |
Yes |
2003-05-19 00:00:00 |
2003-04-25 00:00:00 |
B |
None |
500 |
500 |
0 |
500 |
0 |
250014927 |
A99999 |
N |
None |
None |
SFY2002-03 |
250001435 |
CHAPALA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2004-07-28 00:00:00 |
250001543 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2001-04-24 00:00:00 |
None |
No |
2004-08-18 00:00:00 |
None |
A |
None |
7500 |
7500 |
-2625 |
4875 |
0 |
250016469 |
A99999 |
N |
None |
None |
SFY2004-05 |
250000043 |
COMMUNITY CARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2005-08-18 00:00:00 |
250001560 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-01-21 00:00:00 |
2005-01-21 00:00:00 |
Yes |
2005-09-09 00:00:00 |
2005-08-29 00:00:00 |
B |
B |
500 |
250 |
0 |
250 |
0 |
250016834 |
A99999 |
N |
None |
None |
SFY2005-06 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2005-09-22 00:00:00 |
250001563 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-05-07 00:00:00 |
2005-05-07 00:00:00 |
No |
2005-10-14 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
250016837 |
A99999 |
N |
None |
None |
SFY2005-06 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2005-11-15 00:00:00 |
250001566 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2005-10-16 00:00:00 |
2005-10-16 00:00:00 |
Yes |
2005-12-08 00:00:00 |
2005-11-18 00:00:00 |
A |
A |
20000 |
6667 |
0 |
6667 |
0 |
250016840 |
A99999 |
N |
None |
None |
SFY2005-06 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2006-02-03 00:00:00 |
250001569 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-10-03 00:00:00 |
2005-10-03 00:00:00 |
Yes |
2006-02-28 00:00:00 |
2006-02-21 00:00:00 |
B |
B |
500 |
500 |
-435 |
65 |
0 |
250016843 |
A99999 |
N |
None |
None |
SFY2005-06 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2006-03-30 00:00:00 |
250002974 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-09-03 00:00:00 |
2005-09-03 00:00:00 |
No |
2006-04-21 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
DK1811 |
N |
CA00060423 |
C |
SFY2005-06 |
250000079 |
CENTINELA GRAND, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2006-05-31 00:00:00 |
250003129 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-08-28 00:00:00 |
2005-08-28 00:00:00 |
No |
2006-06-21 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
KBZJ11 |
N |
CA00060180 |
C |
SFY2005-06 |
250000033 |
CALIFORNIA NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2007-01-19 00:00:00 |
250003157 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-06-08 00:00:00 |
2005-06-08 00:00:00 |
No |
2007-02-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IHX811 |
N |
CA00055220 |
C |
SFY2006-07 |
250000113 |
COLLEGE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2006-10-26 00:00:00 |
250003368 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-10-12 00:00:00 |
2005-10-12 00:00:00 |
No |
2006-11-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
O73211 |
N |
CA00064090 |
C |
SFY2006-07 |
250000553 |
CONNER RESIDENCE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2006-11-13 00:00:00 |
250003405 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-11-21 00:00:00 |
2005-11-21 00:00:00 |
No |
2006-12-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
G7CF11 |
N |
CA00066605 |
C |
SFY2006-07 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2007-09-13 00:00:00 |
250004270 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-05-03 00:00:00 |
2007-05-03 00:00:00 |
No |
2007-10-04 00:00:00 |
None |
A |
A |
15000 |
15000 |
-13029 |
1971 |
0 |
None |
O7UL11 |
N |
CA00113952 |
C |
SFY2007-08 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2007-10-04 00:00:00 |
250004308 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-07-25 00:00:00 |
2006-07-25 00:00:00 |
Yes |
2012-02-24 00:00:00 |
2012-01-11 00:00:00 |
A |
A |
20000 |
20000 |
0 |
20000 |
0 |
None |
38KV11 |
N |
CA00093474 |
C |
SFY2007-08 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2007-10-25 00:00:00 |
250004397 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-05-08 00:00:00 |
2006-05-08 00:00:00 |
Yes |
2007-11-16 00:00:00 |
2007-11-13 00:00:00 |
A |
A |
15000 |
9750 |
0 |
9750 |
0 |
None |
7LQ511 |
N |
CA00080252, CA00080339 |
C, C |
SFY2007-08 |
250000553 |
CONNER RESIDENCE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2011-04-28 00:00:00 |
250008208 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-07-02 00:00:00 |
2009-07-02 00:00:00 |
No |
2011-05-19 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
N7RU11 |
N |
CA00193979 |
C |
SFY2010-11 |
250000079 |
CENTINELA GRAND, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2011-06-29 00:00:00 |
250008342 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
AB-abuse/facility not rep |
2009-10-09 00:00:00 |
2009-10-09 00:00:00 |
No |
2011-07-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9E4F11 |
N |
CA00205390 |
C |
SFY2010-11 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2012-11-14 00:00:00 |
250009586 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-08-12 00:00:00 |
2011-08-12 00:00:00 |
No |
2012-12-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LVKN11 |
N |
CA00279284 |
C |
SFY2012-13 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2012-12-06 00:00:00 |
250009639 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-12-04 00:00:00 |
2011-12-04 00:00:00 |
No |
2012-12-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
J29N11 |
N |
CA00291817 |
C |
SFY2012-13 |
250000598 |
COVEY QUAIL HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2012-12-12 00:00:00 |
250009661 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-07-16 00:00:00 |
2008-07-16 00:00:00 |
No |
2013-01-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
VIR011 |
N |
CA00157238, CA00158073 |
C, C |
SFY2012-13 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2013-07-30 00:00:00 |
250009918 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2010-12-20 00:00:00 |
2010-12-20 00:00:00 |
No |
2013-08-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TRC311 |
N |
CA00250618, CA00252591, CA00254871 |
C, C, C |
SFY2013-14 |
250000079 |
CENTINELA GRAND, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2013-07-25 00:00:00 |
250010018 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2012-11-23 12:00:00 |
2012-11-23 12:00:00 |
No |
2013-08-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
KQ1M11 |
N |
CA00334584 |
B |
SFY2013-14 |
250000033 |
CALIFORNIA NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-03-06 00:00:00 |
250010518 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2013-07-19 00:00:00 |
2013-07-19 00:00:00 |
No |
2014-03-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PTL811 |
N |
CA00362594, CA00363378 |
C, C |
SFY2013-14 |
250001435 |
CHAPALA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2014-04-11 00:00:00 |
250010607 |
Open |
Citation |
Citation AA (HSC 1424) |
Other |
Abuse |
2012-11-24 00:00:00 |
2012-11-24 00:00:00 |
Yes |
2014-05-02 00:00:00 |
2014-04-28 00:00:00 |
AA |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
J7GB11 |
Y |
CA00333986 |
C |
SFY2013-14 |
250000033 |
CALIFORNIA NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-07-10 00:00:00 |
250010858 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-07-22 00:00:00 |
2013-07-22 00:00:00 |
No |
2014-07-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
P8E211 |
N |
CA00363102 |
C |
SFY2014-15 |
250000553 |
CONNER RESIDENCE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2014-07-30 00:00:00 |
250010882 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2012-02-22 00:00:00 |
2012-02-22 00:00:00 |
No |
2014-08-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GPU711 |
N |
CA00300703, CA00301690, CA00301844 |
C, C, C |
SFY2014-15 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2016-01-07 00:00:00 |
250011934 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2015-03-12 00:00:00 |
2015-03-12 00:00:00 |
No |
2016-01-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Q8M811 |
N |
CA00434848 |
B |
SFY2015-16 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2016-01-07 00:00:00 |
250011940 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2015-03-12 00:00:00 |
2015-03-12 00:00:00 |
No |
2016-01-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Q8M811 |
N |
CA00434848, CA00434848 |
B, B |
SFY2015-16 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2016-01-07 00:00:00 |
250011941 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2015-03-12 00:00:00 |
2015-03-12 00:00:00 |
No |
2016-01-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Q8M811 |
N |
CA00434848, CA00434848 |
B, B |
SFY2015-16 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2016-01-07 00:00:00 |
250011942 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2015-03-12 00:00:00 |
2015-03-12 00:00:00 |
No |
2016-01-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Q8M811 |
N |
CA00434848, CA00434848 |
B, B |
SFY2015-16 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2016-01-07 00:00:00 |
250011943 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2015-03-12 00:00:00 |
2015-03-12 00:00:00 |
No |
2016-01-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Q8M811 |
N |
None |
None |
SFY2015-16 |
250000043 |
COMMUNITY CARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2016-05-09 00:00:00 |
250012229 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-06-10 00:00:00 |
2015-06-10 00:00:00 |
No |
2016-05-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KB3B11 |
N |
CA00447392 |
B |
SFY2015-16 |
250000043 |
COMMUNITY CARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2016-11-10 00:00:00 |
250012716 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-05-22 00:00:00 |
2016-05-22 00:00:00 |
No |
2016-12-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
4ECX11 |
N |
CA00494578 |
B |
SFY2016-17 |
250000019 |
COMMUNITY CARE ON PALM |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2017-01-05 00:00:00 |
250012847 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-12-31 00:00:00 |
2014-12-31 00:00:00 |
No |
2017-01-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
F6MZ11 |
N |
CA00424940 |
C |
SFY2016-17 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2017-03-10 00:00:00 |
250012976 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-03-05 00:00:00 |
2016-03-05 00:00:00 |
No |
2017-04-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
92QW11 |
Y |
CA00481928 |
A |
SFY2016-17 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2017-10-03 00:00:00 |
250013521 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-05-09 00:00:00 |
2017-05-09 00:00:00 |
No |
2017-10-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
S1QE11 |
N |
CA00535817 |
B |
SFY2017-18 |
250000553 |
CONNER RESIDENCE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2017-10-19 00:00:00 |
250013542 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-08-13 00:00:00 |
2015-08-13 00:00:00 |
Yes |
2017-11-09 00:00:00 |
2017-10-24 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
50N911 |
N |
CA00439919, CA00453742 |
B, C |
SFY2017-18 |
250000079 |
CENTINELA GRAND, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2017-12-13 00:00:00 |
250013679 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-08-30 00:00:00 |
2017-08-30 00:00:00 |
No |
2018-01-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6M7Q11 |
N |
CA00553494 |
B |
SFY2017-18 |
250000043 |
COMMUNITY CARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-01-25 00:00:00 |
250013732 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-05-29 00:00:00 |
2016-05-29 00:00:00 |
No |
2018-02-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
LWBU11 |
N |
CA00490152 |
B |
SFY2017-18 |
250000113 |
COLLEGE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2018-03-02 00:00:00 |
250013810 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2015-02-08 00:00:00 |
2015-02-08 00:00:00 |
No |
2018-03-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZSPF11 |
N |
CA00430620 |
B |
SFY2017-18 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-09-17 00:00:00 |
250014329 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-07-19 00:00:00 |
2017-07-19 00:00:00 |
No |
2018-10-08 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
UTTE11 |
Y |
CA00544932 |
B |
SFY2018-19 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-10-02 00:00:00 |
250014429 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-06-28 00:00:00 |
2018-06-28 00:00:00 |
No |
2018-10-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
WR0811 |
N |
CA00593336, CA00593430 |
B, B |
SFY2018-19 |
250001632 |
CARRICK HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2018-10-31 00:00:00 |
250014471 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-08-16 00:00:00 |
2018-08-16 00:00:00 |
No |
2018-11-26 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
318J11 |
N |
CA00599284, CA00600708 |
B, B |
SFY2018-19 |
250000043 |
COMMUNITY CARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-11-20 00:00:00 |
250014565 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Ombudsman Notification |
2018-08-23 00:00:00 |
2018-08-23 00:00:00 |
No |
2018-12-13 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
RZ0F11 |
N |
CA00601007, CA00601007 |
B, B |
SFY2018-19 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-01-23 00:00:00 |
250014613 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Ombudsman Notification |
2018-03-06 00:00:00 |
2018-03-06 00:00:00 |
No |
2019-02-13 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
A2QK11 |
N |
CA00601885 |
B |
SFY2018-19 |
250000033 |
CALIFORNIA NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-01-23 00:00:00 |
250014685 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
OMBUDSMAN NOTIFICATION |
2018-10-23 00:00:00 |
2018-10-23 00:00:00 |
No |
2019-02-13 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
JLCD11 |
N |
CA00609754 |
B |
SFY2018-19 |
250000033 |
CALIFORNIA NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-01-23 00:00:00 |
250014686 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Ombudsman Notifcation |
2018-10-29 00:00:00 |
2018-10-29 00:00:00 |
No |
2019-02-13 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
JLCD11 |
N |
CA00609754 |
B |
SFY2018-19 |
250000033 |
CALIFORNIA NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-01-23 00:00:00 |
250014687 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Ombudsman Notification |
2018-10-24 00:00:00 |
2018-10-24 00:00:00 |
No |
2019-02-13 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
JLCD11 |
N |
CA00609754 |
B |
SFY2018-19 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-01-25 00:00:00 |
250014708 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-10-29 00:00:00 |
2018-10-29 00:00:00 |
No |
2019-02-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
UMUD11 |
N |
CA00600824 |
B |
SFY2018-19 |
250000079 |
CENTINELA GRAND, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-01-31 00:00:00 |
250014750 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-11-13 00:00:00 |
2018-11-13 00:00:00 |
No |
2019-02-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FU4H11 |
N |
CA00612855 |
B |
SFY2018-19 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-04-24 00:00:00 |
250014958 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FTR Suspicion Crime |
2019-01-21 00:00:00 |
2019-01-21 00:00:00 |
No |
2019-05-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
WL7W11 |
N |
CA00622685 |
B |
SFY2018-19 |
250000079 |
CENTINELA GRAND, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-06-19 00:00:00 |
250015134 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-02-07 00:00:00 |
2019-02-07 00:00:00 |
No |
2019-07-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5IO211 |
N |
CA00624760 |
B |
SFY2018-19 |
250000043 |
COMMUNITY CARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-08-08 00:00:00 |
250015262 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail To Notify Ombudsman |
2019-05-03 00:00:00 |
2019-05-03 00:00:00 |
No |
2019-08-29 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
RSJ311 |
N |
CA00637228 |
B |
SFY2019-20 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-10-23 00:00:00 |
250015286 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-06-22 00:00:00 |
2019-06-22 00:00:00 |
No |
2019-11-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
YQ9R11 |
N |
CA00643084, CA00643084 |
B, B |
SFY2019-20 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-11-01 00:00:00 |
250015438 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-08-26 00:00:00 |
2019-08-26 00:00:00 |
Yes |
2019-11-22 00:00:00 |
2019-11-01 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
9IFS11 |
N |
CA00652411 |
A |
SFY2019-20 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2020-03-04 00:00:00 |
250015555 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-08-30 00:00:00 |
2019-08-30 00:00:00 |
Yes |
2020-03-25 00:00:00 |
2020-03-26 00:00:00 |
A |
None |
10000 |
10000 |
0 |
0 |
10000 |
None |
AKB111 |
N |
CA00653052 |
B |
SFY2019-20 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2020-03-04 00:00:00 |
250015566 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to notify Ombudsman |
2019-09-23 00:00:00 |
2019-09-23 00:00:00 |
No |
2020-03-25 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
C1PG11 |
N |
None |
None |
SFY2019-20 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2020-07-14 00:00:00 |
250015567 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to notify Ombudsman |
2019-09-28 00:00:00 |
2019-09-28 00:00:00 |
No |
2020-08-04 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
C1PG11 |
N |
None |
None |
SFY2020-21 |
250000045 |
CORONA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2020-03-04 00:00:00 |
250015568 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fail to notify Ombudsman |
2019-10-04 00:00:00 |
2019-10-04 00:00:00 |
No |
2020-03-25 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
C1PG11 |
N |
None |
None |
SFY2019-20 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2021-02-17 00:00:00 |
250015608 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-09-14 00:00:00 |
2019-09-14 00:00:00 |
No |
2021-03-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
P8NX11 |
N |
CA00654837, CA00654837 |
B, B |
SFY2020-21 |
250000019 |
COMMUNITY CARE ON PALM |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2023-05-16 00:00:00 |
250018648 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to Report |
2023-02-10 00:00:00 |
2023-02-10 00:00:00 |
No |
2023-06-07 00:00:00 |
None |
B |
None |
2000 |
2050 |
-700 |
1350 |
0 |
None |
NHU511 |
N |
CA00827031, CA00827031 |
A, A |
SFY2022-23 |
250000019 |
COMMUNITY CARE ON PALM |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-02-01 00:00:00 |
250019581 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
Nursing Services |
2023-11-16 00:00:00 |
2023-11-16 00:00:00 |
No |
2024-02-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
EHDC11 |
N |
CA00872277 |
B |
SFY2023-24 |
250000019 |
COMMUNITY CARE ON PALM |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-03-14 00:00:00 |
250019753 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
omb not notified of trans |
2023-12-11 00:00:00 |
2023-12-11 00:00:00 |
No |
2024-04-05 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
G9ZC11 |
N |
CA00882717 |
A |
SFY2023-24 |
250001276 |
CORONA REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-03-21 00:00:00 |
250019824 |
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 |
2024-04-12 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
6ZPQ11 |
N |
CA00881838, CA00881838 |
B, B |
SFY2023-24 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-01-28 00:00:00 |
910001264 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-09-14 00:00:00 |
2000-01-28 00:00:00 |
Yes |
2000-03-09 00:00:00 |
2000-02-22 00:00:00 |
A |
None |
10000 |
10000 |
-10000 |
0 |
0 |
910005110 |
A99999 |
N |
None |
None |
SFY1999-00 |
910000031 |
CRESCENT BAY CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-07-07 00:00:00 |
910001277 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2000-06-22 00:00:00 |
2000-07-07 00:00:00 |
No |
2000-07-28 00:00:00 |
None |
B |
None |
900 |
1000 |
-315 |
685 |
0 |
910005316 |
A99999 |
N |
None |
None |
SFY2000-01 |
910000031 |
CRESCENT BAY CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-03-05 00:00:00 |
910001447 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
RBEHAVIOR & FPRACTIC |
2001-02-11 00:00:00 |
None |
Yes |
2001-04-06 00:00:00 |
2001-03-12 00:00:00 |
B |
None |
700 |
700 |
0 |
700 |
0 |
910006594 |
A99999 |
N |
None |
None |
SFY2000-01 |
910000031 |
CRESCENT BAY CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-06-01 00:00:00 |
910001452 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-06-25 00:00:00 |
1999-06-25 00:00:00 |
Yes |
2001-08-20 00:00:00 |
2001-06-18 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
910006743 |
A99999 |
N |
None |
None |
SFY2000-01 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-06-04 00:00:00 |
910001474 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-04 00:00:00 |
2002-06-04 00:00:00 |
No |
2002-07-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
910006967 |
A99999 |
N |
None |
None |
SFY2001-02 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-07-17 00:00:00 |
910001477 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-06-20 00:00:00 |
2002-06-27 00:00:00 |
No |
2002-09-03 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
910007285 |
A99999 |
N |
None |
None |
SFY2002-03 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-10-21 00:00:00 |
910001522 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2004-01-25 00:00:00 |
2004-01-25 00:00:00 |
No |
2005-11-14 00:00:00 |
None |
B |
None |
1000 |
10650 |
0 |
10650 |
0 |
910008570 |
A99999 |
N |
None |
None |
SFY2005-06 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-10-21 00:00:00 |
910001523 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-08-10 00:00:00 |
2004-08-10 00:00:00 |
No |
2005-11-14 00:00:00 |
None |
B |
None |
1000 |
10650 |
0 |
10650 |
0 |
910008570 |
A99999 |
N |
None |
None |
SFY2005-06 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-10-05 00:00:00 |
910003402 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2006-09-01 00:00:00 |
2006-09-01 00:00:00 |
No |
2006-10-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LZTP21 |
N |
None |
None |
SFY2006-07 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-12-06 00:00:00 |
910003496 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-10-10 00:00:00 |
2006-10-10 00:00:00 |
No |
2006-12-28 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
JQ8D11 |
N |
CA00083182 |
D |
SFY2006-07 |
910000031 |
CRESCENT BAY CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-03-16 00:00:00 |
910003820 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-03-12 00:00:00 |
2007-03-12 00:00:00 |
No |
2007-04-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
999999 |
N |
None |
None |
SFY2006-07 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2007-03-16 00:00:00 |
910003821 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-03-12 00:00:00 |
2007-03-12 00:00:00 |
No |
2007-04-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
999999 |
N |
None |
None |
SFY2006-07 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-03-05 00:00:00 |
910004744 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-08-13 00:00:00 |
2007-08-13 00:00:00 |
No |
2008-03-26 00:00:00 |
None |
B |
None |
1000 |
5900 |
0 |
5900 |
0 |
None |
803411 |
N |
CA00122200 |
B |
SFY2007-08 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-07-01 00:00:00 |
910005200 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-12-17 00:00:00 |
2007-12-17 00:00:00 |
No |
2008-07-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
TIOE11 |
N |
CA00135146 |
B |
SFY2008-09 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-07-01 00:00:00 |
910005203 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-12-17 00:00:00 |
2007-12-17 00:00:00 |
No |
2008-07-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
TIOE11 |
N |
CA00135146 |
B |
SFY2008-09 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-07-31 00:00:00 |
910005273 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2008-07-14 00:00:00 |
2008-07-14 00:00:00 |
Yes |
2008-08-21 00:00:00 |
2008-08-08 00:00:00 |
B |
B |
1000 |
550 |
-50 |
500 |
0 |
None |
6IR212 |
N |
None |
None |
SFY2008-09 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2009-06-24 00:00:00 |
910006315 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-06-04 00:00:00 |
2009-06-04 00:00:00 |
Yes |
2009-07-15 00:00:00 |
2009-06-26 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
M8VH11 |
N |
CA00189258 |
C |
SFY2008-09 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2010-03-03 00:00:00 |
910006951 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-12-17 00:00:00 |
2009-12-17 00:00:00 |
Yes |
2013-01-10 00:00:00 |
2012-12-20 00:00:00 |
A |
A |
20000 |
20000 |
-20000 |
0 |
0 |
None |
8SNN11 |
N |
None |
None |
SFY2009-10 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-05-16 00:00:00 |
910007644 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Patient Record |
None |
2010-06-23 00:00:00 |
2010-06-23 00:00:00 |
Yes |
2012-06-07 00:00:00 |
2012-05-23 00:00:00 |
WF |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
JNM011 |
None |
None |
None |
SFY2011-12 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-05-16 00:00:00 |
910007645 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-06-23 00:00:00 |
2010-06-23 00:00:00 |
Yes |
2012-06-07 00:00:00 |
2012-05-22 00:00:00 |
B |
None |
1800 |
1800 |
0 |
0 |
1800 |
None |
JNM011 |
N |
None |
None |
SFY2011-12 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2011-01-21 00:00:00 |
910007859 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2010-01-19 00:00:00 |
2010-01-19 00:00:00 |
No |
2011-02-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
GXUG11 |
N |
CA00213451 |
C |
SFY2010-11 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2011-07-27 00:00:00 |
910008420 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2011-07-01 00:00:00 |
2011-07-01 00:00:00 |
No |
2011-08-17 00:00:00 |
None |
B |
None |
1000 |
10050 |
0 |
10050 |
0 |
None |
Q2HZ11 |
N |
CA00274186 |
C |
SFY2011-12 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2013-06-25 00:00:00 |
910009971 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-23 00:00:00 |
2010-02-23 00:00:00 |
No |
2013-07-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
EDJ611 |
N |
CA00235062 |
C |
SFY2012-13 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2013-08-19 00:00:00 |
910010102 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Medication |
None |
2013-04-12 00:00:00 |
2013-04-12 00:00:00 |
No |
2013-09-10 00:00:00 |
None |
WF |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PCXH11 |
None |
None |
None |
SFY2013-14 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2014-02-20 00:00:00 |
910010487 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-05-03 00:00:00 |
2012-05-03 00:00:00 |
Yes |
2014-03-13 00:00:00 |
2014-04-01 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
3GGY11 |
N |
CA00315862, CA00317194 |
B, C |
SFY2013-14 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-12-23 00:00:00 |
910011180 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-02-05 00:00:00 |
2012-02-05 00:00:00 |
No |
2015-01-15 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
GY1811 |
Y |
CA00299074 |
C |
SFY2014-15 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2015-03-18 00:00:00 |
910011310 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-03-25 00:00:00 |
2014-03-25 00:00:00 |
No |
2015-04-09 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
I17611 |
N |
None |
None |
SFY2014-15 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-05-31 00:00:00 |
910012281 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-07-12 00:00:00 |
2011-07-12 00:00:00 |
No |
2016-06-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
24RM11 |
N |
CA00276126 |
C |
SFY2015-16 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-03-02 00:00:00 |
910013857 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-11-01 00:00:00 |
2017-11-01 00:00:00 |
Yes |
2018-03-23 00:00:00 |
2018-03-06 00:00:00 |
A |
B |
16000 |
6000 |
0 |
6000 |
0 |
None |
0KTF11 |
N |
CA00559771, CA00559771, CA00559771 |
B, B, B |
SFY2017-18 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-04-19 00:00:00 |
910014008 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-03-29 00:00:00 |
2017-03-29 00:00:00 |
Yes |
2018-05-10 00:00:00 |
2018-04-25 00:00:00 |
B |
None |
2000 |
2000 |
-2000 |
0 |
0 |
None |
VYOV11 |
N |
CA00528781, CA00528781 |
B, B |
SFY2017-18 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-04-26 00:00:00 |
910014030 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-12-26 00:00:00 |
2016-12-26 00:00:00 |
Yes |
2018-05-17 00:00:00 |
2018-05-22 00:00:00 |
B |
None |
2000 |
2000 |
-2000 |
0 |
0 |
None |
1P4N11 |
N |
None |
None |
SFY2017-18 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-06-06 00:00:00 |
910014094 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2018-01-26 00:00:00 |
2018-01-26 00:00:00 |
Yes |
2018-06-27 00:00:00 |
2018-06-13 00:00:00 |
AA |
A |
75000 |
30000 |
0 |
30000 |
0 |
None |
PD1T11 |
Y |
CA00572439, CA00574716, CA00574716 |
B, A, A |
SFY2017-18 |
910000005 |
CENTINELA SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-06-21 00:00:00 |
910014171 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-01-14 00:00:00 |
2018-01-14 00:00:00 |
Yes |
2018-07-13 00:00:00 |
2018-06-26 00:00:00 |
A |
B |
20000 |
10000 |
0 |
10000 |
0 |
None |
2OSG11 |
Y |
CA00574783 |
B |
SFY2017-18 |
910000024 |
CLEAR VIEW CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-08-24 00:00:00 |
910014364 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-04-30 00:00:00 |
2018-04-30 00:00:00 |
No |
2018-09-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
XY4S11 |
N |
None |
None |
SFY2018-19 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-09-18 00:00:00 |
910014411 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-07-19 00:00:00 |
2018-07-19 00:00:00 |
No |
2018-10-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KTUI11 |
N |
CA00595535, CA00595535, CA00595535 |
B, B, B |
SFY2018-19 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-12-21 00:00:00 |
910014679 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-10-31 00:00:00 |
2018-10-31 00:00:00 |
No |
2019-01-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
3UU411 |
N |
CA00608180, CA00608180, CA00608180 |
B, B, B |
SFY2018-19 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-05-16 00:00:00 |
910015077 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-02-14 00:00:00 |
2019-02-14 00:00:00 |
No |
2019-06-06 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
04OT11 |
N |
CA00625145 |
B |
SFY2018-19 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-06-18 00:00:00 |
910015087 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-06-26 00:00:00 |
2017-06-26 00:00:00 |
No |
2019-07-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ZH0U11 |
N |
CA00541433 |
B |
SFY2018-19 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-06-13 00:00:00 |
910015140 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-03-08 00:00:00 |
2019-03-08 00:00:00 |
No |
2019-07-04 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
2DFM11 |
N |
CA00628676, CA00628676 |
A, A |
SFY2018-19 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-06-13 00:00:00 |
910015155 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-04-27 00:00:00 |
2019-04-27 00:00:00 |
No |
2019-07-04 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
95J111 |
N |
CA00628861 |
A |
SFY2018-19 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-06-13 00:00:00 |
910015158 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-04-27 00:00:00 |
2019-04-27 00:00:00 |
No |
2019-07-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
95J111 |
N |
CA00628861 |
A |
SFY2018-19 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-06-27 00:00:00 |
