Table: health_facilities_state_enforcement_actions_1997_2023_data_file , facility_name like D*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

facid	facility_name	ltc	fac_type_code	fac_fdr	district_office	penalty_issue_date	penalty_number	disposition	penalty_type	penalty_detail	penalty_category	penalty_category_other	violation_from_date	violation_to_date	appealed	appeal_due_date	appeal_received_date	class_assessed_initial	class_assessed_final	total_amount_initial	total_amount_due_final	total_penalty_offset_amount	total_collected_amount	total_balance_due	aclaims_visit_number	eventid	death_related	intakeid_all	priority_all	sfy
010001009	DURAN DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-03-02 00:00:00	010002186	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-07-10 00:00:00	2005-07-10 00:00:00	No	2006-03-23 00:00:00	None	B	None	800	800	0	800	0	010018349	A99999	N	CA00054833	B	SFY2005-06
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-28 00:00:00	020002481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-17 00:00:00	None	No	2000-02-18 00:00:00	None	B	B	1000	4250	-3825	425	0	020011222	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-22 00:00:00	020002499	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-27 00:00:00	None	Yes	2000-04-18 00:00:00	2000-04-11 00:00:00	A	A	9000	27000	-18710	8290	0	020011492	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-30 00:00:00	020002502	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	1999-10-07 00:00:00	2000-01-28 00:00:00	Yes	2000-04-24 00:00:00	2000-04-17 00:00:00	B	B	1000	1000	-900	100	0	020011536	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	020002506	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-05 00:00:00	None	Yes	2000-05-03 00:00:00	2000-04-17 00:00:00	A	A Trebled	9000	27000	-18710	8290	0	020011546	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-03 00:00:00	020002514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-23 00:00:00	None	No	2000-05-30 00:00:00	None	B	None	1000	1000	0	1000	0	020011650	A99999	N	None	None	SFY1999-00
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2001-01-24 00:00:00	020002587	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-18 00:00:00	2000-10-25 00:00:00	Yes	2001-06-25 00:00:00	2001-01-30 00:00:00	B	B	1000	1000	0	1000	0	020012911	A99999	N	None	None	SFY2000-01
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-02 00:00:00	020002674	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-28 00:00:00	None	No	2002-01-30 00:00:00	None	B	B	850	850	-765	85	0	020013884	A99999	N	None	None	SFY2001-02
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-02 00:00:00	020002675	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-29 00:00:00	None	No	2002-01-30 00:00:00	None	B	B	900	900	-810	90	0	020013884	A99999	N	None	None	SFY2001-02
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-05 00:00:00	020002690	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-05 00:00:00	None	No	2002-04-02 00:00:00	None	B	B	1000	650	0	650	0	020014089	A99999	N	None	None	SFY2001-02
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-13 00:00:00	020002692	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2001-02-23 00:00:00	2002-02-28 00:00:00	No	2002-04-09 00:00:00	None	B	B	1000	650	0	650	0	020014154	A99999	N	None	None	SFY2001-02
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2003-01-14 00:00:00	020002734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-27 00:00:00	None	No	2003-02-19 00:00:00	None	B	B Trebled	1000	3000	-2000	1000	0	020014782	A99999	N	None	None	SFY2002-03
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-11 00:00:00	020002765	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-26 00:00:00	None	No	2003-09-09 00:00:00	None	B	None	600	600	-210	390	0	020015638	A99999	N	None	None	SFY2003-04
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-15 00:00:00	020002767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-23 00:00:00	2003-06-10 00:00:00	No	2003-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	020015662	A99999	N	None	None	SFY2003-04
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2008-10-03 00:00:00	020005493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-25 00:00:00	2008-08-25 00:00:00	Yes	2008-10-27 00:00:00	2008-10-20 00:00:00	B	B	550	275	0	275	0	None	O45U11	N	CA00161325	B	SFY2008-09
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2010-05-13 00:00:00	020007213	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-01-01 00:00:00	2010-01-01 00:00:00	Yes	2010-06-04 00:00:00	2011-03-23 00:00:00	B	None	600	600	0	600	0	None	9J6P11	N	CA00217557	C	SFY2009-10
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-08-19 00:00:00	020007502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-13 00:00:00	2010-05-13 00:00:00	No	2010-09-20 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	W0WI11	N	CA00229784	B	SFY2010-11
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-03-09 00:00:00	020008022	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-11-21 00:00:00	2010-11-21 00:00:00	Yes	2011-03-30 00:00:00	2011-03-17 00:00:00	A	None	2300	2300	0	2300	0	None	DSU611	N	CA00251717	B	SFY2010-11
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-08-12 00:00:00	020008464	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-08 00:00:00	2011-06-08 00:00:00	No	2011-09-02 00:00:00	None	B	None	600	600	0	600	0	None	PY8T11	N	CA00272577	C	SFY2011-12
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-08-12 00:00:00	020008466	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-03 00:00:00	2011-04-03 00:00:00	No	2011-09-02 00:00:00	None	B	None	750	750	0	750	0	None	PY8T11	N	CA00265938	B	SFY2011-12
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-11-18 00:00:00	020008758	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-19 00:00:00	2010-12-19 00:00:00	No	2011-12-13 00:00:00	None	A	None	7000	7000	0	7000	0	None	XVEO11	N	CA00256276	B	SFY2011-12
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2012-11-15 00:00:00	020009605	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-08-15 00:00:00	2012-08-15 00:00:00	Yes	2012-12-10 00:00:00	2012-11-29 00:00:00	B	None	2000	2000	0	2000	0	None	JH9I11	N	CA00322235	B	SFY2012-13
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2014-11-19 00:00:00	020011051	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-06-04 00:00:00	2014-06-04 00:00:00	No	2014-12-12 00:00:00	None	B	None	1500	1500	0	1500	0	None	SRD811	N	CA00401163, CA00401503	B, B	SFY2014-15
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2014-11-06 00:00:00	020011113	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-09-30 00:00:00	2014-09-30 00:00:00	Yes	2014-12-02 00:00:00	2014-11-12 00:00:00	B	B	1500	750	0	750	0	None	X75411	N	CA00415448	B	SFY2014-15
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2015-01-15 00:00:00	020011230	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-07 00:00:00	2014-03-07 00:00:00	No	2015-02-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	J9Y311	N	None	None	SFY2014-15
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2015-06-25 00:00:00	020011522	Closed	Citation	Citation A (HSC 1424)	Patient Record	None	2014-09-16 00:00:00	2014-09-16 00:00:00	Yes	2015-07-16 00:00:00	2015-07-16 00:00:00	A	A	18000	12000	0	12000	0	None	9GS911	N	CA00415805	B	SFY2014-15
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2015-11-16 00:00:00	020011841	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-02 00:00:00	2015-07-02 00:00:00	No	2015-12-09 00:00:00	None	B	None	1500	1500	-525	975	0	None	WLO612	N	CA00449165	B	SFY2015-16
020000133	DRIFTWOOD HEALTHCARE CENTER - HAYWARD	LTC	SNF	Skilled Nursing Facility	East Bay	2017-08-17 00:00:00	020013416	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-12 00:00:00	2017-06-12 00:00:00	No	2017-09-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	38YG11	N	CA00539698	C	SFY2017-18
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-10-09 00:00:00	020019228	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-08-17 00:00:00	2023-08-17 00:00:00	No	2023-10-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CWPK11	N	CA00856314	A	SFY2023-24
100001505	DUKE FACILITIES, INC. #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2007-09-19 00:00:00	030004279	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-16 00:00:00	2007-06-16 00:00:00	No	2007-10-25 00:00:00	None	B	None	800	800	-280	520	0	None	1IL111	N	CA00118663	B	SFY2007-08
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-24 00:00:00	030004290	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-08-06 00:00:00	2007-08-06 00:00:00	No	2007-11-29 00:00:00	None	B	None	1000	1050	-350	700	0	None	5WPY11	N	CA00124293	A	SFY2007-08
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-29 00:00:00	030004399	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-14 00:00:00	2007-04-14 00:00:00	No	2007-11-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	LHJD11	N	CA00113397	B	SFY2007-08
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-02-27 00:00:00	030005913	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-17 00:00:00	2007-12-17 00:00:00	No	2009-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	T0KQ11	N	CA00136232	B	SFY2008-09
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-09 00:00:00	030007470	Closed	Citation	Citation B (HSC 1424)	Other	Supervision	2007-02-02 00:00:00	2007-02-02 00:00:00	Yes	2010-09-07 00:00:00	2010-08-10 00:00:00	B	B	1000	650	0	650	0	None	GYJS11	N	CA00138807	B	SFY2010-11
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-09 00:00:00	030007471	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-02-03 00:00:00	2007-02-03 00:00:00	Yes	2010-09-03 00:00:00	2010-08-10 00:00:00	B	B	1000	650	0	650	0	None	GYJS11	N	CA00138807	B	SFY2010-11
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-09 00:00:00	030007472	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-02-04 00:00:00	2007-02-04 00:00:00	Yes	2010-09-07 00:00:00	2010-08-10 00:00:00	B	B	1000	650	0	650	0	None	GYJS11	N	CA00138807	B	SFY2010-11
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-10-12 00:00:00	030008633	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-02-23 00:00:00	2009-02-23 00:00:00	No	2011-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	5EPG11	N	CA00180943	B	SFY2011-12
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-12-08 00:00:00	030008791	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-16 00:00:00	2009-04-16 00:00:00	No	2011-12-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	9ZMQ11	N	CA00186036	C	SFY2011-12
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2011-12-08 00:00:00	030008793	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-16 00:00:00	2009-04-16 00:00:00	No	2011-12-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	9ZMQ11	N	CA00186036	C	SFY2011-12
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-04-10 00:00:00	030009213	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-15 00:00:00	2009-07-15 00:00:00	No	2012-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	F2RX11	N	CA00195147, CA00195336, CA00195440, CA00195523	B, B, B, B	SFY2011-12
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-08-27 00:00:00	030010112	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-24 00:00:00	2010-05-24 00:00:00	Yes	2013-09-18 00:00:00	2013-09-19 00:00:00	A	None	20000	20000	0	20000	0	None	EKZV11	Y	CA00230035, CA00260735	B, C	SFY2013-14
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-22 00:00:00	030010222	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-06-08 00:00:00	2011-06-08 00:00:00	No	2013-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	38S611	N	CA00272704	B	SFY2013-14
630013020	DHK MANOR	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2017-10-05 00:00:00	030013528	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2017-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C55F11	N	None	None	SFY2017-18
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-10-18 00:00:00	030014496	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-02-26 00:00:00	2018-02-26 00:00:00	No	2018-11-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0JRW11	N	None	None	SFY2018-19
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-01-03 00:00:00	030014689	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-10-02 00:00:00	2018-10-02 00:00:00	No	2019-01-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MCKV11	N	CA00607682, CA00607682	B, B	SFY2018-19
630002961	DUKE FACILITIES, INC. #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2019-09-03 00:00:00	030015355	Closed	Citation	Citation B (HSC 1424)	Other	Governing body & Manageme	2017-06-07 00:00:00	2017-06-07 00:00:00	No	2019-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	MGPY11	N	CA00538789	B	SFY2019-20
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-04-06 00:00:00	030018605	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-17 00:00:00	2023-02-17 00:00:00	No	2023-04-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DL4T11	N	CA00827559, CA00827571	B, B	SFY2022-23
040001041	DEWITT SUB-ACUTE & SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-12-21 00:00:00	040001198	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-25 00:00:00	2000-07-25 00:00:00	No	2001-01-16 00:00:00	None	B	None	900	900	-315	585	0	040011562	A99999	N	None	None	SFY2000-01
040001111	DAVIS GROUP HOMES	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2001-03-14 00:00:00	040001210	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-03 00:00:00	2000-12-03 00:00:00	No	2001-04-06 00:00:00	None	B	None	800	800	-280	520	0	040011851	A99999	N	None	None	SFY2000-01
040001041	DEWITT SUB-ACUTE & SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2004-03-30 00:00:00	040001355	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-29 00:00:00	2003-06-29 00:00:00	No	2004-04-22 00:00:00	None	B	None	900	900	-315	585	0	040014989	A99999	N	None	None	SFY2003-04
040001079	DAVIDSON SUN VALLEY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-08-18 00:00:00	040001375	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2005-02-13 00:00:00	2005-02-13 00:00:00	No	2005-09-09 00:00:00	None	AA	None	25000	25000	-8750	16250	0	040016640	A99999	Y	None	None	SFY2005-06
040000583	DAVIDSON HOME - BROOKDALE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-02-08 00:00:00	040004593	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-20 00:00:00	2006-09-20 00:00:00	No	2008-03-04 00:00:00	None	B	None	1000	1200	-350	850	0	None	OG6111	N	CA00094385	C	SFY2007-08
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-01-20 00:00:00	050001620	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-01 00:00:00	None	No	2005-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	050017766	A99999	N	None	None	SFY2004-05
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-11 00:00:00	050003627	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-26 00:00:00	2006-07-26 00:00:00	No	2007-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	9G6S11	N	CA00088137	B	SFY2006-07
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-11 00:00:00	050003628	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-03 00:00:00	2006-10-03 00:00:00	No	2007-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	GC6B11	N	CA00094713	B	SFY2006-07
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-19 00:00:00	050006109	Closed	Citation	Citation B (HSC 1424)	Other	Theft and Loss	2008-12-01 00:00:00	2008-12-01 00:00:00	Yes	2014-04-03 00:00:00	2010-05-10 00:00:00	B	Dismissed by Court	300	0	0	0	0	None	QG7B11	N	None	None	SFY2009-10
050000048	DANISH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-26 00:00:00	050008159	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-03-29 00:00:00	2011-03-29 00:00:00	No	2011-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	J5NY11	N	CA00264406	B	SFY2010-11
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2003-05-22 00:00:00	070002509	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-04-24 00:00:00	None	No	2003-06-13 00:00:00	None	B	None	600	600	-210	390	0	070019008	A99999	N	None	None	SFY2002-03
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2005-12-12 00:00:00	070002609	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-11-16 00:00:00	None	No	2006-01-11 00:00:00	None	B	None	750	750	0	750	0	070020502	A99999	N	None	None	SFY2005-06
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2007-04-18 00:00:00	070003898	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-31 00:00:00	2006-08-31 00:00:00	Yes	2007-05-09 00:00:00	2007-04-19 00:00:00	A	A	2000	2000	0	2000	0	None	DBNI11	N	CA00098961	B	SFY2006-07
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-29 00:00:00	070006791	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-07 00:00:00	2009-07-07 00:00:00	Yes	2010-02-03 00:00:00	2010-01-12 00:00:00	B	B	800	400	0	400	0	None	HU6211	N	CA00208468	B	SFY2009-10
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2010-01-29 00:00:00	070006914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2010-03-09 00:00:00	None	B	None	900	900	0	900	0	None	7QYQ11	N	CA00210828, CA00212734, CA00212791	B, B, B	SFY2009-10
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-23 00:00:00	070007324	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-02 00:00:00	2010-06-02 00:00:00	No	2010-07-14 00:00:00	None	B	None	600	600	0	600	0	None	Y8HU11	N	CA00231049	B	SFY2009-10
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-08 00:00:00	070007754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-26 00:00:00	2010-10-26 00:00:00	No	2010-12-29 00:00:00	None	B	None	800	800	-280	520	0	None	WBW011	N	CA00247380	B	SFY2010-11
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2011-01-20 00:00:00	070007855	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-12-25 00:00:00	2010-12-25 00:00:00	Yes	2011-02-10 00:00:00	2011-02-09 00:00:00	B	B	600	740	-122.5	617.5	0	None	NCEF11	N	CA00253946	C	SFY2010-11
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2011-08-25 00:00:00	070008506	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-08 00:00:00	2011-08-08 00:00:00	Yes	2011-09-16 00:00:00	2011-09-08 00:00:00	B	B Trebled	800	1560	0	1560	0	None	07Q411	N	CA00278609, CA00279321	C, B	SFY2011-12
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2012-01-23 00:00:00	070008901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-11-28 00:00:00	2011-11-28 00:00:00	Yes	2012-02-13 00:00:00	2012-02-01 00:00:00	B	None	900	900	0	900	0	None	7F6O11	N	CA00291160, CA00291857	B, B	SFY2011-12
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2013-06-26 00:00:00	070009970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-05-27 00:00:00	2013-05-27 00:00:00	Yes	2013-07-18 00:00:00	2013-07-05 00:00:00	B	None	1600	1600	0	1600	0	None	0O0911	N	CA00357585	B	SFY2012-13
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2015-04-17 00:00:00	070011383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-19 00:00:00	2015-03-19 00:00:00	No	2015-05-08 00:00:00	None	B	None	900	900	0	900	0	None	GFPY11	N	CA00436670	B	SFY2014-15
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-29 00:00:00	070012789	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-09 00:00:00	2016-11-09 00:00:00	Yes	2017-01-23 00:00:00	2017-01-23 00:00:00	A	A	20000	11000	0	11000	0	None	MW1C11	N	CA00510770	B	SFY2016-17
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2017-02-16 00:00:00	070012966	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-06 00:00:00	2016-12-06 00:00:00	No	2017-03-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	GSK211	N	CA00520736	B	SFY2016-17
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-27 00:00:00	070013398	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-07-06 00:00:00	2017-07-06 00:00:00	No	2017-08-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RSSD11	N	CA00543254	B	SFY2017-18
