010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-03-29 00:00:00 |
010001837 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-31 00:00:00 |
2000-04-01 00:00:00 |
No |
2001-04-23 00:00:00 |
None |
B |
B |
1000 |
1000 |
-800 |
200 |
0 |
010014072 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-03-29 00:00:00 |
010001838 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-18 00:00:00 |
2001-03-18 00:00:00 |
No |
2001-04-23 00:00:00 |
None |
B |
B |
1000 |
1000 |
-800 |
200 |
0 |
010014072 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-08-07 00:00:00 |
010001864 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT RIGHTS |
2001-03-03 00:00:00 |
2001-03-25 00:00:00 |
No |
2001-08-29 00:00:00 |
None |
B |
B |
1000 |
1000 |
-800 |
200 |
0 |
010014458 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-09-28 00:00:00 |
010001881 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-21 00:00:00 |
2001-08-21 00:00:00 |
No |
2001-10-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010014606 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-09-20 00:00:00 |
010001983 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-08-15 00:00:00 |
2002-08-18 00:00:00 |
No |
2002-10-11 00:00:00 |
None |
B |
None |
500 |
1500 |
-525 |
975 |
0 |
010015786 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-10 00:00:00 |
010002002 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-12-06 00:00:00 |
2002-12-06 00:00:00 |
No |
2003-02-03 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
010016094 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-03-07 00:00:00 |
010002014 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PR,C |
2002-11-11 00:00:00 |
2002-11-11 00:00:00 |
No |
2003-03-28 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
010016283 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-03-20 00:00:00 |
010002018 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-04 00:00:00 |
2003-03-04 00:00:00 |
No |
2003-05-12 00:00:00 |
None |
B |
None |
500 |
1500 |
0 |
1500 |
0 |
010016317 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-10 00:00:00 |
010002066 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-09-29 00:00:00 |
2003-09-29 00:00:00 |
No |
2003-12-04 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
010017072 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-12-09 00:00:00 |
010002074 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-11-14 00:00:00 |
2003-11-18 00:00:00 |
No |
2003-12-31 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
010017217 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-06-21 00:00:00 |
010002108 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-12-17 00:00:00 |
2003-12-17 00:00:00 |
No |
2004-07-13 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
010017316 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-07-06 00:00:00 |
010002112 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-12-30 00:00:00 |
2003-12-30 00:00:00 |
No |
2004-07-27 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
010017550 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-08-23 00:00:00 |
010002116 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-06-05 00:00:00 |
2004-06-05 00:00:00 |
No |
2004-09-14 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
010017908 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000657 |
ESTES HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-12-21 00:00:00 |
010002136 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2004-01-23 00:00:00 |
2004-01-23 00:00:00 |
No |
2005-01-14 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
010017451 |
A99999 |
Y |
None |
None |
SFY2004-05 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-04-04 00:00:00 |
010002142 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-10-10 00:00:00 |
2004-10-10 00:00:00 |
No |
2005-04-25 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
010018047 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-04-25 00:00:00 |
010002150 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-07-15 00:00:00 |
2004-07-15 00:00:00 |
Yes |
2005-05-16 00:00:00 |
2005-05-16 00:00:00 |
B |
B |
900 |
450 |
0 |
450 |
0 |
010018029 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-04-25 00:00:00 |
010002152 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-11-03 00:00:00 |
2004-11-03 00:00:00 |
Yes |
2005-05-16 00:00:00 |
2005-05-16 00:00:00 |
A |
Dismissed by Court |
5000 |
0 |
0 |
0 |
0 |
010018279 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-07-12 00:00:00 |
010002162 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2005-03-23 00:00:00 |
2005-03-23 00:00:00 |
Yes |
2005-08-02 00:00:00 |
2006-05-09 00:00:00 |
AA |
AA |
80000 |
25000 |
0 |
25000 |
0 |
010018304 |
A99999 |
Y |
None |
None |
SFY2005-06 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-07-12 00:00:00 |
010002163 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-04-06 00:00:00 |
2005-04-06 00:00:00 |
Yes |
2005-08-02 00:00:00 |
2005-08-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
010018305 |
A99999 |
N |
None |
None |
SFY2005-06 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-01-06 00:00:00 |
020002469 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-11-15 00:00:00 |
1999-11-21 00:00:00 |
Yes |
2000-01-27 00:00:00 |
2000-01-25 00:00:00 |
B |
B |
900 |
300 |
0 |
300 |
0 |
020011033 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-01-06 00:00:00 |
020002471 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
1999-11-30 00:00:00 |
1999-12-07 00:00:00 |
Yes |
2000-01-27 00:00:00 |
2000-01-25 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
020011054 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-01-13 00:00:00 |
020002473 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-11-18 00:00:00 |
1999-11-26 00:00:00 |
Yes |
2000-02-10 00:00:00 |
2000-03-09 00:00:00 |
A |
A |
6000 |
6000 |
-4380 |
1620 |
0 |
020011098 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-03-13 00:00:00 |
020002496 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-07-05 00:00:00 |
1999-07-11 00:00:00 |
No |
2000-04-05 00:00:00 |
None |
A |
None |
8000 |
8000 |
0 |
8000 |
0 |
020011459 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-03-13 00:00:00 |
020002497 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-07-05 00:00:00 |
1999-07-11 00:00:00 |
No |
2000-04-05 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
020011460 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-04-05 00:00:00 |
020002504 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-11-30 00:00:00 |
None |
No |
2000-05-01 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
020011544 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-06-20 00:00:00 |
020002530 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2000-04-02 00:00:00 |
2000-04-08 00:00:00 |
Yes |
2000-07-17 00:00:00 |
2000-07-11 00:00:00 |
B |
B Trebled |
600 |
1404 |
-650 |
754 |
0 |
020011849 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-07-26 00:00:00 |
020002535 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-05-29 00:00:00 |
2000-05-30 00:00:00 |
Yes |
2000-08-18 00:00:00 |
2000-08-16 00:00:00 |
B |
B |
800 |
246 |
0 |
246 |
0 |
020011997 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-12-08 00:00:00 |
020002576 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-09-16 00:00:00 |
None |
No |
2001-01-12 00:00:00 |
None |
B |
None |
400 |
400 |
0 |
400 |
0 |
020012616 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-01-24 00:00:00 |
020002584 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-09-25 00:00:00 |
2000-09-29 00:00:00 |
No |
2001-02-22 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
020012887 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-10-09 00:00:00 |
020002668 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2000-12-28 00:00:00 |
None |
Yes |
2001-11-02 00:00:00 |
2001-10-11 00:00:00 |
A |
A |
14000 |
8000 |
0 |
8000 |
0 |
020013784 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000037 |
EMMANUEL POST ACUTE CARE - HAYWARD |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-10-11 00:00:00 |
020002669 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-20 00:00:00 |
None |
Yes |
2001-11-08 00:00:00 |
2001-10-22 00:00:00 |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
020013599 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-10-23 00:00:00 |
020002670 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-08-16 00:00:00 |
2001-09-07 00:00:00 |
No |
2001-11-21 00:00:00 |
None |
B |
B |
600 |
600 |
-540 |
60 |
0 |
020013791 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-11-30 00:00:00 |
020002673 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-05-10 00:00:00 |
2001-07-12 00:00:00 |
No |
2001-12-31 00:00:00 |
None |
A |
A |
15000 |
15000 |
-10950 |
4050 |
0 |
020013704 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-01-14 00:00:00 |
020002678 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-15 00:00:00 |
None |
No |
2002-02-11 00:00:00 |
None |
B |
B |
800 |
800 |
-720 |
80 |
0 |
020013774 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000037 |
EMMANUEL POST ACUTE CARE - HAYWARD |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-02-21 00:00:00 |
020002686 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-06 00:00:00 |
2001-11-15 00:00:00 |
No |
2002-03-21 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
020013935 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-03-29 00:00:00 |
020002695 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-05 00:00:00 |
2002-02-20 00:00:00 |
No |
2002-04-29 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
020014200 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-03-28 00:00:00 |
020002696 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-01-30 00:00:00 |
2002-02-08 00:00:00 |
No |
2002-04-23 00:00:00 |
None |
A |
A Trebled |
15000 |
9700 |
0 |
9700 |
0 |
020014106 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-08-15 00:00:00 |
020002713 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-08 00:00:00 |
2002-03-02 00:00:00 |
No |
2002-09-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
020014313 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-08-15 00:00:00 |
020002714 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-15 00:00:00 |
2002-04-15 00:00:00 |
No |
2002-09-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
020014313 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-09-13 00:00:00 |
020002716 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-12 00:00:00 |
None |
No |
2002-10-04 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
020014562 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000037 |
EMMANUEL POST ACUTE CARE - HAYWARD |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-12-23 00:00:00 |
020002732 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-31 00:00:00 |
None |
No |
2003-01-21 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
020014636 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-01-23 00:00:00 |
020002737 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-09-13 00:00:00 |
None |
No |
2003-02-19 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
020014860 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-02-20 00:00:00 |
020002743 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-12-12 00:00:00 |
None |
No |
2003-03-18 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
020015161 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-04-16 00:00:00 |
020002747 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-12-28 00:00:00 |
None |
No |
2003-05-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
020015041 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-04-21 00:00:00 |
020002748 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-01-04 00:00:00 |
None |
No |
2003-05-16 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
020015063 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-04-23 00:00:00 |
020002749 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2003-01-04 00:00:00 |
2003-01-14 00:00:00 |
No |
2003-05-16 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
020015063 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-06-06 00:00:00 |
020002757 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-05-13 00:00:00 |
None |
No |
2003-07-07 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
020015394 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-07-09 00:00:00 |
020002759 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2003-05-27 00:00:00 |
2003-06-23 00:00:00 |
No |
2003-08-04 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
020015502 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-09-03 00:00:00 |
020002770 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-06-16 00:00:00 |
None |
No |
2003-09-26 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
020015552 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-12-19 00:00:00 |
020002785 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-12-02 00:00:00 |
None |
No |
2004-01-16 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
020015963 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2003-12-19 00:00:00 |
020002786 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-10-17 00:00:00 |
None |
Yes |
2004-01-13 00:00:00 |
2003-12-30 00:00:00 |
B |
B |
700 |
500 |
0 |
500 |
0 |
020015848 |
A99999 |
N |
None |
None |
SFY2003-04 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-04-06 00:00:00 |
020002798 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2003-09-21 00:00:00 |
None |
Yes |
2007-11-13 00:00:00 |
2004-04-21 00:00:00 |
AA |
AA |
70000 |
45000 |
0 |
45000 |
0 |
020015818 |
A99999 |
Y |
None |
None |
SFY2003-04 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-07-28 00:00:00 |
020002810 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2004-05-15 00:00:00 |
None |
No |
2004-09-21 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
020016448 |
A99999 |
N |
None |
None |
SFY2004-05 |
020000037 |
EMMANUEL POST ACUTE CARE - HAYWARD |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2005-08-01 00:00:00 |
020002831 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2005-03-13 00:00:00 |
2005-03-13 00:00:00 |
Yes |
2006-03-27 00:00:00 |
2006-03-20 00:00:00 |
AA |
AA |
75000 |
15000 |
0 |
15000 |
0 |
020016788 |
A99999 |
Y |
None |
None |
SFY2005-06 |
020000877 |
ELENA'S ICF/DD-H |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2005-09-15 00:00:00 |
020002832 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-07-13 00:00:00 |
None |
No |
2005-10-06 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
020016789 |
A99999 |
N |
None |
None |
SFY2005-06 |
020001292 |
E & J CARE PROVIDER, INC |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2007-01-18 00:00:00 |
020003638 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-21 00:00:00 |
2006-11-21 00:00:00 |
Yes |
2007-02-16 00:00:00 |
2007-02-09 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
None |
8VNP11 |
N |
CA00100052, CA00100115 |
B, B |
SFY2006-07 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2007-03-26 00:00:00 |
020003845 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Accidents |
2006-12-01 00:00:00 |
2006-12-01 00:00:00 |
Yes |
2007-04-16 00:00:00 |
2007-03-27 00:00:00 |
A |
A |
15000 |
8000 |
0 |
8000 |
0 |
None |
I6R511 |
N |
CA00100215, CA00100309, CA00100310, CA00100828, CA00103427 |
B, B, B, B, D |
SFY2006-07 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2007-11-06 00:00:00 |
020004425 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-06-16 00:00:00 |
2007-06-16 00:00:00 |
Yes |
2007-11-30 00:00:00 |
2007-11-08 00:00:00 |
A |
A |
18000 |
10000 |
0 |
10000 |
0 |
None |
YU8011 |
Y |
CA00117585, CA00118888 |
C, C |
SFY2007-08 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2008-11-13 00:00:00 |
020005599 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2008-09-10 00:00:00 |
2008-09-10 00:00:00 |
No |
2008-12-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LCNV11 |
N |
None |
None |
SFY2008-09 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2009-01-12 00:00:00 |
020005764 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-19 00:00:00 |
2008-08-19 00:00:00 |
No |
2009-02-09 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
LH3H11 |
N |
CA00172544 |
C |
SFY2008-09 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2009-04-27 00:00:00 |
020006131 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-04-05 00:00:00 |
2009-04-05 00:00:00 |
No |
2009-05-18 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
GK0J11 |
N |
CA00184212 |
C |
