010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-09-21 00:00:00 |
010001781 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-09-03 00:00:00 |
2000-09-13 00:00:00 |
No |
2000-10-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010013141 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-11-17 00:00:00 |
010001798 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-07-01 00:00:00 |
1999-08-31 00:00:00 |
No |
2000-12-08 00:00:00 |
None |
B |
None |
250 |
250 |
-87.5 |
162.5 |
0 |
010013472 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-01-04 00:00:00 |
010001816 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-07-23 00:00:00 |
None |
No |
2001-01-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010013740 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-09-11 00:00:00 |
010001877 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-05-04 00:00:00 |
2001-05-04 00:00:00 |
No |
2001-10-08 00:00:00 |
None |
B |
None |
1000 |
3000 |
-3000 |
0 |
0 |
010014572 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-10-09 00:00:00 |
010001891 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-20 00:00:00 |
2001-08-21 00:00:00 |
No |
2001-11-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
010014676 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-08-27 00:00:00 |
010001976 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-07-01 00:00:00 |
2002-08-01 00:00:00 |
Yes |
2002-09-18 00:00:00 |
2002-08-28 00:00:00 |
B |
B |
500 |
1500 |
0 |
1500 |
0 |
010015676 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000022 |
FRIENDS HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-10-24 00:00:00 |
010001997 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-08-11 00:00:00 |
2002-08-11 00:00:00 |
No |
2002-11-15 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
010015903 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-06-19 00:00:00 |
010002037 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-31 00:00:00 |
2003-03-31 00:00:00 |
No |
2003-07-11 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
010016725 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-07-06 00:00:00 |
010002107 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-14 00:00:00 |
2004-02-14 00:00:00 |
No |
2004-07-27 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
010017539 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-06-28 00:00:00 |
010002159 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-16 00:00:00 |
2004-12-16 00:00:00 |
No |
2005-07-20 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
010018301 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-06-28 00:00:00 |
010002160 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-03-27 00:00:00 |
2005-03-27 00:00:00 |
No |
2005-07-20 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
010018302 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-09-13 00:00:00 |
010002168 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2005-06-03 00:00:00 |
2005-06-03 00:00:00 |
No |
2005-10-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010018318 |
A99999 |
N |
None |
None |
SFY2005-06 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-09-13 00:00:00 |
010002169 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-06-03 00:00:00 |
2005-06-03 00:00:00 |
No |
2005-10-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010018319 |
A99999 |
N |
None |
None |
SFY2005-06 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-10-06 00:00:00 |
020002566 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-05-17 00:00:00 |
None |
No |
2000-11-07 00:00:00 |
None |
B |
None |
700 |
700 |
0 |
700 |
0 |
020012348 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-03-05 00:00:00 |
020002596 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-09-15 00:00:00 |
None |
Yes |
2001-04-06 00:00:00 |
2001-03-09 00:00:00 |
A |
A |
20000 |
20000 |
-14600 |
5400 |
0 |
020013143 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2009-05-19 00:00:00 |
020006193 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-04-12 00:00:00 |
2009-04-12 00:00:00 |
No |
2009-06-16 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
None |
6NXJ11 |
N |
CA00186510 |
C |
SFY2008-09 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2009-09-03 00:00:00 |
020006522 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-06-19 00:00:00 |
2009-06-19 00:00:00 |
Yes |
2009-10-02 00:00:00 |
2009-09-14 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
None |
NPU111 |
N |
CA00198065 |
C |
SFY2009-10 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2010-01-25 00:00:00 |
020006936 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-12-10 00:00:00 |
2009-12-10 00:00:00 |
No |
2010-03-01 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
HEV511 |
N |
CA00211127 |
B |
SFY2009-10 |
140001348 |
FRANCISCO ICF |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2010-09-28 00:00:00 |
020007599 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-06-24 00:00:00 |
2010-06-24 00:00:00 |
No |
2010-10-20 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
NF9311 |
N |
CA00231906 |
C |
SFY2010-11 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2012-02-01 00:00:00 |