910015205 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-03-25 00:00:00 |
2019-03-25 00:00:00 |
No |
2019-07-18 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
0UUL11 |
N |
CA00630956, CA00630956 |
B, B |
SFY2018-19 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-10-24 00:00:00 |
910015476 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-05-29 00:00:00 |
2019-05-29 00:00:00 |
No |
2019-11-14 00:00:00 |
None |
B |
None |
2000 |
6000 |
-2100 |
3900 |
0 |
None |
B04611 |
N |
CA00639851 |
B |
SFY2019-20 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-11-05 00:00:00 |
910015512 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-09-21 00:00:00 |
2019-09-21 00:00:00 |
No |
2019-11-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
VON711 |
N |
None |
None |
SFY2019-20 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-11-05 00:00:00 |
910015514 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-04-30 00:00:00 |
2019-04-30 00:00:00 |
No |
2019-11-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
VON711 |
N |
None |
None |
SFY2019-20 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-11-14 00:00:00 |
910015535 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-08-08 00:00:00 |
2019-08-08 00:00:00 |
Yes |
2019-12-05 00:00:00 |
2019-12-15 00:00:00 |
A |
A |
20000 |
12000 |
0 |
12000 |
0 |
None |
BMSM11 |
N |
CA00650645, CA00651001, CA00651001 |
A, B, B |
SFY2019-20 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-12-26 00:00:00 |
910015638 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-09-28 00:00:00 |
2019-09-28 00:00:00 |
Yes |
2020-01-16 00:00:00 |
2019-12-31 00:00:00 |
A |
B |
20000 |
15000 |
0 |
15000 |
0 |
None |
00RN11 |
N |
CA00658017 |
B |
SFY2019-20 |
940000098 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-01-10 00:00:00 |
910015675 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-10-11 00:00:00 |
2019-10-11 00:00:00 |
No |
2020-01-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
1EIV11 |
N |
CA00657559, CA00657559 |
B, B |
SFY2019-20 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-02-14 00:00:00 |
910015747 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-06-19 00:00:00 |
2018-06-19 00:00:00 |
No |
2020-03-06 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
4RER11 |
N |
CA00627768 |
B |
SFY2019-20 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-03-27 00:00:00 |
910015831 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-09-25 00:00:00 |
2019-09-25 00:00:00 |
Yes |
2020-04-17 00:00:00 |
2020-04-01 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
ILXG11 |
N |
CA00656919 |
A |
SFY2019-20 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-04-09 00:00:00 |
910015845 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-11-07 00:00:00 |
2019-11-07 00:00:00 |
Yes |
2020-04-30 00:00:00 |
2020-04-13 00:00:00 |
A |
A |
20000 |
16000 |
0 |
16000 |
0 |
None |
Q4M811 |
N |
CA00663720, CA00663720, CA00663832 |
B, B, B |
SFY2019-20 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-05-01 00:00:00 |
910015871 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-02-05 00:00:00 |
2020-02-05 00:00:00 |
Yes |
2020-05-22 00:00:00 |
2020-05-14 00:00:00 |
B |
B |
2000 |
2150 |
-550 |
1600 |
0 |
None |
Z8K211 |
N |
CA00674320 |
B |
SFY2019-20 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-10-30 00:00:00 |
910016120 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-09-01 00:00:00 |
2020-09-01 00:00:00 |
No |
2020-11-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
NTUC11 |
N |
CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184 |
B, B, B, B, B, B, B |
SFY2020-21 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-10-30 00:00:00 |
910016122 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-08-22 00:00:00 |
2020-08-22 00:00:00 |
No |
2020-11-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
NTUC11 |
N |
CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184, CA00702184 |
B, B, B, B, B, B, B, B |
SFY2020-21 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-11-12 00:00:00 |
910016150 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-07-26 00:00:00 |
2019-07-26 00:00:00 |
No |
2020-12-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
IDCI11 |
N |
CA00648008 |
A |
SFY2020-21 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-12-02 00:00:00 |
910016176 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-04-08 00:00:00 |
2018-04-08 00:00:00 |
No |
2020-12-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
V3UX11 |
N |
CA00581890 |
B |
SFY2020-21 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-01-07 00:00:00 |
910016232 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-07-06 00:00:00 |
2020-07-06 00:00:00 |
No |
2021-01-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
WRW411 |
N |
CA00695788, CA00695788 |
B, B |
SFY2020-21 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-01-27 00:00:00 |
910016253 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-10-21 00:00:00 |
2020-10-21 00:00:00 |
No |
2021-02-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
T0OJ11 |
N |
None |
None |
SFY2020-21 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-07-23 00:00:00 |
910016759 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-03-10 00:00:00 |
2021-03-10 00:00:00 |
No |
2021-08-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
6RE111 |
N |
CA00734179 |
B |
SFY2021-22 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-08-30 00:00:00 |
910016866 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-08-02 00:00:00 |
2021-08-02 00:00:00 |
No |
2021-09-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
GSLP11 |
N |
CA00746549, CA00746549 |
A, A |
SFY2021-22 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-09-10 00:00:00 |
910016915 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-06-11 00:00:00 |
2021-06-11 00:00:00 |
Yes |
2021-10-01 00:00:00 |
2021-09-14 00:00:00 |
A |
A |
20000 |
14500 |
0 |
14500 |
0 |
None |
BW2F11 |
N |
CA00740312, CA00740312 |
A, A |
SFY2021-22 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-09-29 00:00:00 |
910016967 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2021-06-10 00:00:00 |
2021-06-10 00:00:00 |
Yes |
2021-10-20 00:00:00 |
2021-10-06 00:00:00 |
AA |
A |
100000 |
90000 |
0 |
90000 |
0 |
None |
7I9K11 |
Y |
CA00743409, CA00743409 |
A, A |
SFY2021-22 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-11-10 00:00:00 |
910017081 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-09-25 00:00:00 |
2021-09-25 00:00:00 |
No |
2021-12-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
4JB911 |
N |
CA00754612, CA00754612 |
A, A |
SFY2021-22 |
910000024 |
CLEAR VIEW CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-13 00:00:00 |
910017187 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2021-08-27 00:00:00 |
2021-08-27 00:00:00 |
No |
2022-01-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
A6UV11 |
N |
None |
None |
SFY2021-22 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-02-09 00:00:00 |
910017340 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-09-23 00:00:00 |
2021-09-23 00:00:00 |
No |
2022-03-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
IQOZ11 |
N |
CA00765332 |
B |
SFY2021-22 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-03-17 00:00:00 |
910017510 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-01-26 00:00:00 |
2022-01-26 00:00:00 |
No |
2022-04-08 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
7TR111 |
N |
CA00769895 |
B |
SFY2021-22 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-05-20 00:00:00 |
910017653 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-04-04 00:00:00 |
2022-04-04 00:00:00 |
No |
2022-06-13 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
VVXL11 |
N |
None |
None |
SFY2021-22 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-06-02 00:00:00 |
910017688 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-04-25 00:00:00 |
2022-04-25 00:00:00 |
No |
2022-06-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
PNSV11 |
N |
CA00782255, CA00782255 |
A, A |
SFY2021-22 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-06-24 00:00:00 |
910017739 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-05-07 00:00:00 |
2022-05-07 00:00:00 |
No |
2022-07-18 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
NCH011 |
N |
CA00783962, CA00783962, CA00783962, CA00783962, CA00784090, CA00784090 |
A, A, A, A, B, B |
SFY2021-22 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-10-12 00:00:00 |
910018081 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-03-01 00:00:00 |
2022-03-01 00:00:00 |
No |
2022-11-02 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
Y70E11 |
N |
CA00779679, CA00779679 |
A, A |
SFY2022-23 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-11-02 00:00:00 |
910018132 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-09-14 00:00:00 |
2022-09-14 00:00:00 |
No |
2022-11-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
GBO111 |
N |
CA00803302, CA00803302 |
A, A |
SFY2022-23 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-12-27 00:00:00 |
910018260 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2021-05-14 00:00:00 |
2021-05-14 00:00:00 |
No |
2023-01-19 00:00:00 |
None |
B |
None |
1500 |
5450 |
-1575 |
3875 |
0 |
None |
GJZV11 |
N |
CA00737673, CA00737673 |
A, A |
SFY2022-23 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-02-07 00:00:00 |
910018383 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2022-08-20 00:00:00 |
2022-08-20 00:00:00 |
Yes |
2023-03-01 00:00:00 |
2023-02-15 00:00:00 |
AA |
None |
100000 |
100000 |
0 |
0 |
100000 |
None |
L1FV11 |
Y |
CA00814110, CA00814110, CA00814110 |
A, A, A |
SFY2022-23 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-02-09 00:00:00 |
910018396 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-12-13 00:00:00 |
2022-12-13 00:00:00 |
Yes |
2023-03-03 00:00:00 |
2023-02-14 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
E4K811 |
N |
CA00817269, CA00817269 |
B, B |
SFY2022-23 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-02-17 00:00:00 |
910018422 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-12-30 00:00:00 |
2022-12-30 00:00:00 |
No |
2023-03-13 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
NPYM11 |
N |
CA00818903 |
A |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-09 00:00:00 |
910018492 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-19 00:00:00 |
2023-01-19 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MH4H11 |
N |
CA00821974, CA00822617 |
A, B |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-09 00:00:00 |
910018493 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-19 00:00:00 |
2023-01-19 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MH4H11 |
N |
CA00821974, CA00821974, CA00822617, CA00822617 |
A, A, B, B |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-09 00:00:00 |
910018494 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-19 00:00:00 |
2023-01-19 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MH4H11 |
N |
None |
None |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-09 00:00:00 |
910018495 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-19 00:00:00 |
2023-01-19 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MH4H11 |
N |
CA00821974, CA00821974, CA00822617, CA00822617 |
A, A, B, B |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-09 00:00:00 |
910018496 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-19 00:00:00 |
2023-01-19 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MH4H11 |
N |
CA00821974, CA00821974, CA00822617, CA00822617 |
A, A, B, B |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-09 00:00:00 |
910018497 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-19 00:00:00 |
2023-01-19 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MH4H11 |
N |
CA00821974, CA00821974, CA00822617, CA00822617 |
A, A, B, B |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-09 00:00:00 |
910018498 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-14 00:00:00 |
2023-01-14 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MH4H11 |
N |
CA00821974, CA00821974, CA00822617, CA00822617 |
A, A, B, B |
SFY2022-23 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-10 00:00:00 |
910018509 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-12-12 00:00:00 |
2022-12-12 00:00:00 |
No |
2023-04-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
C21F11 |
N |
CA00816515 |
A |
SFY2022-23 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-23 00:00:00 |
910018563 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-10-13 00:00:00 |
2022-10-13 00:00:00 |
No |
2023-04-14 00:00:00 |
None |
A |
None |
25000 |
25450 |
-8750 |
16700 |
0 |
None |
PYK111 |
N |
CA00807586, CA00823190, CA00823190 |
B, B, B |
SFY2022-23 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-23 00:00:00 |
910018565 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-02-10 00:00:00 |
2023-02-10 00:00:00 |
No |
2023-04-14 00:00:00 |
None |
B |
None |
3000 |
3050 |
0 |
3050 |
0 |
None |
OV9R11 |
N |
CA00821814 |
A |
SFY2022-23 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-23 00:00:00 |
910018566 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-02-10 00:00:00 |
2023-02-10 00:00:00 |
No |
2023-04-14 00:00:00 |
None |
B |
None |
3000 |
3200 |
0 |
3200 |
0 |
None |
OV9R11 |
N |
CA00821814, CA00821814 |
A, A |
SFY2022-23 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-30 00:00:00 |
910018599 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-01-20 00:00:00 |
2023-01-20 00:00:00 |
No |
2023-04-21 00:00:00 |
None |
A |
None |
60000 |
60000 |
-21000 |
39000 |
0 |
None |
0E1K11 |
Y |
CA00822353, CA00822353, CA00822449, CA00822449 |
A, A, A, A |
SFY2022-23 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-04-13 00:00:00 |
910018632 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-12-29 00:00:00 |
2022-12-29 00:00:00 |
Yes |
2023-05-04 00:00:00 |
2023-04-21 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
XMHD11 |
N |
CA00818980, CA00818980, CA00820095 |
B, B, B |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-04-21 00:00:00 |
910018661 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-11-15 00:00:00 |
2022-11-15 00:00:00 |
Yes |
2023-05-12 00:00:00 |
2023-05-09 00:00:00 |
B |
B |
3000 |
2100 |
0 |
2100 |
0 |
None |
XNN311 |
N |
CA00827002, CA00827002 |
B, B |
SFY2022-23 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-04-21 00:00:00 |
910018662 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-11-15 00:00:00 |
2022-11-15 00:00:00 |
Yes |
2023-05-12 00:00:00 |
2023-05-09 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
XNN311 |
N |
CA00827002, CA00827002, CA00827002 |
B, B, B |
SFY2022-23 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-06-01 00:00:00 |
910018818 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-04-05 00:00:00 |
2023-04-05 00:00:00 |
No |
2023-06-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
Y1TI11 |
N |
CA00835827, CA00835827 |
B, B |
SFY2022-23 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-06-30 00:00:00 |
910018917 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
Abuse/Facility not report |
2023-04-21 00:00:00 |
2023-04-21 00:00:00 |
No |
2023-07-24 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
VN8511 |
N |
CA00837583 |
B |
SFY2022-23 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-07-19 00:00:00 |
910018973 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-05-05 00:00:00 |
2023-05-05 00:00:00 |
No |
2023-08-09 00:00:00 |
None |
B |
None |
3000 |
9000 |
-3150 |
5850 |
0 |
None |
M4BY11 |
N |
CA00842994 |
A |
SFY2023-24 |
940000048 |
COTTAGE CREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-11 00:00:00 |
910019057 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2023-06-22 00:00:00 |
2023-06-22 00:00:00 |
No |
2023-09-01 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
S6KN11 |
N |
None |
None |
SFY2023-24 |
910000025 |
CLEAR VIEW SANITARIUM |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-24 00:00:00 |
910019094 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-07-10 00:00:00 |
2023-07-10 00:00:00 |
No |
2023-09-15 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
LLWO11 |
N |
None |
None |
SFY2023-24 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-09-12 00:00:00 |
910019155 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-08-02 00:00:00 |
2023-08-02 00:00:00 |
No |
2023-10-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
8SX811 |
N |
CA00854064 |
A |
SFY2023-24 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-09-28 00:00:00 |
910019211 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-08-05 00:00:00 |
2023-08-05 00:00:00 |
No |
2023-10-19 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
DPO311 |
N |
CA00854701, CA00854701, CA00854701 |
A, A, A |
SFY2023-24 |
940000048 |
COTTAGE CREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-11-16 00:00:00 |
910019377 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-09-18 00:00:00 |
2023-09-18 00:00:00 |
No |
2023-12-11 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
YBE211 |
N |
CA00863609, CA00863609 |
A, A |
SFY2023-24 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-11-28 00:00:00 |
910019409 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to report COVID o |
2023-10-10 00:00:00 |
2023-10-10 00:00:00 |
No |
2023-12-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
3SYT11 |
N |
CA00866394, CA00867268 |
B, B |
SFY2023-24 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-01-16 00:00:00 |
910019604 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-12-01 00:00:00 |
2023-12-01 00:00:00 |
No |
2024-02-06 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
UZKL11 |
N |
CA00872610, CA00872610, CA00873493, CA00873493 |
B, B, B, B |
SFY2023-24 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-02-02 00:00:00 |
910019686 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Unusual Occurences |
2023-12-13 00:00:00 |
2023-12-13 00:00:00 |
No |
2024-02-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
INU611 |
N |
CA00878830, CA00878830 |
A, A |
SFY2023-24 |
940000048 |
COTTAGE CREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-02-29 00:00:00 |
910019804 |
Open |
Citation |
Citation AA (HSC 1424) |
Other |
Death/Dialysis |
2024-01-06 00:00:00 |
2024-01-06 00:00:00 |
No |
2024-03-21 00:00:00 |
None |
AA |
None |
120000 |
120000 |
-42000 |
78000 |
0 |
None |
JLNB11 |
Y |
CA00880223, CA00880223, CA00880223 |
A, A, A |
SFY2023-24 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-04-04 00:00:00 |
910019958 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-10-27 00:00:00 |
2022-10-27 00:00:00 |
No |
2024-04-25 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
16250 |
8750 |
None |
MC6511 |
N |
None |
None |
SFY2023-24 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-04-04 00:00:00 |
910019960 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-09-28 00:00:00 |
2023-09-28 00:00:00 |
Yes |
2024-04-25 00:00:00 |
2024-04-17 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
YTGW11 |
N |
None |
None |
SFY2023-24 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-05-16 00:00:00 |
910020195 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-04-24 00:00:00 |
2024-04-24 00:00:00 |
No |
2024-06-07 00:00:00 |
None |
B |
None |
3000 |
3050 |
-1050 |
1950 |
50 |
None |
9VJ611 |
N |
CA00896088, CA00896088 |
A, A |
SFY2023-24 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-05-29 00:00:00 |
910020245 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2024-04-24 00:00:00 |
2024-04-24 00:00:00 |
Yes |
2024-06-19 00:00:00 |
2024-06-04 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
9VJ611 |
N |
CA00896088, CA00896088 |
A, A |
SFY2023-24 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-06-27 00:00:00 |
910020366 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-05-15 00:00:00 |
2024-05-15 00:00:00 |
No |
2024-07-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
5QZ811 |
N |
CA00900220, CA00900220, CA00900220 |
B, B, B |
SFY2023-24 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-03-31 00:00:00 |
920001072 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2000-03-23 00:00:00 |
2000-03-23 00:00:00 |
No |
2000-04-21 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
920005545 |
A99999 |
N |
None |
None |
SFY1999-00 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-02-26 00:00:00 |
920001122 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-02-10 00:00:00 |
2001-02-10 00:00:00 |
No |
2001-03-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
920006044 |
A99999 |
N |
None |
None |
SFY2000-01 |
920000083 |
CANYON OAKS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-02-07 00:00:00 |
920001140 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-02-02 00:00:00 |
2002-02-02 00:00:00 |
No |
2002-03-12 00:00:00 |
None |
B |
None |
400 |
400 |
0 |
400 |
0 |
920006427 |
A99999 |
N |
None |
None |
SFY2001-02 |
920000083 |
CANYON OAKS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-10-29 00:00:00 |
920001166 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-10-05 00:00:00 |
2002-10-05 00:00:00 |
No |
2003-01-08 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
920006821 |
A99999 |
N |
None |
None |
SFY2002-03 |
920000083 |
CANYON OAKS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-10-21 00:00:00 |
920001190 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-17 00:00:00 |
2003-08-17 00:00:00 |
Yes |
2004-03-26 00:00:00 |
2004-03-09 00:00:00 |
B |
B |
1000 |
0 |
0 |
0 |
0 |
920007396 |
A99999 |
N |
None |
None |
SFY2003-04 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-02-05 00:00:00 |
920003581 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2006-07-04 00:00:00 |
2006-07-04 00:00:00 |
Yes |
2007-02-26 00:00:00 |
2007-02-20 00:00:00 |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
DJ5W11 |
N |
CA00087354 |
B |
SFY2006-07 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-03-16 00:00:00 |
920003804 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
PR |
2007-01-21 00:00:00 |
2007-01-21 00:00:00 |
No |
2007-04-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
8FXP11 |
N |
CA00104790 |
A |
SFY2006-07 |
920000050 |
CALIFORNIA HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-11-14 00:00:00 |
920004444 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-05-12 00:00:00 |
2007-05-12 00:00:00 |
Yes |
2007-12-07 00:00:00 |
2007-11-30 00:00:00 |
B |
B |
1000 |
400 |
0 |
400 |
0 |
None |
DDFN11 |
N |
CA00117750 |
B |
SFY2007-08 |
920000050 |
CALIFORNIA HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-11-14 00:00:00 |
920004445 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-05-16 00:00:00 |
2007-05-16 00:00:00 |
Yes |
2007-12-07 00:00:00 |
2007-11-18 00:00:00 |
B |
B |
1000 |
600 |
0 |
600 |
0 |
None |
DDFN11 |
N |
CA00117750 |
B |
SFY2007-08 |
920000090 |
CASITAS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-12-19 00:00:00 |
920004530 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2007-07-20 00:00:00 |
2007-07-20 00:00:00 |
No |
2008-01-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
M7OT11 |
N |
CA00124554 |
C |
SFY2007-08 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2008-03-13 00:00:00 |
920004788 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-26 00:00:00 |
2008-02-26 00:00:00 |
No |
2008-04-04 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
None |
4UVK11 |
N |
CA00142048 |
A |
SFY2007-08 |
920000005 |
COUNTRY MANOR HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2008-11-21 00:00:00 |
920005636 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-10-26 00:00:00 |
2008-10-26 00:00:00 |
No |
2008-12-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QDMV11 |
N |
CA00167516 |
A |
SFY2008-09 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2008-12-22 00:00:00 |
920005719 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-06 00:00:00 |
2008-03-06 00:00:00 |
Yes |
2009-01-13 00:00:00 |
2009-01-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
XQZ311 |
N |
CA00162621 |
C |
SFY2008-09 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2008-12-22 00:00:00 |
920005720 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-03-06 00:00:00 |
2008-03-06 00:00:00 |
Yes |
2009-01-13 00:00:00 |
2009-01-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
XQZ311 |
N |
CA00162621 |
C |
SFY2008-09 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2008-12-22 00:00:00 |
920005722 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-06 00:00:00 |
2008-03-06 00:00:00 |
Yes |
2009-01-13 00:00:00 |
2009-01-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
XQZ311 |
N |
CA00162621 |
C |
SFY2008-09 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2012-04-03 00:00:00 |
920009123 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-07-01 00:00:00 |
2011-07-01 00:00:00 |
No |
2012-04-24 00:00:00 |
None |
A |
None |
19000 |
19000 |
-6650 |
12350 |
0 |
None |
D6R911 |
N |
CA00275489 |
B |
SFY2011-12 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2013-03-11 00:00:00 |
920009694 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-02-04 00:00:00 |
2011-02-04 00:00:00 |
Yes |
2013-04-02 00:00:00 |
2013-03-18 00:00:00 |
A |
A |
19000 |
12350 |
0 |
12350 |
0 |
None |
54O711 |
Y |
CA00280263 |
B |
SFY2012-13 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2014-01-29 00:00:00 |
920010415 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-11-13 00:00:00 |
2011-11-13 00:00:00 |
No |
2014-02-20 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
5JLN11 |
N |
CA00290349 |
B |
SFY2013-14 |
920000083 |
CANYON OAKS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2014-02-11 00:00:00 |
920010441 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-11-20 00:00:00 |
2012-11-20 00:00:00 |
Yes |
2014-03-05 00:00:00 |
2014-02-26 00:00:00 |
A |
None |
17500 |
17500 |
0 |
0 |
17500 |
None |
V0PF11 |
N |
CA00336450, CA00340197 |
B, B |
SFY2013-14 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-10-27 00:00:00 |
920012672 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2016-06-22 00:00:00 |
2016-06-22 00:00:00 |
Yes |
2016-11-18 00:00:00 |
2016-11-10 00:00:00 |
A |
B |
10000 |
8000 |
0 |
8000 |
0 |
None |
SRLQ11 |
N |
CA00492870 |
B |
SFY2016-17 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-12-23 00:00:00 |
920012834 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-12-09 00:00:00 |
2016-12-09 00:00:00 |
No |
2017-01-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
RGV311 |
N |
CA00513721 |
A |
SFY2016-17 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-02-14 00:00:00 |
920012970 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-05-01 00:00:00 |
2016-05-01 00:00:00 |
No |
2017-03-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KBMB11 |
N |
CA00486740 |
C |
SFY2016-17 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-04-10 00:00:00 |
920013112 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-12-10 00:00:00 |
2016-12-10 00:00:00 |
No |
2017-05-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
EU2811 |
N |
CA00514154 |
A |
SFY2016-17 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-04-10 00:00:00 |
920013113 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-10-11 00:00:00 |
2016-10-11 00:00:00 |
No |
2017-05-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
EU2811 |
N |
CA00514154 |
A |
SFY2016-17 |
970000089 |
COLLEGE VISTA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-07-07 00:00:00 |
920013323 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-05-20 00:00:00 |
2017-05-20 00:00:00 |
No |
2017-07-28 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
FKWD11 |
N |
None |
None |
SFY2017-18 |
920000083 |
CANYON OAKS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-05-08 00:00:00 |
920014051 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-03-27 00:00:00 |
2018-03-27 00:00:00 |
Yes |
2018-05-29 00:00:00 |
2018-05-25 00:00:00 |
A |
B |
16000 |
12000 |
0 |
12000 |
0 |
None |
RXQ711 |
N |
None |
None |
SFY2017-18 |
920000005 |
COUNTRY MANOR HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-12-28 00:00:00 |
920015639 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-08-20 00:00:00 |
2019-08-20 00:00:00 |
Yes |
2020-01-17 00:00:00 |
2020-01-13 00:00:00 |
A |
B |
15000 |
1500 |
0 |
1500 |
0 |
None |
E1W511 |
N |
CA00651472 |
B |
SFY2019-20 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-02-20 00:00:00 |
920015757 |
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 |
2020-03-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
LQ6W11 |
N |
CA00654424 |
B |
SFY2019-20 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-03-04 00:00:00 |
920015778 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-11-28 00:00:00 |
2019-11-28 00:00:00 |
Yes |
2020-03-25 00:00:00 |
2020-03-25 00:00:00 |
A |
B |
20000 |
12450 |
-450 |
12000 |
0 |
None |
CPN711 |
N |
CA00666460, CA00666460 |
B, B |
SFY2019-20 |
920000050 |
CALIFORNIA HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-01-29 00:00:00 |
920016254 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2020-12-03 00:00:00 |
2020-12-03 00:00:00 |
No |
2021-02-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Q74B11 |
N |
CA00715110 |
A |
SFY2020-21 |
920000050 |
CALIFORNIA HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-02-24 00:00:00 |
920017351 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-10-07 00:00:00 |
2021-10-07 00:00:00 |
No |
2022-03-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
UROE11 |
N |
CA00756930, CA00756988 |
B, B |
SFY2021-22 |
920000090 |
CASITAS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-04-07 00:00:00 |
920017554 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2022-02-22 00:00:00 |
2022-02-22 00:00:00 |
No |
2022-04-28 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
GVCR11 |
N |
CA00772513 |
B |
SFY2021-22 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-04-27 00:00:00 |
920017602 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-03-09 00:00:00 |
2022-03-09 00:00:00 |
No |
2022-05-18 00:00:00 |
None |
B |
None |
3000 |
3100 |
0 |
3000 |
100 |
None |
V18D11 |
N |
None |
None |
SFY2021-22 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-04-27 00:00:00 |
920017603 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-03-09 00:00:00 |
2022-03-09 00:00:00 |
No |
2022-05-18 00:00:00 |
None |
B |
None |
3000 |
3100 |
0 |
3100 |
0 |
None |
V18D11 |
N |
None |
None |
SFY2021-22 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-05-25 00:00:00 |
920017664 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-11-05 00:00:00 |
2021-11-05 00:00:00 |
No |
2022-06-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
1VG511 |
N |
CA00777456, CA00777456, CA00777456 |
B, B, B |
SFY2021-22 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-05-25 00:00:00 |
920017665 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-11-05 00:00:00 |
2021-11-05 00:00:00 |
No |
2022-06-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
1VG511 |
N |
CA00777456, CA00777456, CA00777456 |
B, B, B |
SFY2021-22 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-07-21 00:00:00 |
920017802 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-04-15 00:00:00 |
2022-04-15 00:00:00 |
No |
2022-08-11 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
UNOI11 |
N |
CA00781957, CA00781957 |
A, A |
SFY2022-23 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-08-19 00:00:00 |
920017901 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
Accident Hazards |
2022-04-27 00:00:00 |
2022-04-27 00:00:00 |
No |
2022-09-12 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
N1N511 |
N |
CA00783276, CA00783276, CA00788437, CA00788437, CA00788437 |
B, B, A, A, A |
SFY2022-23 |
920000005 |
COUNTRY MANOR HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-09-13 00:00:00 |
920017985 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-05-23 00:00:00 |
2022-05-23 00:00:00 |
No |
2022-10-04 00:00:00 |
None |
B |
None |
2500 |
2500 |
0 |
2500 |
0 |
None |
Y69T11 |
N |
CA00786138 |
B |
SFY2022-23 |
920000005 |
COUNTRY MANOR HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-09-19 00:00:00 |