SFY2008-09 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2010-06-10 00:00:00 |
020007287 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-09-04 00:00:00 |
2009-09-04 00:00:00 |
Yes |
2010-07-06 00:00:00 |
2010-06-23 00:00:00 |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
RXE711 |
N |
CA00201336, CA00212268 |
C, C |
SFY2009-10 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2012-03-15 00:00:00 |
020009140 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-03-02 00:00:00 |
2011-03-02 00:00:00 |
No |
2012-04-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LZWC11 |
N |
CA00261023, CA00261133 |
B, B |
SFY2011-12 |
020000037 |
EMMANUEL POST ACUTE CARE - HAYWARD |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2012-04-26 00:00:00 |
020009260 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-07-15 00:00:00 |
2011-07-15 00:00:00 |
No |
2012-05-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
IRMQ11 |
N |
CA00276814 |
C |
SFY2011-12 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2014-07-14 00:00:00 |
020010860 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-08-05 00:00:00 |
2013-08-05 00:00:00 |
No |
2014-08-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
L6Z311 |
N |
CA00395930, CA00395981 |
B, B |
SFY2014-15 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2014-11-04 00:00:00 |
020011101 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-08-27 00:00:00 |
2014-08-27 00:00:00 |
No |
2014-11-26 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
B58Y11 |
N |
None |
None |
SFY2014-15 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2014-11-04 00:00:00 |
020011104 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-09-10 00:00:00 |
2014-09-10 00:00:00 |
No |
2014-11-26 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
B58Y11 |
N |
None |
None |
SFY2014-15 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2015-11-19 00:00:00 |
020011858 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-06-26 00:00:00 |
2015-06-26 00:00:00 |
No |
2015-12-14 00:00:00 |
None |
B |
None |
1500 |
4500 |
0 |
4500 |
0 |
None |
CZML11 |
N |
None |
None |
SFY2015-16 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2015-11-19 00:00:00 |
020011859 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-07-09 00:00:00 |
2015-07-09 00:00:00 |
No |
2015-12-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
CZML11 |
N |
None |
None |
SFY2015-16 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2016-10-26 00:00:00 |
020012677 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-12-16 00:00:00 |
2015-12-16 00:00:00 |
No |
2016-11-17 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
FMK911 |
N |
CA00469923 |
C |
SFY2016-17 |
020000037 |
EMMANUEL POST ACUTE CARE - HAYWARD |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2016-10-26 00:00:00 |
020012678 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-11-30 00:00:00 |
2015-11-30 00:00:00 |
No |
2016-11-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PSN611 |
N |
CA00467748, CA00467748 |
C, C |
SFY2016-17 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2017-09-06 00:00:00 |
020013456 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-05-24 00:00:00 |
2017-05-24 00:00:00 |
No |
2017-09-27 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
CFKC11 |
N |
CA00537782 |
C |
SFY2017-18 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2018-03-29 00:00:00 |
020013932 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-06-18 00:00:00 |
2017-06-18 00:00:00 |
No |
2018-04-19 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
FUOJ11 |
N |
CA00540528 |
B |
SFY2017-18 |
020000037 |
EMMANUEL POST ACUTE CARE - HAYWARD |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2019-01-10 00:00:00 |
020014714 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-09-04 00:00:00 |
2018-09-04 00:00:00 |
No |
2019-01-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
VCJK11 |
N |
CA00602770 |
B |
SFY2018-19 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2019-06-06 00:00:00 |
020015124 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-05-21 00:00:00 |
2019-05-21 00:00:00 |
No |
2019-06-27 00:00:00 |
None |
B |
None |
1500 |
2450 |
0 |
2450 |
0 |
None |
RMC411 |
N |
CA00638487 |
A |
SFY2018-19 |
630015449 |
ELGIN CARE CENTER |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2020-02-28 00:00:00 |
020015768 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-10-20 00:00:00 |
2018-10-20 00:00:00 |
No |
2020-03-20 00:00:00 |
None |
B |
None |
1500 |
1500 |
-1500 |
0 |
0 |
None |
CHES11 |
N |
CA00609813, CA00609813 |
B, B |
SFY2019-20 |
020000116 |
EAST BAY POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2020-03-04 00:00:00 |
020015775 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2019-03-21 00:00:00 |
2019-03-21 00:00:00 |
No |
2020-03-25 00:00:00 |
None |
AA |
None |
75000 |
75000 |
-26250 |
48750 |
0 |
None |
4CXP11 |
Y |
CA00630570, CA00630570, CA00630570, CA00630570 |
B, B, B, B |
SFY2019-20 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-05-14 00:00:00 |
020016494 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Immediate Jeopardy |
2021-02-04 00:00:00 |
2021-02-04 00:00:00 |
No |
2021-06-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
3OMK11 |
N |
CA00724234 |
A |
SFY2020-21 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-08-24 00:00:00 |
020016839 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Immediate Jeopardy |
2021-06-28 00:00:00 |
2021-06-28 00:00:00 |
No |
2021-09-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
HB9011 |
N |
None |
None |
SFY2021-22 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2022-10-19 00:00:00 |
020018089 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2022-06-20 00:00:00 |
2022-06-20 00:00:00 |
No |
2022-11-09 00:00:00 |
None |
WF |
None |
3500 |
3500 |
-1225 |
2275 |
0 |
None |
DS8X11 |
None |
CA00782163, CA00782163 |
B, B |
SFY2022-23 |
020000090 |
EDEN HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2023-08-02 00:00:00 |
020019018 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ACCIDENTS |
2023-02-18 00:00:00 |
2023-02-18 00:00:00 |
No |
2023-08-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
UKYJ11 |
N |
CA00827979, CA00828006 |
B, B |
SFY2023-24 |
100000051 |
ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-02-08 00:00:00 |
030004672 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-02-17 00:00:00 |
2007-02-17 00:00:00 |
Yes |
2010-06-18 00:00:00 |
2010-05-28 00:00:00 |
AA |
AA |
100000 |
75000 |
0 |
75000 |
0 |
None |
OLNV11 |
Y |
CA00107530 |
B |
SFY2007-08 |
040000012 |
EVERGREEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-02-22 00:00:00 |
040001170 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-11-03 00:00:00 |
1999-11-03 00:00:00 |
No |
2000-03-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040010700 |
A99999 |
N |
None |
None |
SFY1999-00 |
040000012 |
EVERGREEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2008-09-16 00:00:00 |
040005415 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-03-18 00:00:00 |
2008-03-18 00:00:00 |
No |
2008-10-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
UI8W11 |
N |
CA00144495 |
C |
SFY2008-09 |
040000012 |
EVERGREEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2009-03-04 00:00:00 |
040005924 |
Closed |
Citation |
Citation AA (HSC 1424) |
Dietary |
None |
2008-11-19 00:00:00 |
2008-11-19 00:00:00 |
Yes |
2010-05-06 00:00:00 |
2010-04-28 00:00:00 |
AA |
AA |
80000 |
80000 |
0 |
80000 |
0 |
None |
6DHL11 |
Y |
CA00169920 |
B |
SFY2008-09 |
040000012 |
EVERGREEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2017-04-28 00:00:00 |
040013169 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2017-01-18 00:00:00 |
2017-01-18 00:00:00 |
No |
2017-05-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
26GM11 |
N |
CA00518922 |
B |
SFY2016-17 |
040000012 |
EVERGREEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2018-09-12 00:00:00 |
040014405 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-09-20 00:00:00 |
2017-09-20 00:00:00 |
No |
2018-10-03 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
RVJ611 |
N |
CA00554036 |
B |
SFY2018-19 |
040000012 |
EVERGREEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2019-12-16 00:00:00 |
040015610 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-06-23 00:00:00 |
2019-06-23 00:00:00 |
No |
2020-01-06 00:00:00 |
None |
A |
None |
20000 |
20050 |
-7000 |
13050 |
0 |
None |
ZT0B11 |
N |
CA00642928 |
B |
SFY2019-20 |
060000167 |
EXTENDED CARE HOSPITAL OF WESTMINSTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2006-08-17 00:00:00 |
060003293 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-07-21 00:00:00 |
2006-07-21 00:00:00 |
No |
2006-09-08 00:00:00 |
None |
B |
None |
1000 |
1950 |
-350 |
1600 |
0 |
None |
STUZ11 |
N |
CA00086293 |
C |
SFY2006-07 |
060001998 |
ELIZABETH HOMES - SAN RICARDO WAY |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2008-08-11 00:00:00 |
060005312 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-18 00:00:00 |
2008-07-18 00:00:00 |
No |
2008-09-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
90N311 |
N |
CA00157424 |
C |
SFY2008-09 |
060000167 |
EXTENDED CARE HOSPITAL OF WESTMINSTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2010-06-29 00:00:00 |
060007339 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-05-14 00:00:00 |
2010-05-14 00:00:00 |
No |
2010-07-21 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
NWE811 |
N |
CA00229809 |
B |
SFY2009-10 |
060000167 |
EXTENDED CARE HOSPITAL OF WESTMINSTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2010-08-26 00:00:00 |
060007525 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-06-18 00:00:00 |
2010-06-18 00:00:00 |
No |
2010-09-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IBRN11 |
N |
CA00233868 |
C |
SFY2010-11 |
060001034 |
ENRICHING LIVES III |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2016-06-15 00:00:00 |
060012331 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-04-25 00:00:00 |
2016-04-25 00:00:00 |
No |
2016-07-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LFRG11 |
N |
CA00485702 |
B |
SFY2015-16 |
060001574 |
ELM STREET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2016-11-01 00:00:00 |
060012706 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-09-22 00:00:00 |
2016-09-22 00:00:00 |
No |
2016-11-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4OUN11 |
N |
CA00502135 |
B |
SFY2016-17 |
060001034 |
ENRICHING LIVES III |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-05-21 00:00:00 |
060015076 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-04-16 00:00:00 |
2019-04-16 00:00:00 |
No |
2019-06-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
42Y011 |
N |
CA00628444 |
B |
SFY2018-19 |
060000075 |
ENRICHING, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-05-22 00:00:00 |
060015088 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-03-14 00:00:00 |
2019-03-14 00:00:00 |
No |
2019-06-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HPUS11 |
N |
CA00626859 |
B |
SFY2018-19 |
060000167 |
EXTENDED CARE HOSPITAL OF WESTMINSTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2020-03-11 00:00:00 |
060015791 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-12-17 00:00:00 |
2019-12-17 00:00:00 |
No |
2020-04-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KCGD11 |
N |
CA00668761, CA00668761, CA00668803, CA00668803 |
B, B, B, B |
SFY2019-20 |
060001574 |
ELM STREET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2020-12-08 00:00:00 |
060016182 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-11-09 00:00:00 |
2020-11-09 00:00:00 |
No |
2020-12-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
8B8411 |
N |
CA00706846 |
B |
SFY2020-21 |
060000075 |
ENRICHING, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2021-11-02 00:00:00 |
060017047 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-09-09 00:00:00 |
2021-09-09 00:00:00 |
No |
2021-11-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
EL1L11 |
N |
CA00752867 |
B |
SFY2021-22 |
060000167 |
EXTENDED CARE HOSPITAL OF WESTMINSTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-11-10 00:00:00 |
060017069 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-08-16 00:00:00 |
2021-08-16 00:00:00 |
No |
2021-12-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
UCPQ11 |
N |
CA00749331 |
B |
SFY2021-22 |
060000075 |
ENRICHING, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2023-03-22 00:00:00 |
060018512 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-01-14 00:00:00 |
2023-01-14 00:00:00 |
No |
2023-04-13 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
C4BV11 |
N |
CA00821993 |
B |
SFY2022-23 |
070000024 |
EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-06-29 00:00:00 |
070002334 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2000-04-15 00:00:00 |
None |
No |
2000-07-25 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
070014870 |
A99999 |
N |
None |
None |
SFY1999-00 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-09-12 00:00:00 |
070002353 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-06-23 00:00:00 |
None |
No |
2000-10-04 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
070015046 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-12-01 00:00:00 |
070002360 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-31 00:00:00 |
None |
No |
2000-12-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070015377 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-11-27 00:00:00 |
070002412 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-13 00:00:00 |
None |
No |
2001-12-19 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070016732 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000024 |
EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-04-19 00:00:00 |
070002448 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT CARE & RIGHT |
2002-03-11 00:00:00 |
None |
No |
2002-05-13 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
070017097 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-08-28 00:00:00 |
070002473 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-30 00:00:00 |
None |
No |
2002-09-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070017620 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000024 |
EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-04-28 00:00:00 |
070002573 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-03-26 00:00:00 |
None |
Yes |
2004-05-21 00:00:00 |
2004-05-12 00:00:00 |
B |
B |
800 |
800 |
-695 |
105 |
0 |
070019971 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000024 |
EMMANUEL CONVALESCENT HOSPITAL OF LOS GATOS |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-04-28 00:00:00 |
070002574 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-03-26 00:00:00 |
None |
No |
2004-05-21 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
070019971 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-05-24 00:00:00 |
070003118 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2006-05-16 00:00:00 |
2006-05-16 00:00:00 |
No |
2006-06-15 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
QXPK11 |
N |
CA00080997 |
B |
SFY2005-06 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-04-18 00:00:00 |
070003663 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-12-05 00:00:00 |
2006-12-05 00:00:00 |
No |
2007-05-09 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
10T611 |
N |
CA00100688 |
B |
SFY2006-07 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-03-06 00:00:00 |
070003684 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-21 00:00:00 |
2006-11-21 00:00:00 |
No |
2007-03-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1KO411 |
N |
CA00097972, CA00099519, CA00100943 |
C, C, C |
SFY2006-07 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-03-06 00:00:00 |
070003766 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-16 00:00:00 |
2006-05-16 00:00:00 |
No |
2007-03-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1KO411 |
N |
CA00097972 |
C |
SFY2006-07 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-03-06 00:00:00 |
070003767 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-05-22 00:00:00 |
2006-05-22 00:00:00 |
No |
2007-03-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1KO411 |
N |
CA00097972 |
C |
SFY2006-07 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-09-17 00:00:00 |
070006453 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-27 00:00:00 |
2009-07-27 00:00:00 |
Yes |
2014-03-28 00:00:00 |
2009-10-06 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
None |
78E111 |
N |
CA00196613 |
B |
SFY2009-10 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-03-03 00:00:00 |