020008964 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-07-27 00:00:00 |
2011-07-27 00:00:00 |
No |
2012-02-23 00:00:00 |
None |
B |
None |
750 |
750 |
0 |
750 |
0 |
None |
V6XV11 |
N |
CA00277534 |
C |
SFY2011-12 |
020000124 |
FRUITVALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2018-03-14 00:00:00 |
020013900 |
Open |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2017-11-17 00:00:00 |
2017-11-17 00:00:00 |
Yes |
2018-04-04 00:00:00 |
2018-04-04 00:00:00 |
B |
B |
2000 |
1600 |
0 |
0 |
1600 |
None |
ZPZT11 |
N |
CA00561993 |
C |
SFY2017-18 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-06-24 00:00:00 |
020016630 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-02-06 00:00:00 |
2021-02-06 00:00:00 |
Yes |
2021-07-15 00:00:00 |
2021-07-20 00:00:00 |
B |
B |
2000 |
1800 |
0 |
1800 |
0 |
None |
NZ4611 |
N |
CA00725815 |
B |
SFY2020-21 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2021-07-21 00:00:00 |
020016732 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-01-01 00:00:00 |
2020-01-01 00:00:00 |
No |
2021-08-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
MTQJ11 |
N |
CA00670253, CA00670256, CA00670414 |
B, B, B |
SFY2021-22 |
020000132 |
FREMONT HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2022-04-06 00:00:00 |
020017543 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2020-10-10 00:00:00 |
2020-10-10 00:00:00 |
No |
2022-04-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
KZKP11 |
N |
CA00732346, CA00732346 |
B, B |
SFY2021-22 |
020000124 |
FRUITVALE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2022-12-08 00:00:00 |
020018215 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-12-28 00:00:00 |
2021-12-28 00:00:00 |
Yes |
2022-12-29 00:00:00 |
2022-12-27 00:00:00 |
A |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
VNUI11 |
N |
CA00767879 |
B |
SFY2022-23 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2001-08-31 00:00:00 |
030002075 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-03-20 00:00:00 |
None |
Yes |
2001-09-24 00:00:00 |
2001-09-07 00:00:00 |
A |
A |
15000 |
11000 |
0 |
11000 |
0 |
030015373 |
A99999 |
N |
None |
None |
SFY2001-02 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-07-22 00:00:00 |
030002098 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2002-03-20 00:00:00 |
None |
Yes |
2002-08-15 00:00:00 |
2002-08-09 00:00:00 |
AA |
AA |
90000 |
55000 |
0 |
55000 |
0 |
030016325 |
A99999 |
Y |
None |
None |
SFY2002-03 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-11-04 00:00:00 |
030002112 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-27 00:00:00 |
None |
Yes |
2002-12-03 00:00:00 |
2002-11-12 00:00:00 |
B |
B |
700 |
500 |
0 |
500 |
0 |
030016857 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000060 |
FOLSOM CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-03-24 00:00:00 |
030002127 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-06-08 00:00:00 |
None |
No |
2003-04-15 00:00:00 |
None |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
030016667 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000060 |
FOLSOM CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2003-08-11 00:00:00 |
030002144 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-12-29 00:00:00 |
None |
Yes |
2003-09-17 00:00:00 |
2003-08-22 00:00:00 |
B |
B |
700 |
200 |
0 |
200 |
0 |
030017590 |
A99999 |
N |
None |
None |
SFY2003-04 |
030000060 |
FOLSOM CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-01-26 00:00:00 |
030002156 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-24 00:00:00 |
None |
No |
2004-02-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030017997 |
A99999 |
N |
None |
None |
SFY2003-04 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2000-05-17 00:00:00 |
030002227 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-01-31 00:00:00 |
None |
No |
2000-06-07 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
030019426 |
A99999 |
N |
None |
None |
SFY1999-00 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2000-06-21 00:00:00 |
030002228 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-02-26 00:00:00 |
None |
No |
2000-07-12 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
030019430 |
A99999 |
N |
None |
None |
SFY1999-00 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2002-05-09 00:00:00 |
030002230 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2002-03-03 00:00:00 |
None |
No |
2002-06-05 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
030019442 |
A99999 |
N |
None |
None |
SFY2001-02 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2003-01-07 00:00:00 |
030002231 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-12-17 00:00:00 |
None |
No |
2003-02-04 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
030019452 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000060 |
FOLSOM CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-01-11 00:00:00 |
030002313 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE - NOT REPORTED |
2004-06-01 00:00:00 |
None |
No |
2005-02-02 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
030020357 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-03-09 00:00:00 |