920018004 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-06-13 00:00:00 |
2022-06-13 00:00:00 |
No |
2022-10-10 00:00:00 |
None |
B |
None |
2500 |
2500 |
0 |
2500 |
0 |
None |
BQ1311 |
N |
CA00788981 |
B |
SFY2022-23 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-11-23 00:00:00 |
920018168 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-10-09 00:00:00 |
2022-10-09 00:00:00 |
No |
2022-12-16 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
CRFS11 |
N |
CA00807450 |
B |
SFY2022-23 |
920000083 |
CANYON OAKS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-12-09 00:00:00 |
920018232 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-10-18 00:00:00 |
2022-10-18 00:00:00 |
No |
2022-12-30 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
307F11 |
N |
CA00808435 |
A |
SFY2022-23 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-02-10 00:00:00 |
920018390 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-12-17 00:00:00 |
2022-12-17 00:00:00 |
No |
2023-03-06 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
57U911 |
N |
CA00821000 |
B |
SFY2022-23 |
920000050 |
CALIFORNIA HEALTHCARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-05-16 00:00:00 |
920018748 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2023-03-09 00:00:00 |
2023-03-09 00:00:00 |
Yes |
2023-06-07 00:00:00 |
2023-05-17 00:00:00 |
AA |
None |
100000 |
100000 |
0 |
0 |
100000 |
None |
7IZ611 |
Y |
CA00830569 |
A |
SFY2022-23 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-09-06 00:00:00 |
920019130 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-27 00:00:00 |
2023-07-27 00:00:00 |
No |
2023-09-27 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
FMZ611 |
N |
CA00852599, CA00852599, CA00852599, CA00852599, CA00852599 |
A, A, A, A, A |
SFY2023-24 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-10-19 00:00:00 |
920019275 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-09-21 00:00:00 |
2023-09-21 00:00:00 |
No |
2023-11-09 00:00:00 |
None |
B |
None |
3000 |
9000 |
0 |
0 |
9000 |
None |
FMZ612 |
N |
None |
None |
SFY2023-24 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-10-26 00:00:00 |
920019303 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-09-03 00:00:00 |
2023-09-03 00:00:00 |
No |
2023-11-17 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
EMQT11 |
N |
CA00860073, CA00860073, CA00860073, CA00860073, CA00860073, CA00860073 |
A, A, A, A, A, A |
SFY2023-24 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-10-26 00:00:00 |
920019304 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-10-03 00:00:00 |
2023-10-03 00:00:00 |
No |
2023-11-17 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
EMQT11 |
N |
CA00860073, CA00860073, CA00860073, CA00860073, CA00860073, CA00860073 |
A, A, A, A, A, A |
SFY2023-24 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-11-01 00:00:00 |
920019324 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-08-23 00:00:00 |
2023-08-23 00:00:00 |
No |
2023-11-27 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
VXHD11 |
N |
CA00858162, CA00858162, CA00858162 |
A, A, A |
SFY2023-24 |
920000083 |
CANYON OAKS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-11-02 00:00:00 |
920019330 |
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 |
2023-11-28 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
UXTM11 |
N |
CA00859259, CA00859259, CA00859259, CA00859665, CA00859665, CA00859665 |
B, B, B, B, B, B |
SFY2023-24 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-11-09 00:00:00 |
920019354 |
Open |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2023-09-25 00:00:00 |
2023-09-25 00:00:00 |
No |
2023-12-05 00:00:00 |
None |
WF |
None |
3500 |
3500 |
0 |
0 |
3500 |
None |
ND9I11 |
None |
None |
None |
SFY2023-24 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-08 00:00:00 |
920019457 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-10-17 00:00:00 |
2023-10-17 00:00:00 |
No |
2024-01-01 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
UVHR11 |
N |
CA00865998, CA00866036, CA00866036, CA00866036 |
B, B, B, B |
SFY2023-24 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-01-02 00:00:00 |
920019531 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-11-19 00:00:00 |
2023-11-19 00:00:00 |
No |
2024-01-23 00:00:00 |
None |
B |
None |
3000 |
9000 |
-3150 |
5850 |
0 |
None |
QYRP11 |
N |
CA00870815, CA00870815 |
B, B |
SFY2023-24 |
920000005 |
COUNTRY MANOR HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-01-10 00:00:00 |
920019587 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-11-16 00:00:00 |
2023-11-16 00:00:00 |
Yes |
2024-01-31 00:00:00 |
2024-01-30 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
ZCBX11 |
N |
CA00870062, CA00870062, CA00870758, CA00870758, CA00870826, CA00870826, CA00870826 |
B, B, B, B, B, B, B |
SFY2023-24 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-01-30 00:00:00 |
920019664 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-12-14 00:00:00 |
2023-12-14 00:00:00 |
No |
2024-02-20 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
CR1211 |
N |
CA00873561, CA00873561 |
B, B |
SFY2023-24 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-02-07 00:00:00 |
920019703 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-08-24 00:00:00 |
2023-08-24 00:00:00 |
No |
2024-02-29 00:00:00 |
None |
B |
None |
3000 |
3200 |
-1050 |
1950 |
200 |
None |
WYTP11 |
N |
CA00872611, CA00875147 |
B, A |
SFY2023-24 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-02-12 00:00:00 |
920019724 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-09-15 00:00:00 |
2023-09-15 00:00:00 |
No |
2024-03-05 00:00:00 |
None |
B |
None |
3000 |
9600 |
0 |
9600 |
0 |
None |
B94911 |
N |
CA00878286, CA00878286 |
B, B |
SFY2023-24 |
920000090 |
CASITAS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-04-05 00:00:00 |
920019966 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-02-23 00:00:00 |
2024-02-23 00:00:00 |
No |
2024-04-26 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
U1YY11 |
N |
None |
None |
SFY2023-24 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-05-10 00:00:00 |
920020170 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-11-26 00:00:00 |
2023-11-26 00:00:00 |
No |
2024-06-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
8FS211 |
N |
None |
None |
SFY2023-24 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-05-22 00:00:00 |
920020217 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-04-05 00:00:00 |
2024-04-05 00:00:00 |
No |
2024-06-13 00:00:00 |
None |
B |
None |
3000 |
9000 |
-3150 |
5850 |
0 |
None |
AUP811 |
N |
CA00893352, CA00893352, CA00893533 |
B, B, B |
SFY2023-24 |
920000084 |
CHATSWORTH PARK HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-05-30 00:00:00 |
920020238 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-04-07 00:00:00 |
2024-04-07 00:00:00 |
No |
2024-06-20 00:00:00 |
None |
B |
None |
3000 |
9000 |
-3150 |
5850 |
0 |
None |
8JWD11 |
N |
CA00893487 |
B |
SFY2023-24 |
930001309 |
CITRUS VALLEY MEDICAL CENTER - QV CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-04-18 00:00:00 |
930000319 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2000-04-14 00:00:00 |
None |
No |
2000-05-09 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
930010848 |
A99999 |
N |
None |
None |
SFY1999-00 |
930001568 |
COAST PLAZA DOCTORS HOSPITAL, D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-05-17 00:00:00 |
930000321 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-05-06 00:00:00 |
None |
Yes |
2001-05-31 00:00:00 |
2000-05-26 00:00:00 |
A |
A |
5000 |
5000 |
0 |
5000 |
0 |
930010895 |
A99999 |
N |
None |
None |
SFY1999-00 |
930001551 |
CASA COLINA HOSPITAL FOR REHAB. MEDICINE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-02-06 00:00:00 |
930000324 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-29 00:00:00 |
None |
No |
2001-03-01 00:00:00 |
None |
B |
None |
850 |
850 |
-297.5 |
552.5 |
0 |
930011644 |
A99999 |
N |
None |
None |
SFY2000-01 |
930000622 |
CALIFORNIA HOSPITAL MEDICAL CENTER - L.A. D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-05-02 00:00:00 |
930000325 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-20 00:00:00 |
None |
No |
2001-05-23 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
930011857 |
A99999 |
N |
None |
None |
SFY2000-01 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-02-02 00:00:00 |
940001382 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-12-31 00:00:00 |
None |
No |
2000-02-24 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
940005043 |
A99999 |
N |
None |
None |
SFY1999-00 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-03-30 00:00:00 |
940001391 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2000-02-23 00:00:00 |
2000-02-23 00:00:00 |
Yes |
2001-05-15 00:00:00 |
2000-04-07 00:00:00 |
B |
B Trebled |
1000 |
3000 |
0 |
3000 |
0 |
940005108 |
A99999 |
N |
None |
None |
SFY1999-00 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-05-25 00:00:00 |
940001396 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-05-25 00:00:00 |
None |
Yes |
2001-05-22 00:00:00 |
2000-05-30 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
940005112 |
A99999 |
N |
None |
None |
SFY1999-00 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-05-25 00:00:00 |
940001397 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-05-25 00:00:00 |
None |
Yes |
2001-05-31 00:00:00 |
2000-05-30 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
940005112 |
A99999 |
N |
None |
None |
SFY1999-00 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-09-21 00:00:00 |
940001403 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
POLICY & PROCEDURES |
2000-09-21 00:00:00 |
None |
No |
2000-10-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940005282 |
A99999 |
N |
None |
None |
SFY2000-01 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-04-11 00:00:00 |
940001414 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-11 00:00:00 |
None |
Yes |
2001-05-02 00:00:00 |
2001-04-17 00:00:00 |
B |
B |
950 |
475 |
0 |
475 |
0 |
940005520 |
A99999 |
N |
None |
None |
SFY2000-01 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-04-25 00:00:00 |
940001418 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-20 00:00:00 |
None |
No |
2001-05-16 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
940005548 |
A99999 |
N |
None |
None |
SFY2000-01 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-08-21 00:00:00 |
940001430 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-06-22 00:00:00 |
None |
Yes |
2001-09-12 00:00:00 |
2001-08-31 00:00:00 |
A |
A |
5000 |
5000 |
0 |
5000 |
0 |
940005721 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-09-07 00:00:00 |
940001431 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-18 00:00:00 |
None |
Yes |
2001-12-07 00:00:00 |
2001-09-17 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
940005743 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-09-07 00:00:00 |
940001432 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-12 00:00:00 |
None |
Yes |
2001-12-14 00:00:00 |
2001-09-17 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
940005687 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-09-07 00:00:00 |
940001433 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-27 00:00:00 |
None |
Yes |
2002-01-14 00:00:00 |
2001-09-17 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
940005743 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000048 |
COTTAGE CREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-10-10 00:00:00 |
940001436 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2001-04-03 00:00:00 |
None |
No |
2001-11-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940005837 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-02-20 00:00:00 |
940001451 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-23 00:00:00 |
None |
Yes |
2002-03-28 00:00:00 |
2002-03-07 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
940005917 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-02-20 00:00:00 |
940001452 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-23 00:00:00 |
None |
Yes |
2002-03-28 00:00:00 |
2002-03-07 00:00:00 |
B |
Drop>Deficiency |
1000 |
500 |
0 |
500 |
0 |
940005917 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-02-26 00:00:00 |
940001453 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-11-23 00:00:00 |
None |
Yes |
2002-03-28 00:00:00 |
2002-03-07 00:00:00 |
A |
B |
5000 |
5000 |
0 |
5000 |
0 |
940005917 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-05-13 00:00:00 |
940001459 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-02-24 00:00:00 |
None |
No |
2002-06-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940006093 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-08-02 00:00:00 |
940001468 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2002-07-01 00:00:00 |
None |
Yes |
2002-09-05 00:00:00 |
2002-08-16 00:00:00 |
B |
Drop>Deficiency |
500 |
500 |
0 |
500 |
0 |
940006193 |
A99999 |
N |
None |
None |
SFY2002-03 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-10-20 00:00:00 |
940001507 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2004-05-25 00:00:00 |
2004-05-25 00:00:00 |
Yes |
2005-11-10 00:00:00 |
2005-11-03 00:00:00 |
B |
None |
1000 |
40500 |
0 |
40500 |
0 |
940007654 |
A99999 |
N |
None |
None |
SFY2005-06 |
940000098 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-04-03 00:00:00 |
940003003 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-20 00:00:00 |
2005-11-20 00:00:00 |
Yes |
2006-05-08 00:00:00 |
2006-04-17 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PBDT11 |
N |
CA00066978 |
C |
SFY2005-06 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2007-06-15 00:00:00 |
940004036 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2007-01-14 00:00:00 |
2007-01-14 00:00:00 |
No |
2007-07-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
LPMO11 |
N |
CA00104172 |
C |
SFY2006-07 |
940000048 |
COTTAGE CREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2007-12-10 00:00:00 |
940004370 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-09-22 00:00:00 |
2007-09-22 00:00:00 |
No |
2008-01-02 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
LH0P11 |
N |
CA00127596 |
C |
SFY2007-08 |
940000098 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-02-14 00:00:00 |
940004696 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-05 00:00:00 |
2007-04-05 00:00:00 |
Yes |
2008-03-07 00:00:00 |
2008-03-03 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
CSMC11 |
N |
CA00112173 |
C |
SFY2007-08 |
940000048 |
COTTAGE CREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-04-09 00:00:00 |
940004886 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Administration |
None |
2007-11-01 00:00:00 |
2007-11-01 00:00:00 |
Yes |
2008-04-30 00:00:00 |
2008-04-22 00:00:00 |
WF |
None |
2500 |
2500 |
0 |
2500 |
0 |
None |
JVMG11 |
None |
None |
None |
SFY2007-08 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2008-07-28 00:00:00 |
940005268 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-05-05 00:00:00 |
2008-05-05 00:00:00 |
No |
2008-08-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
AWZZ11 |
N |
CA00147391 |
C |
SFY2008-09 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2009-09-15 00:00:00 |
940006432 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-06-13 00:00:00 |
2009-06-13 00:00:00 |
Yes |
2012-06-18 00:00:00 |
2012-05-31 00:00:00 |
A |
A |
20000 |
20000 |
0 |
20000 |
0 |
None |
527V11 |
N |
CA00192043 |
C |
SFY2009-10 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2009-09-15 00:00:00 |
940006515 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-06-13 00:00:00 |
2009-06-13 00:00:00 |
Yes |
2012-06-15 00:00:00 |
2012-05-31 00:00:00 |
A |
B |
20000 |
10000 |
0 |
10000 |
0 |
None |
527V11 |
N |
CA00192043 |
C |
SFY2009-10 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-02-24 00:00:00 |
940007928 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-12-28 00:00:00 |
2008-12-28 00:00:00 |
No |
2011-03-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
09NX11 |
N |
CA00173609 |
C |
SFY2010-11 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-02-24 00:00:00 |
940007969 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-31 00:00:00 |
2008-08-31 00:00:00 |
No |
2011-03-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
KUMG11 |
N |
CA00162266 |
C |
SFY2010-11 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-03-09 00:00:00 |
940008011 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-11-05 00:00:00 |
2009-11-05 00:00:00 |
Yes |
2011-03-30 00:00:00 |
2011-03-24 00:00:00 |
B |
B |
500 |
375 |
0 |
375 |
0 |
None |
ITOF11 |
N |
CA00208176 |
C |
SFY2010-11 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-05-26 00:00:00 |
940008276 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-09-10 00:00:00 |
2008-09-10 00:00:00 |
Yes |
2011-06-17 00:00:00 |
2011-05-27 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
None |
LG5I11 |
N |
CA00161725 |
C |
SFY2010-11 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-09-27 00:00:00 |
940008595 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-03-17 00:00:00 |
2011-03-17 00:00:00 |
No |
2011-10-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2ROH11 |
N |
CA00264964 |
B |
SFY2011-12 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-07-02 00:00:00 |
940009383 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-05-08 00:00:00 |
2012-05-08 00:00:00 |
No |
2012-07-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
X8UW11 |
N |
CA00309969 |
B |
SFY2012-13 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-08-21 00:00:00 |
940009451 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Misappropriation of Prope |
2011-10-28 00:00:00 |
2011-10-28 00:00:00 |
No |
2012-09-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
MWEH11 |
N |
CA00286822 |
B |
SFY2012-13 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2013-01-25 00:00:00 |
940009719 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-11-07 00:00:00 |
2012-11-07 00:00:00 |
No |
2013-02-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
SV2Q11 |
N |
CA00332557 |
A |
SFY2012-13 |
940000048 |
COTTAGE CREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-06-02 00:00:00 |
940010714 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2014-02-19 00:00:00 |
2014-02-19 00:00:00 |
Yes |
2014-06-23 00:00:00 |
2014-06-09 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
S1Z811 |
N |
CA00388285, CA00388285, CA00388285 |
B, B, B |
SFY2013-14 |
940000048 |
COTTAGE CREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-06-02 00:00:00 |
940010742 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2014-03-03 00:00:00 |
2014-03-03 00:00:00 |
Yes |
2014-06-23 00:00:00 |
2014-06-06 00:00:00 |
B |
B |
2000 |
2000 |
0 |
2000 |
0 |
None |
S1Z811 |
N |
CA00388285, CA00388285, CA00388285, CA00388285 |
B, B, B, B |
SFY2013-14 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-12-10 00:00:00 |
940011147 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-10-20 00:00:00 |
2014-10-20 00:00:00 |
No |
2015-01-02 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
I4F611 |
N |
CA00382650 |
B |
SFY2014-15 |
940000098 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2015-05-13 00:00:00 |
940011469 |
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 |
2015-06-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
H9J711 |
N |
CA00405852, CA00405852 |
A, A |
SFY2014-15 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2015-06-11 00:00:00 |
940011546 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-06-28 00:00:00 |
2014-06-28 00:00:00 |
Yes |
2015-07-02 00:00:00 |
2015-06-23 00:00:00 |
A |
B |
20000 |
16000 |
0 |
16000 |
0 |
None |
KWEW11 |
N |
CA00403861, CA00403861 |
A, A |
SFY2014-15 |
940000098 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2015-12-03 00:00:00 |
940011853 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-12-13 00:00:00 |
2014-12-13 00:00:00 |
No |
2015-12-24 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
QPB311 |
N |
CA00423877 |
B |
SFY2015-16 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-08-11 00:00:00 |
940012505 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2015-07-15 00:00:00 |
2015-07-15 00:00:00 |
No |
2016-09-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
VQIG11 |
N |
CA00450731 |
A |
SFY2016-17 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-09-30 00:00:00 |
940012610 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2015-06-17 00:00:00 |
2015-06-17 00:00:00 |
No |
2016-10-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
37SR11 |
N |
None |
None |
SFY2016-17 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-10-21 00:00:00 |
940012673 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-08-07 00:00:00 |
2016-08-07 00:00:00 |
No |
2016-11-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FSWN11 |
N |
CA00498490 |
A |
SFY2016-17 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-01-18 00:00:00 |
940012886 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-10-12 00:00:00 |
2016-10-12 00:00:00 |
No |
2017-02-08 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
BB5D11 |
N |
CA00506511 |
A |
SFY2016-17 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-03-15 00:00:00 |
940013046 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-09-15 00:00:00 |
2016-09-15 00:00:00 |
No |
2017-04-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
8TFL11 |
N |
CA00503088 |
B |
SFY2016-17 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-03-14 00:00:00 |
940013048 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-12-26 00:00:00 |
2016-12-26 00:00:00 |
No |
2017-04-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FQT811 |
N |
CA00516140 |
B |
SFY2016-17 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-05-31 00:00:00 |
940013137 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2016-11-02 00:00:00 |
2016-11-02 00:00:00 |
Yes |
2017-06-21 00:00:00 |
2017-06-21 00:00:00 |
AA |
AA |
100000 |
75000 |
0 |
75000 |
0 |
None |
575P11 |
Y |
CA00516664, CA00516664, CA00516664 |
A, A, A |
SFY2016-17 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-12-19 00:00:00 |
940013689 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-07-06 00:00:00 |
2017-07-06 00:00:00 |
Yes |
2018-01-10 00:00:00 |
2017-12-26 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
H3QS11 |
N |
CA00543698 |
B |
SFY2017-18 |
970000089 |
COLLEGE VISTA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-04-20 00:00:00 |
940014003 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-08-02 00:00:00 |
2017-08-02 00:00:00 |
No |
2018-05-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
QXX811 |
N |
CA00547002 |
B |
SFY2017-18 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-04-26 00:00:00 |
940014033 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-10-06 00:00:00 |
2017-10-06 00:00:00 |
No |
2018-05-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
9XKQ11 |
N |
CA00575460 |
A |
SFY2017-18 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-05-11 00:00:00 |
940014066 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-12-20 00:00:00 |
2017-12-20 00:00:00 |
No |
2018-06-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
2CEK11 |
N |
CA00568834, CA00568834 |
B, B |
SFY2017-18 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-06-01 00:00:00 |
940014106 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-12-21 00:00:00 |
2017-12-21 00:00:00 |
Yes |
2018-06-22 00:00:00 |
2018-06-07 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
4XYE11 |
N |
CA00566300 |
A |
SFY2017-18 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-06-15 00:00:00 |
940014139 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-03-10 00:00:00 |
2018-03-10 00:00:00 |
No |
2018-07-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
70H211 |
N |
CA00577597 |
B |
SFY2017-18 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-06-22 00:00:00 |
940014170 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-03-25 00:00:00 |
2018-03-25 00:00:00 |
Yes |
2018-07-16 00:00:00 |
2018-06-25 00:00:00 |
A |
A |
18000 |
12600 |
0 |
12600 |
0 |
None |
E2MJ11 |
N |
None |
None |
SFY2017-18 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-07-20 00:00:00 |
940014249 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-03-28 00:00:00 |
2018-03-28 00:00:00 |
Yes |
2018-08-10 00:00:00 |
2018-08-06 00:00:00 |
B |
B |
2000 |
1000 |
0 |
1000 |
0 |
None |
TTTM11 |
N |
CA00582561, CA00582561 |
A, A |
SFY2018-19 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-07-20 00:00:00 |
940014260 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-03-07 00:00:00 |
2018-03-07 00:00:00 |
No |
2018-08-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
Q7SJ11 |
N |
CA00574021 |
B |
SFY2018-19 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-08-02 00:00:00 |
940014311 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-03-29 00:00:00 |
2018-03-29 00:00:00 |
No |
2018-08-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
30VC11 |
N |
CA00582493, CA00582493 |
A, A |
SFY2018-19 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-08-02 00:00:00 |
940014315 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-09-23 00:00:00 |
2017-09-23 00:00:00 |
No |
2018-08-23 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
1IDZ11 |
N |
CA00554425, CA00554864, CA00554864 |
A, B, B |
SFY2018-19 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-09-05 00:00:00 |
940014389 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-04-27 00:00:00 |
2018-04-27 00:00:00 |
No |
2018-09-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
3VIR11 |
N |
CA00585892, CA00586511 |
A, A |
SFY2018-19 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-10-19 00:00:00 |
940014500 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-07-09 00:00:00 |
2018-07-09 00:00:00 |
No |
2018-11-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
NQVV11 |
N |
CA00596221, CA00596259 |
A, A |
SFY2018-19 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-11-02 00:00:00 |
940014555 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-05-02 00:00:00 |
2017-05-02 00:00:00 |
No |
2018-11-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
7FKX11 |
N |
CA00598877, CA00598877 |
B, B |
SFY2018-19 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-01-04 00:00:00 |
940014698 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2018-08-12 00:00:00 |
2018-08-12 00:00:00 |
Yes |
2019-01-25 00:00:00 |
2019-01-11 00:00:00 |
AA |
A |
100000 |
100000 |
0 |
100000 |
0 |
None |
37FN11 |
Y |
CA00607988, CA00607988, CA00607988 |
A, A, A |
SFY2018-19 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-01-23 00:00:00 |
940014759 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-04-10 00:00:00 |
2018-04-10 00:00:00 |
No |
2019-02-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
MHGK11 |
N |
CA00582185, CA00582185 |
A, A |
SFY2018-19 |
940000031 |
CATERED MANOR NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-02-01 00:00:00 |
940014769 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-11-04 00:00:00 |
2018-11-04 00:00:00 |
Yes |
2019-02-22 00:00:00 |
2019-02-06 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
EPSF11 |
Y |
CA00610650 |
A |
SFY2018-19 |
950000053 |
CLAREMONT MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-01-19 00:00:00 |
950001321 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-08-22 00:00:00 |
None |
Yes |
2000-02-25 00:00:00 |
2000-02-04 00:00:00 |
B |
None |
700 |
700 |
0 |
700 |
0 |
950006220 |
A99999 |
N |
None |
None |
SFY1999-00 |
950000053 |
CLAREMONT MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-01-25 00:00:00 |
950001323 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-08-23 00:00:00 |
None |
Yes |
2001-05-10 00:00:00 |
2000-02-04 00:00:00 |
A |
A |
6000 |
6000 |
0 |
6000 |
0 |
950006230 |
A99999 |
N |
None |
None |
SFY1999-00 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-02-29 00:00:00 |
950001330 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
WMF |
2000-02-11 00:00:00 |
None |
No |
2000-03-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
950006280 |
A99999 |
N |
None |
None |
SFY1999-00 |
950000033 |
CHINO VALLEY HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-05-24 00:00:00 |
950001338 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-07 00:00:00 |
None |
Yes |
2000-06-14 00:00:00 |
2000-05-31 00:00:00 |
B |
Drop>Deficiency |
800 |
800 |
0 |
800 |
0 |
950006381 |
A99999 |
N |
None |
None |
SFY1999-00 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-05-25 00:00:00 |
950001339 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-14 00:00:00 |
None |
No |
2000-06-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
950006382 |
A99999 |
N |
None |
None |
SFY1999-00 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-10-26 00:00:00 |
950001366 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-09-28 00:00:00 |
None |
No |
2000-11-17 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
950006619 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000033 |
CHINO VALLEY HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-01-17 00:00:00 |
950001376 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-11-09 00:00:00 |
None |
Yes |
2001-02-07 00:00:00 |
2001-02-05 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
950006642 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-12-12 00:00:00 |
950001377 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-11-28 00:00:00 |
None |
No |
2001-01-02 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
950006703 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-03-16 00:00:00 |
950001387 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NEGLECT/ABUSE |
2000-09-17 00:00:00 |
None |
No |
2001-04-23 00:00:00 |
None |
B |
B |
1000 |
1050 |
-800 |
250 |
0 |
950006811 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000040 |
COUNTRY OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-07-25 00:00:00 |
950001399 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-07-13 00:00:00 |
None |
No |
2001-09-13 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
950007004 |
A99999 |
N |
None |
None |
SFY2001-02 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2002-04-11 00:00:00 |
950001412 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NEGLECT/ABUSE |
2001-12-11 00:00:00 |
None |
No |
2002-05-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
950007243 |
A99999 |
N |
None |
None |
SFY2001-02 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2002-06-05 00:00:00 |
950001415 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-04 00:00:00 |
None |
No |
2002-07-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
950007339 |
A99999 |
N |
None |
None |
SFY2001-02 |
950000033 |
CHINO VALLEY HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2003-04-25 00:00:00 |
950001425 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-15 00:00:00 |
None |
No |
2003-05-22 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
950007778 |
A99999 |
N |
None |
None |
SFY2002-03 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2003-06-23 00:00:00 |
950001427 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-05-07 00:00:00 |
None |
No |
2003-07-21 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
950007879 |
A99999 |
N |
None |
None |
SFY2002-03 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2004-04-16 00:00:00 |
950001436 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2004-02-02 00:00:00 |
None |
Yes |
2004-06-08 00:00:00 |
2004-04-28 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
950008244 |
A99999 |
N |
None |
None |
SFY2003-04 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2004-04-29 00:00:00 |
950001437 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-04 00:00:00 |
None |
Yes |
2004-06-08 00:00:00 |
2004-05-07 00:00:00 |
B |
B |
1000 |
700 |
0 |
700 |
0 |
950008221 |
A99999 |
N |
None |
None |
SFY2003-04 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2005-04-12 00:00:00 |
950001439 |
Closed |
Citation |
Citation AA (HSC 1424) |
Medication |