070007025 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-02-11 00:00:00 |
2010-02-11 00:00:00 |
No |
2010-03-24 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
88J311 |
N |
CA00218612, CA00218939 |
B, B |
SFY2009-10 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-10-10 00:00:00 |
070008582 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-09-14 00:00:00 |
2011-09-14 00:00:00 |
No |
2011-10-31 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
P83B11 |
N |
None |
None |
SFY2011-12 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2015-10-05 00:00:00 |
070011728 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-09-07 00:00:00 |
2015-09-07 00:00:00 |
No |
2015-10-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
JW3D11 |
N |
CA00457511, CA00458455 |
B, B |
SFY2015-16 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-06-15 00:00:00 |
070013288 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-05-18 00:00:00 |
2017-05-18 00:00:00 |
No |
2017-07-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9LDD11 |
N |
CA00536717 |
B |
SFY2016-17 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-01-23 00:00:00 |
070013698 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-12-09 00:00:00 |
2017-12-09 00:00:00 |
No |
2018-02-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PMQD11 |
N |
CA00564393 |
B |
SFY2017-18 |
070000050 |
EMPRESS CARE CENTER, LLC |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-07-29 00:00:00 |
070015245 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Readmission |
2019-07-09 00:00:00 |
2019-07-09 00:00:00 |
No |
2019-08-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
GUP511 |
N |
CA00645147 |
B |
SFY2019-20 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2023-08-11 00:00:00 |
070018955 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-12-15 00:00:00 |
2022-12-15 00:00:00 |
No |
2023-09-01 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
9L1311 |
N |
CA00834005 |
B |
SFY2023-24 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2023-10-18 00:00:00 |
070019102 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2023-04-11 00:00:00 |
2023-04-11 00:00:00 |
No |
2023-11-08 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
8RUJ11 |
N |
CA00835473 |
A |
SFY2023-24 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2023-10-18 00:00:00 |
070019270 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-04-11 00:00:00 |
2023-04-11 00:00:00 |
No |
2023-11-08 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
8RUJ11 |
N |
CA00835473 |
A |
SFY2023-24 |
070000780 |
EDEN VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-01-30 00:00:00 |
070019523 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-11-29 00:00:00 |
2023-11-29 00:00:00 |
No |
2024-02-20 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
KJGU11 |
Y |
CA00873047, CA00873047, CA00873047, CA00873047, CA00873318, CA00873318 |
A, A, A, A, A, A |
SFY2023-24 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2000-09-29 00:00:00 |
080002766 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-06-03 00:00:00 |
None |
No |
2000-10-26 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
080022132 |
A99999 |
N |
None |
None |
SFY2000-01 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-09-27 00:00:00 |
080002795 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-08-15 00:00:00 |
2001-08-15 00:00:00 |
Yes |
2002-03-05 00:00:00 |
2002-02-13 00:00:00 |
A |
B |
19000 |
14250 |
0 |
14250 |
0 |
080023451 |
A99999 |
N |
None |
None |
SFY2001-02 |
080000001 |
ENCINITAS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2003-07-29 00:00:00 |
080002844 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-09 00:00:00 |
2003-05-09 00:00:00 |
Yes |
2003-08-22 00:00:00 |
2003-08-04 00:00:00 |
B |
B |
1000 |
800 |
0 |
800 |
0 |
080025981 |
A99999 |
N |
None |
None |
SFY2003-04 |
080000001 |
ENCINITAS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2004-02-10 00:00:00 |
080002850 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-01-09 00:00:00 |
2004-01-09 00:00:00 |
Yes |
2004-03-05 00:00:00 |
2004-02-23 00:00:00 |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
080026644 |
A99999 |
N |
None |
None |
SFY2003-04 |
080000001 |
ENCINITAS NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2004-11-02 00:00:00 |
080002860 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-09-24 00:00:00 |
2004-09-24 00:00:00 |
Yes |
2004-12-02 00:00:00 |
2004-11-03 00:00:00 |
A |
A |
18000 |
12000 |
0 |
12000 |
0 |
080027409 |
A99999 |
N |
None |
None |
SFY2004-05 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2006-12-29 00:00:00 |
080003613 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-11-29 00:00:00 |
2005-11-29 00:00:00 |
Yes |
2007-02-09 00:00:00 |
2007-01-08 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
KWX211 |
N |
CA00097669 |
B |
SFY2006-07 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-02-25 00:00:00 |
080005891 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2008-11-30 00:00:00 |
2008-11-30 00:00:00 |
Yes |
2009-03-20 00:00:00 |
2009-03-04 00:00:00 |
AA |
AA |
90000 |
45000 |
0 |
45000 |
0 |
None |
Q34O11 |
Y |
CA00171321 |
C |
SFY2008-09 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-07-23 00:00:00 |
080006413 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-01-15 00:00:00 |
2009-01-15 00:00:00 |
No |
2009-08-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D4SL11 |
N |
CA00194402 |
C |
SFY2009-10 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-01-05 00:00:00 |
080006874 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-10-06 00:00:00 |
2009-10-06 00:00:00 |
No |
2010-02-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
JNQT11 |
N |
CA00203887 |
C |
SFY2009-10 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-08-30 00:00:00 |
080008515 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-07-21 00:00:00 |
2011-07-21 00:00:00 |
No |
2011-09-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
N3UD11 |
N |
CA00277249 |
B |
SFY2011-12 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2013-04-17 00:00:00 |
080009842 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-02-20 00:00:00 |
2013-02-20 00:00:00 |
Yes |
2013-05-08 00:00:00 |
2013-04-24 00:00:00 |
B |
B |
2000 |
1800 |
0 |
1800 |
0 |
None |
14N311 |
N |
CA00344441, CA00344531 |
C, C |
SFY2012-13 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2013-11-26 00:00:00 |
080010278 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-10-14 00:00:00 |
2013-10-14 00:00:00 |
Yes |
2013-12-19 00:00:00 |
2013-12-03 00:00:00 |
B |
B |
2000 |
2000 |
0 |
2000 |
0 |
None |
82DL11 |
N |
CA00373436 |
B |
SFY2013-14 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2014-02-13 00:00:00 |
080010451 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Record |
None |
2013-11-21 00:00:00 |
2013-11-21 00:00:00 |
Yes |
2014-03-07 00:00:00 |
2014-02-21 00:00:00 |
A |
A |
20000 |
16000 |
0 |
16000 |
0 |
None |
D6TF11 |
N |
CA00377568 |
B |
SFY2013-14 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2014-05-01 00:00:00 |
080010680 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-12-07 00:00:00 |
2013-12-07 00:00:00 |
Yes |
2014-05-22 00:00:00 |
2014-05-14 00:00:00 |
B |
B |
1200 |
0 |
0 |
0 |
0 |
None |
Z2X911 |
N |
CA00379669 |
B |
SFY2013-14 |
080000030 |
ESCONDIDO POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2014-05-01 00:00:00 |
080010694 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2014-03-07 00:00:00 |
2014-03-07 00:00:00 |
Yes |
2014-05-22 00:00:00 |
2014-05-14 00:00:00 |
B |
B |
2000 |
0 |
0 |
0 |
0 |
None |
5MRR11 |
N |
CA00390434, CA00391963 |
B, B |
SFY2013-14 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-02-22 00:00:00 |
090002790 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-02-01 00:00:00 |
2002-02-01 00:00:00 |
No |
2002-03-28 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
090023677 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-02-22 00:00:00 |
090002792 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-01-31 00:00:00 |
2002-01-31 00:00:00 |
No |
2002-03-28 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
090023677 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-02-22 00:00:00 |
090002793 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-01-31 00:00:00 |
2002-01-31 00:00:00 |
No |
2002-03-28 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
090023677 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000018 |
EDGEMOOR HOSPITAL DP/SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-05-30 00:00:00 |
090002802 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-04-03 00:00:00 |
2002-04-03 00:00:00 |
No |
2002-06-20 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
090023805 |
A99999 |
Y |
None |
None |
SFY2001-02 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2002-11-22 00:00:00 |
090002822 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2002-07-05 00:00:00 |
None |
No |
2002-12-17 00:00:00 |
None |
B |
None |
1000 |
1550 |
-350 |
1200 |
0 |
090024621 |
A99999 |
N |
None |
None |
SFY2002-03 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2003-04-03 00:00:00 |
090002827 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-04 00:00:00 |
2003-03-04 00:00:00 |
No |
2003-04-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090025086 |
A99999 |
N |
None |
None |
SFY2002-03 |
090000018 |
EDGEMOOR HOSPITAL DP/SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2003-05-07 00:00:00 |
090002829 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-03-11 00:00:00 |
2003-05-07 00:00:00 |
No |
2003-05-29 00:00:00 |
None |
A |
None |
14000 |
14000 |
-4900 |
9100 |
0 |
090025136 |
A99999 |
N |
None |
None |
SFY2002-03 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2004-06-18 00:00:00 |
090002839 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-20 00:00:00 |
2004-05-20 00:00:00 |
No |
2004-07-12 00:00:00 |
None |
B |
None |
1000 |
1600 |
-350 |
1250 |
0 |
090026829 |
A99999 |
N |
None |
None |
SFY2003-04 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2004-06-18 00:00:00 |
090002841 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2004-05-21 00:00:00 |
2004-05-21 00:00:00 |
No |
2004-07-12 00:00:00 |
None |
B |
None |
1000 |
2750 |
-350 |
2400 |
0 |
090026838 |
A99999 |
N |
None |
None |
SFY2003-04 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2006-08-18 00:00:00 |
090003298 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-16 00:00:00 |
2006-06-16 00:00:00 |
No |
2006-09-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GEG211 |
N |
CA00086705 |
C |
SFY2006-07 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2007-06-08 00:00:00 |
090004025 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-20 00:00:00 |
2007-04-20 00:00:00 |
No |
2007-06-29 00:00:00 |
None |
B |
None |
950 |
3500 |
-997.5 |
2502.5 |
0 |
None |
YWUM11 |
N |
CA00112681 |
C |
SFY2006-07 |
090000091 |
EAST 15TH STREET GROUP HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2007-08-27 00:00:00 |
090004208 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-08-11 00:00:00 |
2007-08-11 00:00:00 |
No |
2007-09-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
THZH11 |
N |
CA00123149 |
C |
SFY2007-08 |
090000018 |
EDGEMOOR HOSPITAL DP/SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2007-10-19 00:00:00 |
090004364 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-26 00:00:00 |
2007-07-26 00:00:00 |
Yes |
2007-11-09 00:00:00 |
2007-10-19 00:00:00 |
B |
None |
700 |
700 |
0 |
700 |
0 |
None |
MFOY11 |
N |
CA00121583 |
C |
SFY2007-08 |
090000018 |
EDGEMOOR HOSPITAL DP/SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2008-05-09 00:00:00 |
090005010 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-12-23 00:00:00 |
2007-12-23 00:00:00 |
Yes |
2008-06-02 00:00:00 |
2008-05-09 00:00:00 |
B |
B |
950 |
475 |
0 |
475 |
0 |
None |
3J2011 |
N |
CA00136598 |
C |
SFY2007-08 |
090000018 |
EDGEMOOR HOSPITAL DP/SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2008-06-26 00:00:00 |
090005186 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-12-04 00:00:00 |
2007-12-04 00:00:00 |
Yes |
2008-07-18 00:00:00 |
2012-03-15 00:00:00 |
A |
B |
10000 |
10000 |
0 |
10000 |
0 |
None |
P4OZ11 |
N |
CA00134208 |
C |
SFY2007-08 |
090000018 |
EDGEMOOR HOSPITAL DP/SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2014-10-10 00:00:00 |
090011003 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-05-30 00:00:00 |
2010-05-30 00:00:00 |
No |
2014-10-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
EPK811 |
N |
CA00233761 |
C |
SFY2014-15 |
100000051 |
ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2000-04-25 00:00:00 |
100002012 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-12-12 00:00:00 |
None |
Yes |
2000-05-25 00:00:00 |
2000-12-11 00:00:00 |
A |
B |
8000 |
5000 |
0 |
5000 |
0 |
100014071 |
A99999 |
N |
None |
None |
SFY1999-00 |
100000051 |
ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2001-04-16 00:00:00 |
100002071 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2001-01-28 00:00:00 |
None |
Yes |
2001-05-07 00:00:00 |
2001-04-28 00:00:00 |
AA |
A |
60000 |
50000 |
0 |
50000 |
0 |
100015302 |
A99999 |
Y |
None |
None |
SFY2000-01 |
100000051 |
ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2001-06-12 00:00:00 |
100002082 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-19 00:00:00 |
None |
No |
2001-07-06 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
100015337 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000051 |
ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2001-09-19 00:00:00 |
100002108 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-07 00:00:00 |
None |
No |
2001-10-11 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
100015772 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000051 |
ENGLISH OAKS CONVALESCENT & REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2001-10-01 00:00:00 |
100002110 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-07-21 00:00:00 |
None |
No |
2001-10-23 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
100015791 |
A99999 |
N |
None |
None |
SFY2001-02 |
100001641 |
ESTRELLA'S ICF/DD-H |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Stockton |
2001-10-12 00:00:00 |
100002111 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2001-08-15 00:00:00 |
None |
No |
2001-11-02 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
100015844 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2019-11-05 00:00:00 |
100015511 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-08-28 00:00:00 |
2019-08-28 00:00:00 |
No |
2019-11-26 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
OPGD11 |
N |
CA00652451 |
B |
SFY2019-20 |
090000018 |
EDGEMOOR HOSPITAL DP/SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2019-11-26 00:00:00 |
100015547 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-04-24 00:00:00 |
2019-04-24 00:00:00 |
No |
2019-12-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
NPHC11 |
N |
CA00635020 |
B |
SFY2019-20 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2024-05-07 00:00:00 |
100020123 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-06-09 00:00:00 |
2022-06-09 00:00:00 |
No |
2024-05-29 00:00:00 |
None |
A |
None |
12000 |
12000 |
-4200 |
7800 |
0 |
None |
G40Z11 |
N |
CA00788349 |
B |
SFY2023-24 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-03-10 00:00:00 |
110001722 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-02-05 00:00:00 |
None |
No |
2000-04-03 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110012302 |
A99999 |
N |
None |
None |
SFY1999-00 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-03-21 00:00:00 |
110001731 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-08 00:00:00 |
2000-03-08 00:00:00 |
No |
2000-04-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
110012339 |
A99999 |
N |
None |
None |
SFY1999-00 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-01-09 00:00:00 |
110001967 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-03-12 00:00:00 |
2000-03-16 00:00:00 |
Yes |
2002-02-05 00:00:00 |
2002-01-31 00:00:00 |
A |
B |
15000 |
750 |
0 |
750 |
0 |
110015555 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-05-17 00:00:00 |
110001974 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-21 00:00:00 |
2001-06-21 00:00:00 |
No |
2002-06-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110014669 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-07-19 00:00:00 |
110001984 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-19 00:00:00 |
2002-01-19 00:00:00 |
No |
2002-08-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015632 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-07-25 00:00:00 |