030002316 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-09-15 00:00:00 |
None |
No |
2005-04-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020418 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-08-01 00:00:00 |
030002330 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-09 00:00:00 |
None |
No |
2005-08-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020447 |
A99999 |
N |
None |
None |
SFY2005-06 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-06-14 00:00:00 |
030003150 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-01-02 00:00:00 |
2006-01-02 00:00:00 |
No |
2006-07-06 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
2CB511 |
N |
None |
None |
SFY2005-06 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-10-02 00:00:00 |
030003370 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-10-13 00:00:00 |
2005-10-13 00:00:00 |
No |
2006-10-24 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
QNI411 |
N |
CA00064970 |
C |
SFY2006-07 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-10-25 00:00:00 |
030003440 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2006-05-27 00:00:00 |
2006-05-27 00:00:00 |
No |
2006-11-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
H03911 |
N |
CA00082235 |
A |
SFY2006-07 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2006-10-30 00:00:00 |
030003444 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-03-10 00:00:00 |
2006-03-10 00:00:00 |
No |
2006-11-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
DRCV11 |
N |
CA00075102, CA00075931 |
B, B |
SFY2006-07 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2006-12-06 00:00:00 |
030003515 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-07 00:00:00 |
2006-11-07 00:00:00 |
No |
2006-12-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QOYF11 |
N |
None |
None |
SFY2006-07 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-07-26 00:00:00 |
030003780 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-25 00:00:00 |
2005-08-25 00:00:00 |
Yes |
2007-08-16 00:00:00 |
2007-08-09 00:00:00 |
B |
None |
1000 |
1350 |
0 |
1350 |
0 |
None |
RB1011 |
N |
CA00076470 |
B |
SFY2007-08 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-07-26 00:00:00 |
030004128 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-08-27 00:00:00 |
2005-08-27 00:00:00 |
Yes |
2007-08-16 00:00:00 |
2007-08-09 00:00:00 |
A |
A |
15000 |
12350 |
-350 |
12000 |
0 |
None |
RB1011 |
N |
CA00076470 |
B |
SFY2007-08 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-11 00:00:00 |
030004342 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-07-11 00:00:00 |
2005-07-11 00:00:00 |
No |
2007-11-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
85DC11 |
N |
CA00060531 |
C |
SFY2007-08 |
100000003 |
FAIRMONT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-10-29 00:00:00 |
030004395 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-01 00:00:00 |
2007-07-01 00:00:00 |
No |
2007-11-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
8UHB11 |
N |
CA00119431 |
B |
SFY2007-08 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-12-16 00:00:00 |
030005693 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-04-18 00:00:00 |
2006-04-18 00:00:00 |
No |
2009-01-13 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
RG9S11 |
N |
CA00079344 |
B |
SFY2008-09 |
100000003 |
FAIRMONT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-04-06 00:00:00 |
030006040 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-09-04 00:00:00 |
2007-09-04 00:00:00 |
Yes |
2009-04-28 00:00:00 |
2009-04-14 00:00:00 |
A |
A |
18000 |
10000 |
0 |
10000 |
0 |
None |
BUZ711 |
N |
CA00125695 |
B |
SFY2008-09 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-01-13 00:00:00 |
030006909 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-09-13 00:00:00 |
2006-09-13 00:00:00 |
No |
2010-02-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZT0N11 |
N |
CA00095231 |
B |
SFY2009-10 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-08-24 00:00:00 |
030007509 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-08-11 00:00:00 |
2008-08-11 00:00:00 |
Yes |
2010-09-20 00:00:00 |
2010-09-02 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
None |
ZF1T11 |
N |
CA00159948 |
B |
SFY2010-11 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2014-02-12 00:00:00 |
030010445 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-10-01 00:00:00 |
2011-10-01 00:00:00 |
Yes |
2014-03-06 00:00:00 |
2014-03-04 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
LU9V11 |
N |
CA00286139 |
B |
SFY2013-14 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-05-14 00:00:00 |
030015037 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-11-29 00:00:00 |
2018-11-29 00:00:00 |
Yes |
2019-06-04 00:00:00 |
2019-06-03 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
MHJ311 |
N |
CA00621546 |
B |
SFY2018-19 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2019-05-28 00:00:00 |
030015092 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-03-12 00:00:00 |
2019-03-12 00:00:00 |
No |
2019-06-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5TRR11 |
N |
CA00628057 |
A |