None |
2004-07-02 00:00:00 |
None |
Yes |
2005-05-10 00:00:00 |
2005-04-27 00:00:00 |
AA |
A |
50000 |
37500 |
0 |
37500 |
0 |
950008449 |
A99999 |
Y |
None |
None |
SFY2004-05 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2008-12-19 00:00:00 |
950005366 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-27 00:00:00 |
2007-10-27 00:00:00 |
Yes |
2009-01-12 00:00:00 |
2009-01-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
D1RC11 |
N |
CA00130756 |
C |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2008-12-19 00:00:00 |
950005411 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-10-27 00:00:00 |
2007-10-27 00:00:00 |
Yes |
2009-12-14 00:00:00 |
2009-12-09 00:00:00 |
A |
B |
20000 |
6500 |
0 |
6500 |
0 |
None |
D1RC11 |
N |
CA00130756 |
C |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2008-12-19 00:00:00 |
950005435 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-10-27 00:00:00 |
2007-10-27 00:00:00 |
Yes |
2009-01-13 00:00:00 |
2009-12-09 00:00:00 |
AA |
B |
100000 |
6500 |
0 |
6500 |
0 |
None |
D1RC11 |
Y |
CA00130756 |
C |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006014 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006015 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006016 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006021 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006023 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006024 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006032 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006033 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006034 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006035 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-03-31 00:00:00 |
950006041 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-23 00:00:00 |
2009-02-23 00:00:00 |
Yes |
2009-04-21 00:00:00 |
2009-04-13 00:00:00 |
A |
Dismissed by Court |
20000 |
0 |
0 |
0 |
0 |
None |
LMCN11 |
N |
None |
None |
SFY2008-09 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2011-08-09 00:00:00 |
950008454 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-05-26 00:00:00 |
2011-05-26 00:00:00 |
No |
2011-08-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
K5Q711 |
N |
CA00224230 |
B |
SFY2011-12 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2011-09-07 00:00:00 |
950008528 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-08-24 00:00:00 |
2010-08-24 00:00:00 |
No |
2011-09-29 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
Q0KQ11 |
N |
CA00236244 |
B |
SFY2011-12 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2011-10-06 00:00:00 |
950008618 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-07 00:00:00 |
2009-08-07 00:00:00 |
No |
2011-10-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
E9YW11 |
N |
CA00197392 |
H |
SFY2011-12 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-01-31 00:00:00 |
950008890 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-12-10 00:00:00 |
2009-12-10 00:00:00 |
Yes |
2012-02-22 00:00:00 |
2012-02-09 00:00:00 |
A |
A |
10000 |
6500 |
0 |
6500 |
0 |
None |
396911 |
N |
CA00209584 |
C |
SFY2011-12 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-07-18 00:00:00 |
950009403 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2012-03-28 00:00:00 |
2012-03-28 00:00:00 |
No |
2012-08-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
BE9Q11 |
N |
CA00299715 |
B |
SFY2012-13 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-12-26 00:00:00 |
950009689 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2012-11-30 00:00:00 |
2012-11-30 00:00:00 |
No |
2013-01-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
U71W11 |
N |
None |
None |
SFY2012-13 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2013-02-08 00:00:00 |
950009735 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2012-11-27 00:00:00 |
2012-11-27 00:00:00 |
No |
2013-03-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
U71W21 |
N |
None |
None |
SFY2012-13 |
950000033 |
CHINO VALLEY HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2014-03-25 00:00:00 |
950009835 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2010-11-23 00:00:00 |
2010-11-23 00:00:00 |
Yes |
2014-04-16 00:00:00 |
2014-03-27 00:00:00 |
AA |
A |
100000 |
65000 |
0 |
65000 |
0 |
None |
XV4H11 |
Y |
CA00250612 |
A |
SFY2013-14 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-09-21 00:00:00 |
950010088 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-04-15 00:00:00 |
2015-04-15 00:00:00 |
Yes |
2016-10-12 00:00:00 |
2016-09-29 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
RR2311 |
N |
CA00438738 |
A |
SFY2016-17 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2013-08-12 00:00:00 |
950010089 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-04-25 00:00:00 |
2012-04-25 00:00:00 |
No |
2013-09-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
UJWR11 |
N |
CA00306664 |
B |
SFY2013-14 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-04-07 00:00:00 |
950012150 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-08-13 00:00:00 |
2015-08-13 00:00:00 |
Yes |
2016-04-28 00:00:00 |
2016-04-21 00:00:00 |
A |
A |
14000 |
14000 |
0 |
14000 |
0 |
None |
PMRJ11 |
N |
CA00452872 |
B |
SFY2015-16 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-07-25 00:00:00 |
950012240 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-08-06 00:00:00 |
2014-08-06 00:00:00 |
No |
2016-08-15 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
IPCW11 |
N |
CA00408570 |
A |
SFY2016-17 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-09-30 00:00:00 |
950012606 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-08-03 00:00:00 |
2016-08-03 00:00:00 |
No |
2016-10-21 00:00:00 |
None |
A |
None |
16000 |
16000 |
0 |
16000 |
0 |
None |
V3H811 |
N |
CA00498181 |
B |
SFY2016-17 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-12-22 00:00:00 |
950012799 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-09-27 00:00:00 |
2016-09-27 00:00:00 |
Yes |
2017-01-13 00:00:00 |
2016-12-30 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
R0KX11 |
N |
None |
None |
SFY2016-17 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-12-14 00:00:00 |
950012821 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-09-13 00:00:00 |
2016-09-13 00:00:00 |
No |
2017-01-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
RR6711 |
N |
CA00503005 |
B |
SFY2016-17 |
970000163 |
CAMELLIA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-01-26 00:00:00 |
950012911 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-10-26 00:00:00 |
2016-10-26 00:00:00 |
No |
2017-02-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
L1RH11 |
N |
CA00507233 |
B |
SFY2016-17 |
950000040 |
COUNTRY OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-04-27 00:00:00 |
950014032 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-10-13 00:00:00 |
2017-10-13 00:00:00 |
Yes |
2018-05-18 00:00:00 |
2018-05-03 00:00:00 |
A |
B |
20000 |
24000 |
0 |
24000 |
0 |
None |
I3NE11 |
Y |
CA00558971 |
A |
SFY2017-18 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-10-25 00:00:00 |
950014517 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-04-12 00:00:00 |
2018-04-12 00:00:00 |
No |
2018-11-16 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
6VYH11 |
Y |
CA00585132, CA00585132 |
B, B |
SFY2018-19 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-11-14 00:00:00 |
950014518 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-04-12 00:00:00 |
2018-04-12 00:00:00 |
No |
2018-12-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KGSL11 |
N |
CA00589496 |
A |
SFY2018-19 |
970000163 |
CAMELLIA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-11-29 00:00:00 |
950014612 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-08-10 00:00:00 |
2018-08-10 00:00:00 |
No |
2018-12-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
HCQM11 |
N |
CA00602662 |
B |
SFY2018-19 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2019-02-22 00:00:00 |
950014835 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-11-23 00:00:00 |
2018-11-23 00:00:00 |
No |
2019-03-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
N25E11 |
N |
CA00613451 |
A |
SFY2018-19 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2019-05-24 00:00:00 |
950015110 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2019-04-18 00:00:00 |
2019-04-18 00:00:00 |
No |
2019-06-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
U5ES11 |
N |
CA00626698 |
B |
SFY2018-19 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2019-08-09 00:00:00 |
950015288 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-05-16 00:00:00 |
2019-05-16 00:00:00 |
No |
2019-08-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QN8211 |
N |
CA00637939 |
B |
SFY2019-20 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2019-08-09 00:00:00 |
950015289 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-05-16 00:00:00 |
2019-05-16 00:00:00 |
No |
2019-08-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QN8211 |
N |
CA00637939 |
B |
SFY2019-20 |
970000089 |
COLLEGE VISTA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2020-01-10 00:00:00 |
950015674 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2019-12-29 00:00:00 |
2019-12-29 00:00:00 |
No |
2020-01-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
C17Z11 |
N |
CA00659241 |
B |
SFY2019-20 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-02-25 00:00:00 |
950016311 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-11-29 00:00:00 |
2020-11-29 00:00:00 |
No |
2021-03-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ZFYH11 |
N |
CA00714259 |
A |
SFY2020-21 |
970000089 |
COLLEGE VISTA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-05-19 00:00:00 |
950016509 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-07-29 00:00:00 |
2020-07-29 00:00:00 |
No |
2021-06-10 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
TV2O11 |
N |
CA00699076 |
B |
SFY2020-21 |
970000089 |
COLLEGE VISTA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-05-19 00:00:00 |
950016517 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-07-29 00:00:00 |
2020-07-29 00:00:00 |
No |
2021-06-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
TV2O11 |
N |
CA00699076 |
B |
SFY2020-21 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-07-23 00:00:00 |
950016745 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2021-04-12 00:00:00 |
2021-04-12 00:00:00 |
No |
2021-08-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
4VNU11 |
N |
CA00732537, CA00738538, CA00739312, CA00739312 |
A, A, B, B |
SFY2021-22 |
970000163 |
CAMELLIA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-08-13 00:00:00 |
950016807 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2021-06-15 00:00:00 |
2021-06-15 00:00:00 |
No |
2021-09-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
S37Y11 |
N |
None |
None |
SFY2021-22 |
970000163 |
CAMELLIA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-08-13 00:00:00 |
950016814 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
Accidents |
2021-06-23 00:00:00 |
2021-06-23 00:00:00 |
No |
2021-09-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
S37Y11 |
N |
None |
None |
SFY2021-22 |
950000033 |
CHINO VALLEY HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-08-20 00:00:00 |
950016837 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2020-06-20 00:00:00 |
2020-06-20 00:00:00 |
Yes |
2021-09-13 00:00:00 |
2021-08-27 00:00:00 |
B |
Drop>Deficiency |
2000 |
2000 |
0 |
2000 |
0 |
None |
MAB011 |
N |
CA00743055, CA00743055 |
A, A |
SFY2021-22 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-08-27 00:00:00 |
950016862 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-07-13 00:00:00 |
2021-07-13 00:00:00 |
No |
2021-09-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
32UI11 |
N |
None |
None |
SFY2021-22 |
970000089 |
COLLEGE VISTA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-10-15 00:00:00 |
950016987 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-04-26 00:00:00 |
2019-04-26 00:00:00 |
Yes |
2021-11-05 00:00:00 |
2021-10-26 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
88H311 |
N |
CA00745003 |
A |
SFY2021-22 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-11-08 00:00:00 |
950017062 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-08-04 00:00:00 |
2021-08-04 00:00:00 |
No |
2021-12-02 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
8U1811 |
N |
CA00747109, CA00747109, CA00747486, CA00747486, CA00747747, CA00747747, CA00747747, CA00747747 |
B, B, B, B, B, B, B, B |
SFY2021-22 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-01-07 00:00:00 |
950017250 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-09-25 00:00:00 |
2021-09-25 00:00:00 |
Yes |
2022-01-31 00:00:00 |
2022-01-26 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
3K2L11 |
N |
CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599 |
B, B, A, A, A, A, A |
SFY2021-22 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-01-07 00:00:00 |
950017253 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-09-25 00:00:00 |
2021-09-25 00:00:00 |
Yes |
2022-01-31 00:00:00 |
2022-01-26 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
3K2L11 |
N |
CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599 |
B, B, A, A, A, A, A |
SFY2021-22 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-01-07 00:00:00 |
950017256 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-04-12 00:00:00 |
2021-04-12 00:00:00 |
Yes |
2022-01-31 00:00:00 |
2022-01-26 00:00:00 |
B |
B |
2000 |
1400 |
0 |
1400 |
0 |
None |
3K2L11 |
N |
CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599 |
B, B, A, A, A, A, A |
SFY2021-22 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-01-07 00:00:00 |
950017258 |
Open |
Citation |
Citation A (HSC 1424) |
Other |
Abuse |
2021-09-25 00:00:00 |
2021-09-25 00:00:00 |
Yes |
2022-01-31 00:00:00 |
2022-01-26 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
3K2L11 |
N |
CA00761111, CA00761494, CA00763012, CA00763206, CA00763206, CA00763209, CA00763599 |
B, B, A, A, A, A, A |
SFY2021-22 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-01-28 00:00:00 |
950017289 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-05-04 00:00:00 |
2021-05-04 00:00:00 |
Yes |
2022-02-18 00:00:00 |
2022-02-17 00:00:00 |
A |
B |
20000 |
17000 |
0 |
17000 |
0 |
None |
YQBT11 |
N |
CA00759416, CA00759416, CA00759416 |
B, B, B |
SFY2021-22 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-02-18 00:00:00 |
950017371 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-11-23 00:00:00 |
2021-11-23 00:00:00 |
No |
2022-03-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
R1U911 |
N |
CA00762080, CA00762080, CA00762080, CA00762080, CA00762080 |
A, A, A, A, A |
SFY2021-22 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-03-15 00:00:00 |
950017494 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-12-28 00:00:00 |
2021-12-28 00:00:00 |
No |
2022-04-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
6F0N11 |
N |
CA00766681, CA00768855 |
B, B |
SFY2021-22 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-03-24 00:00:00 |
950017529 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
General Maintenance |
2022-02-15 00:00:00 |
2022-02-15 00:00:00 |
No |
2022-04-15 00:00:00 |
None |
B |
None |
2500 |
2500 |
0 |
2500 |
0 |
None |
BWCN21 |
N |
CA00773431, CA00773431 |
A, A |
SFY2021-22 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-04-08 00:00:00 |
950017558 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-01-26 00:00:00 |
2022-01-26 00:00:00 |
No |
2022-04-29 00:00:00 |
None |
B |
None |
3000 |
3200 |
0 |
3200 |
0 |
None |
SNLW11 |
N |
CA00768435 |
B |
SFY2021-22 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-05-04 00:00:00 |
950017618 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-12-18 00:00:00 |
2020-12-18 00:00:00 |
No |
2022-05-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FWJ311 |
N |
CA00719159 |
B |
SFY2021-22 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-06-02 00:00:00 |
950017690 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-03-03 00:00:00 |
2022-03-03 00:00:00 |
No |
2022-06-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
Y55611 |
N |
CA00775617, CA00775617, CA00775623 |
B, B, B |
SFY2021-22 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-06-09 00:00:00 |
950017696 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-03-09 00:00:00 |
2022-03-09 00:00:00 |
No |
2022-06-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
TIU911 |
Y |
CA00776535 |
A |
SFY2021-22 |
970000089 |
COLLEGE VISTA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-06-16 00:00:00 |
950017712 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-12-03 00:00:00 |
2021-12-03 00:00:00 |
No |
2022-07-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
8DP311 |
N |
CA00762736, CA00763315 |
B, B |
SFY2021-22 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-07-28 00:00:00 |
950017851 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-07-21 00:00:00 |
2021-07-21 00:00:00 |
No |
2022-08-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
OQAR11 |
N |
CA00744596 |
A |
SFY2022-23 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-07-28 00:00:00 |
950017854 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-07-15 00:00:00 |
2021-07-15 00:00:00 |
No |
2022-08-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
OQAR11 |
N |
CA00744596, CA00744596 |
A, A |
SFY2022-23 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-08-19 00:00:00 |
950017911 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-06-02 00:00:00 |
2022-06-02 00:00:00 |
No |
2022-09-12 00:00:00 |
None |
B |
None |
2500 |
2500 |
0 |
0 |
2500 |
None |
QGD111 |
N |
CA00788040 |
A |
SFY2022-23 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-10-06 00:00:00 |
950018055 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-05-24 00:00:00 |
2022-05-24 00:00:00 |
No |
2022-10-27 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
5K3D11 |
N |
CA00786207 |
A |
SFY2022-23 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-10-06 00:00:00 |
950018060 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-07-20 00:00:00 |
2022-07-20 00:00:00 |
No |
2022-10-27 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
4KNV11 |
N |
CA00794962 |
B |
SFY2022-23 |
950000002 |
CLAREMONT CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-10-06 00:00:00 |
950018061 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-06-12 00:00:00 |
2022-06-12 00:00:00 |
No |
2022-10-27 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
4KNV11 |
N |
CA00795492 |
A |
SFY2022-23 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-10-07 00:00:00 |
950018067 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-07-20 00:00:00 |
2022-07-20 00:00:00 |
No |
2022-10-28 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
TRWP11 |
N |
CA00796373, CA00796373 |
A, A |
SFY2022-23 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-01 00:00:00 |
950018192 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-05-06 00:00:00 |
2022-05-06 00:00:00 |
No |
2022-12-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
F4QX11 |
N |
CA00806826, CA00807089, CA00807089, CA00807627, CA00807627 |
B, A, A, A, A |
SFY2022-23 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-01 00:00:00 |
950018195 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-05-06 00:00:00 |
2022-05-06 00:00:00 |
No |
2022-12-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
F4QX11 |
N |
CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627 |
B, B, A, A, A, A, A, A |
SFY2022-23 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-01 00:00:00 |
950018202 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-05-06 00:00:00 |
2022-05-06 00:00:00 |
No |
2022-12-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
F4QX11 |
N |
CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627 |
B, B, A, A, A, A, A, A |
SFY2022-23 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-01 00:00:00 |
950018203 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-05-06 00:00:00 |
2022-05-06 00:00:00 |
No |
2022-12-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
F4QX11 |
N |
CA00806826, CA00806826, CA00807089, CA00807089, CA00807089, CA00807627, CA00807627, CA00807627 |
B, B, A, A, A, A, A, A |
SFY2022-23 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-02 00:00:00 |
950018209 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-01-10 00:00:00 |
2022-01-10 00:00:00 |
No |
2022-12-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
VKOL11 |
N |
CA00803392, CA00803392, CA00803392, CA00803392, CA00803402, CA00803402, CA00803402, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749, CA00804749 |
B, B, B, B, B, B, B, A, A, A, A, A, A, A |
SFY2022-23 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-08 00:00:00 |
950018222 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-08-01 00:00:00 |
2022-08-01 00:00:00 |
No |
2022-12-29 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
M1HQ11 |
N |
CA00796381 |
A |
SFY2022-23 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-29 00:00:00 |
950018275 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-11-09 00:00:00 |
2022-11-09 00:00:00 |
No |
2023-01-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
NW3M11 |
N |
None |
None |
SFY2022-23 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-02-09 00:00:00 |
950018397 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2022-12-13 00:00:00 |
2022-12-13 00:00:00 |
No |
2023-03-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
J8EX11 |
N |
CA00816128 |
A |
SFY2022-23 |
950000053 |
CLAREMONT MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-03-10 00:00:00 |
950018507 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-01 00:00:00 |
2023-01-01 00:00:00 |
No |
2023-04-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
O06X11 |
N |
None |
None |
SFY2022-23 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-04-14 00:00:00 |
950018637 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2023-03-01 00:00:00 |
2023-03-01 00:00:00 |
No |
2023-05-05 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
TVQO21 |
N |
CA00829330 |
A |
SFY2022-23 |
950000040 |
COUNTRY OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-05-23 00:00:00 |
950018789 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-04-10 00:00:00 |
2023-04-10 00:00:00 |
No |
2023-06-14 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
XSTK11 |
N |
CA00836796, CA00836865, CA00836986, CA00837609, CA00837721, CA00837721, CA00837820, CA00837964, CA00837964, CA00838043, CA00838195, CA00838195, CA00838195, CA00838198, CA00838198, CA00838198, CA00838383, CA00838383, CA00838383 |
B, B, B, B, B, B, A, A, A, B, A, A, A, B, B, B, B, B, B |
SFY2022-23 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-05-24 00:00:00 |
950018796 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2023-03-18 00:00:00 |
2023-03-18 00:00:00 |
No |
2023-06-15 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
JTBH11 |
N |
CA00831961, CA00831985 |
B, A |
SFY2022-23 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-06-16 00:00:00 |
950018872 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-04-11 00:00:00 |
2023-04-11 00:00:00 |
No |
2023-07-10 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
NF2V11 |
N |
CA00837342, CA00837342, CA00837342, CA00837342, CA00838505, CA00838505, CA00838505, CA00838505, CA00838508, CA00838508, CA00838508, CA00838508 |
B, B, B, B, A, A, A, A, A, A, A, A |
SFY2022-23 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-07-12 00:00:00 |
950018944 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-05-29 00:00:00 |
2023-05-29 00:00:00 |
No |
2023-08-02 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
SSVJ11 |
N |
CA00843112, CA00843834 |
A, A |
SFY2023-24 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-07-31 00:00:00 |
950019011 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-05-29 00:00:00 |
2023-05-29 00:00:00 |
No |
2023-08-21 00:00:00 |
None |
B |
None |
3000 |
3150 |
-1050 |
1950 |
150 |
None |
KVTV11 |
N |
CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759 |
B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A |
SFY2023-24 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-07-31 00:00:00 |
950019012 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-05-21 00:00:00 |
2023-05-21 00:00:00 |
No |
2023-08-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
KVTV11 |
N |
CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 |
B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A |
SFY2023-24 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-07-31 00:00:00 |
950019013 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-06-08 00:00:00 |
2023-06-08 00:00:00 |
No |
2023-08-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
KVTV11 |
N |
CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 |
B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A |
SFY2023-24 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-07-31 00:00:00 |
950019014 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-05-22 00:00:00 |
2023-05-22 00:00:00 |
No |
2023-08-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
KVTV11 |
N |
CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 |
B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A |
SFY2023-24 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-07-31 00:00:00 |
950019015 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-05-29 00:00:00 |
2023-05-29 00:00:00 |
No |
2023-08-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
KVTV11 |
N |
CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 |
B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A |
SFY2023-24 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-07-31 00:00:00 |
950019016 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-06-08 00:00:00 |
2023-06-08 00:00:00 |
No |
2023-08-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
KVTV11 |
N |
CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00842874, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00843077, CA00844456, CA00844456, CA00844456, CA00844456, CA00844456, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00844876, CA00846759, CA00846759, CA00846759, CA00846759, CA00846759 |
B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, B, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A, A |
SFY2023-24 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-08-23 00:00:00 |
950019091 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-06-29 00:00:00 |
2023-06-29 00:00:00 |
No |
2023-09-14 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
W20R11 |
N |
CA00849798, CA00849927 |
A, A |
SFY2023-24 |
950000053 |
CLAREMONT MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-08-31 00:00:00 |
950019121 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-07-15 00:00:00 |
2023-07-15 00:00:00 |
No |
2023-09-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
78XN11 |
N |
CA00851666, CA00851666 |
B, B |
SFY2023-24 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-09-08 00:00:00 |
950019141 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-25 00:00:00 |
2023-07-25 00:00:00 |
No |
2023-09-29 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
CGGX11 |
N |
CA00852605 |
B |
SFY2023-24 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-09-12 00:00:00 |
950019151 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2023-07-19 00:00:00 |
2023-07-19 00:00:00 |
No |
2023-10-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MC1P11 |
N |
CA00854842 |
A |
SFY2023-24 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-09-15 00:00:00 |
950019167 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-06-03 00:00:00 |
2023-06-03 00:00:00 |
No |
2023-10-06 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
UXFV11 |
N |
CA00854030, CA00854030 |
A, A |
SFY2023-24 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-09-20 00:00:00 |
950019180 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-08-11 00:00:00 |
2023-08-11 00:00:00 |
No |
2023-10-11 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
VD7011 |
N |
CA00853987, CA00853987, CA00853987 |
B, B, B |
SFY2023-24 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-10-12 00:00:00 |
950019255 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-08-24 00:00:00 |
2023-08-24 00:00:00 |
No |
2023-11-02 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
9VGD11 |
N |
CA00857683, CA00858505 |
B, B |
SFY2023-24 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-11-02 00:00:00 |
950019331 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-09-05 00:00:00 |
2023-09-05 00:00:00 |
No |
2023-11-28 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
DQLI11 |
N |
CA00861116, CA00861598 |
A, A |
SFY2023-24 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-12-27 00:00:00 |
950019529 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-11-15 00:00:00 |
2023-11-15 00:00:00 |
No |
2024-01-17 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
OPEU11 |
N |
CA00870381 |
A |
SFY2023-24 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-01-12 00:00:00 |
950019597 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-11-22 00:00:00 |
2023-11-22 00:00:00 |
No |
2024-02-02 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
WS2H11 |
N |
CA00869891, CA00869891 |
B, B |
SFY2023-24 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-03-27 00:00:00 |
950019918 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-02-10 00:00:00 |
2024-02-10 00:00:00 |
No |
2024-04-17 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
NH6011 |
N |
CA00884518 |
A |
SFY2023-24 |
950000022 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-05-10 00:00:00 |
950020171 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-03-18 00:00:00 |
2024-03-18 00:00:00 |
No |
2024-06-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
QY6E11 |
N |
CA00890190, CA00890490 |
A, A |
SFY2023-24 |
950000040 |
COUNTRY OAKS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-05-31 00:00:00 |
950020249 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-04-17 00:00:00 |
2024-04-17 00:00:00 |
No |
2024-06-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
39D211 |
N |
CA00892882 |
B |
SFY2023-24 |
950000052 |
CASA BONITA CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-06-17 00:00:00 |
950020329 |
Open |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2024-06-17 00:00:00 |
2024-06-17 00:00:00 |
No |
2024-07-09 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
1BBC11 |
N |
CA00903061, CA00903061 |
B, B |
SFY2023-24 |
960001150 |
CAMELOT DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-02-25 00:00:00 |
960000834 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-02-01 00:00:00 |
None |
No |
2000-03-17 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
960006894 |
A99999 |
N |
None |
None |
SFY1999-00 |
960001351 |
CEDAR HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-07-11 00:00:00 |
960000860 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2000-06-30 00:00:00 |
2000-06-30 00:00:00 |
Yes |
2000-08-01 00:00:00 |
2000-07-18 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
960007182 |
A99999 |
N |
None |
None |
SFY2000-01 |
960001150 |
CAMELOT DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-03-22 00:00:00 |
960000890 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-02-27 00:00:00 |
None |
No |
2001-06-18 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
960007584 |
A99999 |
N |
None |
None |
SFY2000-01 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-06-06 00:00:00 |
960000912 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-05-29 00:00:00 |
None |
No |
2001-07-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960007819 |
A99999 |
N |
None |
None |
SFY2000-01 |
960001351 |
CEDAR HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-08-15 00:00:00 |
960000927 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-02-06 00:00:00 |
None |
Yes |
2001-12-11 00:00:00 |
2001-09-05 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
960007867 |
A99999 |
N |
None |
None |