110001987 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-06 00:00:00 |
2002-01-06 00:00:00 |
No |
2002-08-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015614 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-09-03 00:00:00 |
110001997 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-18 00:00:00 |
2002-03-18 00:00:00 |
No |
2002-09-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015766 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-09-05 00:00:00 |
110002000 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-12 00:00:00 |
2001-01-12 00:00:00 |
No |
2002-09-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110013990 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000035 |
EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-11-14 00:00:00 |
110002011 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-22 00:00:00 |
2001-11-22 00:00:00 |
Yes |
2002-12-11 00:00:00 |
2002-11-27 00:00:00 |
B |
B |
800 |
550 |
0 |
550 |
0 |
110015463 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-03-14 00:00:00 |
110002033 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-09-07 00:00:00 |
2001-09-07 00:00:00 |
Yes |
2003-04-08 00:00:00 |
2003-03-28 00:00:00 |
A |
A |
14000 |
8034 |
0 |
8034 |
0 |
110015723 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-05-09 00:00:00 |
110002050 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-09 00:00:00 |
2002-11-09 00:00:00 |
No |
2003-06-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110016997 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-06-05 00:00:00 |
110002055 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-27 00:00:00 |
2003-02-27 00:00:00 |
No |
2003-06-30 00:00:00 |
None |
B |
B Trebled |
1000 |
1721 |
0 |
1721 |
0 |
110017099 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000035 |
EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-07-24 00:00:00 |
110002061 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-13 00:00:00 |
2002-07-13 00:00:00 |
Yes |
2003-08-19 00:00:00 |
2003-07-29 00:00:00 |
B |
B |
1000 |
750 |
-150 |
600 |
0 |
110016163 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000035 |
EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-09-17 00:00:00 |
110002070 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-10 00:00:00 |
2003-08-10 00:00:00 |
Yes |
2003-10-14 00:00:00 |
2003-09-26 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
110017273 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000035 |
EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-19 00:00:00 |
110002142 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-09-24 00:00:00 |
2003-09-24 00:00:00 |
Yes |
2003-12-12 00:00:00 |
2003-11-20 00:00:00 |
A |
A |
20000 |
20000 |
0 |
20000 |
0 |
110017717 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000035 |
EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-01-30 00:00:00 |
110002177 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-07 00:00:00 |
2003-11-07 00:00:00 |
Yes |
2004-02-25 00:00:00 |
2004-02-09 00:00:00 |
B |
B |
1000 |
600 |
0 |
600 |
0 |
110017830 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000035 |
EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-01-30 00:00:00 |
110002178 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-07 00:00:00 |
2003-11-07 00:00:00 |
Yes |
2004-02-25 00:00:00 |
2004-02-09 00:00:00 |
B |
B |
1000 |
600 |
0 |
600 |
0 |
110017830 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-02-19 00:00:00 |
110002182 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-28 00:00:00 |
2003-05-28 00:00:00 |
No |
2004-03-16 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
110017282 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-02-27 00:00:00 |
110002184 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-01 00:00:00 |
2003-11-01 00:00:00 |
No |
2004-03-23 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
110017814 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-03-19 00:00:00 |
110002188 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-07-24 00:00:00 |
2003-07-24 00:00:00 |
Yes |
2004-04-12 00:00:00 |
2004-03-30 00:00:00 |
A |
A |
14000 |
6000 |
0 |
6000 |
0 |
110017310 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-05-27 00:00:00 |
110002197 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-20 00:00:00 |
2004-02-20 00:00:00 |
No |
2004-06-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110018212 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000035 |
EVERGREEN HEALTHCARE CTRS OF VALLEJO - LOUISIANA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-12-20 00:00:00 |
110002243 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-09-15 00:00:00 |
2005-09-15 00:00:00 |
Yes |
2006-01-25 00:00:00 |
2005-12-28 00:00:00 |
B |
B |
1000 |
600 |
0 |
600 |
0 |
110018822 |
A99999 |
N |
None |
None |
SFY2005-06 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-03-02 00:00:00 |
110002882 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-12-08 00:00:00 |
2004-12-08 00:00:00 |
No |
2006-04-04 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
26P211 |
N |
CA00037175 |
B |
SFY2005-06 |
010000657 |
ESTES HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2007-10-10 00:00:00 |
110004335 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-29 00:00:00 |
2007-07-29 00:00:00 |
No |
2007-10-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
JNY611 |
N |
CA00121712 |
B |
SFY2007-08 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-11-01 00:00:00 |
110004387 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-12-27 00:00:00 |
2006-12-27 00:00:00 |
No |
2007-11-27 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
NDI311 |
N |
CA00102046 |
A |
SFY2007-08 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-05-05 00:00:00 |
110004547 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-12-13 00:00:00 |
2007-12-13 00:00:00 |
No |
2008-05-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2QSE11 |
N |
CA00133639 |
B |
SFY2007-08 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-12-18 00:00:00 |
110004963 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-11 00:00:00 |
2008-04-11 00:00:00 |
No |
2009-01-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BJ8I11 |
N |
CA00147009, CA00147764 |
A, B |
SFY2008-09 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-12-18 00:00:00 |
110004964 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-14 00:00:00 |
2008-04-14 00:00:00 |
No |
2009-01-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
BJ8I11 |
N |
CA00147009, CA00147764 |
A, B |
SFY2008-09 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-05-08 00:00:00 |
110004992 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2008-02-10 00:00:00 |
2008-02-10 00:00:00 |
No |
2008-06-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JZOY11 |
N |
CA00142218 |
B |
SFY2007-08 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-12-19 00:00:00 |
110005127 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-05-10 00:00:00 |
2008-05-10 00:00:00 |
No |
2009-01-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C5WJ11 |
N |
CA00151966 |
B |
SFY2008-09 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-14 00:00:00 |
110005292 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-02 00:00:00 |
2008-07-02 00:00:00 |
Yes |
2009-05-05 00:00:00 |
2009-05-20 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
9MGU11 |
N |
CA00157154, CA00157618 |
B, B |
SFY2008-09 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-01-20 00:00:00 |
110005336 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-05-21 00:00:00 |
2008-05-21 00:00:00 |
No |
2009-02-10 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
F5YU11 |
N |
CA00152848 |
B |
SFY2008-09 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-12-23 00:00:00 |
110005697 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Patient Care/Medication |
2008-04-23 00:00:00 |
2008-04-23 00:00:00 |
No |
2009-01-19 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
HX9H11 |
N |
CA00148235 |
A |
SFY2008-09 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-12-18 00:00:00 |
110005698 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-04 00:00:00 |
2008-04-04 00:00:00 |
No |
2009-01-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
RWQD11 |
N |
CA00150074 |
A |
SFY2008-09 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-01-30 00:00:00 |
110005770 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-01-12 00:00:00 |
2008-01-12 00:00:00 |
No |
2009-02-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
R1JW11 |
N |
CA00139357 |
A |
SFY2008-09 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-05-05 00:00:00 |
110005833 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-24 00:00:00 |
2008-07-24 00:00:00 |
Yes |
2009-05-27 00:00:00 |
2009-05-21 00:00:00 |
B |
B Trebled |
1000 |
2450 |
-950 |
1500 |
0 |
None |
UCHO11 |
N |
CA00158303 |
A |
SFY2008-09 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-02 00:00:00 |
110006008 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-26 00:00:00 |
2008-03-26 00:00:00 |
No |
2009-05-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
O10Q11 |
N |
CA00145114, CA00145116 |
A, A |
SFY2008-09 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-05-05 00:00:00 |
110006018 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-24 00:00:00 |
2008-07-24 00:00:00 |
Yes |
2009-05-27 00:00:00 |
2009-05-18 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
UCHO11 |
N |
CA00158303 |
A |
SFY2008-09 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-15 00:00:00 |
110006096 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-28 00:00:00 |
2009-03-28 00:00:00 |
No |
2009-05-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
N6FW11 |
N |
CA00183131 |
B |
SFY2008-09 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-05-01 00:00:00 |
110006141 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-27 00:00:00 |
2008-12-27 00:00:00 |
No |
2009-05-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PIBI11 |
N |
CA00173092 |
A |
SFY2008-09 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-05-11 00:00:00 |
110006169 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-15 00:00:00 |
2008-07-15 00:00:00 |
No |
2009-06-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GLDN11 |
N |
CA00157904 |
A |
SFY2008-09 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-05-11 00:00:00 |
110006171 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-07-15 00:00:00 |
2008-07-15 00:00:00 |
No |
2009-06-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
GLDN11 |
N |
CA00157904 |
A |
SFY2008-09 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-29 00:00:00 |
110006183 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-24 00:00:00 |
2009-03-24 00:00:00 |
Yes |
2010-01-22 00:00:00 |
2010-01-04 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
MEVX11 |
N |
CA00185031 |
A |
SFY2009-10 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-08-12 00:00:00 |
110006303 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-04 00:00:00 |
2008-12-04 00:00:00 |
No |
2009-09-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
UI4N11 |
N |
CA00171155 |
A |
SFY2009-10 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-07-01 00:00:00 |
110006342 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2008-11-19 00:00:00 |
2008-11-19 00:00:00 |
Yes |
2009-07-29 00:00:00 |
2009-07-08 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
ZYUL11 |
N |
CA00170808 |
B |
SFY2009-10 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-08 00:00:00 |
110006428 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-10-23 00:00:00 |
2008-10-23 00:00:00 |
Yes |
2009-12-30 00:00:00 |
2009-12-10 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
MOR011 |
N |
CA00167496 |
B |
SFY2009-10 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-09-24 00:00:00 |
110006575 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-06-01 00:00:00 |
2009-06-01 00:00:00 |
No |
2009-10-16 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
PR8G11 |
N |
CA00190506 |
A |
SFY2009-10 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-08 00:00:00 |
110006753 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-10-23 00:00:00 |
2008-10-23 00:00:00 |
Yes |
2009-12-30 00:00:00 |
2009-12-10 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
MOR011 |
N |
CA00167496 |
B |
SFY2009-10 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-03-01 00:00:00 |
110007234 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2009-12-06 00:00:00 |
2009-12-06 00:00:00 |
Yes |
2011-03-22 00:00:00 |
2011-03-14 00:00:00 |
A |
B |
20000 |
10000 |
0 |
10000 |
0 |
None |
SB5W11 |
N |
CA00210526 |
A |
SFY2010-11 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-07-07 00:00:00 |
110008325 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-06-14 00:00:00 |
2011-06-14 00:00:00 |
No |
2011-07-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
EHO711 |
N |
None |
None |
SFY2011-12 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-09-30 00:00:00 |
110008359 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2011-06-27 00:00:00 |
2011-06-27 00:00:00 |
No |
2011-10-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
BU5011 |
N |
None |
None |
SFY2011-12 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-05-30 00:00:00 |
110008463 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-07-11 00:00:00 |
2011-07-11 00:00:00 |
No |
2012-06-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
POAP11 |
N |
CA00277148 |
A |
SFY2011-12 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-05-02 00:00:00 |
110008823 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-11-15 00:00:00 |
2010-11-15 00:00:00 |
No |
2012-05-23 00:00:00 |
None |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
MUR211 |
N |
CA00251720 |
B |
SFY2011-12 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-08-16 00:00:00 |
110009412 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-07-16 00:00:00 |
2012-07-16 00:00:00 |
No |
2012-09-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
SN7K11 |
N |
None |
None |
SFY2012-13 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-12-19 00:00:00 |
110009547 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-10-09 00:00:00 |
2010-10-09 00:00:00 |
Yes |
2013-01-11 00:00:00 |
2012-12-20 00:00:00 |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
L6WH11 |
N |
CA00254388 |
A |
SFY2012-13 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-07-30 00:00:00 |
110010516 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-02-06 00:00:00 |
2014-02-06 00:00:00 |
Yes |
2014-08-20 00:00:00 |
2014-08-11 00:00:00 |
A |
B |
20000 |
10000 |
0 |
10000 |
0 |
None |
5OC111 |
N |
CA00386154 |
B |
SFY2014-15 |
010000657 |
ESTES HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2014-04-04 00:00:00 |
110010557 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-11-30 00:00:00 |
2011-11-30 00:00:00 |
No |
2014-04-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3HZB11 |
N |
CA00291467 |
A |
SFY2013-14 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-08-14 00:00:00 |
110010873 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2014-05-12 00:00:00 |
2014-05-12 00:00:00 |
Yes |
2014-09-05 00:00:00 |
2014-08-25 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
PIH511 |
N |
CA00403400 |
A |
SFY2014-15 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-28 00:00:00 |
110012902 |
Closed |
Citation |
Citation A (HSC 1424) |
Staffing |
None |
2016-10-26 00:00:00 |
2016-10-26 00:00:00 |
Yes |
2017-03-21 00:00:00 |
2017-03-07 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-28 00:00:00 |
110012903 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-10-25 00:00:00 |
2016-10-25 00:00:00 |
Yes |
2017-03-21 00:00:00 |
2017-03-07 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-28 00:00:00 |
110012904 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-05-22 00:00:00 |
2016-05-22 00:00:00 |
Yes |
2017-03-21 00:00:00 |
2017-03-07 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-28 00:00:00 |
110012905 |
Closed |
Citation |
Citation A (HSC 1424) |
Administration |
None |
2016-05-22 00:00:00 |
2016-05-22 00:00:00 |
Yes |
2017-03-21 00:00:00 |
2017-03-07 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-03-14 00:00:00 |
110012936 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-09-02 00:00:00 |
2016-09-02 00:00:00 |
No |
2017-04-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-28 00:00:00 |
110012991 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-08-26 00:00:00 |
2016-08-26 00:00:00 |
Yes |
2017-03-21 00:00:00 |