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2019-09-03 00:00:00	070015331	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-10 00:00:00	2019-08-10 00:00:00	No	2019-09-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	JC3611	N	CA00649859	B	SFY2019-20
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-16 00:00:00	070019693	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-15 00:00:00	2023-02-15 00:00:00	No	2024-05-07 00:00:00	None	B	None	3000	3000	0	0	3000	None	HFPG11	N	CA00857480	B	SFY2023-24
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2024-02-09 00:00:00	070019695	Open	Citation	Citation B (HSC 1424)	Medication	None	2023-09-20 00:00:00	2023-09-20 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	3000	0	1950	1050	None	CSUZ11	N	CA00861839, CA00861992	B, B	SFY2023-24
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-03 00:00:00	070019829	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2024-04-24 00:00:00	None	A	None	15000	15000	0	0	15000	None	Y1BG11	N	CA00852609	A	SFY2023-24
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-06-01 00:00:00	100002023	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-10 00:00:00	None	Yes	2000-07-14 00:00:00	2000-06-19 00:00:00	A	A	8000	8000	-5840	2160	0	100014239	A99999	N	None	None	SFY1999-00
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-13 00:00:00	100002064	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-10 00:00:00	None	No	2001-03-07 00:00:00	None	B	None	800	800	-280	520	0	100015058	A99999	N	None	None	SFY2000-01
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-23 00:00:00	100002116	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/MEDS	2000-11-02 00:00:00	None	No	2001-12-12 00:00:00	None	A	A	15000	15000	-10950	4050	0	100015901	A99999	N	None	None	SFY2001-02
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-03-28 00:00:00	100002149	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-03 00:00:00	None	No	2002-04-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	100015412	A99999	N	None	None	SFY2001-02
100001505	DUKE FACILITIES, INC. #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2002-08-15 00:00:00	100002172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-01 00:00:00	None	No	2002-09-11 00:00:00	None	B	None	500	500	-175	325	0	100016869	A99999	N	None	None	SFY2002-03
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-06-05 00:00:00	100002221	Closed	Citation	Citation B (HSC 1424)	Other	GENERAL MAINTENANCE	2003-05-14 00:00:00	None	No	2003-07-07 00:00:00	None	B	None	800	800	-280	520	0	100017976	A99999	N	None	None	SFY2002-03
100000006	DAVIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-09-04 00:00:00	100002232	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-08-27 00:00:00	None	Yes	2003-10-02 00:00:00	2003-09-10 00:00:00	A	Dismissed by Court	16000	0	0	0	0	100018266	A99999	N	None	None	SFY2003-04
110001210	DOCTORS MEDICAL CENTER - SAN PABLO/PINOLE D/P SNF	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-10 00:00:00	110001862	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-14 00:00:00	None	No	2000-02-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	110015111	A99999	N	None	None	SFY1999-00
010000970	DEVON DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-02-14 00:00:00	110004276	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-08-11 00:00:00	2007-08-11 00:00:00	No	2008-03-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	D95N11	N	CA00124327	B	SFY2007-08
010000970	DEVON DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-10-18 00:00:00	110007244	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-29 00:00:00	2010-01-29 00:00:00	No	2010-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	KKMB11	N	CA00215518	B	SFY2010-11
010000970	DEVON DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2011-09-14 00:00:00	110008460	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-29 00:00:00	2011-07-29 00:00:00	No	2011-10-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	MPMN11	N	CA00277332	A	SFY2011-12
010000801	DANNY'S PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2013-12-30 00:00:00	110010091	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-03 00:00:00	2013-02-03 00:00:00	No	2014-01-22 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	J80F11	N	CA00343590	B	SFY2013-14
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-02-28 00:00:00	120001369	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-07 00:00:00	1999-12-07 00:00:00	No	2000-03-24 00:00:00	None	B	None	800	800	-280	520	0	120013572	A99999	N	None	None	SFY1999-00
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-04-13 00:00:00	120001457	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-23 00:00:00	2000-04-13 00:00:00	No	2000-05-09 00:00:00	None	B	None	1000	1000	0	1000	0	120015171	A99999	N	None	None	SFY1999-00
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-05-14 00:00:00	120001551	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-02-08 00:00:00	None	No	2002-06-05 00:00:00	None	B	None	500	500	-175	325	0	120016003	A99999	N	None	None	SFY2001-02
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-09-15 00:00:00	120001611	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-10 00:00:00	2000-04-10 00:00:00	No	2000-10-09 00:00:00	None	B	None	100	100	0	100	0	120016974	A99999	N	None	None	SFY2000-01
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-02-17 00:00:00	120001769	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-23 00:00:00	None	No	2004-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	120020060	A99999	N	None	None	SFY2003-04
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-05-06 00:00:00	120001781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-07 00:00:00	None	No	2004-05-27 00:00:00	None	B	None	600	600	-210	390	0	120020525	A99999	N	None	None	SFY2003-04
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-09-02 00:00:00	120001795	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-26 00:00:00	None	No	2004-09-28 00:00:00	None	B	None	600	1800	0	1800	0	120020683	A99999	N	None	None	SFY2004-05
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-11-17 00:00:00	120001801	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-15 00:00:00	2004-10-25 00:00:00	No	2004-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	120020778	A99999	N	None	None	SFY2004-05
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-03-10 00:00:00	120002921	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-19 00:00:00	2005-02-19 00:00:00	Yes	2006-04-03 00:00:00	2006-03-10 00:00:00	B	B	500	250	0	250	0	None	T54E11	N	CA00039610	C	SFY2005-06
120001564	DE BOER HOME #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-08-25 00:00:00	120003062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-01 00:00:00	2005-06-01 00:00:00	No	2006-09-18 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	0P8K11	N	CA00050287	B	SFY2006-07
120001564	DE BOER HOME #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-11-13 00:00:00	120003457	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-22 00:00:00	2006-06-22 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	7PS111	N	CA00084423	A	SFY2006-07
120001564	DE BOER HOME #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-03-22 00:00:00	120003542	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-10-29 00:00:00	2006-10-29 00:00:00	No	2007-04-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	GFC211	N	CA00097173, CA00097174	B, B	SFY2006-07
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-03-27 00:00:00	120004569	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2008-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	V96G11	N	CA00114255	C	SFY2007-08
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-18 00:00:00	120006729	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-23 00:00:00	2009-08-23 00:00:00	No	2010-09-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	N2CZ11	N	CA00199684	B	SFY2010-11
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-10-03 00:00:00	120009285	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-07-18 00:00:00	2010-07-18 00:00:00	No	2012-10-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6D9K11	N	CA00235923, CA00235926	C, C	SFY2012-13
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-01-29 00:00:00	120010169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-07-10 00:00:00	2012-07-10 00:00:00	Yes	2014-02-20 00:00:00	2014-01-29 00:00:00	B	None	2000	2000	-700	1300	0	None	1E5911	N	CA00318847	C	SFY2013-14
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-10-23 00:00:00	120010176	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-07-26 00:00:00	2012-07-26 00:00:00	No	2013-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5ZQJ11	N	CA00323837	B	SFY2013-14
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-05-12 00:00:00	120011437	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-06-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	23VF11	N	CA00431338	B	SFY2014-15
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-06-23 00:00:00	120011566	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-14 00:00:00	2015-02-14 00:00:00	No	2015-07-14 00:00:00	None	A	None	20000	20000	0	20000	0	None	PTLS11	N	CA00431684	B	SFY2014-15
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-08-17 00:00:00	120011608	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-06-18 00:00:00	2015-06-18 00:00:00	No	2015-09-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	WPH911	N	CA00447466	B	SFY2015-16
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-04-18 00:00:00	120012162	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-02-16 00:00:00	2016-02-16 00:00:00	No	2016-05-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VJ6211	N	CA00475454	B	SFY2015-16
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-08-07 00:00:00	120013405	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-08 00:00:00	2017-06-08 00:00:00	No	2017-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	THMN11	N	None	None	SFY2017-18
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-11-15 00:00:00	120013600	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-12 00:00:00	2017-10-12 00:00:00	No	2017-12-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MLCW11	N	CA00556448	B	SFY2017-18
120001402	DELTA HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-08 00:00:00	120016394	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-08-07 00:00:00	2020-08-07 00:00:00	No	2021-04-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	556111	N	None	None	SFY2020-21
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-08-13 00:00:00	120016749	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-05-05 00:00:00	2021-05-05 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SSHD11	N	CA00738920	B	SFY2021-22
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-30 00:00:00	120017182	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-21 00:00:00	2021-08-21 00:00:00	No	2022-01-21 00:00:00	None	B	None	2000	2450	-700	1750	0	None	FV7911	N	CA00748002	B	SFY2021-22
120001440	DINUBA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-10-25 00:00:00	120019134	Closed	Citation	Citation A (HSC 1424)	Other	Free of Accident Hazards/	2023-07-04 00:00:00	2023-07-04 00:00:00	No	2023-11-16 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	RK0G11	N	CA00848742, CA00848874	B, B	SFY2023-24
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-12-15 00:00:00	120019437	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-10-09 00:00:00	2023-10-09 00:00:00	No	2024-01-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XQKL11	N	CA00864641	A	SFY2023-24
120000638	DELANO DISTRICT SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-04-19 00:00:00	120020007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-19 00:00:00	2023-11-19 00:00:00	No	2024-05-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CP3911	N	CA00871467	B	SFY2023-24
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-10 00:00:00	140002485	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-14 00:00:00	1999-08-18 00:00:00	Yes	2000-03-14 00:00:00	2000-02-18 00:00:00	A	A	7000	7000	-5110	1890	0	140011272	A99999	N	None	None	SFY1999-00
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-03-17 00:00:00	140002498	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-05-17 00:00:00	None	Yes	2000-04-14 00:00:00	2000-03-27 00:00:00	A	A	6000	6000	-4380	1620	0	140011474	A99999	N	None	None	SFY1999-00
140000130	DANVILLE POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	East Bay	2000-08-18 00:00:00	140002537	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-16 00:00:00	1999-11-17 00:00:00	Yes	2001-05-25 00:00:00	2000-08-22 00:00:00	A	A	5000	5050	0	5050	0	140012062	A99999	N	None	None	SFY2000-01
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-15 00:00:00	140002552	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-11 00:00:00	None	No	2000-10-12 00:00:00	None	A	None	10000	10600	-3500	7100	0	140012218	A99999	N	None	None	SFY2000-01
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-06-14 00:00:00	140002623	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-04 00:00:00	2001-11-04 00:00:00	No	2002-07-10 00:00:00	None	B	None	600	600	-210	390	0	140014568	A99999	N	None	None	SFY2001-02
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-07-22 00:00:00	140002627	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-06 00:00:00	None	Yes	2002-08-20 00:00:00	2002-07-26 00:00:00	A	A	15000	3500	0	3500	0	140014669	A99999	N	None	None	SFY2002-03
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-08-12 00:00:00	140002628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-03 00:00:00	None	No	2002-09-09 00:00:00	None	B	None	750	750	-262.5	487.5	0	140013437	A99999	N	None	None	SFY2002-03
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-08-15 00:00:00	140002683	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-06 00:00:00	None	No	2003-09-08 00:00:00	None	B	None	600	1800	-630	1170	0	140015808	A99999	N	None	None	SFY2003-04
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-10 00:00:00	140002685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-30 00:00:00	None	No	2003-10-09 00:00:00	None	B	None	600	1800	-630	1170	0	140015893	A99999	N	None	None	SFY2003-04
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-10 00:00:00	140002686	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-21 00:00:00	None	No	2003-10-09 00:00:00	None	B	None	600	1800	-630	1170	0	140015894	A99999	N	None	None	SFY2003-04
140000564	DIAMOND RIDGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2006-01-23 00:00:00	140002764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-14 00:00:00	None	No	2006-02-21 00:00:00	None	B	None	600	600	-210	390	0	140017441	A99999	N	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2000-05-26 00:00:00	150001935	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-16 00:00:00	1999-05-17 00:00:00	No	2000-06-19 00:00:00	None	A	None	10000	10000	-10000	0	0	150016109	A99999	N	None	None	SFY1999-00
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2000-06-01 00:00:00	150001936	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-09 00:00:00	1999-09-12 00:00:00	No	2000-06-22 00:00:00	None	A	None	10000	10000	-10000	0	0	150016112	A99999	N	None	None	SFY1999-00
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2000-10-30 00:00:00	150001937	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-03 00:00:00	None	No	2000-11-27 00:00:00	None	A	None	10000	30000	-10500	19500	0	150016120	A99999	N	None	None	SFY2000-01
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2001-06-18 00:00:00	150001938	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-31 00:00:00	None	No	2001-07-13 00:00:00	None	A	None	20000	60000	-21000	39000	0	150016142	A99999	N	None	None	SFY2000-01
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2001-08-14 00:00:00	150001939	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-24 00:00:00	2001-03-24 00:00:00	No	2001-09-07 00:00:00	None	A	None	20000	60000	-21000	39000	0	150016150	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2001-11-13 00:00:00	150001940	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-22 00:00:00	2001-06-26 00:00:00	No	2001-12-06 00:00:00	None	B	None	550	550	-192.5	357.5	0	150016160	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2001-11-13 00:00:00	150001941	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-15 00:00:00	2001-09-15 00:00:00	No	2001-12-06 00:00:00	None	B	None	550	550	-192.5	357.5	0	150016176	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-03-14 00:00:00	150001942	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-08-29 00:00:00	2001-08-29 00:00:00	No	2002-04-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	150016165	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-04-25 00:00:00	150001943	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-12-26 00:00:00	2000-12-26 00:00:00	No	2002-05-17 00:00:00	None	AA	None	95000	95000	-33250	61750	0	150016134	A99999	Y	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-06-21 00:00:00	150001944	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-01 00:00:00	2000-11-01 00:00:00	No	2002-07-16 00:00:00	None	A	None	20000	60000	-21000	39000	0	150016124	A99999	N	None	None	SFY2001-02
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-07-03 00:00:00	150001945	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE & RIGHT	2001-12-30 00:00:00	2001-12-30 00:00:00	No	2002-07-29 00:00:00	None	A	None	20000	60000	-21000	39000	0	150016192	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-08-05 00:00:00	150001946	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-29 00:00:00	2000-09-29 00:00:00	No	2002-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	150016263	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-08-05 00:00:00	150001947	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-10-15 00:00:00	2000-10-15 00:00:00	No	2002-08-26 00:00:00	None	B	None	1000	1000	-350	650	0	150016264	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-11-12 00:00:00	150001959	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-26 00:00:00	2001-12-26 00:00:00	No	2002-12-05 00:00:00	None	B	None	800	800	-280	520	0	150016435	A99999	N	None	None	SFY2002-03
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-11-21 00:00:00	150001960	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-28 00:00:00	2002-05-28 00:00:00	No	2002-12-16 00:00:00	None	B	None	700	700	-245	455	0	150016369	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-01-22 00:00:00	150001962	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-21 00:00:00	2002-11-21 00:00:00	No	2003-02-13 00:00:00	None	B	None	1000	3000	-1050	1950	0	150016529	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-01-21 00:00:00	150001963	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2002-05-03 00:00:00	2002-05-03 00:00:00	No	2003-02-11 00:00:00	None	AA	None	25000	25000	-8750	16250	0	150016209	A99999	Y	None	None	SFY2002-03