SFY2001-02 |
960002401 |
CASA DEL SOL DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-08-14 00:00:00 |
960000928 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-08-02 00:00:00 |
None |
No |
2001-09-14 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
960007961 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001351 |
CEDAR HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-08-15 00:00:00 |
960000930 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-03-10 00:00:00 |
None |
Yes |
2001-12-14 00:00:00 |
2001-09-05 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
960007867 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001351 |
CEDAR HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-08-15 00:00:00 |
960000931 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-03-10 00:00:00 |
None |
Yes |
2001-12-26 00:00:00 |
2001-09-05 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
960007867 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001351 |
CEDAR HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-08-15 00:00:00 |
960000932 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-06-05 00:00:00 |
None |
Yes |
2001-12-26 00:00:00 |
2001-09-05 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
960007867 |
A99999 |
N |
None |
None |
SFY2001-02 |
960002096 |
CANYON HOME II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-10-18 00:00:00 |
960000939 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2001-10-05 00:00:00 |
None |
No |
2001-11-21 00:00:00 |
None |
B |
None |
600 |
650 |
-210 |
440 |
0 |
960008098 |
A99999 |
N |
None |
None |
SFY2001-02 |
960002687 |
CROCKETT DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2002-04-12 00:00:00 |
960000967 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NEGLECT/ABUSE |
2002-01-08 00:00:00 |
None |
No |
2002-05-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960008267 |
A99999 |
N |
None |
None |
SFY2001-02 |
960002558 |
CERRITOS HOME CARE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2002-05-21 00:00:00 |
960000971 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2002-05-07 00:00:00 |
None |
No |
2002-06-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960008554 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001150 |
CAMELOT DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2002-10-11 00:00:00 |
960000989 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-05-16 00:00:00 |
None |
No |
2002-11-14 00:00:00 |
None |
B |
None |
650 |
650 |
-227.5 |
422.5 |
0 |
960008835 |
A99999 |
N |
None |
None |
SFY2002-03 |
960002558 |
CERRITOS HOME CARE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-04-19 00:00:00 |
960001013 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-30 00:00:00 |
None |
No |
2003-06-02 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
960009116 |
A99999 |
N |
None |
None |
SFY2002-03 |
960002558 |
CERRITOS HOME CARE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-04-19 00:00:00 |
960001014 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-03-29 00:00:00 |
None |
No |
2003-06-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009116 |
A99999 |
N |
None |
None |
SFY2002-03 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-23 00:00:00 |
960001050 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2003-11-30 00:00:00 |
None |
Yes |
2004-04-05 00:00:00 |
2004-03-03 00:00:00 |
B |
B |
1000 |
1000 |
-1000 |
0 |
0 |
960009542 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-23 00:00:00 |
960001051 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-12-09 00:00:00 |
None |
Yes |
2004-08-12 00:00:00 |
2004-03-03 00:00:00 |
B |
B |
1000 |
3150 |
-2150 |
1000 |
0 |
960009559 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-23 00:00:00 |
960001052 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-11-30 00:00:00 |
None |
Yes |
2004-08-12 00:00:00 |
2004-03-03 00:00:00 |
B |
Drop>Deficiency |
800 |
0 |
0 |
0 |
0 |
960009542 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-23 00:00:00 |
960001053 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2003-12-09 00:00:00 |
None |
Yes |
2004-03-15 00:00:00 |
2004-03-03 00:00:00 |
B |
B |
1000 |
1000 |
-1000 |
0 |
0 |
960009559 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-23 00:00:00 |
960001054 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-12-09 00:00:00 |
None |
Yes |
2004-04-05 00:00:00 |
2004-03-03 00:00:00 |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
960009559 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-23 00:00:00 |
960001055 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2002-12-01 00:00:00 |
None |
Yes |
2004-03-15 00:00:00 |
2004-03-03 00:00:00 |
B |
B |
1000 |
1050 |
-1050 |
0 |
0 |
960009559 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-24 00:00:00 |
960001056 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-12-09 00:00:00 |
None |
Yes |
2006-03-10 00:00:00 |
2004-03-03 00:00:00 |
B |
B |
1000 |
1000 |
-1000 |
0 |
0 |
960009559 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-24 00:00:00 |
960001057 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-12-09 00:00:00 |
None |
Yes |
2006-03-20 00:00:00 |
2004-03-03 00:00:00 |
B |
B |
1000 |
1000 |
-1000 |
0 |
0 |
960009559 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002467 |
COMMUNITY CARE SERVICES - ARMSTEAD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-02-26 00:00:00 |
960001058 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-12-09 00:00:00 |
None |
Yes |
2004-04-05 00:00:00 |
2004-03-03 00:00:00 |
B |
B |
1000 |
1000 |
-1000 |
0 |
0 |
960009559 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001720 |
CASA MONTANA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-04-02 00:00:00 |
960001065 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-03-15 00:00:00 |
None |
No |
2004-05-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009651 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001351 |
CEDAR HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-01-14 00:00:00 |
960001100 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-14 00:00:00 |
None |
No |
2005-02-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010029 |
A99999 |
N |
None |
None |
SFY2004-05 |
960002687 |
CROCKETT DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-09-14 00:00:00 |
960001143 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-19 00:00:00 |
None |
No |
2005-10-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010287 |
A99999 |
N |
None |
None |
SFY2005-06 |
960002863 |
CHELSEA HOME CARE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-10-28 00:00:00 |
960001153 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-09-20 00:00:00 |
2005-09-20 00:00:00 |
No |
2005-11-21 00:00:00 |
None |
B |
None |
1000 |
1650 |
0 |
1650 |
0 |
960010348 |
A99999 |
N |
None |
None |
SFY2005-06 |
960001659 |
CASA CARLOS |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-02-09 00:00:00 |
960001171 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-06-14 00:00:00 |
2005-06-14 00:00:00 |
No |
2006-03-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010463 |
A99999 |
N |
None |
None |
SFY2005-06 |
960002558 |
CERRITOS HOME CARE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-04-10 00:00:00 |
960003021 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-03-20 00:00:00 |
2006-03-20 00:00:00 |
No |
2006-05-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0DL811 |
N |
None |
None |
SFY2005-06 |
960002151 |
CASA JOHN |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-04-21 00:00:00 |
960003052 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-03-28 00:00:00 |
2006-03-28 00:00:00 |
No |
2006-05-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
RZRE11 |
N |
CA00076334 |
B |
SFY2005-06 |
960002202 |
CASA TERRY |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-05-09 00:00:00 |
960003088 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-04-14 00:00:00 |
2006-04-14 00:00:00 |
No |
2006-05-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D5SZ11 |
N |
None |
None |
SFY2005-06 |
960002202 |
CASA TERRY |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-04-03 00:00:00 |
960003866 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-02-27 00:00:00 |
2007-02-27 00:00:00 |
No |
2007-04-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
H2SN11 |
N |
None |
None |
SFY2006-07 |
960002863 |
CHELSEA HOME CARE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-05-15 00:00:00 |
960003957 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-22 00:00:00 |
2007-04-22 00:00:00 |
Yes |
2007-06-05 00:00:00 |
2007-05-23 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
JFCF11 |
N |
None |
None |
SFY2006-07 |
960002863 |
CHELSEA HOME CARE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-05-15 00:00:00 |
960003958 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-28 00:00:00 |
2007-04-28 00:00:00 |
Yes |
2007-06-05 00:00:00 |
2007-05-15 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
JFCF11 |
N |
None |
None |
SFY2006-07 |
960002863 |
CHELSEA HOME CARE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-05-15 00:00:00 |
960003959 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2007-04-22 00:00:00 |
2007-04-22 00:00:00 |
Yes |
2007-06-05 00:00:00 |
2007-05-15 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
JFCF11 |
N |
None |
None |
SFY2006-07 |
960001150 |
CAMELOT DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-05-23 00:00:00 |
960003980 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-05-09 00:00:00 |
2007-05-09 00:00:00 |
No |
2007-07-11 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
None |
4X5E11 |
N |
CA00114252 |
A |
SFY2006-07 |
960002901 |
CK II |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-08-03 00:00:00 |
960004159 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-15 00:00:00 |
2007-07-15 00:00:00 |
No |
2007-08-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
00DG11 |
N |
CA00121564 |
C |
SFY2007-08 |
960002151 |
CASA JOHN |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2008-06-17 00:00:00 |
960005111 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-05-22 00:00:00 |
2008-05-22 00:00:00 |
No |
2008-07-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
PJPR11 |
N |
None |
None |
SFY2007-08 |
960002901 |
CK II |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2009-04-14 00:00:00 |
960006094 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-03-25 00:00:00 |
2009-03-25 00:00:00 |
No |
2009-05-05 00:00:00 |
None |
B |
None |
1000 |
1200 |
0 |
1200 |
0 |
None |
KZDE11 |
N |
None |
None |
SFY2008-09 |
960001152 |
CAPISTRANO DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2009-08-06 00:00:00 |
960006444 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-06-08 00:00:00 |
2009-06-08 00:00:00 |
No |
2009-08-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
99JC11 |
N |
CA00191437 |
C |
SFY2009-10 |
960002863 |
CHELSEA HOME CARE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-02-16 00:00:00 |
960006990 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-11-17 00:00:00 |
2009-11-17 00:00:00 |
No |
2010-03-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3G6E11 |
N |
CA00209652 |
C |
SFY2009-10 |
960002901 |
CK II |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-04-04 00:00:00 |
960007183 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-03-19 00:00:00 |
2010-03-19 00:00:00 |
No |
2010-04-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
2V3J11 |
N |
None |
None |
SFY2009-10 |
960002901 |
CK II |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-05-04 00:00:00 |
960007184 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-03-19 00:00:00 |
2010-03-19 00:00:00 |
No |
2010-05-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
2V3J11 |
N |
None |
None |
SFY2009-10 |
960001407 |
CLARK DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2011-06-09 00:00:00 |
960008272 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-12-30 00:00:00 |
2010-12-30 00:00:00 |
Yes |
2011-06-30 00:00:00 |
2011-06-28 00:00:00 |
A |
A |
5000 |
5000 |
0 |
5000 |
0 |
None |
C4IW11 |
N |
CA00255503 |
C |
SFY2010-11 |
960002901 |
CK II |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2011-07-08 00:00:00 |
960008364 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-05-24 00:00:00 |
2011-05-24 00:00:00 |
No |
2011-07-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3CVV11 |
N |
None |
None |
SFY2011-12 |
960002899 |
CK I |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2011-07-18 00:00:00 |
960008389 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-05-24 00:00:00 |
2011-05-24 00:00:00 |
No |
2011-08-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
1P0P11 |
N |
None |
None |
SFY2011-12 |
960001150 |
CAMELOT DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2013-03-22 00:00:00 |
960009794 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2012-10-17 00:00:00 |
2012-10-17 00:00:00 |
No |
2013-04-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
NJS611 |
N |
CA00331067 |
B |
SFY2012-13 |
960001150 |
CAMELOT DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2013-03-22 00:00:00 |
960009795 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2012-10-17 00:00:00 |
2012-10-17 00:00:00 |
No |
2013-04-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
NJS611 |
N |
CA00331067 |
B |
SFY2012-13 |
960002901 |
CK II |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2013-09-18 00:00:00 |
960010152 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-03-11 00:00:00 |
2013-03-11 00:00:00 |
No |
2013-10-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
9JIL11 |
N |
None |
None |
SFY2013-14 |
630013691 |
CHATEAU RESIDENTIAL CARE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2017-04-24 00:00:00 |
960013139 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2017-01-24 00:00:00 |
2017-01-24 00:00:00 |
No |
2017-05-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
5VIL11 |
N |
None |
None |
SFY2016-17 |
630013691 |
CHATEAU RESIDENTIAL CARE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2017-04-24 00:00:00 |
960013147 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-01-24 00:00:00 |
2017-01-24 00:00:00 |
No |
2017-05-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
5VIL11 |
N |
None |
None |
SFY2016-17 |
630014292 |
COLD SPRINGS HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2017-05-03 00:00:00 |
960013157 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2015-04-08 00:00:00 |
2015-04-08 00:00:00 |
No |
2017-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LSZR11 |
N |
None |
None |
SFY2016-17 |
630013691 |
CHATEAU RESIDENTIAL CARE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2018-06-29 00:00:00 |
960014154 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-01-31 00:00:00 |
2018-01-31 00:00:00 |
No |
2018-07-23 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
XGOR11 |
N |
None |
None |
SFY2017-18 |
960001720 |
CASA MONTANA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2022-02-03 00:00:00 |
960017312 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2021-12-14 00:00:00 |
2021-12-14 00:00:00 |
No |
2022-02-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TV8311 |
N |
None |
None |
SFY2021-22 |
960001720 |
CASA MONTANA |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2022-02-03 00:00:00 |
960017315 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2021-12-16 00:00:00 |
2021-12-16 00:00:00 |
No |
2022-02-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TV8311 |
N |
None |
None |
SFY2021-22 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001007 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-20 00:00:00 |
2000-03-23 00:00:00 |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
B |
800 |
1000 |
0 |
1000 |
0 |
970005110 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001008 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-20 00:00:00 |
2000-03-23 00:00:00 |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005111 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001009 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-01-04 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005112 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001010 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-02-09 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005113 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001011 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1998-02-26 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005114 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001012 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-02-08 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005115 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001013 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1998-12-10 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005116 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001014 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-02-08 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005117 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001015 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-12-31 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005118 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001016 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1998-12-01 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005119 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001017 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-16 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005120 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001018 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1997-11-13 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005121 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001019 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-02-25 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005122 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001020 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-05-16 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005123 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001021 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-08 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005124 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001022 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-11 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005125 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001023 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1998-12-10 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005126 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001024 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-09-16 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005127 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001025 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-02-14 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005128 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001026 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-30 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005129 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001027 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-06-23 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005130 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001028 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-09-16 00:00:00 |
None |
No |
2000-05-09 00:00:00 |
None |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005131 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001029 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-02-03 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005132 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001030 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-02-04 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005133 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001031 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-02-29 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005134 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001032 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-08 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005135 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001033 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-15 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005136 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001034 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-15 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005137 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001035 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-09-16 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005138 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001036 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-08 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005139 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001037 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-08 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005140 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001038 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-08 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005141 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
970001039 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-08 00:00:00 |
None |
Yes |
2000-05-09 00:00:00 |
2000-05-02 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
970005142 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-05-11 00:00:00 |
970001041 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-04-28 00:00:00 |
None |
No |
2000-06-01 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
970005177 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000163 |
CAMELLIA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-08-17 00:00:00 |
970001093 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-06-15 00:00:00 |
None |
No |
2000-09-07 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
970005649 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-01-03 00:00:00 |
970001370 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-12-19 00:00:00 |
None |
No |
2002-02-15 00:00:00 |
None |
B |
None |
1000 |
1700 |
-350 |
1350 |
0 |
970007019 |
A99999 |
N |
None |
None |
SFY2001-02 |
980000858 |
CAREMERIDIAN - MAYALL HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2004-10-04 00:00:00 |
980000242 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE/NEGLECT |
2004-09-03 00:00:00 |
None |
Yes |
2004-10-26 00:00:00 |
2004-10-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
980010666 |
A99999 |
N |
None |
None |
SFY2004-05 |
630011586 |
CAREMERIDIAN - VICTORY HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2010-04-26 00:00:00 |
980007169 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-02-18 00:00:00 |
2010-02-18 00:00:00 |
No |
2010-05-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
OE0O11 |
N |
CA00219059 |
B |
SFY2009-10 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2014-05-29 00:00:00 |
980010736 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-03-04 00:00:00 |
2014-03-04 00:00:00 |
No |
2014-06-19 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
None |
U7OH11 |
N |
CA00389254 |
B |
SFY2013-14 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2014-05-29 00:00:00 |
980010737 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-03-04 00:00:00 |
2014-03-04 00:00:00 |
No |
2014-06-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
U7OH11 |
N |
CA00389254 |
B |
SFY2013-14 |
630013243 |
CORBIN CONGREGATE HOME, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2015-09-30 00:00:00 |
980011733 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-06-10 00:00:00 |
2015-06-10 00:00:00 |
No |
2015-10-21 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
56DW11 |
N |
CA00446093 |
A |
SFY2015-16 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2016-11-10 00:00:00 |
980012542 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2016-04-30 00:00:00 |
2016-04-30 00:00:00 |
Yes |
2016-12-06 00:00:00 |
2016-12-08 00:00:00 |
AA |
AA |
25000 |
16250 |
0 |
16250 |
0 |
None |
4J3J11 |
Y |
CA00486481, CA00487360 |
B, B |
SFY2016-17 |
630014038 |
CROFT LIVING HOME INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2016-11-21 00:00:00 |
980012767 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-08-29 00:00:00 |
2016-08-29 00:00:00 |
No |
2016-12-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IW9M11 |
N |
CA00498696, CA00501016 |
B, A |
SFY2016-17 |
980000858 |
CAREMERIDIAN - MAYALL HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2018-02-01 00:00:00 |
980013777 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2017-11-03 00:00:00 |
2017-11-03 00:00:00 |
No |
2018-02-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
NUYR11 |
N |
CA00559539 |
A |
SFY2017-18 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2018-12-07 00:00:00 |
980014624 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-11-05 00:00:00 |
2018-11-05 00:00:00 |
No |
2018-12-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SKS711 |
N |
CA00606608 |
B |
SFY2018-19 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2018-12-28 00:00:00 |
980014692 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-11-04 00:00:00 |
2018-11-04 00:00:00 |
No |
2019-01-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SEZJ11 |
N |
CA00609783 |
B |
SFY2018-19 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2020-07-29 00:00:00 |
980015944 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2020-04-01 00:00:00 |
2020-04-01 00:00:00 |
No |
2020-08-19 00:00:00 |
None |
AA |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
0I4D11 |
Y |
CA00682907, CA00682907, CA00683913 |
A, A, B |
SFY2020-21 |
630017710 |
CARESOURCE CONGREGATE LIVING |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2022-01-14 00:00:00 |
980017268 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-11-04 00:00:00 |
2021-11-04 00:00:00 |
No |
2022-02-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6QM011 |
N |
CA00761225 |
B |
SFY2021-22 |
630017710 |
CARESOURCE CONGREGATE LIVING |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2022-02-25 00:00:00 |
980017449 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-12-30 00:00:00 |
2021-12-30 00:00:00 |
No |
2022-03-18 00:00:00 |
None |
B |
None |
1000 |
1250 |
-350 |
900 |
0 |
None |
JU4511 |
Y |
CA00766515, CA00766515, CA00766515 |
A, A, A |
SFY2021-22 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-04-13 00:00:00 |
980018630 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-03-15 00:00:00 |
2023-03-15 00:00:00 |
No |
2023-05-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
RJQZ11 |
N |
None |
None |
SFY2022-23 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-04-13 00:00:00 |
980018631 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2023-03-15 00:00:00 |
2023-03-15 00:00:00 |
No |
2023-05-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
RJQZ11 |
N |
None |
None |
SFY2022-23 |
630013062 |
CAPRI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-04-13 00:00:00 |
980018634 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2023-03-14 00:00:00 |
2023-03-14 00:00:00 |
No |
2023-05-04 00:00:00 |
None |
B |
None |
1000 |
1450 |
-350 |
1100 |
0 |
None |
RJQZ11 |
N |
None |
None |
SFY2022-23 |
630011586 |
CAREMERIDIAN - VICTORY HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-08-30 00:00:00 |
980019111 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-26 00:00:00 |
2023-07-26 00:00:00 |
No |
2023-09-21 00:00:00 |
None |
B |
None |
1000 |
1450 |
0 |
1000 |
450 |
None |
P4YB11 |
N |
CA00855627, CA00855627 |
A, A |
SFY2023-24 |
630011586 |
CAREMERIDIAN - VICTORY HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-08-30 00:00:00 |
980019112 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-26 00:00:00 |
2023-07-26 00:00:00 |
No |
2023-09-21 00:00:00 |
None |
B |
None |
1000 |
1100 |
0 |
0 |
1100 |
None |
P4YB11 |
N |
CA00855627, CA00855627 |
A, A |
SFY2023-24 |
630013243 |
CORBIN CONGREGATE HOME, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-09-14 00:00:00 |
980019165 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-08-23 00:00:00 |
2023-08-23 00:00:00 |
No |
2023-10-05 00:00:00 |
None |
B |
None |
1000 |
3100 |
0 |
0 |
3100 |
None |
D09R11 |
N |
CA00857534, CA00857534 |
A, A |
SFY2023-24 |
630013243 |
CORBIN CONGREGATE HOME, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-10-27 00:00:00 |
980019309 |
Open |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2023-09-12 00:00:00 |
2023-09-12 00:00:00 |
No |
2023-11-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
0 |
1000 |
None |
47GA11 |
N |
CA00860342, CA00860342 |
A, A |
SFY2023-24 |
630015325 |
CASA VALLE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-03-15 00:00:00 |
980019877 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-01-23 00:00:00 |
2024-01-23 00:00:00 |
No |
2024-04-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
F3T211 |
N |
CA00882561, CA00882561, CA00882561, CA00882561, CA00882561 |
B, B, B, B, B |
SFY2023-24 |
630015325 |
CASA VALLE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-03-15 00:00:00 |
980019879 |
Open |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2023-12-27 00:00:00 |
2023-12-27 00:00:00 |
No |
2024-04-08 00:00:00 |
None |
B |
None |
1000 |
1150 |
-350 |
650 |
150 |
None |
WWMN11 |
N |
CA00883888, CA00883888 |
A, A |
SFY2023-24 |
630017710 |
CARESOURCE CONGREGATE LIVING |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-03-22 00:00:00 |
980019902 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-01-23 00:00:00 |
2024-01-23 00:00:00 |
No |
2024-04-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BZEU11 |
N |
CA00880940, CA00880940 |
A, A |
SFY2023-24 |
630011586 |
CAREMERIDIAN - VICTORY HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-05-31 00:00:00 |
980020252 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-04-02 00:00:00 |
2024-04-02 00:00:00 |
No |
2024-06-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
R6HG11 |
N |
CA00892739 |
A |
SFY2023-24 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2023-02-23 00:00:00 |
990018433 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-12-24 00:00:00 |
2022-12-24 00:00:00 |
No |
2023-03-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
8YLM11 |
N |
CA00819523 |
C |
SFY2022-23 |
100001573 |
CARCIDO'S ICF/DD-H #4 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Stockton |
2023-08-25 00:00:00 |
990019076 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-08-01 00:00:00 |
2023-08-01 00:00:00 |
No |
2023-09-18 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
LJQZ11 |
N |
CA00853996, CA00853996 |
A, A |
SFY2023-24 |
100001166 |
CARCIDO'S ICF/DD-H #1 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Stockton |
2024-03-12 00:00:00 |
990019776 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-12-20 00:00:00 |
2023-12-20 00:00:00 |
No |
2024-04-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
WT1511 |
N |
CA00881705 |
B |
SFY2023-24 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2024-03-21 00:00:00 |
990019868 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-01-26 00:00:00 |
2024-01-26 00:00:00 |
No |
2024-04-12 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
DJV511 |
N |
CA00882107 |
B |
SFY2023-24 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2024-03-21 00:00:00 |
990019869 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-01-26 00:00:00 |
2024-01-26 00:00:00 |
No |
2024-04-12 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
DJV511 |
N |
CA00882107 |
B |
SFY2023-24 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2024-06-14 00:00:00 |
990020326 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-02-25 00:00:00 |
2024-02-25 00:00:00 |
No |
2024-07-08 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
5DGN11 |
N |
CA00886803 |
B |