2017-03-07 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-28 00:00:00 |
110012997 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-08-12 00:00:00 |
2016-08-12 00:00:00 |
Yes |
2017-03-21 00:00:00 |
2017-03-07 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-28 00:00:00 |
110012998 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-08-16 00:00:00 |
2016-08-16 00:00:00 |
Yes |
2017-03-21 00:00:00 |
2017-03-07 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-28 00:00:00 |
110012999 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-05-24 00:00:00 |
2016-05-24 00:00:00 |
Yes |
2017-03-21 00:00:00 |
2017-03-07 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
G9FK11 |
N |
None |
None |
SFY2016-17 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2020-07-21 00:00:00 |
110015918 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-09-07 00:00:00 |
2016-09-07 00:00:00 |
No |
2020-08-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
WD1311 |
N |
CA00531933 |
B |
SFY2020-21 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-07-26 00:00:00 |
110017082 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-09-10 00:00:00 |
2019-09-10 00:00:00 |
No |
2022-08-16 00:00:00 |
None |
A |
None |
20000 |
23100 |
0 |
23100 |
0 |
None |
SM8511 |
N |
CA00654972 |
B |
SFY2022-23 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-02-07 00:00:00 |
110017083 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-08-28 00:00:00 |
2019-08-28 00:00:00 |
No |
2022-03-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
SM8511 |
N |
CA00654972, CA00654972 |
B, B |
SFY2021-22 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-02-07 00:00:00 |
110017084 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-08-27 00:00:00 |
2019-08-27 00:00:00 |
No |
2022-03-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
SM8511 |
N |
CA00654972 |
B |
SFY2021-22 |
140000009 |
ELM MANOR CONVALESCENT CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-04-05 00:00:00 |
140002508 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-10-21 00:00:00 |
None |
Yes |
2000-04-28 00:00:00 |
2000-04-17 00:00:00 |
A |
A |
7500 |
6000 |
0 |
6000 |
0 |
140011552 |
A99999 |
N |
None |
None |
SFY1999-00 |
230000330 |
EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2000-03-15 00:00:00 |
230000882 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-01-11 00:00:00 |
None |
No |
2000-04-10 00:00:00 |
None |
B |
None |
850 |
850 |
-297.5 |
552.5 |
0 |
230006310 |
A99999 |
N |
None |
None |
SFY1999-00 |
230000478 |
ENLOE MEDICAL CENTER - COHASSET D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2000-06-01 00:00:00 |
230000900 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-10-19 00:00:00 |
None |
No |
2000-06-23 00:00:00 |
None |
A |
None |
9800 |
9800 |
-3430 |
6370 |
0 |
230006435 |
A99999 |
N |
None |
None |
SFY1999-00 |
230000330 |
EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2001-08-15 00:00:00 |
230000949 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-11-12 00:00:00 |
None |
No |
2001-09-11 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
230007365 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000392 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-06-13 00:00:00 |
230000987 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-05-22 00:00:00 |
None |
No |
2002-07-08 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
230008147 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000330 |
EASTERN PLUMAS HOSPITAL - LOYALTON CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2002-08-29 00:00:00 |
230000995 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-07-14 00:00:00 |
None |
No |
2002-09-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230008308 |
A99999 |
N |
None |
None |
SFY2002-03 |
230000392 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-01-15 00:00:00 |
230004538 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-13 00:00:00 |
2007-10-13 00:00:00 |
Yes |
2008-02-06 00:00:00 |
2008-01-15 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
F5IF11 |
N |
CA00129548 |
B |
SFY2007-08 |
230000392 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-01-15 00:00:00 |
230004539 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-13 00:00:00 |
2007-10-13 00:00:00 |
Yes |
2008-02-06 00:00:00 |
2008-01-15 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
F5IF11 |
N |
CA00129548 |
B |
SFY2007-08 |
230000392 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-01-15 00:00:00 |
230004540 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-12 00:00:00 |
2007-10-12 00:00:00 |
Yes |
2008-02-06 00:00:00 |
2008-01-15 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
F5IF11 |
N |
CA00129410 |
B |
SFY2007-08 |
230000392 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-01-15 00:00:00 |
230004541 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-06-16 00:00:00 |
2007-06-16 00:00:00 |
Yes |
2008-02-06 00:00:00 |
2008-01-15 00:00:00 |
B |
B |
500 |
250 |
0 |
250 |
0 |
None |
7O5611 |
N |
CA00117986 |
C |
SFY2007-08 |
230000392 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2008-02-07 00:00:00 |
230004665 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-11-02 00:00:00 |
2007-11-02 00:00:00 |
No |
2008-03-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
ZWKU11 |
N |
CA00131447 |
C |
SFY2007-08 |
230000392 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2011-08-24 00:00:00 |
230008498 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ftr within 24 hrs |
2011-01-01 00:00:00 |
2011-01-01 00:00:00 |
No |
2011-09-14 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
LL2P11 |
N |
CA00274647 |
B |
SFY2011-12 |
630016719 |
ERIN HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2022-06-23 00:00:00 |
240017715 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Rights |
None |
2021-08-21 00:00:00 |
2021-08-21 00:00:00 |
No |
2022-07-15 00:00:00 |
None |
AA |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
D9FP11 |
Y |
CA00749464, CA00749464 |
A, A |
SFY2021-22 |
250000119 |
EVERGREEN ESTATES |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2004-10-27 00:00:00 |
250001547 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-08-31 00:00:00 |
None |
No |
2004-11-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
250016628 |
A99999 |
N |
None |
None |
SFY2004-05 |
250000051 |
EXTENDED CARE HOSPITAL OF RIVERSIDE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2008-12-04 00:00:00 |
250005671 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-01-25 00:00:00 |
2008-01-25 00:00:00 |
Yes |
2008-12-26 00:00:00 |
2008-12-15 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
QRZE11 |
N |
CA00138896 |
B |
SFY2008-09 |
250000051 |
EXTENDED CARE HOSPITAL OF RIVERSIDE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-02-27 00:00:00 |
250010489 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-08-18 00:00:00 |
2010-08-18 00:00:00 |
No |
2014-03-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2Q8Q11 |
N |
CA00239964 |
C |
SFY2013-14 |
250000119 |
EVERGREEN ESTATES |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2017-08-29 00:00:00 |
250013426 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-06-19 00:00:00 |
2015-06-19 00:00:00 |
Yes |
2017-09-20 00:00:00 |
2017-09-05 00:00:00 |
A |
A |
10000 |
6500 |
0 |
6500 |
0 |
None |
8MWN11 |
N |
CA00447367 |
A |
SFY2017-18 |
250000119 |
EVERGREEN ESTATES |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2018-01-04 00:00:00 |
250013701 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2015-10-13 00:00:00 |
2015-10-13 00:00:00 |
Yes |
2018-01-26 00:00:00 |
2018-01-08 00:00:00 |
B |
B |
2000 |
1100 |
0 |
1100 |
0 |
None |
VEPY11 |
N |
CA00461526 |
B |
SFY2017-18 |
250000119 |
EVERGREEN ESTATES |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2018-01-25 00:00:00 |
250013748 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-05-15 00:00:00 |
2015-05-15 00:00:00 |
Yes |
2018-02-15 00:00:00 |
2018-02-08 00:00:00 |
B |
B |
2000 |
1100 |
0 |
1100 |
0 |
None |
8MWN11 |
N |
CA00449851, CA00449851, CA00449855 |
B, B, B |
SFY2017-18 |
250000119 |
EVERGREEN ESTATES |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2018-01-25 00:00:00 |
250013752 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-05-15 00:00:00 |
2015-05-15 00:00:00 |
Yes |
2018-02-15 00:00:00 |
2018-02-08 00:00:00 |
B |
B |
2000 |
1100 |
0 |
1100 |
0 |
None |
8MWN11 |
N |
CA00449851 |
B |
SFY2017-18 |
250000051 |
EXTENDED CARE HOSPITAL OF RIVERSIDE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-12-13 00:00:00 |
250014599 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-09-01 00:00:00 |
2018-09-01 00:00:00 |
No |
2019-01-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
3Q8611 |
N |
CA00602403 |
B |
SFY2018-19 |
250000051 |
EXTENDED CARE HOSPITAL OF RIVERSIDE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-10-16 00:00:00 |
250015413 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-06-22 00:00:00 |
2019-06-22 00:00:00 |
No |
2019-11-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
W8OQ11 |
N |
CA00643950 |
B |
SFY2019-20 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-04-10 00:00:00 |
910015846 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-02-06 00:00:00 |
2020-02-06 00:00:00 |
No |
2020-05-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
F4J711 |
N |
None |
None |
SFY2019-20 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-11-03 00:00:00 |
910016134 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-06-11 00:00:00 |
2020-06-11 00:00:00 |
No |
2020-11-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
8I7V11 |
N |
CA00692277, CA00692277 |
B, B |
SFY2020-21 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-04-16 00:00:00 |
910016423 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-02-27 00:00:00 |
2021-02-27 00:00:00 |
No |
2021-05-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
773411 |
N |
CA00727240 |
A |
SFY2020-21 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-09-07 00:00:00 |
910016896 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-06-17 00:00:00 |
2021-06-17 00:00:00 |
No |
2021-09-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QX4311 |
N |
CA00742591, CA00742591 |
A, A |
SFY2021-22 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-09-08 00:00:00 |
910016902 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-06-17 00:00:00 |
2021-06-17 00:00:00 |
No |
2021-09-29 00:00:00 |
None |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
QX4311 |
N |
CA00742591, CA00742591, CA00742591 |
A, A, A |
SFY2021-22 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-17 00:00:00 |
910017207 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-09-14 00:00:00 |
2021-09-14 00:00:00 |
Yes |
2022-01-07 00:00:00 |
2021-12-28 00:00:00 |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
None |
79F911 |
Y |
CA00753888 |
A |
SFY2021-22 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-09-02 00:00:00 |
910017963 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-07-13 00:00:00 |
2022-07-13 00:00:00 |
No |
2022-09-26 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
1J7E11 |
N |
CA00792229 |
A |
SFY2022-23 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-09-07 00:00:00 |
910017969 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-07-13 00:00:00 |
2022-07-13 00:00:00 |
No |
2022-09-28 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
1J7E11 |
N |
CA00792229 |
A |
SFY2022-23 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-10-12 00:00:00 |
910018078 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-07-12 00:00:00 |
2022-07-12 00:00:00 |
No |
2022-11-02 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
X5QM11 |
N |
CA00796753, CA00796753, CA00796753 |
B, B, B |
SFY2022-23 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-10-14 00:00:00 |
910018084 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-06-23 00:00:00 |
2022-06-23 00:00:00 |
No |
2022-11-04 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
JCHN11 |
N |
CA00790725, CA00790725 |
B, B |
SFY2022-23 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-12-09 00:00:00 |
910018234 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-11-01 00:00:00 |
2022-11-01 00:00:00 |
No |
2022-12-30 00:00:00 |
None |
B |
None |
3000 |
9050 |
0 |
9050 |
0 |
None |
NGYH11 |
N |
CA00807973 |
B |
SFY2022-23 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-12-09 00:00:00 |
910018235 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-11-01 00:00:00 |
2022-11-01 00:00:00 |
No |
2022-12-30 00:00:00 |
None |
B |
None |
3000 |
9050 |
0 |
9050 |
0 |
None |
NGYH11 |
N |
CA00807973 |
B |
SFY2022-23 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-01 00:00:00 |
910019017 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-05 00:00:00 |
2023-07-05 00:00:00 |
No |
2023-08-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
ZTS311 |
N |
CA00847588, CA00847588 |
B, B |
SFY2023-24 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-09-27 00:00:00 |
910019208 |
Open |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2023-06-23 00:00:00 |
2023-06-23 00:00:00 |
No |
2023-10-18 00:00:00 |
None |
B |
None |
3000 |
3150 |
-1050 |
1950 |
150 |
None |
7T0311 |
N |
CA00854928 |
B |
SFY2023-24 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-10-05 00:00:00 |
910019231 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2023-06-23 00:00:00 |
2023-06-23 00:00:00 |
No |
2023-10-26 00:00:00 |
None |
WF |
None |
3500 |
3500 |
-1225 |
2275 |
0 |
None |
7T0311 |
None |
CA00854928 |
B |
SFY2023-24 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-28 00:00:00 |
910019544 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-11-16 00:00:00 |
2023-11-16 00:00:00 |
No |
2024-01-18 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
96AY11 |
N |
CA00871259 |
B |
SFY2023-24 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-03-08 00:00:00 |
910019845 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Accident/Hazards/supervis |
2024-01-29 00:00:00 |
2024-01-29 00:00:00 |
No |
2024-03-29 00:00:00 |
None |
B |
None |
3000 |
9000 |
0 |
9000 |
0 |
None |
7V5411 |
N |
CA00881790, CA00881790 |
A, A |
SFY2023-24 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-03-22 00:00:00 |
910019900 |
Open |
Citation |
Citation A (HSC 1424) |
Other |
Accidents |
2023-12-01 00:00:00 |
2023-12-01 00:00:00 |
No |
2024-04-15 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
7VDZ11 |
N |
CA00880525, CA00880525, CA00880928, CA00880928 |
B, B, B, B |
SFY2023-24 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-06-14 00:00:00 |
910020325 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-04-11 00:00:00 |
2024-04-11 00:00:00 |
No |
2024-07-08 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
0SNB11 |
N |
CA00894864, CA00894864 |
B, B |
SFY2023-24 |
920000062 |
EISENBERG VILLAGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2011-06-10 00:00:00 |
920008298 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2011-05-16 00:00:00 |
2011-05-16 00:00:00 |
No |
2011-07-01 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
5XV611 |
N |
None |
None |
SFY2010-11 |
920000062 |
EISENBERG VILLAGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-05-16 00:00:00 |
920013202 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-11-02 00:00:00 |
2016-11-02 00:00:00 |
No |
2017-06-07 00:00:00 |
None |
A |
B |
10000 |
2000 |
0 |
2000 |
0 |
None |
Y8WT11 |
N |
CA00509795 |
B |
SFY2016-17 |
920000062 |
EISENBERG VILLAGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-08-31 00:00:00 |
920014374 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-02-09 00:00:00 |
2015-02-09 00:00:00 |
Yes |
2018-09-24 00:00:00 |
2018-09-17 00:00:00 |
A |
B |
20000 |
5000 |
0 |
5000 |
0 |
None |
3DCB11 |
Y |
CA00431649 |
C |
SFY2018-19 |
920000062 |
EISENBERG VILLAGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-02-28 00:00:00 |
920018444 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-05-17 00:00:00 |
2022-05-17 00:00:00 |
No |
2023-03-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
W7R611 |
N |
CA00820553 |
B |
SFY2022-23 |
920000062 |
EISENBERG VILLAGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-06-29 00:00:00 |
920018908 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-05-23 00:00:00 |
2023-05-23 00:00:00 |
Yes |
2023-07-21 00:00:00 |
2023-07-06 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
87VO11 |
N |
CA00842317 |
A |
SFY2022-23 |
930000865 |
ENCINO HOSPITAL MEDICAL CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-06-06 00:00:00 |
930000327 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-05-07 00:00:00 |
None |
Yes |
2001-12-11 00:00:00 |
2001-06-12 00:00:00 |
A |
A |
7000 |
7400 |
-400 |