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-02-05 00:00:00	150001965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-30 00:00:00	2002-03-30 00:00:00	No	2003-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	150016767	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-02-27 00:00:00	150001967	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-20 00:00:00	No	2003-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	150016818	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-03-06 00:00:00	150001968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-24 00:00:00	2001-01-24 00:00:00	No	2003-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	150016834	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-03-13 00:00:00	150001969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-26 00:00:00	2002-05-26 00:00:00	No	2003-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	150016232	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-03-19 00:00:00	150001970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-28 00:00:00	2002-09-28 00:00:00	No	2003-04-10 00:00:00	None	B	None	1000	1000	-350	650	0	150016392	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-14 00:00:00	150001971	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-01 00:00:00	2003-03-01 00:00:00	No	2003-05-06 00:00:00	None	B	None	900	900	-315	585	0	150016842	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-18 00:00:00	150001973	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-20 00:00:00	No	2003-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	150016846	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-18 00:00:00	150001974	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-02 00:00:00	2003-01-02 00:00:00	No	2003-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	150016693	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-24 00:00:00	150001975	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-20 00:00:00	No	2003-05-15 00:00:00	None	B	None	900	900	-315	585	0	150016847	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-04-24 00:00:00	150001977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-03 00:00:00	2003-01-03 00:00:00	No	2003-05-15 00:00:00	None	B	None	1000	1000	0	1000	0	150016931	A99999	N	None	None	SFY2002-03
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-08-26 00:00:00	150002019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-15 00:00:00	2003-05-20 00:00:00	No	2003-09-17 00:00:00	None	B	None	1000	1000	-350	650	0	150017686	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-10-10 00:00:00	150002022	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-27 00:00:00	2003-08-27 00:00:00	No	2003-11-03 00:00:00	None	B	None	700	2100	-735	1365	0	150017854	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-12-04 00:00:00	150002024	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-10-16 00:00:00	2003-10-16 00:00:00	No	2003-12-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	150017932	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-12-23 00:00:00	150002025	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-07-21 00:00:00	2003-07-21 00:00:00	Yes	2004-01-20 00:00:00	2004-01-07 00:00:00	AA	None	25000	25000	-8750	16250	0	150017778	A99999	Y	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-12-23 00:00:00	150002026	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-06-03 00:00:00	2003-06-03 00:00:00	Yes	2004-01-20 00:00:00	2004-01-07 00:00:00	AA	None	25000	25000	-8750	16250	0	150017685	A99999	Y	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-01-06 00:00:00	150002027	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-11 00:00:00	2003-11-11 00:00:00	Yes	2004-02-03 00:00:00	2004-01-20 00:00:00	B	None	1000	3000	0	3000	0	150017965	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-02-05 00:00:00	150002028	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-13 00:00:00	2003-01-13 00:00:00	No	2004-03-03 00:00:00	None	B	None	700	700	-245	455	0	150016723	A99999	N	None	None	SFY2003-04
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-05-04 00:00:00	150002227	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-13 00:00:00	None	No	2004-05-25 00:00:00	None	B	None	1000	1000	-350	650	0	150020005	A99999	N	None	None	SFY2003-04
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-05-04 00:00:00	150002228	Closed	Citation	Citation Willful Material Omission (HSC 1424(f)(1))	Administration	None	2003-09-13 00:00:00	None	No	2004-05-25 00:00:00	None	WO	None	17000	17000	-5950	11050	0	150020011	A99999	None	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-06-22 00:00:00	150002230	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-07 00:00:00	2004-03-07 00:00:00	No	2004-08-18 00:00:00	None	B	None	800	800	-280	520	0	150020118	A99999	N	None	None	SFY2003-04
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-07-06 00:00:00	150002231	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-29 00:00:00	2004-05-29 00:00:00	No	2004-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	150020063	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-11-10 00:00:00	150002239	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-12 00:00:00	2004-07-12 00:00:00	No	2004-12-13 00:00:00	None	B	None	1000	3000	-1050	1950	0	150020248	A99999	N	None	None	SFY2004-05
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-12-08 00:00:00	150002240	Closed	Citation	Citation A (HSC 1424)	Medication	None	2004-10-14 00:00:00	2004-10-14 00:00:00	No	2005-01-03 00:00:00	None	A	None	16000	16000	-5600	10400	0	150020283	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-12-29 00:00:00	150002241	Closed	Citation	Citation A (HSC 1424)	Administration	None	2004-10-22 00:00:00	2004-10-22 00:00:00	No	2005-01-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	150020291	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-02-10 00:00:00	150002243	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-18 00:00:00	2005-12-18 00:00:00	No	2005-03-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	150020300	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-04-11 00:00:00	150002246	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-04 00:00:00	2005-02-04 00:00:00	No	2005-05-02 00:00:00	None	B	None	900	900	-315	585	0	150020306	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-04-11 00:00:00	150002247	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-15 00:00:00	2005-02-15 00:00:00	No	2005-05-02 00:00:00	None	B	None	800	2400	-840	1560	0	150020307	A99999	N	None	None	SFY2004-05
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-08-15 00:00:00	150002252	Closed	Citation	Citation AA (HSC 1424)	Other	C,PR	2005-03-21 00:00:00	2005-03-21 00:00:00	No	2005-09-06 00:00:00	None	AA	None	80000	80000	-28000	52000	0	150020319	A99999	Y	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-08-19 00:00:00	150002253	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-12 00:00:00	2005-01-12 00:00:00	No	2005-09-12 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	150020320	A99999	N	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-08-19 00:00:00	150002254	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-29 00:00:00	2005-06-29 00:00:00	No	2005-09-12 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	150020321	A99999	N	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-11-15 00:00:00	150002257	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-07-12 00:00:00	2005-07-12 00:00:00	No	2005-12-08 00:00:00	None	A	None	18000	18000	-6300	11700	0	150020329	A99999	N	None	None	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-11-15 00:00:00	150002258	Closed	Citation	Citation A (HSC 1424)	Other	C, D	2005-04-23 00:00:00	2005-04-23 00:00:00	No	2005-12-08 00:00:00	None	A	None	18000	18000	-6300	11700	0	150020330	A99999	N	None	None	SFY2005-06
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-11-16 00:00:00	150002259	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-03 00:00:00	2005-05-03 00:00:00	No	2005-12-09 00:00:00	None	B	None	700	700	-245	455	0	150020331	A99999	N	None	None	SFY2005-06
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-05-04 00:00:00	150003005	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-27 00:00:00	2005-09-27 00:00:00	No	2006-05-25 00:00:00	None	B	None	800	800	-280	520	0	None	46RF11	N	CA00062476	A	SFY2005-06
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2007-01-26 00:00:00	150003011	Closed	Citation	Citation A (HSC 1424)	Other	pr, c	2005-11-22 00:00:00	2005-11-22 00:00:00	No	2007-02-16 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	86VQ11	N	CA00066685	C	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-07-12 00:00:00	150003048	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-01-25 00:00:00	2006-01-25 00:00:00	No	2006-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	YZSH11	N	CA00070923	A	SFY2006-07
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-09-20 00:00:00	150003070	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-07-08 00:00:00	2005-07-08 00:00:00	No	2006-10-12 00:00:00	None	AA	None	95000	95000	-33250	61750	0	None	EVYZ11	Y	CA00054872	D	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-08-16 00:00:00	150003268	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-27 00:00:00	2006-06-27 00:00:00	No	2006-09-07 00:00:00	None	B	None	700	2100	-735	1365	0	None	YRG911	N	CA00084964	C	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-12-13 00:00:00	150003558	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-04 00:00:00	2006-11-04 00:00:00	No	2007-01-05 00:00:00	None	B	None	800	800	-280	520	0	None	QKX411	N	CA00097763	C	SFY2006-07
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2009-09-09 00:00:00	150003870	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-02 00:00:00	2007-03-02 00:00:00	No	2009-09-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	RRPU11	N	CA00108296	D	SFY2009-10
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2007-04-11 00:00:00	150003888	Closed	Citation	Citation B (HSC 1424)	Other	pc, pr	2006-12-17 00:00:00	2006-12-17 00:00:00	No	2007-05-02 00:00:00	None	B	None	900	2700	-945	1755	0	None	2FB811	N	CA00101514	C	SFY2006-07
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2007-05-23 00:00:00	150003964	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-03-16 00:00:00	2007-03-16 00:00:00	No	2007-06-13 00:00:00	None	B	None	600	600	-210	390	0	None	D9CL11	N	CA00109788	D	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2007-06-21 00:00:00	150004024	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-26 00:00:00	2007-04-26 00:00:00	No	2007-07-13 00:00:00	None	B	None	600	1800	-630	1170	0	None	7RQW11	N	CA00113201	C	SFY2006-07
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2009-12-30 00:00:00	150004398	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-05-23 00:00:00	2007-05-23 00:00:00	No	2010-01-25 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	0Z5411	Y	CA00115661	D	SFY2009-10
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-02-05 00:00:00	150004490	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-10-25 00:00:00	2007-10-25 00:00:00	No	2008-02-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EDQH11	N	CA00130522	C	SFY2007-08
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2007-12-13 00:00:00	150004515	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-01 00:00:00	2007-12-01 00:00:00	No	2008-01-07 00:00:00	None	B	None	700	700	-245	455	0	None	UGPJ11	N	CA00133934	C	SFY2007-08
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-01-03 00:00:00	150004533	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-11 00:00:00	2007-11-11 00:00:00	No	2008-01-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q9JS11	N	CA00132108	C	SFY2007-08
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-07-03 00:00:00	150005184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-22 00:00:00	2008-05-22 00:00:00	No	2008-07-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	QMRV11	N	CA00151676	C	SFY2008-09
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-11-19 00:00:00	150005515	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-30 00:00:00	2008-07-30 00:00:00	No	2008-12-12 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	C9IE11	N	CA00160005	D	SFY2008-09
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2009-04-28 00:00:00	150006101	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-26 00:00:00	2008-04-26 00:00:00	No	2009-05-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	R4D911	N	CA00148764	C	SFY2008-09
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-01-04 00:00:00	150006282	Closed	Citation	Citation B (HSC 1424)	Patient Rights	AB-Abuse/Fac Not Reported	2009-02-25 00:00:00	2009-02-25 00:00:00	No	2010-01-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	MNN311	N	CA00185753	D	SFY2009-10
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-12-22 00:00:00	150006681	Closed	Citation	Citation AA (HSC 1424)	Other	Death	2009-07-29 00:00:00	2009-07-29 00:00:00	No	2012-01-17 00:00:00	None	AA	None	80000	80300	-28000	52300	0	None	L88W11	Y	CA00197219	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-01-12 00:00:00	150006757	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-21 00:00:00	2009-09-21 00:00:00	No	2010-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	0V6F11	N	CA00203660	D	SFY2009-10
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-02-23 00:00:00	150006870	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-05 00:00:00	2009-12-05 00:00:00	No	2010-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	IEIF11	N	CA00210747	D	SFY2009-10
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-03-08 00:00:00	150006983	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-05 00:00:00	2009-07-05 00:00:00	No	2010-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZPTX11	N	CA00194870	D	SFY2009-10
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-08-25 00:00:00	150007117	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-03-30 00:00:00	2008-03-30 00:00:00	No	2010-09-16 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	JTCE11	Y	CA00145410	C	SFY2010-11
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-11-22 00:00:00	150007312	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-05-04 00:00:00	2010-05-04 00:00:00	No	2010-12-15 00:00:00	None	B	None	1000	3000	0	3000	0	None	EI4F11	N	CA00227920	D	SFY2010-11
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-05-05 00:00:00	150007427	Closed	Citation	Citation B (HSC 1424)	Patient Care	DEATH	2010-02-02 00:00:00	2010-02-02 00:00:00	No	2011-05-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	NYJL11	N	CA00218686	D	SFY2010-11
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-16 00:00:00	150007657	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-18 00:00:00	2010-08-18 00:00:00	No	2012-05-07 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	92XB11	N	CA00242527	C	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-10-25 00:00:00	150008097	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-22 00:00:00	2010-07-22 00:00:00	No	2011-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	4OG911	N	CA00237258	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-08-26 00:00:00	150008105	Closed	Citation	Citation A (HSC 1424)	Other	Neglect	2011-01-06 00:00:00	2011-01-06 00:00:00	No	2011-09-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QMTL11	N	CA00257238	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-06-14 00:00:00	150008106	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-01 00:00:00	2011-03-01 00:00:00	No	2011-07-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	ROIK11	N	CA00261151	C	SFY2010-11
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-11-04 00:00:00	150008167	Closed	Citation	Citation A (HSC 1424)	Other	Staff Death/neglect	2010-10-23 00:00:00	2010-10-23 00:00:00	No	2011-11-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	P3XI11	N	CA00246965	B	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-11-10 00:00:00	150008197	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-10 00:00:00	2011-01-10 00:00:00	No	2011-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	PJ1S11	N	CA00257848	D	SFY2011-12
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-16 00:00:00	150008241	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-09-08 00:00:00	2010-09-08 00:00:00	No	2012-05-07 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	S8D411	N	CA00245745	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-12 00:00:00	150008370	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-22 00:00:00	2010-09-22 00:00:00	No	2012-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	LJEM11	N	CA00244535	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-01-10 00:00:00	150008371	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-10 00:00:00	2009-09-10 00:00:00	No	2014-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	GSFK11	N	CA00202104	D	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-06 00:00:00	150008410	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-08-18 00:00:00	2010-08-18 00:00:00	No	2012-04-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	V80P11	N	CA00238918	D	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-04-13 00:00:00	150008411	Closed	Citation	Citation A (HSC 1424)	Patient Care	Failed to follow policy	2010-12-11 00:00:00	2010-12-11 00:00:00	No	2012-05-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	B7YD11	N	CA00252021	C	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-11-10 00:00:00	150008581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-26 00:00:00	2011-02-26 00:00:00	No	2011-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZDDC11	N	CA00261150	B	SFY2011-12
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-08-29 00:00:00	150009301	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-04-26 00:00:00	2012-04-26 00:00:00	No	2013-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	TO0L11	N	CA00308745	A	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-11-06 00:00:00	150009978	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-04-10 00:00:00	2013-04-10 00:00:00	No	2013-12-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3TJ011	N	CA00350525	A	SFY2013-14
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-04-02 00:00:00	150010133	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-07-12 00:00:00	2013-07-12 00:00:00	No	2014-04-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	WZ2011	N	CA00362048	B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-11-06 00:00:00	150010134	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-04-11 00:00:00	2013-04-11 00:00:00	No	2013-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	5OFN11	N	CA00350230	B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-12-10 00:00:00	150010161	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2012-11-26 00:00:00	2012-11-26 00:00:00	No	2014-01-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B13011	N	CA00335296	D	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-02-19 00:00:00	150010215	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-14 00:00:00	2013-10-14 00:00:00	No	2014-03-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CPX111	N	CA00370146, CA00371334, CA00372050, CA00372069, CA00372466, CA00372614, CA00372812, CA00372892, CA00373156	D, C, C, C, C, C, B, B, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-01-24 00:00:00	150010216	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-09 00:00:00	2013-10-09 00:00:00	No	2014-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	F0OS11	N	CA00369963, CA00370233, CA00371089, CA00371172, CA00371723, CA00372620	D, C, C, C, B, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2013-11-15 00:00:00	150010219	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-05 00:00:00	2012-01-05 00:00:00	No	2013-12-10 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WQLS11	N	CA00296507	D	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-01-24 00:00:00	150010220	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-10-02 00:00:00	2013-10-02 00:00:00	No	2014-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OPR511	N	CA00371103, CA00372602, CA00372896, CA00373520	C, C, B, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-06-30 00:00:00	150010253	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-10-15 00:00:00	2013-10-15 00:00:00	No	2014-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	JD3S11	N	CA00369895, CA00370342, CA00372598, CA00373204	C, D, C, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-02-19 00:00:00	150010292	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-09-15 00:00:00	2013-09-15 00:00:00	No	2014-03-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WD2211	N	CA00370164, CA00370588, CA00375665, CA00376020	D, D, C, B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-03-07 00:00:00	150010388	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-12-16 00:00:00	2013-12-16 00:00:00	No	2014-03-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U2WC11	N	CA00380681	B	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-03-07 00:00:00	150010402	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-12-14 00:00:00	2013-12-14 00:00:00	No	2014-03-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TJS611	N	CA00380915, CA00381035, CA00381336, CA00381356, CA00381874, CA00382375, CA00383111, CA00383622	C, C, C, C, C, C, C, C	SFY2013-14