SFY2023-24 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-04-13 00:00:00 |
020016404 |
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 |
2021-04-28 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
PC5111 |
None |
None |
None |
SFY2020-21 |
020000276 |
CANYON CREEK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2022-07-28 00:00:00 |
020017803 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-09-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-08-12 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
FKG211 |
None |
None |
None |
SFY2022-23 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-07-25 00:00:00 |
030010872 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2013-10-02 00:00:00 |
2014-01-01 00:00:00 |
Yes |
2014-08-09 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
40WH11 |
None |
None |
None |
SFY2014-15 |
030000020 |
CARMICHAEL POSTACUTE CARE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2018-07-30 00:00:00 |
030014264 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2016-10-03 00:00:00 |
2017-01-02 00:00:00 |
No |
2018-08-14 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
CSW011 |
None |
None |
None |
SFY2018-19 |
050000005 |
COUNTRY CARE CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Ventura |
2017-09-28 00:00:00 |
050013511 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2016-01-26 00:00:00 |
2016-04-26 00:00:00 |
No |
2017-10-13 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
-15000 |
0 |
0 |
None |
JMYB11 |
None |
None |
None |
SFY2017-18 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2013-10-10 00:00:00 |
070010174 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2012-02-14 00:00:00 |
2012-04-30 00:00:00 |
No |
2013-10-25 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
P7RT11 |
None |
None |
None |
SFY2013-14 |
070000038 |
CRESTHAVEN SKILLED NURSING FACILITY, INC. |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-04-21 00:00:00 |
070012208 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2015-03-17 00:00:00 |
2015-06-16 00:00:00 |
No |
2016-05-06 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
-15000 |
0 |
0 |
None |
MX2V11 |
None |
None |
None |
SFY2015-16 |
070000027 |
CARMEL HILLS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-08-05 00:00:00 |
070016789 |
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 |
C29Q11 |
None |
None |
None |
SFY2021-22 |
070000034 |
CARMEL VALLEY MANOR |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-03-09 00:00:00 |
070017459 |
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 |
2021-12-31 00:00:00 |
No |
2022-03-24 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
V7Z811 |
None |
None |
None |
SFY2021-22 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-01-04 00:00:00 |
070019540 |
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 |
2024-01-25 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
01SI11 |
None |
None |
None |
SFY2023-24 |
090000041 |
COMMUNITY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2019-02-21 00:00:00 |
100014822 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-07-01 00:00:00 |
2017-09-30 00:00:00 |
No |
2019-03-08 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
Y3WQ11 |
None |
None |
None |
SFY2018-19 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2019-03-25 00:00:00 |
100014894 |
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 |
2019-04-09 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
163D11 |
None |
None |
None |
SFY2018-19 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2021-10-07 00:00:00 |
100016972 |
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 |
2021-10-22 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
WY0G11 |
None |
None |
None |
SFY2021-22 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-08-13 00:00:00 |
170015280 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-07-01 00:00:00 |
2017-09-30 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
9SGI11 |
None |
None |
None |
SFY2019-20 |
220000046 |
CENTRAL GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2018-08-15 00:00:00 |
220014322 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-02-23 00:00:00 |
2017-05-25 00:00:00 |
No |
2018-08-30 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
1EXU11 |
None |
None |
None |
SFY2018-19 |
220000045 |
CARLMONT GARDENS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2021-07-27 00:00:00 |
220016766 |
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 |
HRNV11 |
None |
None |
None |
SFY2021-22 |
230000279 |
CRYSTAL RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2012-11-29 00:00:00 |
230009526 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2011-10-10 00:00:00 |
2012-01-06 00:00:00 |
No |
2012-12-14 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
RQ6X11 |
None |
None |
None |
SFY2012-13 |
230000031 |
CYPRESS MEADOWS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2013-07-15 00:00:00 |
230009995 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2011-06-20 00:00:00 |
2011-09-16 00:00:00 |
No |
2013-07-30 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
7Q0211 |
None |
None |
None |
SFY2013-14 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2022-09-21 00:00:00 |
230017988 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2022-10-12 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
0 |
50000 |
None |
HPZP11 |
None |
None |
None |
SFY2022-23 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2016-05-26 00:00:00 |
240012206 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2015-03-17 00:00:00 |
2015-06-16 00:00:00 |
No |
2016-06-10 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
T38G11 |
None |
None |
None |
SFY2015-16 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2018-09-12 00:00:00 |
240014390 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-03-17 00:00:00 |
2017-06-16 00:00:00 |
No |
2018-09-27 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
W3QE11 |
None |
None |
None |
SFY2018-19 |
250000043 |
COMMUNITY CARE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2023-02-22 00:00:00 |
250018413 |
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 |
2023-03-15 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
X6Z911 |
None |
None |
None |
SFY2022-23 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2019-08-21 00:00:00 |
810015314 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-07-01 00:00:00 |
2017-09-30 00:00:00 |
No |
2019-09-05 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
0 |
15000 |
None |
O2WB11 |
None |
None |
None |
SFY2019-20 |
220000046 |
CENTRAL GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2019-10-14 00:00:00 |
810015442 |
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 |
2019-10-29 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
JNE811 |
None |
None |
None |
SFY2019-20 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-07-13 00:00:00 |
810015926 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2018-07-30 00:00:00 |
2018-10-29 00:00:00 |
No |
2020-08-04 00:00:00 |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
NSG411 |
None |
None |
None |
SFY2020-21 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2020-08-04 00:00:00 |
810016010 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2018-07-31 00:00:00 |
2018-10-30 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
MJGW11 |
None |
None |
None |
SFY2020-21 |
940000020 |
COSTA DEL SOL HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-07-30 00:00:00 |
810016014 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2018-07-30 00:00:00 |
2018-10-29 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
VWXU11 |
None |
None |
None |
SFY2020-21 |
020000087 |
CROWN BAY NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2020-09-15 00:00:00 |
810016078 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2018-12-31 00:00:00 |
2019-04-01 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
P1QC11 |
None |
None |
None |
SFY2020-21 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2020-11-05 00:00:00 |
810016118 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2018-10-14 00:00:00 |
2019-01-13 00:00:00 |
No |
2020-11-20 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
63E611 |
None |
None |
None |
SFY2020-21 |
080000820 |
COUNTRY HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2020-12-30 00:00:00 |
810016210 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2018-10-01 00:00:00 |
2018-12-31 00:00:00 |
No |
2021-01-14 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
V8PI11 |
None |
None |
None |
SFY2020-21 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2021-01-05 00:00:00 |
810016212 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2018-10-01 00:00:00 |
2018-12-31 00:00:00 |
No |
2021-01-20 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
32XK11 |
None |
None |
None |
SFY2020-21 |
230000802 |
COUNTRY CREST POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2021-02-05 00:00:00 |
810016257 |
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 |
2021-02-20 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
Q74711 |
None |
None |
None |
SFY2020-21 |
230000029 |
CHICO HEIGHTS REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2021-04-22 00:00:00 |
810016420 |
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 |
2021-05-07 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
MISS11 |
None |
None |
None |
SFY2020-21 |
040000026 |
COUNTRYSIDE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2021-06-17 00:00:00 |
810016508 |
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 |
MPOW11 |
None |
None |
None |
SFY2020-21 |
140000138 |
CREEKSIDE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-07-01 00:00:00 |
810016515 |
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 |
N18Q11 |
None |
None |
None |
SFY2021-22 |
070000074 |
CYPRESS RIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-06-17 00:00:00 |
810016561 |
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 |
2021-07-02 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
1F8E11 |
None |
None |
None |
SFY2020-21 |
070000032 |
CANTERBURY WOODS |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-07-01 00:00:00 |
810016586 |
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 |
8QS811 |
None |
None |
None |
SFY2021-22 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-07-16 00:00:00 |
810016587 |
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 |
RHMC11 |
None |
None |
None |
SFY2021-22 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2021-06-30 00:00:00 |
810016670 |
Open |
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 |
05HM11 |
None |
None |
None |
SFY2020-21 |
950000033 |
CHINO VALLEY HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-07-21 00:00:00 |
810016744 |
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 |
U22P11 |
None |
None |
None |
SFY2021-22 |
220000046 |
CENTRAL GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2021-08-06 00:00:00 |
810016780 |
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 |
2021-08-21 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
JW8O11 |
None |
None |
None |
SFY2021-22 |
950000088 |
CLARA BALDWIN STOCKER HOME FOR WOMEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-09-08 00:00:00 |
810016867 |
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 |
2021-09-23 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
GH3N11 |
None |
None |
None |
SFY2021-22 |
250000026 |
CORONA POST ACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2021-08-17 00:00:00 |
810016893 |
Open |
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 |
37XG11 |
None |
None |
None |
SFY2021-22 |
940000098 |
COURTYARD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-10-01 00:00:00 |
810016958 |
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 |
2021-10-16 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
HLDH11 |
None |
None |
None |
SFY2021-22 |
030001657 |
COVENANT VILLAGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2021-08-24 00:00:00 |
810016979 |
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 |
MEJM11 |
None |
None |
None |
SFY2021-22 |
040000077 |
CORNERSTONE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2021-09-23 00:00:00 |
810017002 |
Open |
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 |
12L911 |
None |
None |
None |
SFY2021-22 |
040000013 |
CALIFORNIA HOME FOR THE AGED, INC. |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2021-10-19 00:00:00 |
810017003 |
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 |
2021-11-03 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
WXUQ11 |
None |
None |
None |
SFY2021-22 |
080000685 |
CASA DE LAS CAMPANAS |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2021-12-01 00:00:00 |
810017125 |
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 |
2021-12-16 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
7R9T11 |
None |
None |
None |
SFY2021-22 |
020000053 |
CRESTWOOD MANOR - FREMONT |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2022-02-11 00:00:00 |
810017320 |
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 |
2022-02-26 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
711T11 |
None |
None |
None |
SFY2021-22 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2022-02-16 00:00:00 |
810017338 |
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 |
2022-03-03 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
JV4T11 |
None |
None |
None |
SFY2021-22 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-02-25 00:00:00 |
810017372 |
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 |
2022-03-12 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
QXAG11 |
None |
None |
None |
SFY2021-22 |
040000049 |
COVENANT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2022-04-05 00:00:00 |
810017531 |
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 |
2022-04-20 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
ESX711 |
None |
None |
None |
SFY2021-22 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2022-04-05 00:00:00 |
810017532 |
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 |
2022-04-20 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
LRRW11 |
None |
None |
None |
SFY2021-22 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-04-21 00:00:00 |
810017573 |
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 |
Yes |
2022-05-06 00:00:00 |
2022-05-13 00:00:00 |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
9OZF11 |
None |
None |
None |
SFY2021-22 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2022-05-17 00:00:00 |
810017632 |
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 |
2022-06-01 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
9K4P11 |
None |
None |
None |
SFY2021-22 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2022-05-24 00:00:00 |
810017639 |
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 |
2022-06-08 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
S5OJ11 |
None |
None |
None |
SFY2021-22 |
100000035 |
CRESTWOOD MANOR |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2022-08-02 00:00:00 |
810017662 |
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 |
9EOE11 |
None |
None |
None |
SFY2022-23 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2022-06-29 00:00:00 |
810017723 |
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 |
2022-07-14 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
5SK711 |
None |
None |
None |
SFY2021-22 |
920000014 |
CHESTNUT RIDGE POST ACUTE LLC |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-07-13 00:00:00 |
810017761 |
Open |
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 |
2022-07-28 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
0 |
15000 |
None |
OBAK11 |
None |
None |
None |
SFY2022-23 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-07-26 00:00:00 |
810017788 |
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 |
2022-08-10 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
EQ7V11 |
None |
None |
None |
SFY2022-23 |
970000163 |
CAMELLIA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-06-07 00:00:00 |
810017840 |
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 |
LIXU11 |
None |
None |
None |
SFY2021-22 |
970000163 |
CAMELLIA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-06-07 00:00:00 |
810017841 |
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 |
LIXU11 |
None |
None |
None |
SFY2021-22 |
240001032 |
CEDAR MOUNTAIN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2021-08-31 00:00:00 |
810017846 |
Open |
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 |
Y03111 |
None |
None |
None |
SFY2021-22 |
070000023 |
CANYON SPRINGS POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-08-09 00:00:00 |
810017865 |
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 |
2022-08-24 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
U4DN11 |
None |
None |
None |
SFY2022-23 |
030001827 |
CITY CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2022-10-10 00:00:00 |
810018039 |
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 |
2022-10-31 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
92WL11 |
None |
None |
None |
SFY2022-23 |
010000004 |
CRESCENT CITY SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2023-01-10 00:00:00 |
810018296 |
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 |
2IY411 |
None |
None |
None |
SFY2022-23 |
030001817 |
COTTONWOOD HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-01-24 00:00:00 |
810018309 |
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 |
2020-12-13 00:00:00 |
No |
2023-02-14 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
L0TH11 |
None |
None |
None |
SFY2022-23 |
100000089 |
CEDARWOOD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2022-12-20 00:00:00 |
810018328 |
Closed |
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 |
URXM11 |
None |
None |
None |
SFY2022-23 |
940000074 |
CALIFORNIA POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-09-28 00:00:00 |
810018331 |
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 |
TWLV11 |
None |
None |
None |
SFY2022-23 |
100000826 |
CREEKSIDE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2023-01-05 00:00:00 |
810018379 |
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 |
SB5F11 |
None |
None |
None |
SFY2022-23 |
910000065 |
CENTURY VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-29 00:00:00 |
810018547 |
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 |
2023-04-20 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
VZ4Q11 |
None |
None |
None |
SFY2022-23 |
060000037 |
CAPISTRANO BEACH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2023-06-01 00:00:00 |
810018799 |
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 |
2023-06-22 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
4IGW11 |
None |
None |
None |
SFY2022-23 |
090000074 |
COTTONWOOD CANYON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2023-06-23 00:00:00 |
810018855 |
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 |
2023-07-17 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
MXGE11 |
None |
None |
None |
SFY2022-23 |
940000034 |
COLONIAL CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-07-25 00:00:00 |
810018961 |
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 |
Yes |
2023-08-15 00:00:00 |
2023-08-17 00:00:00 |
AP NHPPD |
None |
50000 |
50000 |
0 |
0 |
50000 |
None |
K96P11 |
None |
None |
None |
SFY2023-24 |
910000032 |
CULVER WEST HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-07-25 00:00:00 |
810018962 |
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 |
2023-08-15 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
B3OY11 |
None |
None |
None |
SFY2023-24 |
230000025 |
CHICO TERRACE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2023-08-01 00:00:00 |
810018991 |
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 |
2023-08-22 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
NTSD11 |
None |
None |
None |
SFY2023-24 |
040000026 |
COUNTRYSIDE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2023-08-24 00:00:00 |
810019068 |
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 |
2023-09-15 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
16I111 |
None |
None |
None |
SFY2023-24 |
020000276 |
CANYON CREEK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2023-08-28 00:00:00 |
810019081 |
Closed |
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 |
2023-09-19 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
9VEM11 |
None |
None |
None |
SFY2023-24 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-29 00:00:00 |
810019084 |
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 |
2023-09-20 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
8WCB11 |
None |
None |
None |
SFY2023-24 |
240000031 |
CREEKSIDE POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2023-09-13 00:00:00 |
810019132 |
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 |
2023-10-04 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
0 |
50000 |
None |
RUI511 |
None |
None |
None |
SFY2023-24 |
240000038 |
CITRUS NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2023-11-27 00:00:00 |
810019404 |
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 |
E74B11 |
None |
None |
None |
SFY2023-24 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-06 00:00:00 |
810019418 |
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 |
4BWV11 |
None |
None |
None |
SFY2023-24 |
080000685 |
CASA DE LAS CAMPANAS |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2024-01-10 00:00:00 |
810019584 |
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 |
SZS411 |
None |
None |
None |
SFY2023-24 |
100000021 |
CASA COLOMA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2024-01-30 00:00:00 |
810019624 |
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 |
2024-02-20 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
NOH811 |
None |
None |
None |
SFY2023-24 |
040000049 |
COVENANT POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2024-03-06 00:00:00 |
810019782 |
Closed |
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 |
2024-03-27 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
3P5S11 |
None |
None |
None |
SFY2023-24 |
220001009 |
CUPERTINO HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-04-10 00:00:00 |
810019945 |
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 |
2024-05-01 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
FKDI11 |
None |
None |
None |
SFY2023-24 |
030000820 |
CITRUS HEIGHTS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2024-05-17 00:00:00 |
810020160 |
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 |
2024-06-10 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
IVY111 |
None |
None |
None |
SFY2023-24 |
010000003 |
CREEKSIDE REHABILITATION & BEHAVIORAL HEALTH |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2024-06-13 00:00:00 |
810020260 |
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 |
2024-07-05 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
ZEXG11 |
None |
None |
None |
SFY2023-24 |
950000014 |
COVINA REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-05-22 00:00:00 |
810020339 |
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 |
2024-06-13 00:00:00 |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
QLBG11 |
None |
None |
None |
SFY2023-24 |
910000314 |
CRENSHAW NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-08-31 00:00:00 |
910009468 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2012-01-10 00:00:00 |
2012-03-26 00:00:00 |
No |
2012-09-15 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
5UV511 |
None |
None |
None |
SFY2012-13 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2012-11-29 00:00:00 |
910009520 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-04-02 00:00:00 |
2012-06-16 00:00:00 |
No |
2012-12-14 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
ESF711 |
None |
None |
None |
SFY2012-13 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2013-12-30 00:00:00 |
910010327 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2013-03-04 00:00:00 |
2013-05-09 00:00:00 |
No |
2014-01-14 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
68MX11 |
None |
None |
None |
SFY2013-14 |
910000081 |
CAMINO HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-03-10 00:00:00 |
910010403 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-11-07 00:00:00 |
2013-01-22 00:00:00 |
Yes |
2014-03-25 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
EWHP11 |
None |
None |
None |
SFY2013-14 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2015-05-21 00:00:00 |
910011476 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2014-11-30 00:00:00 |
2015-03-01 00:00:00 |
No |
2015-06-05 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
J8QT11 |
None |
None |
None |
SFY2014-15 |
970000131 |
CALIFORNIA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-02-13 00:00:00 |
910013757 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2016-03-17 00:00:00 |
2016-06-16 00:00:00 |
No |
2018-02-28 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
5CH511 |
None |
None |
None |
SFY2017-18 |
970000089 |
COLLEGE VISTA POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-07-25 00:00:00 |
920009405 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2011-11-22 00:00:00 |
2012-02-06 00:00:00 |
Yes |
2012-08-09 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
1Z6I11 |
None |
None |
None |
SFY2012-13 |
940000033 |
COLONIAL GARDENS NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-09-28 00:00:00 |
940013515 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2015-11-02 00:00:00 |
2016-02-01 00:00:00 |
No |
2017-10-13 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
9HMB11 |
None |
None |
None |
SFY2017-18 |
940000112 |
CERRITOS VISTA HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-08-21 00:00:00 |
940015315 |
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 |
2019-09-05 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
4ZFM11 |
None |
None |
None |
SFY2019-20 |
970000163 |
CAMELLIA GARDENS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-09-12 00:00:00 |
950009487 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2011-12-06 00:00:00 |
2012-02-20 00:00:00 |
No |
2012-09-27 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
46GO11 |
None |
None |
None |
SFY2012-13 |
950000047 |
COAST CARE CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2014-05-01 00:00:00 |
950010332 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2013-03-05 00:00:00 |
2013-05-20 00:00:00 |
Yes |
2014-05-16 00:00:00 |
None |
AP NHPPD |
REVERSED |
15000 |
0 |
0 |
0 |
0 |
None |
SN0C11 |
None |
None |
None |
SFY2013-14 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-08-27 00:00:00 |
020005335 |
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 |
2008-04-26 02:12:00 |
2008-04-26 02:12:00 |
No |
2008-09-19 00:00:00 |
None |
FTR AE |
None |
6100 |
6100 |
0 |
6100 |
0 |
None |
3KUZ11 |
N |
None |
None |
SFY2008-09 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-12-07 00:00:00 |
020006750 |
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 |
2009-06-11 21:54:00 |
2009-06-11 21:54:00 |
No |
2009-12-31 00:00:00 |
None |
FTR BR |
None |
900 |
900 |
-225 |
675 |
0 |
None |
69M111 |
None |
CA00203158 |
D |
SFY2009-10 |
020000895 |
CENTERWELL HOME HEALTH |
Non-LTC |
HHA |
Home Health Agency |
East Bay |
2010-01-11 00:00:00 |
020006903 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach of IT system theft/loss of edevice/med rec |
None |
2009-07-23 13:55:00 |
2009-07-23 13:55:00 |
No |
2010-02-03 00:00:00 |
None |
FTR BR |
None |
2400 |
2400 |
-600 |
1800 |
0 |
None |
NMIX11 |
None |
CA00201921 |
C |
SFY2009-10 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-06-10 00:00:00 |
020007271 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
Failure to Report to Pt |
2010-02-12 23:59:00 |
2010-02-12 23:59:00 |
No |
2010-07-02 00:00:00 |
None |
FTR RES |
None |
5300 |
5300 |
-1325 |
3975 |
0 |
None |
SK1Z11 |
None |
CA00225485 |
D |
SFY2009-10 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-06-10 00:00:00 |
020007272 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Other |
Failure to Report to Pt |
2010-03-25 23:59:00 |
2010-03-25 23:59:00 |
No |
2010-06-30 00:00:00 |
None |
FTR BR |
None |
3900 |
3900 |
-975 |
2925 |
0 |
None |
SK1Z11 |
None |
CA00225485 |
D |
SFY2009-10 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-06-10 00:00:00 |
020007273 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
Failure to Report to Pt |
2010-03-03 23:59:00 |
2010-03-03 23:59:00 |
No |
2010-07-02 00:00:00 |
None |
FTR RES |
None |
4100 |
4100 |
-1025 |
3075 |
0 |
None |
SK1Z11 |
None |
CA00225485 |
D |
SFY2009-10 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-07-27 00:00:00 |
020007406 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2010-05-17 00:00:00 |
2010-05-17 00:00:00 |
No |
2011-06-24 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
HKD711 |
N |
CA00230604 |
B |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007537 |
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 |
2010-04-22 00:00:00 |
2010-04-22 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
-175 |
525 |
0 |
None |
W57611 |
None |
CA00229319 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007538 |
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 |
2010-04-22 00:00:00 |
2010-04-22 00:00:00 |
No |
2010-09-23 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
-175 |
525 |
0 |
None |
W57611 |
None |
CA00229319 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007539 |
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 |
2010-03-11 00:00:00 |
2010-03-11 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
-175 |
525 |
0 |
None |
W57611 |
None |
CA00229319 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007540 |
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 |
2010-05-17 00:00:00 |
2010-05-17 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
-75 |
225 |
0 |
None |
W57611 |
None |
CA00230608 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007541 |
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 |
2010-05-17 00:00:00 |
2010-05-17 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
FTR BR |
None |
500 |
500 |
-125 |
375 |
0 |
None |
W57611 |
None |
CA00230608 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007542 |
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 |
2010-03-19 00:00:00 |
2010-03-19 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
FTR BR |
None |
2800 |
2800 |
-700 |
2100 |
0 |
None |
W57611 |
None |
CA00230608 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007543 |
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 |
2010-03-19 00:00:00 |
2010-03-19 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
FTR BR |
None |
2900 |
2900 |
-725 |
2175 |
0 |
None |
W57611 |
None |
CA00230608 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007544 |
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 |
2010-04-27 00:00:00 |
2010-04-27 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
FTR BR |
None |
2300 |
2300 |
-575 |
1725 |
0 |
None |
W57611 |
None |
CA00230608 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-09-09 00:00:00 |
020007545 |
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 |
2010-04-27 00:00:00 |
2010-04-27 00:00:00 |
No |
2010-10-05 00:00:00 |
None |
FTR BR |
None |
2500 |
2500 |
-625 |
1875 |
0 |
None |
W57611 |
None |
CA00230608 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-10-14 00:00:00 |
020007634 |
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 |
2010-07-21 11:45:00 |
2010-07-21 11:45:00 |
No |
2010-11-05 00:00:00 |
None |
FTR BR |
None |
1600 |
1600 |
-400 |
1200 |
0 |
None |
VVF511 |
None |
CA00239475 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-10-14 00:00:00 |
020007635 |
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 |
2010-07-21 11:45:00 |
2010-07-21 11:45:00 |
No |
2010-11-05 00:00:00 |
None |
FTR RES |
None |
1600 |
1600 |
-400 |
1200 |
0 |
None |
VVF511 |
None |
CA00239475 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-10-14 00:00:00 |