7000 |
0 |
930011923 |
A99999 |
N |
None |
None |
SFY2000-01 |
930001498 |
EMANATE HEALTH INTER-COMMUNITY HOSPITAL, D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-02-24 00:00:00 |
930008929 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-10-20 00:00:00 |
2010-10-20 00:00:00 |
Yes |
2012-03-16 00:00:00 |
2012-03-01 00:00:00 |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
VQ6T11 |
N |
CA00248621 |
C |
SFY2011-12 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-12-12 00:00:00 |
940001443 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-08 00:00:00 |
None |
No |
2002-01-15 00:00:00 |
None |
B |
B |
500 |
500 |
-450 |
50 |
0 |
940005839 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2003-04-23 00:00:00 |
940001487 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-21 00:00:00 |
None |
No |
2003-05-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940006542 |
A99999 |
N |
None |
None |
SFY2002-03 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-14 00:00:00 |
940003271 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-05-28 00:00:00 |
2006-05-28 00:00:00 |
No |
2006-09-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
8WOW11 |
N |
CA00084358 |
B |
SFY2006-07 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-08-12 00:00:00 |
940004104 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
Accidents/Supervision |
2007-07-12 00:00:00 |
2007-07-12 00:00:00 |
Yes |
2011-09-02 00:00:00 |
2011-09-07 00:00:00 |
AA |
AA |
80000 |
56000 |
0 |
56000 |
0 |
None |
U4N911 |
Y |
CA00120054 |
B |
SFY2011-12 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2013-11-19 00:00:00 |
940010271 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-09-05 00:00:00 |
2013-09-05 00:00:00 |
No |
2013-12-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
3Y5H11 |
N |
CA00370957 |
B |
SFY2013-14 |
960001457 |
EL ENCANTO HEALTHCARE AND HABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2015-03-18 00:00:00 |
940011312 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-08-27 00:00:00 |
2013-08-27 00:00:00 |
No |
2015-04-09 00:00:00 |
None |
A |
None |
12000 |
12000 |
-4200 |
7800 |
0 |
None |
XCO611 |
N |
CA00368644 |
B |
SFY2014-15 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2015-04-29 00:00:00 |
940011424 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-03-20 00:00:00 |
2015-03-20 00:00:00 |
No |
2015-05-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
4P7811 |
N |
CA00433723 |
B |
SFY2014-15 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2015-09-18 00:00:00 |
940011704 |
Closed |
Citation |
Citation A (HSC 1424) |
Administration |
None |
2014-08-03 00:00:00 |
2014-08-03 00:00:00 |
No |
2015-10-09 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
9KT411 |
N |
CA00408466 |
B |
SFY2015-16 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-08-03 00:00:00 |
940012484 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
State Posting |
2016-06-17 00:00:00 |
2016-06-17 00:00:00 |
No |
2016-08-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
68YZ11 |
N |
None |
None |
SFY2016-17 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-01-09 00:00:00 |
940012873 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-02-19 00:00:00 |
2016-02-19 00:00:00 |
Yes |
2017-01-31 00:00:00 |
2017-01-20 00:00:00 |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
None |
FP8811 |
N |
CA00478599 |
B |
SFY2016-17 |
940000044 |
EL RANCHO VISTA HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-07-12 00:00:00 |
940013306 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-03-05 00:00:00 |
2017-03-05 00:00:00 |
No |
2017-08-02 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
11FU11 |
N |
CA00526643, CA00526824, CA00528497 |
B, B, A |
SFY2017-18 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-11-30 00:00:00 |
940013653 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-08-06 00:00:00 |
2017-08-06 00:00:00 |
Yes |
2017-12-21 00:00:00 |
2017-12-13 00:00:00 |
A |
None |
16000 |
16000 |
0 |
0 |
16000 |
None |
7U4Z11 |
N |
CA00547299 |
A |
SFY2017-18 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-10-25 00:00:00 |
950001365 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE/FACILITY PRACT |
1999-10-18 00:00:00 |
None |
Yes |
2001-05-11 00:00:00 |
2001-04-26 00:00:00 |
B |
Dismissed by Court |
1000 |
100 |
-100 |
0 |
0 |
950006380 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-05-09 00:00:00 |
950012248 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-09-14 00:00:00 |
2013-09-14 00:00:00 |
No |
2016-05-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
CK3111 |
N |
None |
None |
SFY2015-16 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-01-06 00:00:00 |
950012855 |
Closed |
Citation |
Citation A (HSC 1424) |
Physical Environment |
None |
2016-10-11 00:00:00 |
2016-10-11 00:00:00 |
Yes |
2017-01-30 00:00:00 |
2017-01-11 00:00:00 |
A |
B |
16000 |
10500 |
0 |
10500 |
0 |
None |
T2JM11 |
N |
CA00506451 |
A |
SFY2016-17 |
960001457 |
EL ENCANTO HEALTHCARE AND HABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-01-10 00:00:00 |
950016236 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-09-24 00:00:00 |
2020-09-24 00:00:00 |
Yes |
2021-02-01 00:00:00 |
2021-01-29 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
B66511 |
N |
CA00706663, CA00708950 |
B, B |
SFY2020-21 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-12-29 00:00:00 |
950017228 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Infection Control |
2021-10-01 00:00:00 |
2021-10-01 00:00:00 |
No |
2022-01-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
V97D11 |
N |
CA00755143 |
B |
SFY2021-22 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-03-24 00:00:00 |
950017527 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2022-03-09 00:00:00 |
2022-03-09 00:00:00 |
No |
2022-04-15 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
VCI711 |
N |
CA00776337 |
A |
SFY2021-22 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-05-24 00:00:00 |
950017663 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2022-04-14 00:00:00 |
2022-05-24 00:00:00 |
No |
2022-06-15 00:00:00 |
None |
B |
None |
3000 |
11000 |
0 |
11000 |
0 |
None |
J6ZL11 |
N |
CA00783878, CA00783878 |
A, A |
SFY2021-22 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-06-03 00:00:00 |
950017689 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-04-17 00:00:00 |
2022-04-17 00:00:00 |
No |
2022-06-24 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
IH4711 |
N |
CA00781642, CA00781642, CA00781642 |
B, B, B |
SFY2021-22 |
960001457 |
EL ENCANTO HEALTHCARE AND HABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-01-11 00:00:00 |
950018298 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-12-03 00:00:00 |
2022-12-03 00:00:00 |
No |
2023-02-02 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
B6V411 |
N |
CA00815039 |
A |
SFY2022-23 |
960001457 |
EL ENCANTO HEALTHCARE AND HABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-03-16 00:00:00 |
950018518 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-12-19 00:00:00 |
2022-12-19 00:00:00 |
No |
2023-04-07 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
24JD11 |
N |
CA00817496 |
B |
SFY2022-23 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-01-19 00:00:00 |
950019618 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-12-03 00:00:00 |
2023-12-03 00:00:00 |
Yes |
2024-02-09 00:00:00 |
2024-01-29 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
E00H11 |
Y |
CA00872709, CA00872709 |
A, A |
SFY2023-24 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-04-04 00:00:00 |
950019963 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-01-20 00:00:00 |
2024-01-20 00:00:00 |
No |
2024-04-25 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
8X8S11 |
N |
CA00885443, CA00885443, CA00885443, CA00885443 |
A, A, A, A |
SFY2023-24 |
960001459 |
EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-01-04 00:00:00 |
960000820 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
1999-12-22 00:00:00 |
None |
Yes |
2000-01-26 00:00:00 |
2000-01-13 00:00:00 |
A |
A |
10000 |
9000 |
0 |
9000 |
0 |
960006783 |
A99999 |
N |
None |
None |
SFY1999-00 |
960000907 |
EDGEWOOD CENTER |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-02-16 00:00:00 |
960000831 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NEGLECT |
1999-08-10 00:00:00 |
None |
Yes |
2001-05-08 00:00:00 |
2001-05-15 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
960006872 |
A99999 |
N |
None |
None |
SFY1999-00 |
960001898 |
EMILY CARE CENTER II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-03-15 00:00:00 |
960000837 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-03-08 00:00:00 |
None |
No |
2000-04-05 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
960006927 |
A99999 |
N |
None |
None |
SFY1999-00 |
960001522 |
EMILY'S RESIDENTIAL CARE CENTER, LLC |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-04-05 00:00:00 |
960000847 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
NEGLECT |
2000-03-04 00:00:00 |
None |
No |
2000-05-02 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
960006994 |
A99999 |
N |
None |
None |
SFY1999-00 |
960001522 |
EMILY'S RESIDENTIAL CARE CENTER, LLC |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-04-05 00:00:00 |
960000848 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-04 00:00:00 |
None |
No |
2000-05-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960006995 |
A99999 |
N |
None |
None |
SFY1999-00 |
960001898 |
EMILY CARE CENTER II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-07-06 00:00:00 |
960000857 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-06-12 00:00:00 |
None |
No |
2000-07-27 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
960007168 |
A99999 |
N |
None |
None |
SFY2000-01 |
960001522 |
EMILY'S RESIDENTIAL CARE CENTER, LLC |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-09-13 00:00:00 |
960000872 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2000-09-05 00:00:00 |
None |
No |
2000-10-06 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
960007277 |
A99999 |
N |
None |
None |
SFY2000-01 |
960001787 |
ELLENBOGEN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-10-20 00:00:00 |
960000876 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-10-02 00:00:00 |
None |
No |
2000-11-13 00:00:00 |
None |
B |
None |
1000 |
1350 |
0 |
1350 |
0 |
960007351 |
A99999 |
N |
None |
None |
SFY2000-01 |
960001457 |
EL ENCANTO HEALTHCARE AND HABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-12-15 00:00:00 |
960000881 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Patient Record |
None |
2000-10-23 00:00:00 |
None |
No |
2001-01-05 00:00:00 |
None |
WF |
None |
800 |
800 |
-280 |
520 |
0 |
960007445 |
A99999 |
None |
None |
None |
SFY2000-01 |
960001756 |
EBORA GUEST HOME #4 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-05-04 00:00:00 |
960000895 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-08 00:00:00 |
None |
No |
2001-05-25 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
960007676 |
A99999 |
N |
None |
None |
SFY2000-01 |
960000907 |
EDGEWOOD CENTER |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-08-30 00:00:00 |
960000934 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-12-12 00:00:00 |
None |
Yes |
2001-12-11 00:00:00 |
2001-09-12 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
960007985 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001457 |
EL ENCANTO HEALTHCARE AND HABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-10-12 00:00:00 |
960000938 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-15 00:00:00 |
None |
No |
2001-11-15 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
960008061 |
A99999 |
N |
None |
None |
SFY2001-02 |
960001522 |
EMILY'S RESIDENTIAL CARE CENTER, LLC |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-12-10 00:00:00 |
960000945 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2001-10-18 00:00:00 |
None |
No |
2002-01-02 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
960008198 |
A99999 |
N |
None |
None |
SFY2001-02 |
960002407 |
ELBEN DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-12-12 00:00:00 |
960000947 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-23 00:00:00 |
None |
No |
2002-01-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
960008125 |
A99999 |
N |
None |
None |
SFY2001-02 |
960002407 |
ELBEN DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-01-10 00:00:00 |
960001000 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-10-26 00:00:00 |
None |
No |
2003-02-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960008949 |
A99999 |
N |
None |
None |
SFY2002-03 |
960001898 |
EMILY CARE CENTER II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-06-17 00:00:00 |
960001023 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-12 00:00:00 |
None |
No |
2003-07-23 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
960009228 |
A99999 |
N |
None |
None |
SFY2002-03 |
960001756 |
EBORA GUEST HOME #4 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-03-03 00:00:00 |
960001060 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-01-21 00:00:00 |
None |
No |
2004-04-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009587 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001459 |
EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-09-15 00:00:00 |
960001144 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-04 00:00:00 |
None |
No |
2005-10-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010271 |
A99999 |
N |
None |
None |
SFY2005-06 |
960001459 |
EL ENCANTO HEALTHCARE & HABILIATION CTR D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-09-15 00:00:00 |
960001145 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-08-08 00:00:00 |
None |
No |
2005-10-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010271 |
A99999 |
N |
None |
None |
SFY2005-06 |
960001522 |
EMILY'S RESIDENTIAL CARE CENTER, LLC |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-12-14 00:00:00 |
960001162 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-21 00:00:00 |
None |
No |
2006-01-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010405 |
A99999 |
N |
None |
None |
SFY2005-06 |
960001787 |
ELLENBOGEN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-03-15 00:00:00 |
960002938 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-02-28 00:00:00 |
2006-02-28 00:00:00 |
No |
2006-04-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5GQN11 |
N |
None |
None |
SFY2005-06 |
960001898 |
EMILY CARE CENTER II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-06-02 00:00:00 |
960003135 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-02-09 00:00:00 |
2006-02-09 00:00:00 |
No |
2006-06-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
VMYN11 |
N |
None |
None |
SFY2005-06 |
960001787 |
ELLENBOGEN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2008-09-02 00:00:00 |
960005371 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2008-06-09 00:00:00 |
2008-06-09 00:00:00 |
No |
2008-09-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
8VC511 |
N |
CA00160812 |
H |
SFY2008-09 |
960001522 |
EMILY'S RESIDENTIAL CARE CENTER, LLC |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2012-06-15 00:00:00 |
960009358 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-04-23 00:00:00 |
2012-04-23 00:00:00 |
No |
2012-07-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IK8111 |
N |
None |
None |
SFY2011-12 |
960001522 |
EMILY'S RESIDENTIAL CARE CENTER, LLC |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2017-06-08 00:00:00 |
960013247 |
Closed |
Citation |
Citation A (HSC 1424) |
Staffing |
None |
2017-04-14 00:00:00 |
2017-04-14 00:00:00 |
No |
2017-06-29 00:00:00 |
None |
A |
None |
4000 |
4000 |
-1400 |
2600 |
0 |
None |
HRDK11 |
N |
CA00530796 |
A |
SFY2016-17 |
960000907 |
EDGEWOOD CENTER |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2020-01-02 00:00:00 |
960015656 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-06-11 00:00:00 |
2019-06-11 00:00:00 |
No |
2020-01-23 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
None |
QOS011 |
Y |
CA00643020 |
B |
SFY2019-20 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-10-09 00:00:00 |
970001381 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-06-08 00:00:00 |
None |
Yes |
2002-10-31 00:00:00 |
2002-11-08 00:00:00 |
B |
None |
700 |
700 |
0 |
700 |
0 |
970007291 |
A99999 |
N |
None |
None |
SFY2002-03 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2003-10-20 00:00:00 |
970001446 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-13 00:00:00 |
None |
Yes |
2003-11-20 00:00:00 |
2003-11-04 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