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-03-24 00:00:00	150010909	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-02-28 00:00:00	2014-02-28 00:00:00	No	2015-04-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FGTT11	N	CA00389777	A	SFY2014-15
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-03-24 00:00:00	150010910	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-01 00:00:00	2014-03-01 00:00:00	No	2015-04-15 00:00:00	None	B	None	1500	1500	-525	975	0	None	CWFU11	N	CA00389772	A	SFY2014-15
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-04-14 00:00:00	150011071	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Abuse Fracture	2014-01-07 00:00:00	2014-01-07 00:00:00	No	2015-05-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WQ7W11	N	CA00383999	C	SFY2014-15
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-02-16 00:00:00	150011118	Open	Citation	Citation A (HSC 1424)	Patient Rights	Abuse	2014-05-28 00:00:00	2014-05-28 00:00:00	Yes	2016-03-08 00:00:00	2016-03-04 00:00:00	A	None	20000	20950	0	0	20950	None	XSX111	Y	CA00400199	A	SFY2015-16
150001228	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2015-10-13 00:00:00	150011297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-06-11 00:00:00	2014-06-11 00:00:00	No	2015-11-03 00:00:00	None	B	None	500	500	-175	325	0	None	W6FQ11	N	CA00415580	C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-06-29 00:00:00	150011322	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-08 00:00:00	2014-08-08 00:00:00	No	2015-07-20 00:00:00	None	B	None	650	650	-227.5	422.5	0	None	JOYY11	N	CA00418021	B	SFY2014-15
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-10-30 00:00:00	150011442	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-06-26 00:00:00	2014-06-26 00:00:00	No	2015-11-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	X1M811	N	CA00439959, CA00439959	C, C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-10-28 00:00:00	150011631	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-06-04 00:00:00	2014-06-04 00:00:00	No	2015-11-19 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WFW011	N	CA00401400	B	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-11-02 00:00:00	150011644	Closed	Citation	Citation B (HSC 1424)	Other	Patient Rights and Abuse	2015-05-26 00:00:00	2015-05-26 00:00:00	No	2015-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	YN8611	N	CA00444602, CA00444938	C, C	SFY2015-16
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-10-28 00:00:00	150011646	Closed	Citation	Citation B (HSC 1424)	Other	Fac Not Self Reported	2013-05-15 00:00:00	2013-05-15 00:00:00	No	2015-11-19 00:00:00	None	B	None	800	800	-280	520	0	None	YEMN11	N	CA00355276	C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-11-06 00:00:00	150011758	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2015-07-15 00:00:00	2015-07-15 00:00:00	No	2015-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	MDJC11	N	CA00451088, CA00451760, CA00457775	C, B, C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2015-11-06 00:00:00	150011760	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-04-30 00:00:00	2015-04-30 00:00:00	No	2015-12-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	K1IJ11	N	CA00441287	C	SFY2015-16
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-01-25 00:00:00	150011970	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-05-06 00:00:00	2015-05-06 00:00:00	No	2016-02-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J7EM11	N	CA00442329	C	SFY2015-16
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-09-23 00:00:00	150012033	Closed	Citation	Citation AA (HSC 1424)	Other	Death	2014-07-13 00:00:00	2014-07-13 00:00:00	No	2016-10-14 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	S9CP11	Y	CA00405769	A	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-07-01 00:00:00	150012365	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-15 00:00:00	2015-10-15 00:00:00	No	2016-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	H4F711	N	CA00462801	C	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-07-06 00:00:00	150012373	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-27 00:00:00	2015-02-27 00:00:00	No	2016-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	5Y7G11	N	CA00437748	C	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-07-06 00:00:00	150012374	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-03-05 00:00:00	2015-03-05 00:00:00	No	2016-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	X4F911	N	CA00437757	D	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-08-18 00:00:00	150012384	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-02 00:00:00	2016-04-02 00:00:00	Yes	2016-09-09 00:00:00	2016-08-24 00:00:00	B	B	1000	2000	0	2000	0	None	8U7P11	N	CA00483020	C	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-08-16 00:00:00	150012503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-23 00:00:00	2014-05-23 00:00:00	No	2016-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	IIYB11	N	CA00400678	A	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2016-12-22 00:00:00	150012825	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-18 00:00:00	2016-01-18 00:00:00	No	2017-01-17 00:00:00	None	B	None	2000	6000	0	6000	0	None	I0Q511	N	CA00473144	B	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2017-03-07 00:00:00	150012989	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-12 00:00:00	2016-04-12 00:00:00	No	2017-03-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	O9SY11	N	CA00484408	C	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-03-19 00:00:00	150013079	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-09-19 00:00:00	2015-09-19 00:00:00	No	2019-04-09 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	1VTM11	Y	CA00467101, CA00467101	B, B	SFY2018-19
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-03-19 00:00:00	150013720	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-04-26 00:00:00	2015-04-26 00:00:00	No	2019-04-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	F6KO11	N	CA00441220	C	SFY2018-19
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2018-08-16 00:00:00	150013910	Closed	Citation	Citation AA (HSC 1424)	Other	Nursing Service General	2015-12-20 00:00:00	2015-12-20 00:00:00	No	2018-09-07 00:00:00	None	AA	None	85000	85200	-29950	55250	0	None	O1AF11	Y	CA00469660	D	SFY2018-19
150001245	DEPARTMENT OF STATE HOSPITALS - ATASCADERO	LTC	ICF	Intermediate Care Facility	State Facilities Section	2018-09-24 00:00:00	150014407	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-05-15 00:00:00	2018-05-15 00:00:00	No	2018-10-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	05NE11	N	CA00588150	D	SFY2018-19
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-08-22 00:00:00	150014502	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-08-13 00:00:00	2018-08-13 00:00:00	No	2019-09-12 00:00:00	None	B	None	800	800	0	800	0	None	MK3011	N	CA00601838	C	SFY2019-20
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-02-26 00:00:00	170001732	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-19 00:00:00	None	No	2002-03-21 00:00:00	None	A	None	17000	17000	0	17000	0	170015945	A99999	N	None	None	SFY2001-02
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-05-17 00:00:00	170001733	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-21 00:00:00	2002-02-21 00:00:00	Yes	2003-12-22 00:00:00	2002-06-10 00:00:00	A	A Trebled	10000	30000	0	30000	0	170015959	A99999	N	None	None	SFY2001-02
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-07-26 00:00:00	170001734	Closed	Citation	Citation A (HSC 1424)	Administration	None	2002-06-18 00:00:00	None	No	2002-08-26 00:00:00	None	A	None	7000	21000	0	21000	0	170015997	A99999	N	None	None	SFY2002-03
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-08-21 00:00:00	170001735	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-04-18 00:00:00	None	Yes	2002-09-16 00:00:00	2004-04-02 00:00:00	A	A	16000	48000	0	48000	0	170016009	A99999	N	None	None	SFY2002-03
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2002-11-05 00:00:00	170001736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-22 00:00:00	None	No	2002-12-05 00:00:00	None	B	None	650	650	0	650	0	170016072	A99999	N	None	None	SFY2002-03
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2003-03-07 00:00:00	170001737	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-29 00:00:00	None	No	2003-04-07 00:00:00	None	B	None	1000	3000	-1050	1950	0	170016069	A99999	N	None	None	SFY2002-03
170001860	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-12-28 00:00:00	170001742	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-12-21 00:00:00	2001-12-21 00:00:00	Yes	2002-05-01 00:00:00	2002-01-02 00:00:00	B	B	1000	1000	0	1000	0	170016648	A99999	N	None	None	SFY2001-02
170001860	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-12-30 00:00:00	170001743	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-09 00:00:00	None	No	2003-02-03 00:00:00	None	A	None	7500	7500	-2625	4875	0	170016650	A99999	N	None	None	SFY2002-03
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-01-07 00:00:00	170001782	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-06-22 00:00:00	None	No	2004-02-02 00:00:00	None	AA	None	25000	25000	-8750	16250	0	170016852	A99999	Y	None	None	SFY2003-04
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-04-21 00:00:00	170001786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-05 00:00:00	None	Yes	2004-05-12 00:00:00	2004-04-21 00:00:00	B	None	1000	1000	-350	650	0	170017458	A99999	N	None	None	SFY2003-04
170001860	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-08-26 00:00:00	170001851	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-29 00:00:00	None	No	2004-09-17 00:00:00	None	B	None	1000	1000	-350	650	0	170019110	A99999	N	None	None	SFY2004-05
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-09-07 00:00:00	170001853	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-06 00:00:00	None	Yes	2007-11-16 00:00:00	2004-09-08 00:00:00	A	A	20000	20000	0	20000	0	170017424	A99999	N	None	None	SFY2004-05
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2004-10-21 00:00:00	170001855	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-07-17 00:00:00	None	No	2004-11-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	170019129	A99999	N	None	None	SFY2004-05
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2005-08-09 00:00:00	170001876	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-21 00:00:00	None	No	2005-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	170019168	A99999	N	None	None	SFY2005-06
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2006-05-03 00:00:00	170003072	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-18 00:00:00	2005-09-18 00:00:00	No	2006-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	3M2J11	N	CA00061788	C	SFY2005-06
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-04-17 00:00:00	170003335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-14 00:00:00	2006-08-14 00:00:00	No	2008-05-08 00:00:00	None	B	None	800	800	-280	520	0	None	M4XZ11	N	CA00083014	C	SFY2007-08
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2008-02-19 00:00:00	170004686	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-22 00:00:00	2007-12-22 00:00:00	No	2008-03-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	SD8W11	N	CA00135821	B	SFY2007-08
170001860	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2010-11-18 00:00:00	170006836	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-09-29 00:00:00	2007-09-29 00:00:00	Yes	2010-12-13 00:00:00	2010-12-07 00:00:00	AA	AA	100000	100850	-850	100000	0	None	6DPF11	Y	CA00127933	C	SFY2010-11
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-05-19 00:00:00	170006837	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-01-28 00:00:00	2008-01-28 00:00:00	No	2011-06-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LPLT11	N	CA00139756, CA00141729	B, C	SFY2010-11
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-06-29 00:00:00	170006838	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-10 00:00:00	2006-09-10 00:00:00	No	2011-07-21 00:00:00	None	B	None	1000	1000	-1000	0	0	None	FHYR11	N	CA00092543	C	SFY2010-11
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-08-06 00:00:00	170007158	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-22 00:00:00	2008-03-22 00:00:00	No	2010-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	SBSW11	N	CA00145109	C	SFY2010-11
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-12-15 00:00:00	170007480	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-01-04 00:00:00	2010-01-04 00:00:00	No	2012-01-09 00:00:00	None	AA	None	80000	80000	-28000	52000	0	None	43CR11	Y	CA00213669	C	SFY2011-12
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2010-11-10 00:00:00	170007579	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-15 00:00:00	2010-03-15 00:00:00	No	2010-12-09 00:00:00	None	B	None	800	800	0	800	0	None	CLX511	N	CA00221871	C	SFY2010-11
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2011-11-03 00:00:00	170008109	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2009-01-08 00:00:00	2009-01-08 00:00:00	No	2011-11-29 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	07NZ11	N	CA00174360, CA00174846	C, C	SFY2011-12
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2012-10-01 00:00:00	170009254	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-03-28 00:00:00	2011-03-28 00:00:00	No	2012-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	PFQB11	N	CA00264915	D	SFY2012-13
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2014-03-27 00:00:00	170009256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-05 00:00:00	2012-01-05 00:00:00	No	2014-04-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6ME311	Y	CA00295139	A	SFY2013-14
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2017-03-15 00:00:00	170012827	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-09-22 00:00:00	2015-09-22 00:00:00	No	2017-04-06 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	DP2411	N	CA00459921	C	SFY2016-17
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2017-03-09 00:00:00	170012828	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-12-08 00:00:00	2015-12-08 00:00:00	No	2017-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	P7I511	N	CA00469879	C	SFY2016-17
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-03-21 00:00:00	170014815	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-11-25 00:00:00	2017-11-25 00:00:00	No	2019-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	EBZH11	N	CA00563680, CA00563680	B, B	SFY2018-19
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-08-07 00:00:00	170015254	Closed	Citation	Citation B (HSC 1424)	Administration	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2019-08-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	5GH911	N	CA00579164	A	SFY2019-20
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-12-06 00:00:00	170015389	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-22 00:00:00	2017-06-22 00:00:00	No	2019-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	ICDT11	N	CA00542609	B	SFY2019-20
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2019-11-15 00:00:00	170015540	Closed	Citation	Citation A (HSC 1424)	Administration	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2019-12-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	D2GJ11	Y	CA00581003	A	SFY2019-20
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2020-02-13 00:00:00	170015602	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-11-23 00:00:00	2017-11-23 00:00:00	No	2020-03-05 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	J5UH11	Y	CA00562749, CA00562749	C, C	SFY2019-20
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2020-01-09 00:00:00	170015669	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-08 00:00:00	2018-01-08 00:00:00	No	2020-01-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	9CJR11	N	CA00568931	B	SFY2019-20
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2020-01-21 00:00:00	170015672	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-11-12 00:00:00	2019-11-12 00:00:00	No	2020-02-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	NMP911	N	CA00663470	B	SFY2019-20
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2021-11-04 00:00:00	170017035	Closed	Citation	Citation B (HSC 1424)	Administration	None	2021-10-19 00:00:00	2021-10-19 00:00:00	No	2021-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B9WU11	N	CA00756899	C	SFY2021-22
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2023-02-21 00:00:00	170018282	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2022-12-29 00:00:00	2022-12-29 00:00:00	No	2023-03-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	NQY211	N	CA00816968	C	SFY2022-23
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2023-03-06 00:00:00	170018405	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-30 00:00:00	2022-05-30 00:00:00	No	2023-03-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RHSN11	N	CA00787301	C	SFY2022-23
630004081	DEPARTMENT OF STATE HOSPITALS - COALINGA D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2023-07-06 00:00:00	170018425	Open	Citation	Citation A (HSC 1424)	Administration	None	2022-11-16 00:00:00	2022-11-16 00:00:00	No	2023-07-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EZDK11	N	CA00813177, CA00813177, CA00832375	C, C, C	SFY2023-24
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2023-05-04 00:00:00	170018657	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-04-04 00:00:00	2020-04-04 00:00:00	No	2023-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	000C11	N	CA00683957	B	SFY2022-23
150001227	DEPARTMENT OF STATE HOSPITALS - NAPA	LTC	ICF	Intermediate Care Facility	State Facilities Section	2024-06-07 00:00:00	170019327	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-09-18 00:00:00	2023-09-18 00:00:00	No	2024-06-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HRNQ11	N	CA00861245	C	SFY2023-24
170001857	DEPARTMENT OF STATE HOSPITALS - PATTON D/P ICF	LTC	ICF	Intermediate Care Facility	State Facilities Section	2024-03-12 00:00:00	170019414	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-10-03 00:00:00	2022-10-03 00:00:00	No	2024-04-02 00:00:00	None	AA	None	100000	100000	0	65000	35000	None	U4RG11	Y	CA00806233	C	SFY2023-24
220000968	DAKOTA ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2008-11-07 00:00:00	220005592	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-15 00:00:00	2008-10-15 00:00:00	No	2008-12-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	SFSG11	N	CA00166911	C	SFY2008-09
220001117	DE LA CRUZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2009-01-21 00:00:00	220005812	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-09-20 00:00:00	2008-09-20 00:00:00	No	2009-02-11 00:00:00	None	B	None	700	700	0	700	0	None	M8ER11	N	CA00163046	B	SFY2008-09
220001117	DE LA CRUZ HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2009-01-21 00:00:00	220005813	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-20 00:00:00	2008-02-20 00:00:00	No	2009-02-11 00:00:00	None	B	None	700	700	0	700	0	None	WGMY11	N	CA00172183	C	SFY2008-09
220000053	DEVONSHIRE OAKS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-02 00:00:00	220007888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-20 00:00:00	2010-02-20 00:00:00	Yes	2011-02-24 00:00:00	2011-02-03 00:00:00	B	B	1000	650	0	650	0	None	9L3L11	N	CA00219119	C	SFY2010-11