020007637 |
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 |
2010-07-21 11:45:00 |
2010-07-21 11:45:00 |
No |
2010-11-05 00:00:00 |
None |
FTR RES |
None |
1600 |
1600 |
-400 |
1200 |
0 |
None |
VVF511 |
None |
CA00239475 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-10-14 00:00:00 |
020007638 |
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 |
2010-08-01 02:10:00 |
2010-08-01 02:10:00 |
No |
2010-11-05 00:00:00 |
None |
FTR BR |
None |
400 |
400 |
-100 |
300 |
0 |
None |
VVF511 |
None |
CA00240737 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-10-14 00:00:00 |
020007639 |
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 |
2010-08-01 02:10:00 |
2010-08-01 02:10:00 |
No |
2010-11-05 00:00:00 |
None |
FTR RES |
None |
400 |
400 |
-100 |
300 |
0 |
None |
VVF511 |
None |
CA00240737 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-12-06 00:00:00 |
020007745 |
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 |
2010-08-05 00:00:00 |
2010-08-05 00:00:00 |
No |
2010-12-27 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
-175 |
525 |
0 |
None |
97BF11 |
None |
CA00241373 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-12-06 00:00:00 |
020007746 |
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 |
2010-08-05 00:00:00 |
2010-08-05 00:00:00 |
No |
2010-12-27 00:00:00 |
None |
FTR RES |
None |
700 |
700 |
-175 |
525 |
0 |
None |
97BF11 |
None |
CA00241373 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-12-06 00:00:00 |
020007747 |
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 |
2010-06-04 00:00:00 |
2010-06-04 00:00:00 |
No |
2010-12-27 00:00:00 |
None |
FTR BR |
None |
7200 |
7200 |
-1800 |
5400 |
0 |
None |
97BF11 |
None |
CA00241373 |
D |
SFY2010-11 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-12-06 00:00:00 |
020007748 |
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 |
2010-06-04 00:00:00 |
2010-06-04 00:00:00 |
No |
2010-12-27 00:00:00 |
None |
FTR RES |
None |
7200 |
7200 |
-1800 |
5400 |
0 |
None |
97BF11 |
None |
CA00241373 |
D |
SFY2010-11 |
020000895 |
CENTERWELL HOME HEALTH |
Non-LTC |
HHA |
Home Health Agency |
East Bay |
2011-01-12 00:00:00 |
020007835 |
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 |
2010-11-08 00:00:00 |
2010-11-08 00:00:00 |
No |
2011-02-03 00:00:00 |
None |
FTR RES |
None |
300 |
300 |
-75 |
225 |
0 |
None |
F8M311 |
None |
CA00250801 |
C |
SFY2010-11 |
020000895 |
CENTERWELL HOME HEALTH |
Non-LTC |
HHA |
Home Health Agency |
East Bay |
2011-01-12 00:00:00 |
020007839 |
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 |
2010-02-09 00:00:00 |
2010-02-09 00:00:00 |
No |
2011-02-03 00:00:00 |
None |
FTR RES |
None |
200 |
200 |
-50 |
150 |
0 |
None |
F8M311 |
None |
CA00239070 |
C |
SFY2010-11 |
020000895 |
CENTERWELL HOME HEALTH |
Non-LTC |
HHA |
Home Health Agency |
East Bay |
2011-01-12 00:00:00 |
020007840 |
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 |
2010-04-29 00:00:00 |
2010-04-29 00:00:00 |
No |
2011-02-03 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
-75 |
225 |
0 |
None |
F8M311 |
None |
CA00229082 |
C |
SFY2010-11 |
020000895 |
CENTERWELL HOME HEALTH |
Non-LTC |
HHA |
Home Health Agency |
East Bay |
2011-01-12 00:00:00 |
020007841 |
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 |
2010-11-12 00:00:00 |
2010-11-12 00:00:00 |
No |
2011-02-03 00:00:00 |
None |
FTR RES |
None |
1300 |
1300 |
-325 |
975 |
0 |
None |
F8M311 |
None |
CA00250653 |
C |
SFY2010-11 |
020000895 |
CENTERWELL HOME HEALTH |
Non-LTC |
HHA |
Home Health Agency |
East Bay |
2011-01-12 00:00:00 |
020007842 |
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 |
2010-11-12 00:00:00 |
2010-11-12 00:00:00 |
No |
2011-02-03 00:00:00 |
None |
FTR RES |
None |
1300 |
1300 |
-325 |
975 |
0 |
None |
F8M311 |
None |
CA00250653 |
C |
SFY2010-11 |
020000895 |
CENTERWELL HOME HEALTH |
Non-LTC |
HHA |
Home Health Agency |
East Bay |
2011-01-12 00:00:00 |
020007843 |
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 |
2010-11-12 00:00:00 |
2010-11-12 00:00:00 |
No |
2011-02-03 00:00:00 |
None |
FTR RES |
None |
1300 |
1300 |
-325 |
975 |
0 |
None |
F8M311 |
None |
CA00250653 |
C |
SFY2010-11 |
020000685 |
CORAM CVS/SPECIALTY INFUSION SERVICES |
Non-LTC |
HHA |
Home Health Agency |
East Bay |
2012-07-23 00:00:00 |
020009399 |
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 |
2011-03-16 00:00:00 |
2011-03-16 00:00:00 |
No |
2012-08-13 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
0 |
100 |
0 |
None |
J6RT11 |
None |
CA00266339 |
B |
SFY2012-13 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2017-05-16 00:00:00 |
020013180 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2015-12-01 00:00:00 |
2015-12-01 00:00:00 |
No |
2017-06-07 00:00:00 |
None |
AP NON-IJ |
None |
14520 |
14520 |
0 |
14520 |
0 |
None |
6XFZ11 |
Y |
CA00467901 |
B |
SFY2016-17 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2018-02-09 00:00:00 |
020013444 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2017-03-05 00:00:00 |
2017-03-05 00:00:00 |
Yes |
2018-03-02 00:00:00 |
2018-08-24 00:00:00 |
AP IJ |
AP IJ |
33000 |
25000 |
0 |
25000 |
0 |
None |
DKVM11 |
N |
CA00528846 |
B |
SFY2017-18 |
140000195 |
CONTRA COSTA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2023-08-01 00:00:00 |
020019252 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2021-12-09 00:00:00 |
2021-12-09 00:00:00 |
No |
2023-11-17 00:00:00 |
None |
AP BR |
None |
15000 |
15000 |
-3750 |
11250 |
0 |
None |
HHU111 |
None |
CA00767134 |
D |
SFY2023-24 |
030000129 |
CENTRAL VALLEY SPECIALTY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-01-25 00:00:00 |
030004739 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-05-11 00:00:00 |
2007-05-11 00:00:00 |
No |
2008-02-19 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
VB4J11 |
N |
None |
None |
SFY2007-08 |
030000129 |
CENTRAL VALLEY SPECIALTY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-01-25 00:00:00 |
030004740 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-05-10 00:00:00 |
2007-05-10 00:00:00 |
No |
2008-02-19 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
IUII11 |
N |
None |
None |
SFY2007-08 |
030000129 |
CENTRAL VALLEY SPECIALTY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-01-25 00:00:00 |
030004741 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-05-07 00:00:00 |
2007-05-07 00:00:00 |
No |
2008-02-19 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
S9SJ11 |
Y |
None |
None |
SFY2007-08 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-02-21 00:00:00 |
040004707 |
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 |
2008-01-11 07:04:00 |
2008-01-11 07:04:00 |
No |
2008-03-13 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
D0WJ11 |
N |
CA00138281 |
C |
SFY2007-08 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-02-14 00:00:00 |
040004814 |
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 |
2008-02-14 04:00:00 |
2008-02-14 04:00:00 |
Yes |
2008-03-07 00:00:00 |
2008-04-03 00:00:00 |
FTR AE |
None |
2200 |
2200 |
0 |
2200 |
0 |
None |
P6TO11 |
N |
CA00143655 |
C |
SFY2007-08 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-06-09 00:00:00 |
040005119 |
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 |
2008-04-14 17:00:00 |
2008-04-14 17:00:00 |
No |
2008-06-30 00:00:00 |
None |
FTR AE |
None |
600 |
600 |
0 |
600 |
0 |
None |
W04Y11 |
N |
CA00148080 |
C |
SFY2007-08 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-06-09 00:00:00 |
040005122 |
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 |
2008-04-10 16:00:00 |
2008-04-10 16:00:00 |
No |
2008-06-30 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
20TX11 |
N |
CA00147677 |
C |
SFY2007-08 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-05-27 00:00:00 |
040005136 |
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 |
2008-03-05 11:05:00 |
2008-03-05 11:05:00 |
Yes |
2008-06-17 00:00:00 |
2008-06-20 00:00:00 |
FTR AE |
FTR AE |
8800 |
400 |
0 |
400 |
0 |
None |
P2LD11 |
N |
CA00145321 |
D |
SFY2007-08 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-11-03 00:00:00 |
040005573 |
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 |
2008-10-08 20:56:00 |
2008-10-08 20:56:00 |
No |
2008-11-25 00:00:00 |
None |
FTR AE |
None |
800 |
800 |
0 |
800 |
0 |
None |
7RML11 |
N |
CA00166977 |
B |
SFY2008-09 |
040000095 |
CLOVIS COMMUNITY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-11-26 00:00:00 |
040005635 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2008-10-29 00:00:00 |
2008-10-29 00:00:00 |
No |
2008-12-19 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
I4QB11 |
N |
CA00166149 |
A |
SFY2008-09 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-11-25 00:00:00 |
040005654 |
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 |
2008-11-03 08:00:00 |
2008-11-03 08:00:00 |
No |
2008-12-18 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
BVLM11 |
N |
CA00168998 |
B |
SFY2008-09 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-12-09 00:00:00 |
040005675 |
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 |
2008-11-18 16:38:00 |
2008-11-18 16:38:00 |
No |
2008-12-31 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
XIDE11 |
N |
CA00171057 |
A |
SFY2008-09 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2011-07-29 00:00:00 |
040008388 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2010-12-14 00:00:00 |
2010-12-14 00:00:00 |
No |
2012-06-22 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
M8ND11 |
Y |
CA00252552 |
A |
SFY2011-12 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2013-01-28 00:00:00 |
040009720 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2012-04-02 00:00:00 |
2012-04-02 00:00:00 |
No |
2013-11-14 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
WGUB11 |
N |
CA00306344 |
B |
SFY2012-13 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2013-03-12 00:00:00 |
040009784 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2012-10-31 00:00:00 |
2012-10-31 00:00:00 |
No |
2013-11-14 00:00:00 |
None |
AP IJ |
None |
100000 |
100000 |
0 |
100000 |
0 |
None |
OMZ011 |
N |
CA00332399 |
B |
SFY2012-13 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2013-11-15 00:00:00 |
040010268 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach by person other than a h/c worker |
None |
2012-10-04 00:00:00 |
2012-10-04 00:00:00 |
Yes |
2015-11-09 00:00:00 |
2015-10-22 00:00:00 |
AP BR |
None |
250000 |
250000 |
0 |
0 |
250000 |
None |
DL8611 |
None |
CA00329115 |
D |
SFY2013-14 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2014-12-24 00:00:00 |
040011203 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2014-04-08 00:00:00 |
2014-04-08 00:00:00 |
Yes |
2016-02-19 00:00:00 |
2016-02-04 00:00:00 |
AP IJ |
AP IJ |
86625 |
86625 |
0 |
86625 |
0 |
None |
NF8I11 |
N |
CA00404755 |
E |
SFY2014-15 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2015-03-11 00:00:00 |
040011315 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach to person/entity outside facility/hc system |
None |
2014-11-10 00:00:00 |
2014-11-10 00:00:00 |
Yes |
2015-04-02 00:00:00 |
2018-01-10 00:00:00 |
AP BR |
AP BR |
91500 |
68625 |
0 |
68625 |
0 |
None |
6EXH11 |
None |
CA00420482 |
D |
SFY2014-15 |
040000095 |
CLOVIS COMMUNITY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2019-10-18 00:00:00 |
040015468 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2019-05-21 00:00:00 |
2019-05-21 00:00:00 |
No |
2019-11-08 00:00:00 |
None |
AP IJ |
None |
28500 |
28500 |
0 |
28500 |
0 |
None |
OJ8Z11 |
N |
CA00589580 |
B |
SFY2019-20 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2019-11-27 00:00:00 |
040015560 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2018-09-01 00:00:00 |
2018-09-01 00:00:00 |
No |
2019-12-18 00:00:00 |
None |
AP IJ |
None |
28500 |
28500 |
0 |
28500 |
0 |
None |
Q5HH11 |
N |
CA00620913 |
B |
SFY2019-20 |
040000095 |
CLOVIS COMMUNITY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2020-06-30 00:00:00 |
040015917 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2020-04-16 00:00:00 |
2020-04-16 00:00:00 |
No |
2020-07-21 00:00:00 |
None |
AP NON-IJ |
None |
11250 |
11250 |
0 |
11250 |
0 |
None |
Y2J411 |
N |
CA00583610 |
B |
SFY2019-20 |
040000095 |
CLOVIS COMMUNITY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2020-08-20 00:00:00 |
040015986 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2020-03-18 00:00:00 |
2020-03-18 00:00:00 |
No |
2020-09-11 00:00:00 |
None |
AP IJ |
None |
47025 |
47025 |
0 |
47025 |
0 |
None |
RG3Z11 |
N |
CA00682133, CA00682133 |
A, A |
SFY2020-21 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2021-04-07 00:00:00 |
040016406 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2020-06-09 00:00:00 |
2020-06-09 00:00:00 |
No |
2021-04-28 00:00:00 |
None |
AP IJ |
None |
71250 |
71250 |
0 |
71250 |
0 |
None |
E72211 |
Y |
CA00692593 |
A |
SFY2020-21 |
040000095 |
CLOVIS COMMUNITY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2022-04-13 00:00:00 |
040017569 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2020-11-02 00:00:00 |
2020-11-02 00:00:00 |
No |
2022-05-04 00:00:00 |
None |
AP IJ |
None |
60000 |
60000 |
0 |
60000 |
0 |
None |
HTR511 |
N |
CA00711949 |
A |
SFY2021-22 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2022-09-13 00:00:00 |
040017986 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2021-06-17 00:00:00 |
2021-06-17 00:00:00 |
No |
2022-10-04 00:00:00 |
None |
AP IJ |
None |
42750 |
42750 |
0 |
42750 |
0 |
None |
BB4R11 |
N |
CA00743485 |
A |
SFY2022-23 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2023-01-25 00:00:00 |
040018359 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2022-04-26 00:00:00 |
2022-04-26 00:00:00 |
No |
2023-02-15 00:00:00 |
None |
AP IJ |
None |
78750 |
78750 |
0 |
78750 |
0 |
None |
DM3H11 |
Y |
CA00783686 |
B |
SFY2022-23 |
040000095 |
CLOVIS COMMUNITY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2022-09-06 00:00:00 |
040019052 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2018-04-09 00:00:00 |
2018-04-09 00:00:00 |
No |
2023-09-14 00:00:00 |
None |
AP BR |
None |
45000 |
45000 |
-11250 |
33750 |
0 |
None |
G8ZH11 |
None |
CA00585476 |
D |
SFY2022-23 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2023-09-19 00:00:00 |
040019096 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2022-09-07 00:00:00 |
2022-09-07 00:00:00 |
No |
2023-10-10 00:00:00 |
None |
AP IJ |
None |
47025 |
47025 |
0 |
47025 |
0 |
None |
6M3T11 |
N |
CA00802370 |
B |
SFY2023-24 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2022-09-23 00:00:00 |
040019145 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2021-11-18 00:00:00 |
2021-11-18 00:00:00 |
No |
2023-10-18 00:00:00 |
None |
AP BR |
None |
60000 |
60000 |
-15000 |
45000 |
0 |
None |
28EE11 |
None |
CA00668900 |
D |
SFY2022-23 |
040000101 |
COMMUNITY REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2023-08-15 00:00:00 |
040019332 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2019-03-10 00:00:00 |
2019-03-10 00:00:00 |
No |
2023-12-20 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
QJTG11 |
None |
CA00769156 |
C |
SFY2023-24 |
050000023 |
COMMUNITY MEMORIAL HOSPITAL - OJAI |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2008-11-12 00:00:00 |
050005597 |
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 |
2008-05-31 00:00:00 |
2008-05-31 00:00:00 |
No |
2008-12-10 00:00:00 |
None |
FTR AE |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
YPGQ11 |
N |
CA00154205 |
C |
SFY2008-09 |
050000014 |
COMMUNITY MEMORIAL HOSPITAL - VENTURA |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2008-12-23 00:00:00 |
050005733 |
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 |
2008-10-16 00:00:00 |
2008-10-16 00:00:00 |
No |
2009-01-19 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
8VKL11 |
N |
CA00167556 |
C |
SFY2008-09 |
050000014 |
COMMUNITY MEMORIAL HOSPITAL - VENTURA |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2017-04-20 00:00:00 |
050011630 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE22 - Death associated with a fall |
None |
2015-02-11 00:00:00 |
2015-02-11 00:00:00 |
No |
2017-05-11 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
NFRB11 |
Y |
CA00431346, CA00431439 |
B, B |
SFY2016-17 |
050000014 |
COMMUNITY MEMORIAL HOSPITAL - VENTURA |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2019-01-04 00:00:00 |
050013599 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2017-05-20 00:00:00 |
2017-05-20 00:00:00 |
No |
2019-04-11 00:00:00 |
None |
AP IJ |
None |
69930 |
69930 |
0 |
69930 |
0 |
None |
E65911 |
N |
CA00540695, CA00540695 |
B, B |
SFY2018-19 |
060000008 |
COLLEGE HOSPITAL COSTA MESA |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2008-12-09 00:00:00 |
060005529 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2008-08-08 08:00:00 |
2008-08-08 08:00:00 |
No |
2009-01-07 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
XXCW11 |
N |
CA00160001 |
A |
SFY2008-09 |
060000008 |
COLLEGE HOSPITAL COSTA MESA |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2008-12-09 00:00:00 |
060005683 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2008-08-08 00:00:00 |
2008-08-08 00:00:00 |
Yes |
2009-01-06 00:00:00 |
2009-03-06 00:00:00 |
AP IJ |
AP IJ |
25000 |
12500 |
0 |
12500 |
0 |
None |
XXCW11 |
N |
CA00160001 |
A |
SFY2008-09 |
060000007 |
CHILDREN'S HOSPITAL OF ORANGE COUNTY |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2009-03-05 00:00:00 |
060005933 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE05 - Death during or up to 24 hours after surgery |
None |
2008-11-06 00:00:00 |
2008-11-06 00:00:00 |
No |
2009-03-30 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
M2J811 |
N |
CA00169178 |
B |
SFY2008-09 |
060000006 |
CHAPMAN GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2009-09-02 00:00:00 |
060006525 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2009-03-29 00:00:00 |
2009-03-29 00:00:00 |
Yes |
2009-09-29 00:00:00 |
2009-11-23 00:00:00 |
AP IJ |
AP IJ |
50000 |
37500 |
0 |
37500 |
0 |
None |
MQ3I11 |
N |
CA00184334 |
B |
SFY2009-10 |
060000007 |
CHILDREN'S HOSPITAL OF ORANGE COUNTY |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2010-12-10 00:00:00 |
060007712 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2009-02-25 00:00:00 |
2009-02-25 00:00:00 |
No |
2010-12-31 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
F2DY11 |
None |
CA00181664 |
C |
SFY2010-11 |
060000007 |
CHILDREN'S HOSPITAL OF ORANGE COUNTY |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2011-11-09 00:00:00 |
060008684 |
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 |
2010-12-01 08:00:00 |
2010-12-01 08:00:00 |
No |
2011-12-05 00:00:00 |
None |
FTR BR |
None |
2600 |
2600 |
0 |
2600 |
0 |
None |
XHL311 |
None |
CA00254561 |
C |
SFY2011-12 |
060000007 |
CHILDREN'S HOSPITAL OF ORANGE COUNTY |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2011-11-09 00:00:00 |
060008686 |
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 |
2010-12-01 08:00:00 |
2010-12-01 08:00:00 |
No |
2011-12-05 00:00:00 |
None |
FTR BR |
None |
2600 |
2600 |
0 |
2600 |
0 |
None |
XHL311 |
None |
CA00254561 |
C |
SFY2011-12 |
060000006 |
CHAPMAN GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2012-01-25 00:00:00 |
060008883 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE26 - Sexual assault on a patient |
None |
2010-02-12 00:00:00 |
2010-02-12 00:00:00 |
Yes |
2012-06-22 00:00:00 |
2012-06-08 00:00:00 |
AP IJ |
AP IJ |
75000 |
45000 |
0 |
45000 |
0 |
None |
QI2411 |
N |
CA00219506 |
B |
SFY2011-12 |
060000008 |
COLLEGE HOSPITAL COSTA MESA |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2012-03-26 00:00:00 |
060009185 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2009-11-25 00:00:00 |
2009-11-25 00:00:00 |
No |
2012-11-02 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
IHGI11 |
N |
CA00211991 |
A |
SFY2011-12 |
060000007 |
CHILDREN'S HOSPITAL OF ORANGE COUNTY |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2021-05-06 00:00:00 |
060016472 |
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 |
2021-03-30 00:00:00 |
2021-03-30 00:00:00 |
No |
2021-05-27 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
0Z1U11 |
N |
CA00733024 |
D |
SFY2020-21 |
060000006 |
CHAPMAN GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2021-07-01 00:00:00 |
060016660 |
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 |
2020-12-02 00:00:00 |
2020-12-02 00:00:00 |
No |
2021-07-22 00:00:00 |
None |
FTR AE |
None |
4600 |
4600 |
0 |
4600 |
0 |
None |
UCZL11 |
N |
CA00722588 |
D |
SFY2021-22 |
060000006 |
CHAPMAN GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2021-07-01 00:00:00 |
060016661 |
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 |
2021-01-12 00:00:00 |
2021-01-12 00:00:00 |
No |
2021-07-22 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
B56L11 |
N |
CA00722586 |
D |
SFY2021-22 |
060000007 |
CHILDREN'S HOSPITAL OF ORANGE COUNTY |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2022-04-25 00:00:00 |
060017592 |
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 |
2022-03-01 00:00:00 |
2022-03-01 00:00:00 |
No |
2022-05-16 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
DE1F11 |
N |
CA00777044 |
B |
SFY2021-22 |
060000006 |
CHAPMAN GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2022-09-15 00:00:00 |
060017987 |
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 |
2022-08-04 00:00:00 |
2022-08-04 00:00:00 |
No |
2022-10-06 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
230I11 |
N |
CA00798976 |
D |
SFY2022-23 |
060000007 |
CHILDREN'S HOSPITAL OF ORANGE COUNTY |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2024-06-12 00:00:00 |
060020305 |
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 |
2024-05-10 00:00:00 |
2024-05-10 00:00:00 |
No |
2024-07-03 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
97BN11 |
N |
CA00901664 |
B |
SFY2023-24 |
060000007 |
CHILDREN'S HOSPITAL OF ORANGE COUNTY |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2024-06-24 00:00:00 |
060020351 |
Open |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2021-04-06 00:00:00 |
2021-04-06 00:00:00 |
No |
2024-07-16 00:00:00 |
None |
FTR AE |
None |
108900 |
108900 |
0 |
0 |
108900 |
None |
OF7Z11 |
N |
CA00896567 |
B |
SFY2023-24 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2010-01-06 00:00:00 |
070006889 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE12 - Medication error |
Failure to Report |
2008-11-04 08:00:00 |
2008-11-04 08:00:00 |
No |
2010-01-29 00:00:00 |
None |
FTR AE |
None |
40400 |
40400 |
0 |
40400 |
0 |
None |
Z0OD11 |
N |
None |
None |
SFY2009-10 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2011-04-20 00:00:00 |
070008181 |
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 |
2010-05-14 08:00:00 |
2010-05-14 08:00:00 |
No |
2011-05-11 00:00:00 |
None |
FTR AE |
None |
31400 |
31400 |
0 |
31400 |
0 |
None |
WBZP11 |
N |
CA00263985 |
C |
SFY2010-11 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2011-11-10 00:00:00 |
070008746 |
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 |
2011-09-15 08:00:00 |
2011-09-15 08:00:00 |
No |
2011-12-06 00:00:00 |
None |
FTR AE |
None |
2300 |
2300 |
0 |
2300 |
0 |
None |
R5TZ11 |
N |
CA00286562 |
C |
SFY2011-12 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2011-11-10 00:00:00 |
070008747 |
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 |
2011-08-29 08:00:00 |
2011-08-29 08:00:00 |
No |
2011-12-06 00:00:00 |
None |
FTR AE |
None |
4100 |
4100 |
0 |
4100 |
0 |
None |
R5TZ11 |
N |
CA00286751 |
C |
SFY2011-12 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2012-01-19 00:00:00 |
070008932 |
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 |
2011-10-15 08:00:00 |
2011-10-15 08:00:00 |
No |
2012-02-09 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
0 |
300 |
0 |
None |
UZJF11 |
None |
CA00288076 |
E |
SFY2011-12 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2012-01-19 00:00:00 |
070008933 |
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 |
2011-10-15 08:00:00 |
2011-10-15 08:00:00 |
No |
2012-02-09 00:00:00 |
None |
FTR RES |
None |
100 |
100 |
0 |
100 |
0 |
None |
UZJF11 |
None |
CA00288076 |
E |
SFY2011-12 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2012-09-11 00:00:00 |
070009457 |
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 |
2012-05-03 08:00:00 |
2012-05-03 08:00:00 |
No |
2012-10-02 00:00:00 |
None |
FTR BR |
None |
800 |
800 |
-200 |
600 |
0 |
None |
EZRF11 |
None |
CA00311115 |
C |
SFY2012-13 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2013-02-11 00:00:00 |
070009739 |
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 |
2012-11-05 08:00:00 |
2012-11-05 08:00:00 |
No |
2013-03-05 00:00:00 |
None |
FTR RES |
None |
800 |
800 |
0 |
800 |
0 |
None |
BFVP11 |
None |
CA00333510 |
C |
SFY2012-13 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2014-02-18 00:00:00 |
070010478 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2013-10-16 00:00:00 |
2013-10-16 00:00:00 |
No |
2015-06-09 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
GS1B11 |
N |
CA00375500 |
C |
SFY2013-14 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2014-03-05 00:00:00 |
070010519 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2013-05-07 00:00:00 |
2013-05-07 00:00:00 |
Yes |
2018-01-30 00:00:00 |
2018-01-12 00:00:00 |
AP BR |
None |
50250 |
50250 |
0 |
0 |
50250 |
None |
ZLT311 |
None |
CA00354477 |
C |
SFY2013-14 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2014-03-05 00:00:00 |
070010520 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach by person other than a h/c worker |
None |
2013-04-22 00:00:00 |
2013-04-22 00:00:00 |
Yes |
2018-01-30 00:00:00 |
2018-01-12 00:00:00 |
AP BR |
None |
22500 |
22500 |
0 |
0 |
22500 |
None |
RKGO11 |
None |
CA00354842 |
C |
SFY2013-14 |
070000105 |
CENTRAL COAST VNA & HOSPICE, INC. |
Non-LTC |
HHA |
Home Health Agency |
San Jose |
2014-10-22 00:00:00 |
070011117 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Patient Rights |
None |
2014-06-19 00:00:00 |
2014-06-19 00:00:00 |
No |
2014-11-13 00:00:00 |
None |
AP BR |
None |
15000 |
15000 |
-3750 |
11250 |
0 |
None |
HPLU11 |
None |
CA00403613 |
C |
SFY2014-15 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2014-11-18 00:00:00 |
070011166 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2014-07-16 00:00:00 |
2014-07-16 00:00:00 |
Yes |
2018-01-30 00:00:00 |
2018-01-12 00:00:00 |
AP BR |
None |
120000 |
120000 |
0 |
0 |
120000 |
None |
UUVD11 |
None |
CA00406465 |
C |
SFY2014-15 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2015-05-01 00:00:00 |
070011528 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2014-07-29 00:00:00 |
2014-07-29 00:00:00 |
Yes |
2018-01-30 00:00:00 |
2018-01-12 00:00:00 |
AP BR |
None |
150000 |
150000 |
0 |
0 |
150000 |
None |
L3SZ11 |
None |
CA00408636 |
C |
SFY2014-15 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2015-11-23 00:00:00 |
070011945 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach to person/entity outside facility/hc system |
None |
2015-05-27 00:00:00 |
2015-05-27 00:00:00 |
Yes |
2018-01-30 00:00:00 |
2018-01-12 00:00:00 |
AP BR |
None |
7500 |
7500 |
0 |
0 |
7500 |
None |
K8LZ11 |
None |
CA00446171 |
C |
SFY2015-16 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2016-05-27 00:00:00 |
070012350 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2015-11-20 00:00:00 |
2015-11-20 00:00:00 |
Yes |
2018-01-30 00:00:00 |
2018-01-12 00:00:00 |
AP BR |
None |
7500 |
7500 |
0 |
0 |
7500 |
None |
1KE711 |
None |
CA00470059 |
B |
SFY2015-16 |
070000137 |
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2019-07-30 00:00:00 |
070015260 |
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 |
2019-03-06 00:00:00 |
2019-03-06 00:00:00 |
No |
2019-08-20 00:00:00 |
None |
FTR AE |
None |
2500 |
2500 |
0 |
2500 |
0 |
None |
06UQ11 |
N |
CA00632202 |
C |
SFY2019-20 |
090001511 |
CHASE AVENUE FAMILY HEALTH CENTER |
Non-LTC |
COMTYC |
Primary Care Clinic |
San Diego |
2018-02-16 00:00:00 |
090013940 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2016-08-01 00:00:00 |
2016-08-01 00:00:00 |
No |
2018-03-09 00:00:00 |
None |
AP BR |
None |
0 |
0 |
0 |
0 |
0 |
None |
6WLF11 |
None |
CA00506192 |
D |
SFY2017-18 |
170001888 |
CALIFORNIA MENS COLONY |
Non-LTC |
GACH |
General Acute Care Hospital |
State Facilities Section |
2011-04-21 00:00:00 |
150008180 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2009-10-20 00:00:00 |
2009-10-20 00:00:00 |
Yes |
2011-09-30 00:00:00 |
2011-09-16 00:00:00 |
AP IJ |
AP IJ |
50000 |
30000 |
0 |
30000 |
0 |
None |
XQR411 |
N |
CA00213590, CA00213591, CA00213591 |
C, C, C |
SFY2010-11 |
630014470 |
CALIFORNIA HEALTH CARE FACILITY - STOCKTON |
Non-LTC |
CTC |
Correctional Treatment Center |
State Facilities Section |
2021-12-03 00:00:00 |
170018982 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach by person other than a h/c worker |
None |
2019-04-26 00:00:00 |
2019-04-26 00:00:00 |
Yes |
2023-08-30 00:00:00 |
2023-08-17 00:00:00 |
AP BR |
AP BR |
25000 |
25000 |
0 |
25000 |
0 |
None |
3G4211 |
None |
CA00635723 |
D |
SFY2021-22 |
630014470 |
CALIFORNIA HEALTH CARE FACILITY - STOCKTON |
Non-LTC |
CTC |
Correctional Treatment Center |
State Facilities Section |
2022-09-06 00:00:00 |
170019069 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2019-03-10 00:00:00 |
2019-03-10 00:00:00 |
Yes |
2023-09-14 00:00:00 |
2023-08-29 00:00:00 |
AP BR |
AP BR |
25000 |
0 |
0 |
0 |
0 |
None |
681Z11 |
None |
CA00630905 |
C |
SFY2022-23 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2008-10-22 00:00:00 |
220005546 |
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 |
2008-08-20 08:00:00 |
2008-08-20 08:00:00 |
No |
2008-11-13 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
WCBL11 |
N |
CA00162293 |
B |
SFY2008-09 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2009-10-30 00:00:00 |
220006673 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2008-09-24 00:00:00 |
2008-09-24 00:00:00 |
No |
2009-11-23 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
6LE511 |
N |
CA00164578 |
B |
SFY2009-10 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2010-01-20 00:00:00 |
220006845 |
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 |
2009-11-26 08:00:00 |
2009-11-26 08:00:00 |
No |
2010-02-10 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
1OCE11 |
N |
CA00210434 |
C |
SFY2009-10 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2010-03-08 00:00:00 |
220006962 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2009-04-14 00:00:00 |
2009-04-14 00:00:00 |
No |
2010-12-08 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
HW5G11 |
N |
CA00191275 |
C |
SFY2009-10 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2010-03-08 00:00:00 |
220006963 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2009-07-15 00:00:00 |
2009-07-15 00:00:00 |
No |
2010-12-08 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
ACMC11 |
N |
CA00198637 |
C |
SFY2009-10 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2010-11-03 00:00:00 |
220007701 |
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 |
2010-04-13 08:00:00 |
2010-04-13 08:00:00 |
No |
2010-11-29 00:00:00 |
None |
FTR AE |
None |
1900 |
1900 |
0 |
1900 |
0 |
None |
P0L411 |
N |
CA00228205 |
C |
SFY2010-11 |
220000003 |
CHINESE HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2011-01-26 00:00:00 |
220007873 |
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 |
2010-11-19 08:00:00 |
2010-11-19 08:00:00 |
No |
2011-02-16 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
HCUX11 |
N |
CA00250924 |
C |
SFY2010-11 |
220000018 |
CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2007-10-31 00:00:00 |
220008045 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2007-09-21 08:00:00 |
2007-09-21 08:00:00 |
No |
2007-11-26 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
I1C211 |
N |
CA00128604 |
C |
SFY2007-08 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2007-11-20 00:00:00 |
220008047 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2007-10-18 08:00:00 |
2007-10-18 08:00:00 |
No |
2007-12-13 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
04ZL11 |
N |
CA00130473 |
C |
SFY2007-08 |