970007773 |
A99999 |
N |
None |
None |
SFY2003-04 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2003-11-07 00:00:00 |
970001447 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-06-13 00:00:00 |
None |
Yes |
2003-12-10 00:00:00 |
2003-11-22 00:00:00 |
A |
A |
16000 |
10400 |
0 |
10400 |
0 |
970007853 |
A99999 |
N |
None |
None |
SFY2003-04 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2004-03-26 00:00:00 |
970001452 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2003-02-21 00:00:00 |
None |
No |
2004-04-28 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
970007607 |
A99999 |
Y |
None |
None |
SFY2003-04 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2013-05-20 00:00:00 |
090009890 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-02-09 00:00:00 |
2012-04-25 00:00:00 |
No |
2013-06-04 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
06PK11 |
None |
None |
None |
SFY2012-13 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2024-04-10 00:00:00 |
110019946 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-05-01 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
BESW11 |
None |
None |
None |
SFY2023-24 |
020000093 |
EXCELL HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-07-01 00:00:00 |
810016573 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
R5QQ11 |
None |
None |
None |
SFY2021-22 |
020000128 |
ELMWOOD CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-11-15 00:00:00 |
810016975 |
Open |
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 |
2021-11-30 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
0 |
15000 |
None |
WXRP11 |
None |
None |
None |
SFY2021-22 |
020000037 |
EMMANUEL POST ACUTE CARE - HAYWARD |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-11-22 00:00:00 |
810017093 |
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 |
2021-12-07 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
XY1Q11 |
None |
None |
None |
SFY2021-22 |
010000078 |
EUREKA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-12-30 00:00:00 |
810017222 |
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 |
2022-01-14 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
6RGJ11 |
None |
None |
None |
SFY2021-22 |
950000103 |
EASTLAND SUBACUTE AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-04-14 00:00:00 |
810017555 |
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 |
2022-04-29 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
TSJG11 |
None |
None |
None |
SFY2021-22 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-05-17 00:00:00 |
810017631 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-06-01 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
0 |
15000 |
None |
3HET11 |
None |
None |
None |
SFY2021-22 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2022-02-14 00:00:00 |
810017845 |
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 |
E1IB11 |
None |
None |
None |
SFY2021-22 |
250000051 |
EXTENDED CARE HOSPITAL OF RIVERSIDE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2022-11-07 00:00:00 |
810018126 |
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 |
2022-12-01 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
C5P811 |
None |
None |
None |
SFY2022-23 |
040000012 |
EVERGREEN CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2022-10-04 00:00:00 |
810018189 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
CH2K11 |
None |
None |
None |
SFY2022-23 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-09-20 00:00:00 |
810018294 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
8B8C11 |
None |
None |
None |
SFY2022-23 |
970000035 |
EAST TERRACE REHABILITATION & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-09 00:00:00 |
810018462 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2023-03-30 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
DLET11 |
None |
None |
None |
SFY2022-23 |
090000092 |
EL CENTRO POST-ACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2024-01-10 00:00:00 |
810019559 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-01-31 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
CXFU11 |
None |
None |
None |
SFY2023-24 |
110000031 |
EMMANUEL CARE CENTER - TRAVIS |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2024-03-19 00:00:00 |
810019800 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-04-09 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
0 |
50000 |
None |
Y6XH11 |
None |
None |
None |
SFY2023-24 |
940000043 |
EDGEWATER SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-09 00:00:00 |
910017144 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-12-24 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
YNE611 |
None |
None |
None |
SFY2021-22 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-01-10 00:00:00 |
020004575 |
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 |
2007-07-11 16:15:00 |
2007-07-11 16:15:00 |
No |
2008-02-01 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
JW7G11 |
N |
CA00121190 |
C |
SFY2007-08 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-07-21 00:00:00 |
020007391 |
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 |
2009-01-19 08:00:00 |
2009-01-19 08:00:00 |
No |
2010-08-12 00:00:00 |
None |
FTR BR |
None |
9400 |
9400 |
-2350 |
7050 |
0 |
None |
X9RK11 |
None |
CA00190604 |
C |
SFY2010-11 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-07-21 00:00:00 |
020007392 |
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 |
2009-05-14 14:00:00 |
2009-05-14 14:00:00 |
No |
2010-08-12 00:00:00 |
None |
FTR BR |
None |
2700 |
2700 |
-675 |
2025 |
0 |
None |
X9RK11 |
None |
CA00190819 |
C |
SFY2010-11 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-07-21 00:00:00 |
020007393 |
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 |
2009-05-23 11:00:00 |
2009-05-23 11:00:00 |
No |
2010-08-12 00:00:00 |
None |
FTR BR |
None |
900 |
900 |
-225 |
675 |
0 |
None |
X9RK11 |
None |
CA00192067 |
C |
SFY2010-11 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2013-05-14 00:00:00 |
020009894 |
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 |
2010-12-17 15:00:00 |
2010-12-17 15:00:00 |
No |
2013-06-05 00:00:00 |
None |
FTR RES |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
T3ZO11 |
None |
CA00254997 |
D |
SFY2012-13 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2013-05-14 00:00:00 |
020009895 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2010-12-17 15:00:00 |
2010-12-17 15:00:00 |
No |
2013-06-05 00:00:00 |
None |
FTR BR |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
T3ZO11 |
None |
CA00254997 |
D |
SFY2012-13 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2017-09-07 00:00:00 |
020013070 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2015-02-06 00:00:00 |
2015-02-06 00:00:00 |
No |
2017-09-28 00:00:00 |
None |
AP NON-IJ |
None |
12487 |
12487 |
0 |
12487 |
0 |
None |
ORBG11 |
N |
CA00431980 |
C |
SFY2017-18 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2018-02-28 00:00:00 |
020013943 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach by person other than a h/c worker |
None |
2016-04-29 00:00:00 |
2016-04-29 00:00:00 |
No |
2018-10-01 00:00:00 |
None |
AP BR |
None |
10000 |
10000 |
-2500 |
7500 |
0 |
None |
98KR11 |
None |
CA00491173 |
D |
SFY2017-18 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2018-04-18 00:00:00 |
020014046 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2016-11-26 00:00:00 |
2016-11-26 00:00:00 |
No |
2018-05-09 00:00:00 |
None |
AP NON-IJ |
None |
4162 |
4162 |
0 |
4162 |
0 |
None |
2F1U11 |
N |
CA00513141 |
C |
SFY2017-18 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2018-10-31 00:00:00 |
020014492 |
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 |
2017-03-27 00:00:00 |
2017-03-27 00:00:00 |
No |
2018-11-26 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
NYN511 |
N |
CA00530337 |
C |
SFY2018-19 |
140000183 |
EDEN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2021-02-03 00:00:00 |
020018580 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2017-12-26 00:00:00 |
2017-12-26 00:00:00 |
No |
2023-05-03 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
3W1T11 |
None |
CA00570499 |
C |
SFY2020-21 |
030000125 |
EMANUEL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2013-12-16 00:00:00 |
030010282 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2009-03-30 00:00:00 |
2009-03-30 00:00:00 |
No |
2014-01-07 00:00:00 |
None |
FTR AE |
None |
3300 |
3300 |
0 |
3300 |
0 |
None |
3U3211 |
N |
CA00187513 |
B |
SFY2013-14 |
030000125 |
EMANUEL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2014-04-18 00:00:00 |
030010632 |
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 |
2009-08-05 00:00:00 |
2009-08-05 00:00:00 |
No |
2014-05-09 00:00:00 |
None |
FTR RES |
None |
100 |
100 |
0 |
100 |
0 |
None |
6FWP11 |
None |
CA00215187 |
B |
SFY2013-14 |
030000125 |
EMANUEL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2014-04-22 00:00:00 |
030010652 |
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 |
2009-09-08 00:00:00 |
2009-09-08 00:00:00 |
No |
2014-05-13 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
0 |
100 |
0 |
None |
12R911 |
None |
CA00201800 |
B |
SFY2013-14 |
030000125 |
EMANUEL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2014-04-23 00:00:00 |
030010653 |
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 |
2009-08-03 00:00:00 |
2009-08-03 00:00:00 |
No |
2014-05-14 00:00:00 |
None |
FTR BR |
None |
200 |
200 |
0 |
200 |
0 |
None |
BUN811 |
None |
CA00198099 |
B |
SFY2013-14 |
030000125 |
EMANUEL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2011-03-02 00:00:00 |
040007986 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2010-04-08 06:46:00 |
2010-04-08 06:46:00 |
No |
2011-03-23 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
VBIE11 |
N |
CA00226350 |
D |
SFY2010-11 |
030000125 |
EMANUEL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2011-04-05 00:00:00 |
040008113 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2010-04-05 00:00:00 |
2010-04-05 00:00:00 |
Yes |
2011-09-29 00:00:00 |
2011-09-15 00:00:00 |
AP IJ |
AP IJ |
50000 |
30000 |
0 |
30000 |
0 |
None |
VBIE11 |
N |
CA00226350 |
D |
SFY2010-11 |
060001097 |
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2010-04-27 00:00:00 |
060007170 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-07-23 08:00:00 |
2009-07-23 08:00:00 |
Yes |
2010-05-20 00:00:00 |
2010-05-05 00:00:00 |
FTR AE |
FTR AE |
19800 |
9900 |
0 |
9900 |
0 |
None |
VHBI11 |
N |
CA00215620 |
C |
SFY2009-10 |
060001097 |
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF TUSTIN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2015-05-14 00:00:00 |
060011472 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2014-07-01 00:00:00 |
2014-07-01 00:00:00 |
No |
2015-06-05 00:00:00 |
None |
FTR AE |
None |
4500 |
4500 |
0 |
4500 |
0 |
None |
PSSO11 |
N |
CA00405723 |
D |
SFY2014-15 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2008-09-04 00:00:00 |
070005398 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2008-07-22 00:00:00 |
2008-07-22 00:00:00 |
No |
2008-09-25 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
FEQU11 |
N |
CA00157964 |
B |
SFY2008-09 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2008-11-03 00:00:00 |
070005574 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE06 -Use of contaminated drug, device, or biologic |
None |
2008-09-02 08:00:00 |
2008-09-02 08:00:00 |
No |
2008-11-25 00:00:00 |
None |
FTR AE |
None |
4100 |
4100 |
-4100 |
0 |
0 |
None |
E5JZ11 |
N |
CA00166115 |
B |
SFY2008-09 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2009-05-28 00:00:00 |
070006222 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
Privacy Breach |
2008-12-26 10:14:00 |
2008-12-26 10:14:00 |
No |
2009-06-18 00:00:00 |
None |
FTR AE |
None |
4900 |
4900 |
0 |
4900 |
0 |
None |
PKGQ11 |
N |
CA00178161 |
B |
SFY2008-09 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2009-12-29 00:00:00 |
070006865 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-09-14 08:00:00 |
2009-09-14 08:00:00 |
No |
2010-01-22 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
EC4211 |
N |
CA00203191 |
E |
SFY2009-10 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2010-05-27 00:00:00 |
070007265 |
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 |
2010-01-07 08:00:00 |
2010-01-07 08:00:00 |
No |
2010-06-18 00:00:00 |
None |
FTR AE |
None |
4500 |
4500 |
0 |
4500 |
0 |
None |
MVYE11 |
N |
CA00219858 |
E |
SFY2009-10 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2010-11-02 00:00:00 |
070007693 |
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 |
2010-07-14 08:00:00 |
2010-07-14 08:00:00 |
No |
2010-11-24 00:00:00 |
None |
FTR AE |
None |
1100 |
1100 |
0 |
1100 |
0 |
None |
F9U711 |
N |
CA00237722 |
C |
SFY2010-11 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2010-11-24 00:00:00 |
070007733 |
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 |
2010-09-24 08:00:00 |
2010-09-24 08:00:00 |
No |
2010-12-17 00:00:00 |
None |
FTR AE |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
BI1E11 |
N |
CA00245663 |
C |
SFY2010-11 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2011-01-26 00:00:00 |
070007863 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2010-10-22 08:00:00 |
2010-10-22 08:00:00 |
No |
2011-02-16 00:00:00 |
None |
FTR BR |
None |
200 |
200 |
0 |
200 |
0 |
None |
1R9C11 |
None |
CA00248072 |
C |
SFY2010-11 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2011-01-26 00:00:00 |
070007864 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach by h/c worker within facility/hc system |
None |
2010-10-22 08:00:00 |
2010-10-22 08:00:00 |
No |
2011-02-16 00:00:00 |
None |
FTR RES |
None |
200 |
200 |
0 |
200 |
0 |
None |
1R9C11 |
None |
CA00248072 |
C |
SFY2010-11 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2015-02-19 00:00:00 |
070011325 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach to person/entity outside facility/hc system |
None |
2014-12-29 00:00:00 |
2014-12-29 00:00:00 |
No |
2015-03-12 00:00:00 |
None |
AP BR |
None |
90000 |
90000 |
0 |
90000 |
0 |
None |
YF5W11 |
None |
CA00425475 |
C |
SFY2014-15 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2016-12-08 00:00:00 |
070012876 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach to person/entity outside facility/hc system |
None |
2015-10-02 00:00:00 |
2015-10-02 00:00:00 |
No |
2016-12-30 00:00:00 |
None |
AP BR |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
0JEC11 |
None |
CA00461371 |
C |
SFY2016-17 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2019-04-23 00:00:00 |
070014920 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2018-03-14 00:00:00 |
2018-03-14 00:00:00 |
No |
2019-05-14 00:00:00 |
None |
FTR AE |
None |
800 |
800 |
0 |
800 |
0 |
None |
X8DG11 |
N |
CA00580079 |
C |
SFY2018-19 |
070001351 |
EL CAMINO HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2019-06-18 00:00:00 |
070015171 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2017-06-13 00:00:00 |
2017-06-13 00:00:00 |
No |
2019-07-09 00:00:00 |
None |
FTR AE |
None |
3700 |
3700 |
0 |
3700 |
0 |
None |
8K0S11 |
N |
CA00545713 |
C |
SFY2018-19 |
090000040 |
EL CENTRO REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Diego |
2018-01-29 00:00:00 |
090013941 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2016-07-26 00:00:00 |
2016-07-26 00:00:00 |
No |
2018-10-01 00:00:00 |
None |
AP BR |
None |
22500 |
22500 |
-5625 |
16875 |
0 |
None |
EVVW11 |
None |
CA00548572 |
C |
SFY2017-18 |
090000040 |
EL CENTRO REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Diego |
2018-03-20 00:00:00 |
090014020 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2016-02-01 00:00:00 |
2016-02-01 00:00:00 |
No |
2018-10-01 00:00:00 |
None |
AP BR |
None |
37500 |
37500 |
-9375 |
28125 |
0 |
None |
PY0N11 |
None |
CA00487250 |
D |
SFY2017-18 |
090000040 |
EL CENTRO REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Diego |
2018-06-25 00:00:00 |
090014178 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2015-09-07 00:00:00 |
2015-09-07 00:00:00 |
No |
2019-07-09 00:00:00 |
None |
AP IJ |
None |
31350 |
31350 |
0 |
31350 |
0 |
None |
J8M411 |
N |
CA00464104 |
C |
SFY2017-18 |
090000040 |
EL CENTRO REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Diego |
2023-08-15 00:00:00 |
100019420 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2018-03-01 00:00:00 |
2018-03-01 00:00:00 |
Yes |
2024-01-23 00:00:00 |
2024-01-10 00:00:00 |
AP BR |
AP BR |
12500 |
6250 |
0 |
6250 |
0 |
None |
K32O11 |
None |
CA00579361 |
D |
SFY2023-24 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2007-10-22 00:00:00 |
230004129 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-04-05 00:00:00 |