220000053	DEVONSHIRE OAKS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2016-03-29 00:00:00	220012152	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2016-02-01 00:00:00	2016-02-01 00:00:00	No	2016-04-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	6SE011	N	CA00470610	C	SFY2015-16
230000047	DENTON RESIDENTIAL FACILITY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-05-22 00:00:00	230000983	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-04-01 00:00:00	None	No	2002-06-14 00:00:00	None	B	None	500	500	-175	325	0	230008112	A99999	N	None	None	SFY2001-02
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-05-08 00:00:00	240001767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-22 00:00:00	None	Yes	2003-06-03 00:00:00	2003-05-29 00:00:00	B	B	800	400	0	400	0	240016420	A99999	N	None	None	SFY2002-03
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-10-03 00:00:00	240001780	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-11 00:00:00	None	Yes	2003-10-30 00:00:00	2003-10-08 00:00:00	B	B	750	300	0	300	0	240017639	A99999	N	None	None	SFY2003-04
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-10-26 00:00:00	240001829	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-30 00:00:00	2004-03-30 00:00:00	Yes	2004-11-16 00:00:00	2004-11-11 00:00:00	B	B	750	375	0	375	0	240019837	A99999	N	None	None	SFY2004-05
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-03-16 00:00:00	240001850	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-27 00:00:00	2004-08-27 00:00:00	Yes	2005-04-18 00:00:00	2005-04-04 00:00:00	B	B	850	425	0	425	0	240019993	A99999	N	None	None	SFY2004-05
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-12-02 00:00:00	240005662	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-19 00:00:00	2008-08-19 00:00:00	Yes	2008-12-23 00:00:00	2008-12-18 00:00:00	B	B	850	575	-100	475	0	None	YOQ111	N	CA00160772	C	SFY2008-09
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-08-11 00:00:00	240006458	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-06-11 00:00:00	2009-06-11 00:00:00	Yes	2009-09-01 00:00:00	2010-08-29 00:00:00	AA	A	90000	25000	0	25000	0	None	MV8T11	Y	CA00191568	E	SFY2009-10
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-03-04 00:00:00	240007017	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-01-07 00:00:00	2008-01-07 00:00:00	Yes	2010-03-25 00:00:00	2010-03-04 00:00:00	AA	A	100000	25000	0	25000	0	None	KIIK11	Y	CA00138930, CA00164518	C, C	SFY2009-10
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-01 00:00:00	240008523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-28 00:00:00	2009-02-28 00:00:00	Yes	2011-09-23 00:00:00	2011-09-21 00:00:00	B	None	1000	1000	0	1000	0	None	B3WS11	N	CA00179716	C	SFY2011-12
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-05-03 00:00:00	240013175	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-02-15 00:00:00	2017-02-15 00:00:00	No	2017-05-24 00:00:00	None	B	None	500	500	-175	325	0	None	F78I11	N	CA00523274	B	SFY2016-17
240000059	DEL ROSA VILLA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-07-24 00:00:00	240018988	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-19 00:00:00	2023-06-19 00:00:00	No	2023-08-14 00:00:00	None	B	None	1500	1500	0	1500	0	None	5IC511	N	CA00844081, CA00844081	B, B	SFY2023-24
250000064	DEVONSHIRE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	1998-05-27 00:00:00	250001423	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1998-02-25 00:00:00	None	Yes	1998-06-17 00:00:00	2000-09-29 00:00:00	A	B	6000	5000	-1568	3432	0	250010281	A99999	N	None	None	SFY1997-98
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-10-01 00:00:00	250001503	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-26 00:00:00	None	Yes	2002-10-28 00:00:00	2002-10-08 00:00:00	B	Drop>Deficiency	600	600	0	600	0	250014313	A99999	N	None	None	SFY2002-03
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2002-11-14 00:00:00	250001504	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-21 00:00:00	None	Yes	2002-12-11 00:00:00	2002-11-22 00:00:00	B	None	800	800	0	800	0	250014031	A99999	N	None	None	SFY2002-03
250000064	DEVONSHIRE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2002-12-13 00:00:00	250001506	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-02 00:00:00	None	No	2003-01-16 00:00:00	None	B	None	750	750	0	750	0	250014103	A99999	N	None	None	SFY2002-03
250000114	DERBY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-03-25 00:00:00	250001550	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-09-24 00:00:00	None	Yes	2005-04-21 00:00:00	2005-03-25 00:00:00	A	A	5000	5000	0	0	5000	250016824	A99999	N	None	None	SFY2004-05
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2005-06-03 00:00:00	250001554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-18 00:00:00	2004-02-18 00:00:00	Yes	2005-06-24 00:00:00	2005-06-09 00:00:00	B	B	1000	500	0	500	0	250016828	A99999	N	None	None	SFY2004-05
250000117	DEL PARK MANOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-07-27 00:00:00	250001557	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-15 00:00:00	None	No	2005-08-17 00:00:00	None	B	None	1000	1150	-350	800	0	250016831	A99999	N	None	None	SFY2005-06
250001796	DAVIS HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-08-28 00:00:00	250005343	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2007-03-26 00:00:00	2007-03-26 00:00:00	Yes	2008-09-19 00:00:00	2008-09-08 00:00:00	B	B	1000	500	0	500	0	None	3CWS11	N	CA00128131	C	SFY2008-09
250000857	DESERT REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Riverside	2012-11-19 00:00:00	250009425	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-26 00:00:00	2011-08-26 00:00:00	No	2012-12-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	19FI11	N	CA00281664	C	SFY2012-13
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2013-05-07 00:00:00	250009834	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-06 00:00:00	2012-01-06 00:00:00	No	2013-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	JVNY11	N	CA00295099, CA00309399	C, C	SFY2012-13
250000857	DESERT REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-13 00:00:00	250010458	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-06-14 00:00:00	2011-06-14 00:00:00	No	2014-03-07 00:00:00	None	A	None	17000	17000	-5950	11050	0	None	43DA11	N	CA00278645	C	SFY2013-14
250000732	DELPHINIUM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-06-19 00:00:00	250010820	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-10-22 00:00:00	2013-10-22 00:00:00	No	2014-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	YAM311	N	CA00373051	C	SFY2013-14
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-09-25 00:00:00	250011022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2014-10-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QHGJ11	N	CA00399309	C	SFY2014-15
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-08-27 00:00:00	250011684	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2014-12-05 00:00:00	2014-12-05 00:00:00	No	2015-09-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	EZUJ11	N	CA00422528	B	SFY2015-16
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-06-20 00:00:00	250013252	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-03-16 00:00:00	2016-03-16 00:00:00	No	2017-07-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V7YE11	N	CA00479002	B	SFY2016-17
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-07-18 00:00:00	250013310	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-19 00:00:00	2015-12-19 00:00:00	No	2017-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FY5S11	N	CA00483247	B	SFY2017-18
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-07-18 00:00:00	250013311	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2015-12-19 00:00:00	2015-12-19 00:00:00	No	2017-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FY5S11	N	CA00483247	B	SFY2017-18
250000857	DESERT REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Riverside	2018-06-07 00:00:00	250014098	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Notify Ombudsm	2018-05-14 00:00:00	2018-05-14 00:00:00	No	2018-06-28 00:00:00	None	B	None	100	100	0	100	0	None	085W11	N	CA00585164	B	SFY2017-18
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-06-21 00:00:00	250014147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-28 00:00:00	2018-01-28 00:00:00	No	2018-07-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8L3O11	N	CA00571446	B	SFY2017-18
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-06 00:00:00	250014587	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-09-24 00:00:00	2018-09-24 00:00:00	No	2018-12-28 00:00:00	None	B	None	200	200	-70	130	0	None	1A7O11	N	CA00605645	B	SFY2018-19
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-06 00:00:00	250014588	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-09-24 00:00:00	2018-09-24 00:00:00	No	2018-12-28 00:00:00	None	B	None	200	200	-70	130	0	None	1A7O11	N	CA00605645, CA00605645	B, B	SFY2018-19
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-05-22 00:00:00	250014976	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-11-29 00:00:00	2018-11-29 00:00:00	No	2019-06-12 00:00:00	None	B	None	200	200	-70	130	0	None	6WN811	N	CA00614094	B	SFY2018-19
250000064	DEVONSHIRE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-08-23 00:00:00	250015230	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	2019-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7WBU11	N	CA00628233	B	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-08-22 00:00:00	250015277	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-29 00:00:00	2019-03-29 00:00:00	No	2019-09-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	36LU11	N	CA00631795	B	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-14 00:00:00	250015283	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-03 00:00:00	2019-06-03 00:00:00	No	2019-11-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DSCZ11	N	CA00641863, CA00643059	C, C	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-14 00:00:00	250015284	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-05 00:00:00	2019-06-05 00:00:00	No	2019-11-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DHDF11	N	CA00641220	C	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-09-23 00:00:00	250015309	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-03-15 00:00:00	2019-03-15 00:00:00	No	2019-10-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2CY211	N	CA00628993	B	SFY2019-20
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2020-01-15 00:00:00	250015644	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-15 00:00:00	2019-08-15 00:00:00	No	2020-02-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	24NJ11	N	CA00651156	B	SFY2019-20
250001382	DESERT MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-15 00:00:00	250018339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-09 00:00:00	2022-11-09 00:00:00	No	2023-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ML1C11	N	CA00807447, CA00809509	B, B	SFY2022-23
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-05-09 00:00:00	250018603	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-15 00:00:00	2022-12-15 00:00:00	No	2023-05-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	S3NC11	N	CA00818569, CA00818569, CA00818569	B, B, B	SFY2022-23
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-02-09 00:00:00	250019701	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-02 00:00:00	2023-10-02 00:00:00	No	2024-03-04 00:00:00	None	A	None	60000	60000	0	0	60000	None	DXUS11	Y	CA00870327	B	SFY2023-24
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-03-28 00:00:00	250019823	Closed	Citation	Citation B (HSC 1424)	Other	FTR-Ombudsman	2024-01-02 00:00:00	2024-01-02 00:00:00	No	2024-04-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EAPN11	N	CA00877632	B	SFY2023-24
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-11-05 00:00:00	910001457	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE NEGLECT	2001-08-13 00:00:00	2001-11-05 00:00:00	No	2001-11-29 00:00:00	None	B	None	800	800	0	800	0	910006900	A99999	N	None	None	SFY2001-02
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-08-01 00:00:00	910004150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-19 00:00:00	2007-06-19 00:00:00	No	2007-08-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	ULXE11	N	CA00118431	C	SFY2007-08
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-11-05 00:00:00	910006661	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-08-30 00:00:00	2009-08-30 00:00:00	Yes	2009-12-01 00:00:00	2009-11-12 00:00:00	A	B	19000	6000	0	6000	0	None	RHY711	N	CA00200928	C	SFY2009-10
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-12-23 00:00:00	910008847	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-10-16 00:00:00	2011-10-16 00:00:00	No	2012-01-18 00:00:00	None	B	None	500	650	0	650	0	None	8VZW11	N	None	None	SFY2011-12
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-14 00:00:00	910009863	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-31 00:00:00	2009-10-31 00:00:00	No	2013-06-05 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	DE6F11	N	CA00223795	C	SFY2012-13
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-17 00:00:00	910011975	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-07-30 00:00:00	2015-07-30 00:00:00	No	2016-06-08 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	CYGM11	Y	CA00452888, CA00453655	C, B	SFY2015-16
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-03 00:00:00	910012603	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-14 00:00:00	2016-02-14 00:00:00	No	2016-10-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	HQCC11	N	CA00476173, CA00478794	A, B	SFY2016-17
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-14 00:00:00	910014640	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-09-15 00:00:00	2018-09-15 00:00:00	No	2019-01-07 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	SR9P11	N	CA00604134, CA00604134, CA00604134, CA00604365, CA00604365	A, A, A, A, A	SFY2018-19
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-14 00:00:00	910014648	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2018-09-15 00:00:00	2018-09-15 00:00:00	No	2019-01-07 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	SR9P11	None	CA00604134, CA00604134, CA00604134, CA00604134, CA00604365, CA00604365, CA00604365	A, A, A, A, A, A, A	SFY2018-19
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-14 00:00:00	910014854	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-07 00:00:00	2018-12-07 00:00:00	Yes	2019-04-04 00:00:00	2019-03-19 00:00:00	A	B	16000	5000	0	5000	0	None	OQJ511	N	CA00615926, CA00616577	B, B	SFY2018-19
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-19 00:00:00	910015622	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-16 00:00:00	2019-10-16 00:00:00	No	2020-01-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	I1D611	N	CA00659922	B	SFY2019-20
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-06 00:00:00	910015787	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-08 00:00:00	2019-11-08 00:00:00	No	2020-03-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QD2R11	N	CA00662889, CA00662889, CA00662889	A, A, A	SFY2019-20
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-04 00:00:00	910015951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-07 00:00:00	2020-02-07 00:00:00	Yes	2020-08-25 00:00:00	2020-08-17 00:00:00	B	B	2000	2400	-400	2000	0	None	BPAK11	N	CA00675457, CA00675457, CA00677340, CA00677340, CA00677340, CA00677340	B, B, A, A, A, A	SFY2020-21
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-04 00:00:00	910015965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-04-20 00:00:00	2020-04-20 00:00:00	Yes	2020-08-25 00:00:00	2020-08-14 00:00:00	B	B	2000	1800	0	1800	0	None	FSU811	N	CA00688273	B	SFY2020-21
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-28 00:00:00	910016066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-03 00:00:00	2020-02-03 00:00:00	Yes	2020-10-19 00:00:00	2020-10-06 00:00:00	A	A	20000	15000	0	15000	0	None	5KRQ11	Y	CA00694624, CA00694624, CA00694624, CA00694624, CA00694624	A, A, A, A, A	SFY2020-21
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-16 00:00:00	910016424	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-31 00:00:00	2020-10-31 00:00:00	Yes	2021-05-07 00:00:00	2021-04-23 00:00:00	A	A	20000	13000	0	13000	0	None	4G0Q11	N	CA00711326	B	SFY2020-21
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-28 00:00:00	910016767	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-23 00:00:00	2021-01-23 00:00:00	Yes	2021-08-18 00:00:00	2021-08-05 00:00:00	A	A	18000	16000	0	16000	0	None	ZSTS11	N	CA00722963, CA00722963	B, B	SFY2021-22
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-28 00:00:00	910016772	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-07 00:00:00	2020-07-07 00:00:00	Yes	2021-08-18 00:00:00	2021-08-05 00:00:00	A	A	20000	15000	0	15000	0	None	9W6J11	N	CA00696348	B	SFY2021-22
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-28 00:00:00	910017048	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-10 00:00:00	2021-08-10 00:00:00	No	2021-11-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JOOY11	N	CA00747741, CA00747741	A, A	SFY2021-22
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-03 00:00:00	910018376	Open	Citation	Citation B (HSC 1424)	Other	Infection Control	2022-12-26 00:00:00	2022-12-26 00:00:00	No	2023-02-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3D7611	N	CA00818100	B	SFY2022-23
910000033	DEL AMO GARDENS CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-18 00:00:00	910020334	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-15 00:00:00	2024-04-15 00:00:00	No	2024-07-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ERZF11	N	CA00895975, CA00895975	B, B	SFY2023-24
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-30 00:00:00	920001070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-28 00:00:00	1999-12-28 00:00:00	Yes	2001-05-11 00:00:00	2000-04-07 00:00:00	B	B	600	600	-540	60	0	920005551	A99999	N	None	None	SFY1999-00
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-06-14 00:00:00	920001154	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-20 00:00:00	2002-06-14 00:00:00	Yes	2002-07-12 00:00:00	2002-07-02 00:00:00	B	B	900	675	0	675	0	920006588	A99999	N	None	None	SFY2001-02
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-06-25 00:00:00	920004049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-21 00:00:00	2007-05-21 00:00:00	No	2007-07-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	VM1I11	N	CA00115409	A	SFY2006-07
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-13 00:00:00	920004589	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-12-29 00:00:00	2007-12-29 00:00:00	No	2008-03-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	QXTF11	N	CA00136313	C	SFY2007-08
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-07-31 00:00:00	920005287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-02 00:00:00	2008-07-02 00:00:00	No	2008-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	7WJN11	N	None	None	SFY2008-09
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-01-12 00:00:00	920006907	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-09 00:00:00	2009-12-09 00:00:00	Yes	2010-02-04 00:00:00	2010-01-20 00:00:00	B	B	1000	650	0	650	0	None	R1LC11	N	CA00211721	A	SFY2009-10
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-01-12 00:00:00	920006908	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrences	2009-12-09 00:00:00	2009-12-09 00:00:00	Yes	2010-02-04 00:00:00	2010-01-20 00:00:00	B	Dismissed by Court	1000	0	0	0	0	None	R1LC11	N	CA00211721	A	SFY2009-10