220000018 |
CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2007-10-31 00:00:00 |
220008048 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2007-09-25 08:00:00 |
2007-09-25 08:00:00 |
No |
2007-11-26 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
I1C211 |
N |
CA00128609 |
C |
SFY2007-08 |
220000003 |
CHINESE HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2011-03-23 00:00:00 |
220008062 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2010-02-09 00:00:00 |
2010-02-09 00:00:00 |
No |
2012-06-22 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
0GW211 |
Y |
CA00217996 |
B |
SFY2010-11 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2011-12-22 00:00:00 |
220008844 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2010-09-15 00:00:00 |
2010-09-15 00:00:00 |
Yes |
2012-01-17 00:00:00 |
2013-07-03 00:00:00 |
AP BR |
AP BR |
25000 |
13000 |
0 |
13000 |
0 |
None |
FZ6911 |
None |
CA00243460 |
C |
SFY2011-12 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2012-03-14 00:00:00 |
220009126 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2011-03-08 00:00:00 |
2011-03-08 00:00:00 |
No |
2013-06-26 00:00:00 |
None |
AP IJ |
None |
100000 |
100000 |
0 |
100000 |
0 |
None |
Q4JH11 |
N |
CA00263993 |
C |
SFY2011-12 |
220000018 |
CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2012-04-19 00:00:00 |
220009240 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2011-06-10 00:00:00 |
2011-06-10 00:00:00 |
No |
2013-06-26 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
6BX411 |
N |
CA00272808 |
B |
SFY2011-12 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2012-10-15 00:00:00 |
220009555 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2012-03-20 00:00:00 |
2012-03-20 00:00:00 |
Yes |
2014-06-24 00:00:00 |
2014-06-12 00:00:00 |
AP BR |
None |
125000 |
125000 |
0 |
0 |
125000 |
None |
GHF611 |
None |
CA00304405 |
C |
SFY2012-13 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2014-08-26 00:00:00 |
220010960 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2013-05-30 00:00:00 |
2013-05-30 00:00:00 |
No |
2015-06-09 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
DS6111 |
N |
CA00358159 |
C |
SFY2014-15 |
220000018 |
CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2016-12-05 00:00:00 |
220012793 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE22 - Death associated with a fall |
None |
2015-04-08 00:00:00 |
2015-04-08 00:00:00 |
No |
2017-05-11 00:00:00 |
None |
AP IJ |
None |
47452 |
47452 |
0 |
47452 |
0 |
None |
MSA311 |
N |
CA00438717, CA00439028 |
C, C |
SFY2016-17 |
220000023 |
CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2017-04-19 00:00:00 |
220013123 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2015-02-13 00:00:00 |
2015-02-13 00:00:00 |
No |
2017-05-10 00:00:00 |
None |
AP IJ |
None |
47452 |
47452 |
0 |
47452 |
0 |
None |
SCSI11 |
Y |
CA00432057 |
C |
SFY2016-17 |
220000023 |
CALIFORNIA PACIFIC MEDICAL CENTER - DAVIES CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2017-05-17 00:00:00 |
220013211 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE22 - Death associated with a fall |
None |
2016-05-01 00:00:00 |
2016-05-01 00:00:00 |
No |
2017-06-08 00:00:00 |
None |
AP IJ |
None |
66600 |
66600 |
0 |
66600 |
0 |
None |
O5C311 |
Y |
CA00500940 |
C |
SFY2016-17 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2023-06-02 00:00:00 |
220018820 |
Open |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2022-08-13 00:00:00 |
2022-08-13 00:00:00 |
No |
2023-06-23 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
GTYI11 |
Y |
CA00807008 |
B |
SFY2022-23 |
220000018 |
CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL CAMPUS AND ORTHOPEDIC IN |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2023-08-15 00:00:00 |
220019212 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2022-04-22 00:00:00 |
2022-04-22 00:00:00 |
No |
2023-11-16 00:00:00 |
None |
AP BR |
None |
10000 |
10000 |
-2500 |
7500 |
0 |
None |
WGR411 |
None |
CA00786732 |
D |
SFY2023-24 |
220000022 |
CALIFORNIA PACIFIC MEDICAL CENTER - VAN NESS CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
San Francisco |
2024-02-13 00:00:00 |
220020307 |
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 |
2023-03-19 00:00:00 |
2023-03-19 00:00:00 |
No |
2024-03-06 00:00:00 |
None |
FTR BR |
None |
3200 |
3200 |
0 |
0 |
3200 |
None |
QF8211 |
None |
CA00841258 |
D |
SFY2023-24 |
230000259 |
COLUSA MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2013-07-17 00:00:00 |
230009234 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2011-05-15 00:00:00 |
2011-05-15 00:00:00 |
No |
None |
None |
AP BR |
None |
5000 |
5000 |
0 |
5000 |
0 |
None |
O0KY11 |
None |
CA00275802 |
B |
SFY2013-14 |
230000259 |
COLUSA MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2013-07-17 00:00:00 |
230009236 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2011-07-05 00:00:00 |
2011-07-05 00:00:00 |
No |
2015-02-24 00:00:00 |
None |
AP BR |
None |
6000 |
6000 |
0 |
6000 |
0 |
None |
O0KY11 |
None |
CA00275784 |
B |
SFY2013-14 |
230000259 |
COLUSA MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2014-11-24 00:00:00 |
230010957 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2013-04-12 00:00:00 |
2013-04-12 00:00:00 |
No |
2014-12-17 00:00:00 |
None |
AP BR |
None |
6750 |
6750 |
-6750 |
0 |
0 |
None |
6SO711 |
None |
CA00351185 |
B |
SFY2014-15 |
240000082 |
COMMUNITY HOSPITAL OF SAN BERNARDINO |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2009-10-21 00:00:00 |
240006635 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2009-03-10 00:00:00 |
2009-03-10 00:00:00 |
No |
2009-11-12 00:00:00 |
None |
AP BR |
None |
75000 |
75000 |
-18750 |
56250 |
0 |
None |
7UP111 |
None |
CA00181838 |
B |
SFY2009-10 |
240000082 |
COMMUNITY HOSPITAL OF SAN BERNARDINO |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2009-10-22 00:00:00 |
240006643 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2009-02-28 00:00:00 |
2009-02-28 00:00:00 |
No |
2009-11-13 00:00:00 |
None |
AP BR |
None |
250000 |
250000 |
-62500 |
187500 |
0 |
None |
OI8G11 |
None |
CA00179753 |
C |
SFY2009-10 |
240000778 |
CANYON RIDGE HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
San Bernardino |
2014-09-03 00:00:00 |
240010965 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE26 - Sexual assault on a patient |
None |
2011-07-31 00:00:00 |
2011-07-31 00:00:00 |
No |
2014-09-24 00:00:00 |
None |
FTR AE |
None |
1400 |
1400 |
0 |
1400 |
0 |
None |
RNC811 |
N |
CA00280327 |
E |
SFY2014-15 |
240000778 |
CANYON RIDGE HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
San Bernardino |
2014-08-27 00:00:00 |
240010966 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE26 - Sexual assault on a patient |
None |
2011-07-31 00:00:00 |
2011-07-31 00:00:00 |
Yes |
2015-01-06 00:00:00 |
2014-12-23 00:00:00 |
AP IJ |
AP IJ |
50000 |
30000 |
0 |
30000 |
0 |
None |
RNC811 |
N |
CA00280327 |
E |
SFY2014-15 |
240000082 |
COMMUNITY HOSPITAL OF SAN BERNARDINO |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2015-10-02 00:00:00 |
240011769 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Patient Rights |
None |
2014-12-26 00:00:00 |
2014-12-26 00:00:00 |
No |
2015-10-23 00:00:00 |
None |
FTR BR |
None |
3800 |
3800 |
-950 |
2850 |
0 |
None |
SZYG11 |
None |
CA00432320 |
C |
SFY2015-16 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2010-05-14 00:00:00 |
250007223 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2008-09-04 00:00:00 |
2008-09-04 00:00:00 |
No |
2010-06-07 00:00:00 |
None |
FTR AE |
None |
5600 |
5600 |
0 |
5600 |
0 |
None |
HGU011 |
N |
CA00167548, CA00168523 |
C, C |
SFY2009-10 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2014-10-01 00:00:00 |
250011042 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2008-03-26 00:00:00 |
2008-03-26 00:00:00 |
No |
2014-10-22 00:00:00 |
None |
FTR AE |
None |
35400 |
35400 |
0 |
35400 |
0 |
None |
VLCJ11 |
N |
CA00182159 |
B |
SFY2014-15 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-05-19 00:00:00 |
250011484 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2014-05-08 00:00:00 |
2014-05-08 00:00:00 |
No |
2015-06-10 00:00:00 |
None |
FTR AE |
None |
1400 |
1400 |
0 |
1400 |
0 |
None |
45SH11 |
N |
CA00399716 |
C |
SFY2014-15 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-05-20 00:00:00 |
250011486 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2013-12-18 00:00:00 |
2013-12-18 00:00:00 |
No |
2015-06-11 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
261H11 |
N |
CA00382322 |
C |
SFY2014-15 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-05-19 00:00:00 |
250011489 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2014-07-08 00:00:00 |
2014-07-08 00:00:00 |
No |
2015-06-10 00:00:00 |
None |
FTR AE |
None |
6100 |
6100 |
0 |
6100 |
0 |
None |
JYLO11 |
N |
CA00412997 |
C |
SFY2014-15 |
630011694 |
CANYON SPRINGS DIALYSIS |
Non-LTC |
ESRD/CDC |
Chronic Dialysis Clinic |
Riverside |
2015-05-21 00:00:00 |
250011501 |
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 |
2014-05-16 00:00:00 |
2014-05-16 00:00:00 |
No |
2015-06-12 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
-75 |
225 |
0 |
None |
7L9U11 |
None |
CA00400172, CA00400172 |
D, D |
SFY2014-15 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-07-09 00:00:00 |
250011612 |
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 |
2010-02-22 00:00:00 |
2010-02-22 00:00:00 |
No |
2015-07-30 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
FTUF11 |
N |
CA00220162 |
B |
SFY2015-16 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-09-03 00:00:00 |
250011709 |
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 |
2015-04-20 00:00:00 |
2015-04-20 00:00:00 |
No |
2015-09-25 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
VHQO11 |
N |
CA00441167 |
C |
SFY2015-16 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-09-04 00:00:00 |
250011711 |
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 |
2015-02-19 00:00:00 |
2015-02-19 00:00:00 |
No |
2015-09-28 00:00:00 |
None |
FTR AE |
None |
100 |
100 |
0 |
100 |
0 |
None |
BPBI11 |
N |
CA00432937 |
C |
SFY2015-16 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-09-24 00:00:00 |
250011745 |
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 |
2015-05-21 00:00:00 |
2015-05-21 00:00:00 |
No |
2015-10-15 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
90PN11 |
N |
CA00444643 |
C |
SFY2015-16 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2016-02-24 00:00:00 |
250012042 |
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 |
2015-04-06 00:00:00 |
2015-04-06 00:00:00 |
No |
2016-03-16 00:00:00 |
None |
FTR AE |
None |
16400 |
16400 |
0 |
16400 |
0 |
None |
PRE411 |
N |
CA00459119 |
C |
SFY2015-16 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2016-02-25 00:00:00 |
250012050 |
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 |
2015-02-27 00:00:00 |
2015-02-27 00:00:00 |
No |
2016-03-17 00:00:00 |
None |
FTR AE |
None |
20200 |
20200 |
0 |
20200 |
0 |
None |
RVOX11 |
N |
CA00459146 |
C |
SFY2015-16 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2016-03-18 00:00:00 |
250012128 |
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 |
2015-09-09 00:00:00 |
2015-09-09 00:00:00 |
No |
2016-04-11 00:00:00 |
None |
FTR AE |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
RLK911 |
N |
CA00460112 |
C |
SFY2015-16 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2016-07-27 00:00:00 |
250012479 |
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 |
2015-01-06 00:00:00 |
2015-01-06 00:00:00 |
No |
2016-08-17 00:00:00 |
None |
FTR AE |
None |
25400 |
25400 |
0 |
25400 |
0 |
None |
IG8L11 |
N |
CA00459154 |
C |
SFY2016-17 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2016-07-27 00:00:00 |
250012480 |
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 |
2015-03-16 00:00:00 |
2015-03-16 00:00:00 |
No |
2016-08-17 00:00:00 |
None |
FTR AE |
None |
18500 |
18500 |
0 |
18500 |
0 |
None |
CNC011 |
N |
CA00459141 |
C |
SFY2016-17 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2016-07-27 00:00:00 |
250012481 |
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 |
2015-03-11 00:00:00 |
2015-03-11 00:00:00 |
No |
2016-08-17 00:00:00 |
None |
FTR AE |
None |
19000 |
19000 |
0 |
19000 |
0 |
None |
VHX611 |
N |
CA00459132 |
C |
SFY2016-17 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2017-06-26 00:00:00 |
250013315 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2016-01-30 00:00:00 |
2016-01-30 00:00:00 |
Yes |
2017-07-18 00:00:00 |
2017-07-11 00:00:00 |
AP NON-IJ |
AP NON-IJ |
15675 |
11800 |
0 |
11800 |
0 |
None |
0PZH11 |
N |
CA00486558 |
C |
SFY2016-17 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2017-06-26 00:00:00 |
250013317 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2016-01-30 00:00:00 |
2016-01-30 00:00:00 |
Yes |
2017-07-18 00:00:00 |
2017-07-10 00:00:00 |
FTR AE |
FTR AE |
9700 |
7231.25 |
0 |
7231.25 |
0 |
None |
0PZH11 |
N |
CA00486558 |
C |
SFY2016-17 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2017-12-08 00:00:00 |
250013682 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2016-12-13 00:00:00 |
2016-12-13 00:00:00 |
No |
2018-01-01 00:00:00 |
None |
AP NON-IJ |
None |
15675 |
15675 |
0 |
15675 |
0 |
None |
ZVS211 |
N |
CA00514168, CA00514175 |
B, B |
SFY2017-18 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2018-03-19 00:00:00 |
250013919 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2015-08-26 00:00:00 |
2015-08-26 00:00:00 |
No |
2018-04-09 00:00:00 |
None |
AP IJ |
None |
44887.5 |
44887.5 |
0 |
44887.5 |
0 |
None |
OF7711 |
N |
CA00455976 |
A |
SFY2017-18 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2018-03-20 00:00:00 |
250013925 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2016-06-05 00:00:00 |
2016-06-05 00:00:00 |
No |
2018-04-10 00:00:00 |
None |
AP IJ |
None |
49500 |
49500 |
0 |
49500 |
0 |
None |
M4W611 |
N |
CA00491050 |
C |
SFY2017-18 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2018-03-20 00:00:00 |
250013926 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2017-11-01 00:00:00 |
2017-11-01 00:00:00 |
No |
2018-04-10 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
LKZY11 |
N |
CA00560448 |
B |
SFY2017-18 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2018-04-25 00:00:00 |
250014028 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2017-07-10 00:00:00 |
2017-07-10 00:00:00 |
No |
2018-05-16 00:00:00 |
None |
AP NON-IJ |
None |
12375 |
12375 |
0 |
12375 |
0 |
None |
9RZ711 |
N |
CA00543313 |
C |
SFY2017-18 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2020-01-28 00:00:00 |
250015719 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2019-12-10 00:00:00 |
2019-12-10 00:00:00 |
No |
2020-02-18 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
IUH711 |
N |
CA00668140 |
C |
SFY2019-20 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2020-05-12 00:00:00 |
250015879 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2019-09-05 00:00:00 |
2019-09-05 00:00:00 |
No |
2020-06-02 00:00:00 |
None |
AP NON-IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
96M911 |
N |
CA00654165 |
C |
SFY2019-20 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2020-09-02 00:00:00 |
250016017 |
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 |
2020-03-18 00:00:00 |
2020-03-18 00:00:00 |
No |
2020-09-24 00:00:00 |
None |
FTR AE |
None |
3200 |
3200 |
0 |
3200 |
0 |
None |
YS0111 |
N |
CA00686412 |
B |
SFY2020-21 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2021-01-07 00:00:00 |
250016234 |
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 |
2020-02-24 00:00:00 |
2020-02-24 00:00:00 |
Yes |
2021-01-29 00:00:00 |
2021-01-27 00:00:00 |
FTR AE |
None |
8900 |
8900 |
0 |
8900 |
0 |
None |
NUVH11 |
N |
CA00677558 |
B |
SFY2020-21 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2021-05-20 00:00:00 |
250016534 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2020-05-08 00:00:00 |
2020-05-08 00:00:00 |
No |
2021-06-15 00:00:00 |
None |
AP NON-IJ |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
YFKJ11 |
N |
CA00688490 |
B |
SFY2020-21 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2021-05-24 00:00:00 |
250016535 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2020-06-26 00:00:00 |
2020-06-26 00:00:00 |
No |
2021-06-15 00:00:00 |
None |
AP NON-IJ |
None |
8500 |
8500 |
0 |
8500 |
0 |
None |
597N11 |
N |
CA00696525 |
B |
SFY2020-21 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2021-05-26 00:00:00 |
250016543 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE22 - Death associated with a fall |
None |
2020-04-18 00:00:00 |
2020-04-18 00:00:00 |
No |
2021-06-17 00:00:00 |
None |
AP IJ |
None |
47025 |
47025 |
0 |
47025 |
0 |
None |
PLYE11 |
Y |
CA00685809 |
B |
SFY2020-21 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2022-02-04 00:00:00 |
250017322 |
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 |
2021-09-10 00:00:00 |
2021-09-10 00:00:00 |
No |
2022-02-28 00:00:00 |
None |
FTR AE |
None |
100 |
100 |
0 |
100 |
0 |
None |
FS1J11 |
N |
CA00753205, CA00753205 |
B, B |
SFY2021-22 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2022-02-14 00:00:00 |
250017342 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2021-01-29 00:00:00 |
2021-01-29 00:00:00 |
No |
2022-03-08 00:00:00 |
None |
AP NON-IJ |
None |
3937.5 |
3937.5 |
0 |
3937.5 |
0 |
None |
NL9Y11 |
N |
CA00723528 |
C |
SFY2021-22 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2022-05-27 00:00:00 |
250017676 |
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 |
2021-12-26 00:00:00 |
2021-12-26 00:00:00 |
No |
2022-06-20 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
E7WW11 |
N |
CA00767647, CA00767647 |
B, B |
SFY2021-22 |
250000006 |
CORONA REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2023-07-25 00:00:00 |
250018998 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2022-04-15 00:00:00 |
2022-04-15 00:00:00 |
No |
2023-08-15 00:00:00 |
None |
AP IJ |
None |
100000 |
100000 |
0 |
100000 |
0 |
None |
VG3Z11 |
Y |
CA00782420, CA00782420 |
A, A |
SFY2023-24 |
930000004 |
CEDARS-SINAI MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2008-01-08 00:00:00 |
930004565 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2007-11-20 00:00:00 |
2007-11-20 00:00:00 |
No |
2008-02-01 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
7BS511 |
N |
CA00132637 |
A |
SFY2007-08 |
930000038 |
COAST PLAZA HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2009-02-20 00:00:00 |
930005890 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2008-12-05 00:00:00 |
2008-12-05 00:00:00 |
No |
2009-03-13 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
3MHS11 |
N |
CA00173807 |
B |
SFY2008-09 |
930000002 |
CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2009-04-29 00:00:00 |
930006146 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2009-03-02 00:00:00 |
2009-03-02 00:00:00 |
No |
2009-05-20 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
OQD311 |
N |
None |
None |
SFY2008-09 |
930000044 |
CEDARS-SINAI MARINA DEL REY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2009-09-18 00:00:00 |
930006567 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-03-29 00:00:00 |
2007-03-29 00:00:00 |
No |
2009-10-09 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
7K7E11 |
N |
CA00202141 |
E |
SFY2009-10 |
930000114 |
COLLEGE MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2010-02-16 00:00:00 |
930006980 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2009-06-29 00:00:00 |
2009-06-29 00:00:00 |
Yes |
2010-12-15 00:00:00 |
2010-11-19 00:00:00 |
AP BR |
None |
225000 |
225000 |
0 |
0 |
225000 |
None |
9WRL11 |
None |
CA00207376 |
B |
SFY2009-10 |
930000002 |
CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2010-10-25 00:00:00 |
930007668 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach by person other than a h/c worker |
None |
2010-05-21 00:00:00 |
2010-05-21 00:00:00 |
Yes |
2013-03-08 00:00:00 |
2013-02-25 00:00:00 |
AP BR |
AP BR |
250000 |
125000 |
0 |
125000 |
0 |
None |
TN4J11 |
None |
CA00230463 |
C |
SFY2010-11 |
930000034 |
CHILDREN'S HOSPITAL LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2011-11-30 00:00:00 |
930008774 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2011-07-21 00:00:00 |
2011-07-21 00:00:00 |
No |
2013-06-26 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
01O011 |
N |
CA00281069 |
C |
SFY2011-12 |
930000002 |
CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2011-12-27 00:00:00 |
930008852 |
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 |
2011-02-02 06:10:00 |
2011-02-02 06:10:00 |
No |
2012-01-19 00:00:00 |
None |
FTR AE |
None |
5200 |
5200 |
0 |
5200 |
0 |
None |
ZWR111 |
N |
CA00268189 |
C |
SFY2011-12 |
930000002 |
CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2012-01-03 00:00:00 |
930008879 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2010-06-08 00:00:00 |
2010-06-08 00:00:00 |
No |
2012-09-20 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
0H5J11 |
N |
CA00233103 |
B |
SFY2011-12 |
930000034 |
CHILDREN'S HOSPITAL LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2014-04-17 00:00:00 |
930010639 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE26 - Sexual assault on a patient |
None |
2013-07-24 00:00:00 |
2013-07-24 00:00:00 |
No |
2015-01-06 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
UFIU11 |
N |
CA00363690 |
A |
SFY2013-14 |
930000196 |
COLLEGE HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
LA Acute/Ancillary |
2016-01-11 00:00:00 |
930011951 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2012-05-25 00:00:00 |
2012-05-25 00:00:00 |
No |
2016-02-02 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
DV3411 |
N |
CA00313278 |
C |
SFY2015-16 |
930000004 |
CEDARS-SINAI MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2016-01-22 00:00:00 |
930011980 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2013-06-18 00:00:00 |
2013-06-18 00:00:00 |
Yes |
2016-08-01 00:00:00 |
2016-07-22 00:00:00 |
AP BR |
None |
250000 |
250000 |
0 |
0 |
250000 |
None |
490711 |
None |
CA00360373 |
B |
SFY2015-16 |
930000196 |
COLLEGE HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
LA Acute/Ancillary |
2016-02-09 00:00:00 |
930012013 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2012-04-10 00:00:00 |
2012-04-10 00:00:00 |
No |
2016-03-02 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
97GK11 |
N |
CA00307558 |
A |
SFY2015-16 |
930000196 |
COLLEGE HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
LA Acute/Ancillary |
2016-10-26 00:00:00 |
930012681 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2015-10-03 00:00:00 |
2015-10-03 00:00:00 |
No |
2016-11-17 00:00:00 |
None |
AP NON-IJ |
None |
12375 |
12375 |
0 |
12375 |
0 |
None |
PC3711 |
N |
CA00460604 |
B |
SFY2016-17 |
930000082 |
COMMUNITY HOSPITAL LONG BEACH |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2017-03-13 00:00:00 |
930012993 |
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 |
2016-05-01 00:00:00 |
2016-05-01 00:00:00 |
No |
2017-04-04 00:00:00 |
None |
FTR AE |
None |
2500 |
2500 |
0 |
2500 |
0 |
None |
7EEN11 |
N |
CA00490055 |
C |
SFY2016-17 |
930000036 |
CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2017-06-27 00:00:00 |
930013057 |
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 |
2015-12-31 00:00:00 |
2015-12-31 00:00:00 |
No |
2017-07-19 00:00:00 |
None |
FTR AE |
None |
600 |
600 |
0 |
600 |
0 |
None |
P5DY11 |
N |
CA00472027 |
B |
SFY2016-17 |
930000036 |
CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2017-03-23 00:00:00 |
930013066 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
Retain forgein object dur |
2016-01-22 00:00:00 |
2016-01-22 00:00:00 |
No |
2017-04-14 00:00:00 |
None |
AP NON-IJ |
None |
16650 |
16650 |
0 |
16650 |
0 |
None |
YC0I11 |
N |
CA00479523 |
B |
SFY2016-17 |
930000036 |
CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2017-08-28 00:00:00 |
930013454 |
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 |
2016-10-31 00:00:00 |
2016-10-31 00:00:00 |
No |
2017-09-19 00:00:00 |
None |
FTR AE |
None |
5500 |
5500 |
0 |
5500 |
0 |
None |
5I8311 |
N |
CA00516344 |
B |
SFY2017-18 |
930000004 |
CEDARS-SINAI MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-02-22 00:00:00 |
930013836 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
Surgical Error |
2016-04-28 00:00:00 |
2016-04-28 00:00:00 |
No |
2018-03-15 00:00:00 |
None |
AP NON-IJ |
None |
13200 |
13200 |
0 |
13200 |
0 |
None |
VSK811 |
N |
CA00487016 |
B |
SFY2017-18 |
930000004 |
CEDARS-SINAI MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-04-16 00:00:00 |
930014058 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2016-08-31 00:00:00 |
2016-08-31 00:00:00 |
No |
2019-04-12 00:00:00 |
None |
AP BR |
None |
7500 |
7500 |
0 |
7500 |
0 |
None |
Q23111 |
None |
CA00504242 |
E |
SFY2017-18 |
930000114 |
COLLEGE MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-12-03 00:00:00 |
930014622 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2016-11-14 00:00:00 |
2016-11-14 00:00:00 |
No |
2018-12-24 00:00:00 |
None |
FTR AE |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
UZZH11 |
Y |
CA00513678 |
B |
SFY2018-19 |
930000114 |
COLLEGE MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-12-03 00:00:00 |
930014623 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2016-11-14 00:00:00 |
2016-11-14 00:00:00 |
Yes |
2018-12-24 00:00:00 |
2018-12-18 00:00:00 |
AP NON-IJ |
AP NON-IJ |
14962 |
11000 |
0 |
11000 |
0 |
None |
UZZH11 |
Y |
CA00513678 |
B |
SFY2018-19 |
930000036 |
CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-01-02 00:00:00 |
930014682 |
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 |
2016-09-05 00:00:00 |
2016-09-05 00:00:00 |
No |
2019-01-24 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
XHEX11 |
N |
CA00503067 |
C |
SFY2018-19 |
930000036 |
CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-01-02 00:00:00 |
930014683 |
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 |
2016-09-25 00:00:00 |
2016-09-25 00:00:00 |
No |
2019-01-23 00:00:00 |
None |
FTR AE |
None |
1100 |
1100 |
0 |
1100 |
0 |
None |
EMPH11 |
N |
CA00506647 |
C |
SFY2018-19 |
930000040 |
COMMUNITY HOSPITAL OF HUNTINGTON PARK |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-04-23 00:00:00 |
930014984 |
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 |
2016-05-04 00:00:00 |
2016-05-04 00:00:00 |
No |
2019-05-14 00:00:00 |
None |
FTR AE |
None |
25500 |
25500 |
0 |
25500 |
0 |
None |
PSB311 |
Y |
CA00488796 |
B |
SFY2018-19 |
930000022 |
CENTINELA HOSPITAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-04-26 00:00:00 |
930014987 |
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 |
2017-07-11 00:00:00 |
2017-07-11 00:00:00 |
No |
2019-05-17 00:00:00 |
None |
FTR AE |
None |
13400 |
13400 |
0 |
13400 |
0 |
None |
0VFU11 |
N |
CA00559489 |
B |
SFY2018-19 |
930000004 |
CEDARS-SINAI MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-06-18 00:00:00 |
930015168 |
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 |
2018-05-29 00:00:00 |
2018-05-29 00:00:00 |
No |
2019-07-09 00:00:00 |
None |
FTR AE |
None |
32500 |
32500 |
0 |
32500 |
0 |
None |
R7SR11 |
N |
CA00589540 |
B |
SFY2018-19 |
930000002 |
CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-08-02 00:00:00 |
930015273 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2017-08-27 00:00:00 |
2017-08-27 00:00:00 |
No |
2019-08-23 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
ZYBY11 |
Y |
CA00551568, CA00587570, CA00587570 |
B, B, B |
SFY2019-20 |
930000031 |
CALIFORNIA REHABILITATION INSTITUTE, LLC |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2020-01-02 00:00:00 |
930015655 |
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 |
2018-11-08 00:00:00 |
2018-11-08 00:00:00 |
No |
2020-01-24 00:00:00 |
None |
FTR AE |
None |
23800 |
23800 |
0 |
23800 |
0 |
None |
2PXT11 |
N |
CA00645489 |
B |
SFY2019-20 |
930000040 |
COMMUNITY HOSPITAL OF HUNTINGTON PARK |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2020-01-15 00:00:00 |
930015687 |
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 |
2019-10-07 00:00:00 |
2019-10-07 00:00:00 |
No |
2020-02-05 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
6STN11 |
N |
CA00659671, CA00659671 |
B, B |
SFY2019-20 |
930000031 |
CALIFORNIA REHABILITATION INSTITUTE, LLC |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2020-01-17 00:00:00 |
930015689 |
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 |
2019-02-21 00:00:00 |
2019-02-21 00:00:00 |
No |
2020-02-07 00:00:00 |
None |
FTR AE |
None |
13300 |
13300 |
0 |
13300 |
0 |
None |
3Z4R11 |
N |
CA00645493 |
B |
SFY2019-20 |
930000031 |
CALIFORNIA REHABILITATION INSTITUTE, LLC |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2020-01-16 00:00:00 |
930015690 |
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 |
2019-04-01 00:00:00 |
2019-04-01 00:00:00 |
No |
2020-02-06 00:00:00 |
None |
FTR AE |
None |
9400 |
9400 |
0 |
9400 |
0 |
None |
804G11 |
N |
CA00645504 |
B |
SFY2019-20 |
930000031 |
CALIFORNIA REHABILITATION INSTITUTE, LLC |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2020-01-16 00:00:00 |
930015691 |
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 |
2018-07-15 00:00:00 |
2018-07-15 00:00:00 |
No |
2020-02-07 00:00:00 |
None |
FTR AE |
None |
35400 |
35400 |
0 |
35400 |
0 |
None |
LKT911 |
N |
CA00645188 |
B |
SFY2019-20 |
930000004 |
CEDARS-SINAI MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2021-04-19 00:00:00 |
930016426 |
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 |
2020-01-24 00:00:00 |
2020-01-24 00:00:00 |
No |
2021-05-10 00:00:00 |
None |
FTR AE |
None |
1600 |
1600 |
0 |
1600 |
0 |
None |
72B111 |
N |
CA00676585 |
B |
SFY2020-21 |
930000114 |
COLLEGE MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2021-09-15 00:00:00 |
930016924 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE27 - Death/injury from a physical assault |
None |
2020-01-31 00:00:00 |
2020-01-31 00:00:00 |
Yes |
2021-10-07 00:00:00 |
2022-02-10 00:00:00 |
AP IJ |
AP IJ |
47452.5 |
42706.8 |
0 |
42706.8 |
0 |
None |
O23R11 |
Y |
CA00674279, CA00676018, CA00676018, CA00676018, CA00676018 |
A, A, A, A, A |
SFY2021-22 |
930000004 |
CEDARS-SINAI MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2022-04-26 00:00:00 |
930017285 |
Open |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2021-02-23 00:00:00 |
2021-02-23 00:00:00 |
Yes |
2022-05-17 00:00:00 |
2022-05-03 00:00:00 |
AP IJ |
Drop>Deficiency |
75000 |
75000 |
0 |
75000 |
0 |
None |
TTF811 |
Y |
CA00747849, CA00747849 |
B, B |
SFY2021-22 |
930000034 |
CHILDREN'S HOSPITAL LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2021-12-10 00:00:00 |
930018733 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2018-10-03 00:00:00 |
2018-10-03 00:00:00 |
No |
2023-06-08 00:00:00 |
None |
AP BR |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
GFS411 |
None |
CA00609432 |
D |
SFY2021-22 |
930000022 |
CENTINELA HOSPITAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2023-07-10 00:00:00 |
930018887 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE14 - Maternal death/disab due to labor/del/post |
None |
2023-01-10 00:00:00 |
2023-01-10 00:00:00 |
No |
2023-07-31 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
ZB2911 |
Y |
CA00823922, CA00823922 |
A, A |
SFY2023-24 |
930000002 |
CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2023-09-26 00:00:00 |
930018976 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE14 - Maternal death/disab due to labor/del/post |
None |
2023-03-02 00:00:00 |
2023-03-02 00:00:00 |
No |
2023-10-17 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
HKIP11 |
Y |
CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00832667, CA00834236, CA00834236, CA00834236, CA00834236, CA00834236 |
A, A, A, A, A, A, A, B, B, B, B, B |
SFY2023-24 |
930000004 |
CEDARS-SINAI MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2023-08-08 00:00:00 |
930019368 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2022-08-04 00:00:00 |
2022-08-04 00:00:00 |
No |
2023-08-29 00:00:00 |
None |
AP BR |
None |
10000 |
10000 |
-2500 |
7500 |
0 |
None |
ZV3U11 |
None |
CA00799784 |
C |
SFY2023-24 |