2007-04-05 00:00:00 |
No |
2007-11-13 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
VS2712 |
N |
None |
None |
SFY2007-08 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2007-11-16 00:00:00 |
230004368 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2007-08-26 00:00:00 |
2007-08-26 00:00:00 |
No |
2007-12-11 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
ZL2G11 |
N |
CA00124962 |
A |
SFY2007-08 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2008-05-16 00:00:00 |
230005053 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-04-21 10:40:00 |
2008-04-21 10:40:00 |
No |
2008-06-09 00:00:00 |
None |
FTR AE |
None |
600 |
600 |
0 |
600 |
0 |
None |
M1X811 |
N |
CA00149114 |
B |
SFY2007-08 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2008-12-22 00:00:00 |
230005691 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-10-16 00:00:00 |
2008-10-16 00:00:00 |
No |
2009-01-13 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
8BCJ11 |
N |
CA00168029 |
B |
SFY2008-09 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2009-08-31 00:00:00 |
230005828 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2008-07-31 00:00:00 |
2008-07-31 00:00:00 |
Yes |
2009-09-22 00:00:00 |
2009-09-10 00:00:00 |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
WD3L11 |
N |
CA00159362 |
A |
SFY2009-10 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2010-06-07 00:00:00 |
230006665 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2009-08-17 00:00:00 |
2009-08-17 00:00:00 |
Yes |
2010-06-28 00:00:00 |
2010-06-17 00:00:00 |
AP BR |
AP BR |
130000 |
25000 |
0 |
25000 |
0 |
None |
DZJS11 |
None |
CA00199623 |
C |
SFY2009-10 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2010-02-04 00:00:00 |
230006969 |
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 |
2009-01-23 00:00:00 |
2009-01-23 00:00:00 |
No |
2010-09-07 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
-175 |
525 |
0 |
None |
RZZ111 |
None |
CA00176965 |
C |
SFY2009-10 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2010-08-10 00:00:00 |
230007037 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
FTR Timely |
2010-01-22 00:00:00 |
2010-01-22 00:00:00 |
No |
2010-09-01 00:00:00 |
None |
FTR BR |
None |
1000 |
1000 |
-250 |
750 |
0 |
None |
ER3911 |
None |
CA00217659 |
E |
SFY2010-11 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2011-03-17 00:00:00 |
230008027 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2010-10-18 00:00:00 |
2010-10-18 00:00:00 |
Yes |
2013-07-26 00:00:00 |
2013-07-09 00:00:00 |
AP BR |
AP BR |
250000 |
115000 |
0 |
115000 |
0 |
None |
NZFC11 |
None |
CA00246991 |
B |
SFY2010-11 |
230000004 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-05-23 00:00:00 |
230008484 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2010-12-22 00:00:00 |
2010-12-22 00:00:00 |
No |
None |
None |
AP BR |
None |
2500 |
2500 |
-625 |
1875 |
0 |
None |
1RMH11 |
None |
CA00254717 |
B |
SFY2011-12 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-01-12 00:00:00 |
230008644 |
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 |
2011-08-09 00:00:00 |
2011-08-09 00:00:00 |
No |
2012-02-03 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
7W4I11 |
N |
CA00281362 |
B |
SFY2011-12 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-02-23 00:00:00 |
230008783 |
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 |
2011-09-09 00:00:00 |
2011-09-09 00:00:00 |
No |
2012-03-15 00:00:00 |
None |
FTR BR |
None |
3700 |
3700 |
-925 |
2775 |
0 |
None |
M1JE11 |
None |
CA00287847 |
E |
SFY2011-12 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-02-23 00:00:00 |
230008784 |
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 |
2011-08-22 00:00:00 |
2011-08-22 00:00:00 |
No |
2012-03-15 00:00:00 |
None |
FTR BR |
None |
4800 |
4800 |
-1200 |
3600 |
0 |
None |
M1JE11 |
None |
CA00287851 |
E |
SFY2011-12 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-11-14 00:00:00 |
230009178 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2011-11-28 00:00:00 |
2011-11-28 00:00:00 |
Yes |
2015-11-09 00:00:00 |
2015-10-26 00:00:00 |
AP BR |
None |
60000 |
60000 |
0 |
0 |
60000 |
None |
0QL211 |
None |
CA00294876 |
E |
SFY2012-13 |
230000004 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-04-23 00:00:00 |
230009242 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2011-12-30 00:00:00 |
2011-12-30 00:00:00 |
No |
2012-05-14 00:00:00 |
None |
FTR BR |
None |
600 |
600 |
0 |
600 |
0 |
None |
4D2H11 |
None |
None |
None |
SFY2011-12 |
230000004 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2012-04-23 00:00:00 |
230009243 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2011-12-30 00:00:00 |
2011-12-30 00:00:00 |
No |
2012-05-14 00:00:00 |
None |
FTR RES |
None |
600 |
600 |
0 |
600 |
0 |
None |
4D2H11 |
None |
CA00296109 |
E |
SFY2011-12 |
230000004 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2014-08-26 00:00:00 |
230010958 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2013-01-07 00:00:00 |
2013-01-07 00:00:00 |
No |
2014-09-17 00:00:00 |
None |
FTR BR |
None |
1000 |
1000 |
-250 |
750 |
0 |
None |
UB8K11 |
None |
CA00341287 |
E |
SFY2014-15 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2014-11-24 00:00:00 |
230010997 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2012-02-25 00:00:00 |
2012-02-25 00:00:00 |
Yes |
2015-11-09 00:00:00 |
2015-10-26 00:00:00 |
AP BR |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
2B5111 |
None |
CA00302697 |
D |
SFY2014-15 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2014-12-05 00:00:00 |
230011058 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2013-10-03 00:00:00 |
2013-10-03 00:00:00 |
No |
2014-12-29 00:00:00 |
None |
FTR AE |
None |
800 |
800 |
0 |
800 |
0 |
None |
UH4R11 |
N |
CA00374047 |
B |
SFY2014-15 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2016-02-24 00:00:00 |
230011933 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2014-04-17 00:00:00 |
2014-04-17 00:00:00 |
No |
2016-03-22 00:00:00 |
None |
AP NON-IJ |
None |
14250 |
14250 |
0 |
14250 |
0 |
None |
9XYZ11 |
N |
CA00400301 |
B |
SFY2015-16 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2016-02-24 00:00:00 |
230011938 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE01 - Surgery performed on a wrong body part |
None |
2014-04-17 00:00:00 |
2014-04-17 00:00:00 |
No |
2016-01-26 00:00:00 |
None |
FTR AE |
None |
1700 |
1700 |
0 |
1700 |
0 |
None |
9XYZ11 |
N |
CA00400301 |
B |
SFY2015-16 |
230000004 |
EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2018-01-19 00:00:00 |
230013799 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2016-07-11 00:00:00 |
2016-07-11 00:00:00 |
No |
2018-10-01 00:00:00 |
None |
AP BR |
None |
9000 |
9000 |
-2250 |
6750 |
0 |
None |
KMCT11 |
None |
CA00496789 |
C |
SFY2017-18 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2017-11-17 00:00:00 |
230013803 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2016-08-12 00:00:00 |
2016-08-12 00:00:00 |
Yes |
2018-10-01 00:00:00 |
2018-09-18 00:00:00 |
AP BR |
AP BR |
7500 |
6000 |
0 |
6000 |
0 |
None |
KPFF11 |
None |
CA00499726 |
D |
SFY2017-18 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2018-01-11 00:00:00 |
230013844 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2016-08-02 00:00:00 |
2016-08-02 00:00:00 |
No |
2018-10-01 00:00:00 |
None |
AP BR |
None |
22500 |
22500 |
-22500 |
0 |
0 |
None |
EOET11 |
None |
CA00499677 |
D |
SFY2017-18 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2018-01-11 00:00:00 |
230013936 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2016-07-31 00:00:00 |
2016-07-31 00:00:00 |
Yes |
2018-10-01 00:00:00 |
2018-09-18 00:00:00 |
AP BR |
AP BR |
7500 |
6000 |
0 |
6000 |
0 |
None |
WWNC11 |
None |
CA00497873 |
D |
SFY2017-18 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2019-05-07 00:00:00 |
230015032 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2018-02-22 00:00:00 |
2018-02-22 00:00:00 |
No |
2019-05-28 00:00:00 |
None |
FTR AE |
None |
600 |
600 |
0 |
600 |
0 |
None |
KROZ11 |
N |
CA00576792 |
C |
SFY2018-19 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2019-10-29 00:00:00 |
230015425 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2018-07-29 00:00:00 |
2018-07-29 00:00:00 |
No |
2020-10-19 00:00:00 |
None |
AP IJ |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
GVKH11 |
N |
CA00598230 |
B |
SFY2019-20 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2021-12-16 00:00:00 |
230016554 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2016-04-26 00:00:00 |
2016-04-26 00:00:00 |
No |
2022-01-06 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
5FSE11 |
Y |
None |
None |
SFY2021-22 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2021-11-29 00:00:00 |
230017116 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2019-02-11 00:00:00 |
2019-02-11 00:00:00 |
No |
2021-12-20 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
JPAF11 |
N |
CA00626323 |
B |
SFY2021-22 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2021-03-19 00:00:00 |
230018553 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2017-06-18 00:00:00 |
2017-06-18 00:00:00 |
No |
2023-05-03 00:00:00 |
None |
AP BR |
None |
10000 |
10000 |
-2500 |
7500 |
0 |
None |
U2X911 |
None |
CA00559747 |
D |
SFY2020-21 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2013-10-04 00:00:00 |
250010033 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2013-02-01 00:00:00 |
2013-02-01 00:00:00 |
No |
2013-10-25 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
-75 |
225 |
0 |
None |
493I11 |
None |
CA00343125 |
C |
SFY2013-14 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2013-10-07 00:00:00 |
250010108 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2013-02-01 00:00:00 |
2013-02-01 00:00:00 |
No |
2013-10-28 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
-75 |
225 |
0 |
None |
493I11 |
None |
CA00343125 |
C |
SFY2013-14 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2014-03-21 00:00:00 |
250010565 |
Open |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Deliberate breach of PHI by health care worker |
None |
2013-07-11 00:00:00 |
2013-07-11 00:00:00 |
Yes |
2014-04-14 00:00:00 |
2014-04-04 00:00:00 |
FTR BR |
None |
100 |
100 |
0 |
0 |
100 |
None |
MC3H11 |
None |
CA00362726 |
D |
SFY2013-14 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2014-03-21 00:00:00 |
250010566 |
Open |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2013-07-11 00:00:00 |
2013-07-11 00:00:00 |
Yes |
2014-04-14 00:00:00 |
2014-04-04 00:00:00 |
FTR RES |
None |
100 |
100 |
0 |
0 |
100 |
None |
MC3H11 |
None |
CA00362726 |
D |
SFY2013-14 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2014-06-26 00:00:00 |
250010834 |
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 |
2013-10-13 00:00:00 |
2013-10-13 00:00:00 |
No |
2014-07-18 00:00:00 |
None |
FTR RES |
None |
600 |
600 |
-150 |
450 |
0 |
None |
FYY511 |
None |
CA00374781 |
D |
SFY2013-14 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2014-07-08 00:00:00 |
250010853 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2013-10-13 00:00:00 |
2013-10-13 00:00:00 |
No |
2014-07-29 00:00:00 |
None |
FTR BR |
None |
600 |
600 |
-150 |
450 |
0 |
None |
FYY511 |
None |
CA00374781 |
D |
SFY2014-15 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-10-06 00:00:00 |
250011772 |
Open |
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 |
2009-01-23 00:00:00 |
2009-01-23 00:00:00 |
Yes |
2015-10-27 00:00:00 |
2015-10-15 00:00:00 |
FTR BR |
None |
5800 |
5800 |
0 |
0 |
5800 |
None |
I7N711 |
None |
CA00183084 |
C |
SFY2015-16 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-10-07 00:00:00 |
250011775 |
Open |
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 |
2009-01-23 00:00:00 |
2009-01-23 00:00:00 |
Yes |
2015-10-28 00:00:00 |
2015-10-15 00:00:00 |
FTR RES |
None |
5800 |
5800 |
0 |
0 |
5800 |
None |
I7N711 |
None |
CA00183084 |
C |
SFY2015-16 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2016-05-26 00:00:00 |
250012296 |
Open |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2015-06-14 00:00:00 |
2015-06-14 00:00:00 |
Yes |
2016-06-17 00:00:00 |
2016-06-09 00:00:00 |
FTR AE |
None |
9100 |
9100 |
0 |
0 |
9100 |
None |
8XMT11 |
N |
CA00458866 |
C |
SFY2015-16 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2018-03-01 00:00:00 |
250013869 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE26 - Sexual assault on a patient |
None |
2015-08-15 00:00:00 |
2015-08-15 00:00:00 |
No |
2018-03-22 00:00:00 |
None |
AP NON-IJ |
None |
4312 |
4312 |
0 |
4312 |
0 |
None |
05EN11 |
N |
CA00456243 |
B |
SFY2017-18 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2018-11-20 00:00:00 |
250014577 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2017-07-20 00:00:00 |
2017-07-20 00:00:00 |
No |
2019-02-28 00:00:00 |
None |
AP IJ |
None |
49500 |
49500 |
0 |
49500 |
0 |
None |
4IN011 |
N |
CA00575944 |
C |
SFY2018-19 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2018-11-21 00:00:00 |
250014600 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2017-07-20 00:00:00 |
2017-07-20 00:00:00 |
Yes |
2018-12-14 00:00:00 |
2018-12-03 00:00:00 |
FTR AE |
None |
2900 |
2900 |
0 |
2900 |
0 |
None |
4IN011 |
N |
CA00575944, CA00575944 |
C, C |
SFY2018-19 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2022-06-09 00:00:00 |
250017700 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2021-04-22 00:00:00 |
2021-04-22 00:00:00 |
No |
2022-06-30 00:00:00 |
None |
AP NON-IJ |
None |
3800 |
3800 |
0 |
3800 |
0 |
None |
IDOT11 |
N |
CA00734759, CA00734759 |
B, B |
SFY2021-22 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2022-07-25 00:00:00 |
250017819 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2022-01-25 00:00:00 |
2022-01-25 00:00:00 |
No |
2022-08-15 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
TRNM11 |
N |
CA00771945, CA00771945 |
B, B |
SFY2022-23 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2023-01-06 00:00:00 |
250018285 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2021-12-21 00:00:00 |
2021-12-21 00:00:00 |
No |
2023-01-30 00:00:00 |
None |
AP IJ |
None |
47025 |
47025 |
0 |
47025 |
0 |
None |
2LUW11 |
N |
CA00765962 |
B |
SFY2022-23 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2023-05-24 00:00:00 |
250018769 |
Open |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2022-06-24 00:00:00 |
2022-06-24 00:00:00 |
No |
2023-06-15 00:00:00 |
None |
AP NON-IJ |
None |
11812.5 |
11812.5 |
0 |
11812.5 |
0 |
None |
MQ0611 |
N |
CA00790769, CA00790769 |
B, B |
SFY2022-23 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2021-12-13 00:00:00 |
250018969 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2019-03-05 00:00:00 |
2019-03-05 00:00:00 |
Yes |
2023-08-16 00:00:00 |
2023-08-07 00:00:00 |
AP BR |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
94BJ11 |
None |
CA00630429 |
D |
SFY2021-22 |
250000011 |
EISENHOWER MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2023-08-04 00:00:00 |
250019023 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE22 - Death associated with a fall |
None |
2022-07-13 00:00:00 |
2022-07-13 00:00:00 |
No |
2023-08-25 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
TTD111 |
Y |
CA00795474 |
B |
SFY2023-24 |
230000013 |
ENLOE HEALTH |
Non-LTC |
GACH |
General Acute Care Hospital |
Chico |
2017-07-12 00:00:00 |
800013607 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2015-11-25 00:00:00 |
2015-11-25 00:00:00 |
Yes |
2018-10-01 00:00:00 |
2018-09-18 00:00:00 |
AP BR |
AP BR |
50000 |
40000 |
0 |
40000 |
0 |
None |
CD4M11 |
None |
CA00469431 |
D |
SFY2017-18 |
930000070 |
EMANATE HEALTH INTER-COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2010-06-23 00:00:00 |
930007328 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2008-08-01 00:00:00 |
2008-08-01 00:00:00 |
No |
2010-07-14 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
47YU11 |
N |
CA00179980 |
C |
SFY2009-10 |
930000070 |
EMANATE HEALTH INTER-COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2012-02-10 00:00:00 |
930008998 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2011-03-24 00:00:00 |
2011-03-24 00:00:00 |
No |
2012-11-02 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
ZL2P11 |
Y |
CA00263599 |
B |
SFY2011-12 |
930000070 |
EMANATE HEALTH INTER-COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2022-04-21 00:00:00 |
930017587 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE22 - Death associated with a fall |
None |
2021-04-09 00:00:00 |
2021-04-09 00:00:00 |
Yes |
2022-05-12 00:00:00 |
2022-06-27 00:00:00 |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
6CF811 |
Y |
CA00733607, CA00733607 |
B, B |
SFY2021-22 |