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-07-08 00:00:00	920007361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-06 00:00:00	2010-06-06 00:00:00	No	2010-07-29 00:00:00	None	B	None	800	850	-280	570	0	None	VPD311	N	CA00228372, CA00231471, CA00231488	B, B, B	SFY2010-11
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-09-26 00:00:00	920010030	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-08 00:00:00	2011-09-08 00:00:00	No	2013-10-17 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	8SYX11	N	CA00296541	B	SFY2013-14
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-27 00:00:00	920012545	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-09 00:00:00	2015-03-09 00:00:00	No	2017-02-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	33XF11	N	CA00434513	B	SFY2016-17
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-01-24 00:00:00	920013756	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-23 00:00:00	2017-09-23 00:00:00	No	2018-02-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	E3MF11	N	CA00554415, CA00554692	B, B	SFY2017-18
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-06 00:00:00	920014223	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-16 00:00:00	2018-03-16 00:00:00	Yes	2018-07-27 00:00:00	2018-07-20 00:00:00	B	None	2000	2000	0	0	2000	None	YS2X11	N	CA00578817	A	SFY2018-19
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-20 00:00:00	920014255	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-14 00:00:00	2017-10-14 00:00:00	No	2018-08-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ZX6I11	N	CA00555967	B	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-29 00:00:00	920014372	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-14 00:00:00	2018-03-14 00:00:00	Yes	2018-09-20 00:00:00	2018-09-07 00:00:00	B	None	2000	2000	0	0	2000	None	TOB911	N	CA00592065	B	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-21 00:00:00	920014904	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-10-26 00:00:00	2018-10-26 00:00:00	Yes	2019-04-11 00:00:00	2019-03-22 00:00:00	B	None	2000	6000	0	0	6000	None	JBZE11	N	CA00617485, CA00617485	B, B	SFY2018-19
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-07-29 00:00:00	920015250	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-08-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	C1WT11	N	CA00637488	B	SFY2019-20
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-30 00:00:00	920016774	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-25 00:00:00	2021-04-25 00:00:00	No	2021-08-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X6Q111	N	CA00735439	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-02 00:00:00	920016886	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-29 00:00:00	2021-06-29 00:00:00	No	2021-09-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GUJQ11	N	CA00740291	A	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-17 00:00:00	920016938	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-09-17 00:00:00	2021-09-17 00:00:00	No	2021-10-08 00:00:00	None	A	A	20000	15000	0	15000	0	None	3YMK11	N	CA00747736	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-12 00:00:00	920017004	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-01 00:00:00	2021-06-01 00:00:00	No	2021-11-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8BCL21	N	CA00749802	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-09 00:00:00	920017085	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-10-30 00:00:00	2018-10-30 00:00:00	No	2021-12-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	RG0R21	N	CA00751478	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-09 00:00:00	920017086	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-10-30 00:00:00	2018-10-30 00:00:00	No	2021-12-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	RG0R21	N	CA00751478	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-09 00:00:00	920017087	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2018-10-30 00:00:00	2018-10-30 00:00:00	No	2021-12-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	RG0R21	N	CA00751478	B	SFY2021-22
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-01 00:00:00	920017749	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-07 00:00:00	2022-03-07 00:00:00	No	2022-07-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	H6WP11	N	CA00776053	B	SFY2022-23
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-23 00:00:00	920018181	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-07 00:00:00	2022-10-07 00:00:00	No	2022-12-15 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	4RLF11	N	CA00806550	B	SFY2022-23
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-11 00:00:00	920018747	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-17 00:00:00	2022-05-17 00:00:00	No	2023-06-02 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1QF411	N	CA00830835	B	SFY2022-23
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-09 00:00:00	940001394	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2000-05-09 00:00:00	None	Yes	2001-05-11 00:00:00	2000-05-11 00:00:00	B	B	1000	1000	0	1000	0	940005140	A99999	N	None	None	SFY1999-00
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-08-22 00:00:00	940001429	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-07-27 00:00:00	None	Yes	2001-09-13 00:00:00	2001-09-06 00:00:00	B	None	800	900	0	900	0	940005770	A99999	N	None	None	SFY2001-02
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-05-22 00:00:00	940001461	Closed	Citation	Citation B (HSC 1424)	Other	PT CARE/ABUSE/NEGLEC	2002-01-17 00:00:00	None	Yes	2002-09-05 00:00:00	2002-08-22 00:00:00	B	Drop>Deficiency	700	700	0	700	0	940006112	A99999	N	None	None	SFY2001-02
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-01-06 00:00:00	940001517	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-10-21 00:00:00	None	Yes	2006-02-08 00:00:00	2006-02-27 00:00:00	B	B	1000	1000	0	1000	0	940007721	A99999	N	None	None	SFY2005-06
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-24 00:00:00	940008718	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-03-10 00:00:00	2010-03-10 00:00:00	Yes	2012-02-14 00:00:00	2012-01-26 00:00:00	AA	A	80000	70000	0	70000	0	None	ZFSX11	Y	CA00222026	C	SFY2011-12
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-04-17 00:00:00	940011403	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2015-04-06 00:00:00	2015-04-06 00:00:00	Yes	2015-05-08 00:00:00	2015-04-21 00:00:00	B	None	2000	2000	0	2000	0	None	ZI5D11	N	None	None	SFY2014-15
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-04 00:00:00	940012949	Closed	Citation	Citation A (HSC 1424)	Other	Infection Control	2016-12-15 00:00:00	2016-12-15 00:00:00	Yes	2017-02-27 00:00:00	2017-02-08 00:00:00	A	B	16000	12000	0	12000	0	None	2YOC11	N	None	None	SFY2016-17
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-06 00:00:00	940012950	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-08 00:00:00	2016-06-08 00:00:00	Yes	2017-02-28 00:00:00	2017-02-08 00:00:00	A	B	16000	12000	0	12000	0	None	2YOC11	N	None	None	SFY2016-17
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-24 00:00:00	940013044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-14 00:00:00	2017-02-14 00:00:00	No	2017-04-17 00:00:00	None	A	None	16000	16000	0	16000	0	None	2YOC12	N	None	None	SFY2016-17
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-06-23 00:00:00	940013309	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-23 00:00:00	2017-01-23 00:00:00	Yes	2017-07-17 00:00:00	2017-06-30 00:00:00	A	A	20000	13000	0	13000	0	None	ZN1K11	N	CA00519450	A	SFY2016-17
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-04 00:00:00	940013709	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-01 00:00:00	2017-09-01 00:00:00	Yes	2018-01-25 00:00:00	2018-01-26 00:00:00	A	B	20000	10000	0	10000	0	None	HKPZ11	N	CA00551586, CA00551586, CA00551586, CA00551899, CA00551901	B, B, B, B, B	SFY2017-18
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-01-26 00:00:00	940013761	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-08 00:00:00	2017-08-08 00:00:00	No	2018-02-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y9JM11	N	CA00555133	B	SFY2017-18
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-16 00:00:00	940013819	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-12-05 00:00:00	2017-12-05 00:00:00	Yes	2018-03-09 00:00:00	2018-02-27 00:00:00	B	Drop>Deficiency	2000	2000	0	2000	0	None	YEC311	N	CA00563826	A	SFY2017-18
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-12 00:00:00	940013964	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-24 00:00:00	2017-10-24 00:00:00	No	2018-05-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	O0IF11	N	CA00570125, CA00570205, CA00570372	A, B, A	SFY2017-18
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-12 00:00:00	940013989	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-19 00:00:00	2018-01-19 00:00:00	No	2018-05-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	O0IF11	N	CA00570125, CA00570125, CA00570205, CA00570205, CA00570372, CA00570372	A, A, B, B, A, A	SFY2017-18
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-13 00:00:00	940014409	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-05-12 00:00:00	2018-05-12 00:00:00	Yes	2018-10-04 00:00:00	2018-09-19 00:00:00	B	None	2000	2000	0	0	2000	None	TQBR11	N	CA00587329, CA00587329, CA00587329	A, A, A	SFY2018-19
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-04 00:00:00	940014456	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-18 00:00:00	2018-04-18 00:00:00	Yes	2018-10-25 00:00:00	2018-10-12 00:00:00	A	B	16000	14000	0	14000	0	None	XVY511	N	CA00593605, CA00593605	B, B	SFY2018-19
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-04 00:00:00	940014459	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-18 00:00:00	2018-04-18 00:00:00	Yes	2018-10-25 00:00:00	2018-10-12 00:00:00	B	Drop>Deficiency	2000	2000	0	2000	0	None	XVY511	N	CA00593605, CA00593605, CA00593605	B, B, B	SFY2018-19
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-19 00:00:00	940014501	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-29 00:00:00	2018-06-29 00:00:00	No	2018-11-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	L7T511	N	CA00596495, CA00596495, CA00596495	B, B, B	SFY2018-19
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-24 00:00:00	940014514	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-23 00:00:00	2018-04-23 00:00:00	No	2018-11-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	5W3K11	N	CA00583753	B	SFY2018-19
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-21 00:00:00	940014598	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-07-26 00:00:00	2018-07-26 00:00:00	Yes	2018-12-14 00:00:00	2018-12-12 00:00:00	A	B	20000	39000	0	39000	0	None	R2HM11	Y	CA00597204, CA00597204	B, B	SFY2018-19
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-21 00:00:00	940014667	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-02-08 00:00:00	2018-02-08 00:00:00	Yes	2019-01-14 00:00:00	2018-12-21 00:00:00	AA	A	100000	20000	0	20000	0	None	F5UW11	N	CA00593335	B	SFY2018-19
950000056	DEL MAR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-10-24 00:00:00	950001364	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-08-15 00:00:00	None	Yes	2001-05-11 00:00:00	2000-10-31 00:00:00	B	B	500	500	0	500	0	950006615	A99999	N	None	None	SFY2000-01
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-06 00:00:00	950014225	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2018-03-19 00:00:00	2018-03-19 00:00:00	Yes	2018-07-27 00:00:00	2018-07-20 00:00:00	B	None	2000	2000	0	0	2000	None	YS2X11	N	CA00578817	A	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-21 00:00:00	950014900	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-12 00:00:00	2018-12-12 00:00:00	Yes	2019-04-11 00:00:00	2019-03-22 00:00:00	B	None	2000	6000	0	0	6000	None	JBZE11	N	CA00617485	B	SFY2018-19
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-21 00:00:00	950014903	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-19 00:00:00	2018-12-19 00:00:00	Yes	2019-04-11 00:00:00	2019-03-22 00:00:00	B	None	2000	6000	0	0	6000	None	JBZE11	N	CA00617485, CA00617485	B, B	SFY2018-19
950000056	DEL MAR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-26 00:00:00	950019526	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-12-08 00:00:00	2023-12-08 00:00:00	No	2024-01-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JVHC21	N	CA00873888, CA00874466	A, A	SFY2023-24
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-04-26 00:00:00	960000851	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-19 00:00:00	None	Yes	2001-05-08 00:00:00	2000-05-16 00:00:00	B	B	700	700	0	700	0	960007058	A99999	N	None	None	SFY1999-00
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-12-05 00:00:00	960000997	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-23 00:00:00	None	No	2003-01-07 00:00:00	None	B	None	500	500	0	500	0	960008886	A99999	N	None	None	SFY2002-03
960002015	DURNESS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-02-24 00:00:00	960001007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-11 00:00:00	None	No	2003-03-24 00:00:00	None	B	None	800	800	-280	520	0	960008962	A99999	N	None	None	SFY2002-03
960002324	DAWNVIEW HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-07-29 00:00:00	960001084	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-21 00:00:00	None	Yes	2011-06-30 00:00:00	2011-04-13 00:00:00	B	B	1000	500	0	500	0	960009838	A99999	N	None	None	SFY2004-05
960002865	DISCOVERING HORIZONS-BALBOA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-08-03 00:00:00	960001135	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-05-31 00:00:00	None	No	2005-09-19 00:00:00	None	B	None	500	500	-175	325	0	960010264	A99999	N	None	None	SFY2005-06
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-07 00:00:00	960001150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-13 00:00:00	None	No	2005-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	960010305	A99999	N	None	None	SFY2005-06
960002865	DISCOVERING HORIZONS-BALBOA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-16 00:00:00	960001157	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-24 00:00:00	None	No	2005-12-21 00:00:00	None	B	None	900	900	-315	585	0	960010371	A99999	N	None	None	SFY2005-06
960002072	DANIEL'S CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-02-08 00:00:00	960001169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-20 00:00:00	2006-01-20 00:00:00	No	2006-03-03 00:00:00	None	B	None	1000	1000	-350	650	0	960010481	A99999	N	None	None	SFY2005-06
960002072	DANIEL'S CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-04-06 00:00:00	960003883	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-03-15 00:00:00	2007-03-15 00:00:00	No	2007-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	7CSJ11	N	None	None	SFY2006-07
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-08-29 00:00:00	960004223	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-09 00:00:00	2007-07-09 00:00:00	Yes	2007-09-20 00:00:00	2007-09-04 00:00:00	B	B	1000	500	0	500	0	None	MO1911	N	CA00118396	C	SFY2007-08
960002072	DANIEL'S CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-06-25 00:00:00	960005174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-28 00:00:00	2008-05-28 00:00:00	No	2008-07-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	G2J411	N	None	None	SFY2007-08
960002072	DANIEL'S CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-27 00:00:00	960005953	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-02-03 00:00:00	2009-02-03 00:00:00	No	2009-04-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	ODV211	N	CA00177038	C	SFY2008-09
960002799	DOWNEY ADULT HOME CARE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-02-14 00:00:00	960007934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-21 00:00:00	2010-05-21 00:00:00	No	2011-03-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	4R5Z11	N	CA00236764	C	SFY2010-11
960002799	DOWNEY ADULT HOME CARE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-03-10 00:00:00	960008023	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-07 00:00:00	2010-09-07 00:00:00	No	2011-04-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	0NH811	N	CA00245849	B	SFY2010-11
960002799	DOWNEY ADULT HOME CARE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-11-08 00:00:00	960008675	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-31 00:00:00	2011-08-31 00:00:00	Yes	2011-12-02 00:00:00	2011-11-29 00:00:00	A	A	5000	5000	0	5000	0	None	0NH811	N	CA00245849	B	SFY2011-12
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-11-18 00:00:00	960010266	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-09-11 00:00:00	2013-09-11 00:00:00	No	2013-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	R7CO11	N	None	None	SFY2013-14
630013546	DOWNEY ADULT HOME CARE III	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-01-30 00:00:00	960010301	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-04-10 00:00:00	2013-04-10 00:00:00	Yes	2014-02-21 00:00:00	2014-02-18 00:00:00	A	None	3000	3000	0	3000	0	None	BYHB11	N	None	None	SFY2013-14
960002567	DELHAVEN COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-12-05 00:00:00	960011152	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-04 00:00:00	2014-03-04 00:00:00	No	2014-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	YMCU11	N	None	None	SFY2014-15
960002685	DORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-09-23 00:00:00	960012567	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2016-06-29 00:00:00	2016-06-29 00:00:00	Yes	2016-10-14 00:00:00	2016-09-23 00:00:00	A	None	20000	20000	-20000	0	0	None	3V1M11	N	CA00493954	B	SFY2016-17
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-12-01 00:00:00	960012642	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-11 00:00:00	2016-08-11 00:00:00	No	2016-12-22 00:00:00	None	A	None	3500	3500	-1225	2275	0	None	3UHT11	N	CA00500108	B	SFY2016-17
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-01-05 00:00:00	960012860	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-02-11 00:00:00	2016-02-11 00:00:00	No	2017-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	DZGB11	N	None	None	SFY2016-17
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-01-05 00:00:00	960012862	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-01-04 00:00:00	2016-01-04 00:00:00	No	2017-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	DZGB11	N	None	None	SFY2016-17
960001724	DIAMOND GARDEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-01-05 00:00:00	960012863	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-02-11 00:00:00	2016-02-11 00:00:00	No	2017-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	DZGB11	N	None	None	SFY2016-17
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-02-17 00:00:00	960012908	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-05 00:00:00	2016-10-05 00:00:00	No	2017-03-13 00:00:00	None	A	None	3500	3500	0	3500	0	None	KR5011	N	CA00504404	B	SFY2016-17
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-06-29 00:00:00	960014054	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-07-26 00:00:00	2013-07-26 00:00:00	No	2018-07-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	MI7D11	N	CA00355845	B	SFY2017-18
960002322	DOUGLASS HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-08-30 00:00:00	960014357	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-07 00:00:00	2018-02-07 00:00:00	No	2018-09-21 00:00:00	None	A	None	10000	10000	0	10000	0	None	4KW411	N	CA00573714, CA00573714, CA00574049, CA00574049	B, B, B, B	SFY2018-19
960002015	DURNESS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-02-15 00:00:00	960019751	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-05 00:00:00	2023-03-05 00:00:00	No	2024-03-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	M5I311	N	CA00863051, CA00863051	B, B	SFY2023-24
630015117	DESIRABLE CONGREGATE LIVING HOME - VIEW PARK	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2020-12-04 00:00:00	980016179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-10-08 00:00:00	2020-10-08 00:00:00	No	2020-12-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	KKS911	N	CA00707974, CA00707974, CA00707974, CA00708015, CA00708015, CA00708015, CA00709581, CA00709581, CA00709581, CA00709586, CA00709586, CA00709586	A, A, A, A, A, A, B, B, B, B, B, B	SFY2020-21
140000003	DELTA VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2023-01-31 00:00:00	020018352	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	2023-02-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	5VJE11	None	None	None	SFY2022-23
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2012-10-31 00:00:00	070009495	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-21 00:00:00	2012-05-07 00:00:00	Yes	2012-11-15 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	YQYJ11	None	None	None	SFY2012-13
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-01-26 00:00:00	250011237	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-03-17 00:00:00	2014-06-16 00:00:00	No	2015-02-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	XB7J11	None	None	None	SFY2014-15
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-08-16 00:00:00	810015301	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	Yes	2019-08-31 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	U17G11	None	None	None	SFY2019-20
100000059	DOUBLE TREE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-08-29 00:00:00	810015341	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-03-25 00:00:00	2018-06-24 00:00:00	No	2019-09-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CXZ211	None	None	None	SFY2019-20
940000017	DOWNEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-10 00:00:00	810016313	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	2021-03-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CUE011	None	None	None	SFY2020-21
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-17 00:00:00	810016935	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	YDWN11	None	None	None	SFY2021-22
140000062	DIABLO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2021-10-26 00:00:00	810017024	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	2021-11-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	L2R411	None	None	None	SFY2021-22
920000015	DREIER'S NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-14 00:00:00	810017251	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	2022-01-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZTVY11	None	None	None	SFY2021-22
140000130	DANVILLE POST ACUTE REHABILITATION	LTC	SNF	Skilled Nursing Facility	East Bay	2022-03-29 00:00:00	810017518	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	2022-04-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	17UM11	None	None	None	SFY2021-22
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-02 00:00:00	810017820	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	FQ3F11	None	None	None	SFY2022-23
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-08-09 00:00:00	810017848	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	V52L11	None	None	None	SFY2021-22
250000634	DESERT SPRINGS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-10-12 00:00:00	810018047	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	2022-10-27 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PH8Z11	None	None	None	SFY2022-23
910000034	DRIFTWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-12 00:00:00	810018284	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	2023-02-03 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	P3RU11	None	None	None	SFY2022-23
070000044	DRIFTWOOD HEALTHCARE CENTER - SANTA CRUZ	LTC	SNF	Skilled Nursing Facility	San Jose	2023-02-28 00:00:00	810018401	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	2023-03-21 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	N2P911	None	None	None	SFY2022-23
250000061	DESERT SPRINGS HEALTHCARE & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-07-25 00:00:00	810018963	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	QC9111	None	None	None	SFY2023-24
920000051	DESERT CANYON POST ACUTE, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-18 00:00:00	810018965	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	Y9YR11	None	None	None	SFY2023-24
220000053	DEVONSHIRE OAKS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-08-15 00:00:00	810019034	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	2023-09-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	TN1311	None	None	None	SFY2023-24
950000056	DEL MAR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-13 00:00:00	810019827	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	2024-04-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	YSHB11	None	None	None	SFY2023-24
940000057	DOWNEY COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-11 00:00:00	810019953	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	Yes	2024-05-02 00:00:00	2024-05-06 00:00:00	AP NHPPD	None	25000	25000	0	0	25000	None	7AZM11	None	None	None	SFY2023-24
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-08 00:00:00	020007489	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	2009-11-28 00:00:00	2009-11-28 00:00:00	No	2010-10-01 00:00:00	None	FTR AE	None	800	800	0	800	0	None	P52I11	N	CA00211045, CA00212632	C, C	SFY2010-11
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-09-08 00:00:00	020007491	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	2009-12-08 00:00:00	2009-12-08 00:00:00	No	2010-10-01 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	P52I11	N	CA00211045, CA00212632	C, C	SFY2010-11
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-05-12 00:00:00	020008227	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	2010-07-03 00:00:00	2010-07-03 00:00:00	No	2011-06-03 00:00:00	None	FTR BR	None	200	200	0	200	0	None	23SZ11	None	CA00242031	C	SFY2010-11
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-12-13 00:00:00	020008802	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2011-08-02 08:45:00	2011-08-02 08:45:00	No	2012-01-05 00:00:00	None	FTR BR	None	200	200	0	200	0	None	ID3X11	None	CA00276472	B	SFY2011-12
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-05-14 00:00:00	030005038	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-12 00:00:00	2007-12-12 00:00:00	No	2008-06-10 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	N2W811	N	CA00137387	B	SFY2007-08
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-09-29 00:00:00	030005469	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2007-10-14 00:00:00	2007-10-14 00:00:00	No	2008-10-22 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	L2BD11	N	CA00133149	B	SFY2008-09
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-10-15 00:00:00	030010196	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-15 00:00:00	2009-01-15 00:00:00	No	2013-11-05 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	KCG511	None	CA00175388	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-10-17 00:00:00	030010211	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-07-10 00:00:00	2009-07-10 00:00:00	No	2013-11-07 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	SMT911	None	CA00195569	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-10-21 00:00:00	030010225	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-21 00:00:00	2009-05-21 00:00:00	No	2013-11-12 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	F00W11	None	CA00191152	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-11-20 00:00:00	030010270	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-13 00:00:00	2009-05-13 00:00:00	No	2013-12-13 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	WX4B11	None	CA00188988	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-01-21 00:00:00	030010358	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-02-06 00:00:00	2009-02-06 00:00:00	No	2014-02-11 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	KR9C11	None	CA00178703	C	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-01-28 00:00:00	030010387	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-10 00:00:00	2009-11-10 00:00:00	No	2014-02-19 00:00:00	None	FTR BR	None	2200	2200	-550	1650	0	None	4D4P11	None	CA00210666	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-02-04 00:00:00	030010411	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	2009-08-06 00:00:00	2009-08-06 00:00:00	No	2014-02-26 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	5T7711	None	CA00198914	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-02-11 00:00:00	030010433	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-04-26 00:00:00	2009-04-26 00:00:00	No	2014-03-05 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	33TC11	None	CA00187215	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-02-18 00:00:00	030010476	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-01 00:00:00	2009-11-01 00:00:00	No	2014-03-11 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	ZSED11	None	CA00209886	C	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-03-18 00:00:00	030010552	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-30 00:00:00	2009-11-30 00:00:00	No	2014-04-09 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	O4DH11	None	CA00210673	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-03-18 00:00:00	030010553	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-06 00:00:00	2009-03-06 00:00:00	No	2014-04-09 00:00:00	None	FTR BR	None	100	100	0	100	0	None	90TJ11	None	CA00180905	B	SFY2013-14
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-04-01 00:00:00	030010584	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-15 00:00:00	2009-10-15 00:00:00	No	2014-04-22 00:00:00	None	FTR BR	None	1500	1500	-375	1125	0	None	GJM211	None	CA00207306	B	SFY2013-14
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-15 00:00:00	030010618	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-08 00:00:00	2012-05-08 00:00:00	No	2014-09-08 00:00:00	None	FTR BR	None	3500	3500	-875	2625	0	None	VDP011	None	CA00321407	E	SFY2014-15
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-15 00:00:00	030010619	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-05-08 00:00:00	2012-05-08 00:00:00	No	2014-09-08 00:00:00	None	FTR RES	None	3500	3500	-875	2625	0	None	VDP011	None	CA00321407	E	SFY2014-15
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-04-14 00:00:00	030010627	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-11 00:00:00	2009-03-11 00:00:00	No	2014-05-05 00:00:00	None	FTR BR	None	500	500	0	500	0	None	D3NL11	None	CA00221696	B	SFY2013-14
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-04-14 00:00:00	030010628	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	2009-03-11 00:00:00	2009-03-11 00:00:00	No	2014-05-05 00:00:00	None	FTR RES	None	200	200	0	200	0	None	D3NL11	None	CA00221696	B	SFY2013-14
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-25 00:00:00	030012684	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	2013-11-27 00:00:00	2013-11-27 00:00:00	No	2016-11-16 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	JR3L11	N	CA00381438	D	SFY2016-17
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-02-02 00:00:00	030012931	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-12-25 00:00:00	2009-12-25 00:00:00	No	2017-02-24 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	KWDO11	None	CA00213272	B	SFY2016-17
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-02-02 00:00:00	030012934	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	2011-01-20 00:00:00	2011-01-20 00:00:00	No	2017-02-24 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	V1FH11	None	CA00257474	B	SFY2016-17
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-02-02 00:00:00	030012935	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	2011-01-20 00:00:00	2011-01-20 00:00:00	No	2017-02-24 00:00:00	None	FTR RES	None	100	100	-25	75	0	None	V1FH11	None	CA00257474	B	SFY2016-17
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-03-29 00:00:00	030013094	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2012-10-09 00:00:00	2012-10-09 00:00:00	No	2017-04-20 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	5GQH11	N	CA00330864	D	SFY2016-17
030000117	DAMERON HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-04-14 00:00:00	030013125	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-07-30 00:00:00	2015-07-30 00:00:00	No	2017-05-05 00:00:00	None	FTR AE	None	100	100	0	100	0	None	2N6W11	N	CA00453411	D	SFY2016-17
030000118	DOCTORS HOSPITAL OF MANTECA	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-07 00:00:00	030017964	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2016-01-26 00:00:00	2016-01-26 00:00:00	No	2022-09-28 00:00:00	None	FTR AE	None	100	100	0	100	0	None	1PDE11	N	CA00474412, CA00474412	C, C	SFY2022-23
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-06-04 00:00:00	040009929	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-10 00:00:00	2009-10-10 00:00:00	No	2013-06-25 00:00:00	None	FTR BR	None	1700	1700	-425	1275	0	None	48PT11	None	CA00207459	B	SFY2012-13
030000122	DOCTORS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2017-10-27 00:00:00	040013576	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE27 - Death/injury from a physical assault	None	2017-02-09 00:00:00	2017-02-09 00:00:00	No	2017-11-20 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	0Q7511	N	CA00522580	B	SFY2017-18
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-01-11 00:00:00	070004535	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2007-11-15 00:00:00	2007-11-15 00:00:00	No	2008-02-04 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	QQGN11	N	CA00133286, CA00134333	B, A	SFY2007-08
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2007-12-21 00:00:00	070004536	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE02 - Wrong patient surgery	None	2007-11-15 08:00:00	2007-11-15 08:00:00	No	2008-01-15 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	QQGN11	N	CA00133286, CA00134333	B, A	SFY2007-08
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-10-13 00:00:00	070006616	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 08:00:00	2009-06-11 08:00:00	No	2009-11-03 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	TB1B11	None	CA00190949	B	SFY2009-10
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-12-21 00:00:00	070006825	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	Failure to Report	2009-06-02 08:00:00	2009-06-02 08:00:00	No	2010-01-13 00:00:00	None	FTR AE	None	14500	14500	0	14500	0	None	QHIU11	N	CA00204338, CA00204641, CA00204811	B, B, B	SFY2009-10
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-05-20 00:00:00	070007216	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-12-16 00:00:00	2009-12-16 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	YDEJ11	Y	CA00211822	B	SFY2009-10
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-07-27 00:00:00	070007419	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2010-05-25 08:00:00	2010-05-25 08:00:00	No	2010-08-17 00:00:00	None	FTR RES	None	100000	100000	-25000	75000	0	None	STRK11	None	CA00229760, CA00230456	B, B	SFY2010-11
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-09-07 00:00:00	070008003	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-10-04 00:00:00	2010-10-04 00:00:00	No	2011-09-29 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	P5I611	N	CA00246476, CA00247514	C, C	SFY2011-12
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-10-07 00:00:00	070008628	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-07-20 08:00:00	2011-07-20 08:00:00	No	2011-10-28 00:00:00	None	FTR BR	None	1400	1400	-350	1050	0	None	5MPJ11	None	CA00279042	C	SFY2011-12
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-02-14 00:00:00	070009011	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	2011-02-15 08:00:00	2011-02-15 08:00:00	No	2012-03-07 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	GWU111	None	CA00262956	C	SFY2011-12
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-12-23 00:00:00	070010341	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach by person other than a h/c worker	None	2012-07-17 08:00:00	2012-07-17 08:00:00	No	2014-01-15 00:00:00	None	FTR RES	None	2400	2400	-600	1800	0	None	7Y9Y11	None	CA00356738	C	SFY2013-14
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-12-23 00:00:00	070010342	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2012-07-17 00:00:00	2012-07-17 00:00:00	Yes	2015-06-03 00:00:00	2015-05-22 00:00:00	AP BR	AP BR	247600	136180	0	136180	0	None	7Y9Y11	None	CA00356738	C	SFY2013-14
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-05-13 00:00:00	070010726	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	2013-02-11 08:00:00	2013-02-11 08:00:00	No	2014-06-04 00:00:00	None	FTR AE	None	600	600	0	600	0	None	8HOG11	N	CA00344844	C	SFY2013-14
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-12-04 00:00:00	070011160	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	2014-08-27 00:00:00	2014-08-27 00:00:00	No	2014-12-26 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	7W5I11	None	CA00413776	C	SFY2014-15
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-12-04 00:00:00	070011161	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	2014-08-27 00:00:00	2014-08-27 00:00:00	No	2014-12-26 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	7W5I11	None	CA00413776	C	SFY2014-15
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-08-22 00:00:00	070012532	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	2016-05-24 00:00:00	2016-05-24 00:00:00	No	2016-09-13 00:00:00	None	FTR AE	None	400	400	0	400	0	None	WGDC11	N	CA00490260	C	SFY2016-17
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-08-31 00:00:00	070014375	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-05-19 00:00:00	2018-05-19 00:00:00	No	2018-09-24 00:00:00	None	AP NON-IJ	None	3787.5	3787.5	0	3787.5	0	None	M8QU11	N	CA00588885	A	SFY2018-19
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-05-03 00:00:00	070015038	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-11-05 00:00:00	2018-11-05 00:00:00	No	2019-05-24 00:00:00	None	FTR AE	None	600	600	0	600	0	None	PEB411	N	CA00612523	B	SFY2018-19
070000139	DOMINICAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-07-30 00:00:00	070015258	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-07-10 00:00:00	2018-07-10 00:00:00	No	2019-08-20 00:00:00	None	FTR AE	None	800	800	0	800	0	None	8B9N11	N	CA00596691	B	SFY2019-20
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-05-01 00:00:00	110004799	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-10-19 00:00:00	2007-10-19 00:00:00	Yes	2008-05-28 00:00:00	2008-05-29 00:00:00	AP IJ	AP IJ	25000	25000	0	25000	0	None	E3CR11	N	None	None	SFY2007-08
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	110005316	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE15 - Death/disability directly related to hypoglycemia	None	2007-09-03 00:00:00	2007-09-03 00:00:00	No	2008-09-04 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	ND1I11	Y	CA00128997	A	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	110005317	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE15 - Death/disability directly related to hypoglycemia	None	2007-09-03 00:00:00	2007-09-03 00:00:00	Yes	2008-09-04 00:00:00	2008-08-28 00:00:00	AP IJ	AP IJ	25000	25000	0	25000	0	None	ND1I11	N	CA00128997	A	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	110005319	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE08 - Death/disability due to intravascular air embolism	None	2007-09-11 00:00:00	2007-09-11 00:00:00	Yes	2008-09-04 00:00:00	2008-08-28 00:00:00	AP IJ	AP IJ	25000	25000	0	25000	0	None	YJK611	N	CA00128610	A	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-11 00:00:00	110005320	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2007-09-11 00:00:00	2007-09-11 00:00:00	No	2008-09-04 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	YJK611	Y	CA00128610	A	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-01-15 00:00:00	110005656	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	2008-05-15 00:00:00	2008-05-15 00:00:00	No	2009-02-06 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	KTLC11	N	CA00152563	B	SFY2008-09
110001204	DOCTORS MEDICAL CENTER - SAN PABLO	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-10-20 00:00:00	110007636	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	2010-02-08 14:00:00	2010-02-08 14:00:00	No	2010-11-10 00:00:00	None	FTR AE	None	400	400	0	400	0	None	J05S11	N	CA00216918, CA00218408	B, C	SFY2010-11
170001858	DEPARTMENT OF STATE HOSPITALS - METROPOLITAN	Non-LTC	APH	Acute Psychiatric Hospital	State Facilities Section	2017-08-16 00:00:00	170013440	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-07-29 00:00:00	2016-07-29 00:00:00	No	2017-09-07 00:00:00	None	AP NON-IJ	None	4797	4797	0	4797	0	None	O75T11	N	CA00499071	C	SFY2017-18
240001330	DESERT VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2012-01-12 00:00:00	240008899	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-10-03 00:00:00	2011-10-03 00:00:00	Yes	2013-09-06 00:00:00	2013-08-22 00:00:00	AP IJ	AP IJ	50000	37500	0	37500	0	None	999999	N	CA00285592	E	SFY2011-12
240001330	DESERT VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-01-16 00:00:00	240011238	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2011-06-15 00:00:00	2011-06-15 00:00:00	Yes	2015-06-09 00:00:00	2015-05-20 00:00:00	AP IJ	Drop>Deficiency	50000	37500	0	37500	0	None	V9FG11	N	CA00273525, CA00273525	E, E	SFY2014-15
240001330	DESERT VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2021-12-03 00:00:00	240017867	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2018-08-09 00:00:00	2018-08-09 00:00:00	No	2022-09-15 00:00:00	None	AP BR	None	15000	15000	0	15000	0	None	WZXZ11	None	CA00601876	D	SFY2021-22
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-11-04 00:00:00	250005572	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-05-05 00:00:00	2008-05-05 00:00:00	No	2008-11-26 00:00:00	None	FTR AE	None	8300	8300	0	8300	0	None	RRTR11	N	CA00158799	C	SFY2008-09
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-11-04 00:00:00	250005578	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-07-05 00:00:00	2008-07-05 00:00:00	No	2008-11-26 00:00:00	None	FTR AE	None	100	100	0	100	0	None	SWVR11	N	CA00156646	C	SFY2008-09
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-11-07 00:00:00	250005595	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-11-19 00:00:00	2007-11-19 00:00:00	No	2008-12-03 00:00:00	None	FTR AE	None	22700	22700	0	22700	0	None	3TZ111	N	CA00141059	C	SFY2008-09
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-12-08 00:00:00	250006761	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2009-07-14 00:00:00	2009-07-14 00:00:00	No	2009-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	UR9O11	N	CA00195114	C	SFY2009-10
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-06-09 00:00:00	250008303	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-03-19 00:00:00	2008-03-19 00:00:00	Yes	2011-06-30 00:00:00	2011-06-22 00:00:00	FTR AE	None	2400	2400	0	0	2400	None	JSZZ11	Y	CA00147125	C	SFY2010-11
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-06-14 00:00:00	250008307	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-08-06 00:00:00	2010-08-06 00:00:00	No	2011-07-06 00:00:00	None	FTR AE	None	300	300	0	300	0	None	II3G11	N	CA00238993	E	SFY2010-11
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-07-21 00:00:00	250008402	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-10-19 00:00:00	2008-10-19 00:00:00	No	2011-08-11 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	N75V11	N	CA00168573	C	SFY2011-12
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-09-07 00:00:00	250008553	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	2010-08-06 00:00:00	2010-08-06 00:00:00	No	2011-09-29 00:00:00	None	FTR BR	None	300	300	0	300	0	None	II3G11	None	CA00238993	E	SFY2011-12
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-10-25 00:00:00	250008663	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	2010-10-22 00:00:00	2010-10-22 00:00:00	No	2011-11-16 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	SQIV11	None	CA00248574	C	SFY2011-12
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-10-25 00:00:00	250008664	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	2010-10-22 00:00:00	2010-10-22 00:00:00	No	2011-11-16 00:00:00	None	FTR RES	None	1000	1000	-250	750	0	None	SQIV11	None	CA00248574	C	SFY2011-12
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-05-02 00:00:00	250009873	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-04-15 00:00:00	2009-04-15 00:00:00	No	2013-05-23 00:00:00	None	FTR AE	None	300	300	0	300	0	None	1XBQ11	N	CA00185910	C	SFY2012-13
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-05-02 00:00:00	250009875	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	2009-03-23 00:00:00	2009-03-23 00:00:00	No	2013-05-23 00:00:00	None	FTR BR	None	1100	1100	0	1100	0	None	5EJ511	None	CA00184208	C	SFY2012-13
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-05-02 00:00:00	250009876	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	2009-03-23 00:00:00	2009-03-23 00:00:00	No	2013-05-23 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	5EJ511	None	CA00184208	C	SFY2012-13
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-06-20 00:00:00	250009960	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2011-04-15 00:00:00	2011-04-15 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	PF6Y11	None	CA00267889	C	SFY2012-13
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-17 00:00:00	250010017	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-11-09 00:00:00	2012-11-09 00:00:00	No	2013-08-07 00:00:00	None	FTR AE	None	6200	6200	0	6200	0	None	0ZQJ11	N	CA00339767	C	SFY2013-14
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-23 00:00:00	250010022	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-01-07 00:00:00	2012-01-07 00:00:00	No	2013-08-13 00:00:00	None	FTR AE	None	100	100	0	100	0	None	UQ4211	N	CA00296420	C	SFY2013-14
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-25 00:00:00	250010034	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-01-03 00:00:00	2012-01-03 00:00:00	No	2013-08-15 00:00:00	None	FTR AE	None	400	400	0	400	0	None	JOSS11	N	CA00295944	C	SFY2013-14
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-03-06 00:00:00	250010522	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2010-09-29 00:00:00	2010-09-29 00:00:00	No	2014-05-22 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	05XK11	Y	CA00244689	C	SFY2013-14
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-05-06 00:00:00	250010709	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-10-10 00:00:00	2010-10-10 00:00:00	Yes	2014-08-15 00:00:00	2014-07-31 00:00:00	AP IJ	AP IJ	75000	80000	0	80000	0	None	Z89711	N	CA00245659	B	SFY2013-14
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-07-24 00:00:00	250010729	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-03-19 00:00:00	2012-03-19 00:00:00	Yes	2014-08-15 00:00:00	2014-07-31 00:00:00	AP IJ	AP IJ	100000	45000	0	45000	0	None	EGKN11	N	CA00309249	C	SFY2014-15
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-08-27 00:00:00	250010939	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2014-09-18 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	NV5S11	N	CA00193661	C	SFY2014-15
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-02-19 00:00:00	250011136	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	Pressure ulcer	2009-03-30 00:00:00	2009-03-30 00:00:00	No	2015-03-12 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	X2ML11	N	CA00184723	C	SFY2014-15
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-07 00:00:00	250011456	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-09-16 00:00:00	2009-09-16 00:00:00	No	2015-05-29 00:00:00	None	FTR AE	None	800	800	0	800	0	None	3P4511	N	CA00203451	C	SFY2014-15
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-10-02 00:00:00	250011770	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	2014-07-19 00:00:00	2014-07-19 00:00:00	No	2015-10-23 00:00:00	None	FTR AE	None	14100	14100	0	14100	0	None	WC1011	N	CA00423535	C	SFY2015-16
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-06-30 00:00:00	250012346	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	2016-01-23 00:00:00	2016-01-23 00:00:00	No	2016-07-22 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	1PL411	None	CA00477515	D	SFY2015-16
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-06-22 00:00:00	250012347	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	2016-01-23 00:00:00	2016-01-23 00:00:00	No	2016-07-14 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	1PL411	None	CA00477515	D	SFY2015-16
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-08-23 00:00:00	250012534	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-08-02 00:00:00	2015-08-02 00:00:00	No	2016-09-14 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	GTYZ11	N	CA00453351	B	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-10-13 00:00:00	250012651	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE08 - Death/disability due to intravascular air embolism	None	2014-08-05 00:00:00	2014-08-05 00:00:00	Yes	2017-05-11 00:00:00	2017-04-28 00:00:00	AP IJ	AP IJ	100000	70000	0	70000	0	None	2C5711	Y	CA00408725	C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-10-13 00:00:00	250012652	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-05-22 00:00:00	2014-05-22 00:00:00	No	2016-11-03 00:00:00	None	AP NON-IJ	None	17325	17325	0	17325	0	None	K5DW11	N	CA00407187	C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-10-20 00:00:00	250012669	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	2016-08-31 00:00:00	2016-08-31 00:00:00	No	2016-11-10 00:00:00	None	FTR AE	None	100	100	0	100	0	None	CHUK11	N	CA00501963	C	SFY2016-17
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-02-02 00:00:00	250012926	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-09-06 00:00:00	2016-09-06 00:00:00	No	2017-02-24 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	GZNS11	N	CA00501984	C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-09 00:00:00	250013273	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE13 - Hemolytic reaction	None	2014-10-18 00:00:00	2014-10-18 00:00:00	No	2017-06-30 00:00:00	None	AP IJ	None	82500	82500	0	82500	0	None	RROL11	N	CA00420048, CA00422608	B, C	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-09 00:00:00	250013275	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE13 - Hemolytic reaction	None	2014-10-18 00:00:00	2014-10-18 00:00:00	No	2017-06-30 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	RROL11	N	CA00420048	B	SFY2016-17
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-07-25 00:00:00	250013373	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-04-01 00:00:00	2015-04-01 00:00:00	Yes	2017-08-15 00:00:00	2018-04-28 00:00:00	AP IJ	AP IJ	125000	90000	0	90000	0	None	TZYX11	N	CA00438857	C	SFY2017-18
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-09-07 00:00:00	250013480	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-10-08 00:00:00	2015-10-08 00:00:00	Yes	2017-09-28 00:00:00	2018-04-28 00:00:00	AP IJ	AP IJ	125000	90000	0	90000	0	None	UF3811	N	CA00462998	B	SFY2017-18
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-09-21 00:00:00	250013513	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	2017-07-31 00:00:00	2017-07-31 00:00:00	No	2017-10-12 00:00:00	None	FTR AE	None	400	400	0	400	0	None	TNLL11	N	CA00547769	C	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-11-14 00:00:00	250013623	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE24 - Care by impersonating licensed provider	None	2015-07-21 00:00:00	2015-07-21 00:00:00	No	2017-12-07 00:00:00	None	AP IJ	None	51975	51975	0	51975	0	None	IOAR11	N	CA00451429, CA00451880	C, C	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-02-13 00:00:00	250013809	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-12-04 00:00:00	2016-12-04 00:00:00	No	2018-03-07 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	JQ6F11	Y	CA00513631	B	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-03-02 00:00:00	250013873	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-12-02 00:00:00	2016-12-02 00:00:00	No	2018-03-23 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	CSZL11	Y	CA00513419	B	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-05-08 00:00:00	250014063	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE24 - Care by impersonating licensed provider	None	2017-06-30 00:00:00	2017-06-30 00:00:00	No	2018-05-29 00:00:00	None	AP NON-IJ	None	17106.25	17106.25	0	17106.25	0	None	5TGV11	N	CA00541955	B	SFY2017-18
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-05-08 00:00:00	250014065	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE24 - Care by impersonating licensed provider	None	2017-08-30 00:00:00	2017-08-30 00:00:00	No	2018-05-29 00:00:00	None	AP NON-IJ	None	17106.25	17106.25	0	17106.25	0	None	N1DF11	N	CA00550659	B	SFY2017-18
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-09-07 00:00:00	250014392	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-09-28 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	JJT611	Y	CA00531590	C	SFY2018-19
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-10-10 00:00:00	250014480	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-07-05 00:00:00	2018-07-05 00:00:00	No	2018-10-31 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	2ETM11	N	CA00594166	B	SFY2018-19
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-10-19 00:00:00	250014513	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-05-17 00:00:00	2018-05-17 00:00:00	No	2018-11-09 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	EW4Q11	N	CA00590297	C	SFY2018-19
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-10-24 00:00:00	250014528	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2018-02-01 00:00:00	2018-02-01 00:00:00	No	2018-11-15 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	YJ4811	N	CA00577078	C	SFY2018-19
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-05-21 00:00:00	250015093	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-11-03 00:00:00	2018-11-03 00:00:00	No	2019-06-11 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	EQC711	Y	CA00611362	B	SFY2018-19
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-07-26 00:00:00	250015252	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-02-26 00:00:00	2019-02-26 00:00:00	No	2019-08-16 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	H1G811	N	CA00628061	C	SFY2019-20
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-07-29 00:00:00	250015253	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2019-04-01 00:00:00	2019-04-01 00:00:00	Yes	2019-08-19 00:00:00	2019-08-08 00:00:00	FTR AE	None	1300	1300	0	1300	0	None	52ZQ11	N	CA00634222	C	SFY2019-20
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-12-04 00:00:00	250015573	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2019-07-21 00:00:00	2019-07-21 00:00:00	No	2019-12-25 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	PBUP11	N	CA00650095	C	SFY2019-20
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-09-14 00:00:00	250016024	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-01-20 00:00:00	2020-01-20 00:00:00	No	2020-10-05 00:00:00	None	AP NON-IJ	None	25000	25000	0	25000	0	None	TQ0611	Y	CA00673114	B	SFY2020-21
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-05-14 00:00:00	250016502	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	2020-08-07 00:00:00	2020-08-07 00:00:00	No	2021-06-07 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	SEEO11	N	CA00704917	C	SFY2020-21
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-11 00:00:00	250016604	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	2020-09-29 00:00:00	2020-09-29 00:00:00	No	2021-07-02 00:00:00	None	FTR AE	None	100	100	0	100	0	None	C22I11	N	CA00707726	C	SFY2020-21
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-06-11 00:00:00	250016605	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	2020-10-08 00:00:00	2020-10-08 00:00:00	No	2021-07-02 00:00:00	None	FTR AE	None	15600	15600	0	15600	0	None	C22I11	N	CA00707726	C	SFY2020-21
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-09-30 00:00:00	250016970	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	2021-03-19 00:00:00	2021-03-19 00:00:00	No	2021-10-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	FDR911	N	CA00730724	B	SFY2021-22
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-01-20 00:00:00	250017280	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2020-11-20 00:00:00	2020-11-20 00:00:00	No	2022-02-10 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	OPWP11	Y	CA00715397	B	SFY2021-22
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-01-27 00:00:00	250017298	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2020-11-20 00:00:00	2020-11-20 00:00:00	No	2022-02-17 00:00:00	None	FTR AE	None	900	900	0	900	0	None	OPWP11	Y	CA00715397	B	SFY2021-22
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-02-17 00:00:00	250017365	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2021-04-03 00:00:00	2021-04-03 00:00:00	No	2022-03-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	7E8111	Y	CA00731531, CA00731538, CA00731543, CA00731905, CA00732277, CA00732277	B, B, B, B, B, B	SFY2021-22
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-07-22 00:00:00	250017816	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-08-26 00:00:00	2021-08-26 00:00:00	No	2022-08-12 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	KKMU11	N	CA00750904, CA00750904	B, B	SFY2022-23
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-08-19 00:00:00	250017912	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-05-02 00:00:00	2022-05-02 00:00:00	No	2022-09-12 00:00:00	None	AP IJ	None	69300	69300	0	69300	0	None	HW8M11	N	CA00783807	B	SFY2022-23
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-09-07 00:00:00	250017958	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-06-18 00:00:00	2021-06-18 00:00:00	No	2022-09-28 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	D5T011	Y	CA00741467, CA00741467	B, B	SFY2022-23
250000008	DESERT REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2022-09-22 00:00:00	250018010	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-12-17 00:00:00	2021-12-17 00:00:00	No	2022-10-13 00:00:00	None	AP IJ	None	55000	55000	0	55000	0	None	TWOY11	N	CA00765797	B	SFY2022-23
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-09-15 00:00:00	250019164	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-09-22 00:00:00	2022-09-22 00:00:00	No	2023-10-06 00:00:00	None	AP IJ	None	63000	63000	0	63000	0	None	O3DO11	N	CA00804606	B	SFY2023-24
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2023-12-07 00:00:00	250019448	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-09-21 00:00:00	2023-09-21 00:00:00	No	2023-12-29 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	7FDW11	N	CA00804608	B	SFY2023-24
250000044	DOCTORS HOSPITAL OF RIVERSIDE	Non-LTC	GACH	General Acute Care Hospital	Riverside	2024-05-07 00:00:00	250020124	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2021-02-04 00:00:00	2021-02-04 00:00:00	No	2024-05-29 00:00:00	None	FTR AE	None	70200	70200	0	70200	0	None	XM7911	N	CA00816620, CA00816620	B, B	SFY2023-24
930000146	DEL AMO BEHAVIORAL HEALTH SYSTEM	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2009-12-09 00:00:00	930006764	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2009-10-15 00:00:00	2009-10-15 00:00:00	Yes	2009-12-31 00:00:00	2010-04-15 00:00:00	AP IJ	None	50000	50000	0	50000	0	None	GLQX11	Y	CA00205159	A	SFY2009-10