SFY2018-19 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-07-10 00:00:00 |
030015190 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-05-03 00:00:00 |
2017-05-03 00:00:00 |
No |
2019-07-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KRZE11 |
N |
CA00534528 |
B |
SFY2019-20 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2020-10-20 00:00:00 |
030016097 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-08-07 00:00:00 |
2020-08-07 00:00:00 |
No |
2020-11-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
CZD511 |
N |
CA00700184, CA00700184 |
A, A |
SFY2020-21 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-02-27 00:00:00 |
030019046 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2019-04-08 00:00:00 |
2019-04-08 00:00:00 |
Yes |
2023-09-14 00:00:00 |
2023-09-01 00:00:00 |
AP BR |
None |
246900 |
246900 |
0 |
0 |
246900 |
None |
MCZU11 |
None |
CA00643663 |
C |
SFY2020-21 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-02-27 00:00:00 |
030019048 |
Open |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Deliberate breach of PHI by health care worker |
None |
2019-04-08 00:00:00 |
2019-04-08 00:00:00 |
No |
2021-03-19 00:00:00 |
None |
FTR RES |
None |
3100 |
3100 |
0 |
0 |
3100 |
None |
MCZU11 |
None |
CA00643663, CA00643663 |
C, C |
SFY2020-21 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2024-05-02 00:00:00 |
030020068 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-11-04 00:00:00 |
2023-11-04 00:00:00 |
No |
2024-05-23 00:00:00 |
None |
A |
None |
17200 |
17200 |
-6020 |
11180 |
0 |
None |
CT5G11 |
N |
CA00887127 |
B |
SFY2023-24 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-03-03 00:00:00 |
040001173 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-12-02 00:00:00 |
1999-12-02 00:00:00 |
Yes |
2000-09-27 00:00:00 |
2000-09-27 00:00:00 |
A |
A |
10000 |
7500 |
0 |
7500 |
0 |
040010716 |
A99999 |
N |
None |
None |
SFY1999-00 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-06-30 00:00:00 |
040001178 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
1999-02-16 00:00:00 |
None |
Yes |
2000-07-24 00:00:00 |
2000-07-12 00:00:00 |
AA |
A |
25000 |
18750 |
0 |
18750 |
0 |
040010984 |
A99999 |
Y |
None |
None |
SFY1999-00 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-09-21 00:00:00 |
040001189 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2000-06-23 00:00:00 |
2000-06-23 00:00:00 |
No |
2000-10-13 00:00:00 |
None |
AA |
None |
25000 |
25000 |
0 |
25000 |
0 |
040011263 |
A99999 |
Y |
None |
None |
SFY2000-01 |
040000035 |
FRANCISCAN POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-12-08 00:00:00 |
040001197 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-11 00:00:00 |
2000-08-11 00:00:00 |
Yes |
2001-09-12 00:00:00 |
2000-12-08 00:00:00 |
B |
B |
900 |
900 |
0 |
900 |
0 |
040011535 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-01-24 00:00:00 |
040001203 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-28 00:00:00 |
2000-08-28 00:00:00 |
Yes |
2001-05-30 00:00:00 |
2001-02-14 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
040011676 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-02-14 00:00:00 |
040001207 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-06-01 00:00:00 |
2000-06-01 00:00:00 |
No |
2001-03-12 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
040011746 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-06-04 00:00:00 |
040001218 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-02-26 00:00:00 |
2001-03-07 00:00:00 |
Yes |
2001-10-12 00:00:00 |
2001-06-22 00:00:00 |
B |
B |
1000 |
3000 |
0 |
3000 |
0 |
040011846 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-08-23 00:00:00 |
040001228 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
IMPLEMENT DNR POLICY |
2001-06-02 00:00:00 |
2001-06-02 00:00:00 |
No |
2001-09-18 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
040012189 |
A99999 |
N |
None |
None |
SFY2001-02 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-02-28 00:00:00 |
040001241 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
HOUSEKEEPING |
2000-09-06 00:00:00 |
2000-09-06 00:00:00 |
No |
2002-03-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
040012012 |
A99999 |
N |
None |
None |
SFY2001-02 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-10-10 00:00:00 |
040001323 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
NURSING SERVICES |
2002-05-25 00:00:00 |
2002-05-25 00:00:00 |
Yes |
2002-11-05 00:00:00 |
2002-10-16 00:00:00 |
A |
B |
10000 |
5573 |
0 |
5573 |
0 |
040013392 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000035 |
FRANCISCAN POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2003-01-09 00:00:00 |
040001327 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-09-29 00:00:00 |
2002-09-29 00:00:00 |
Yes |
2003-07-15 00:00:00 |
2003-08-04 00:00:00 |
B |
B |
1000 |
557 |
0 |
557 |
0 |
040014107 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000035 |
FRANCISCAN POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2005-09-13 00:00:00 |
040001376 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-07-22 00:00:00 |
2005-07-22 00:00:00 |
Yes |
2005-10-11 00:00:00 |
2005-10-04 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
040016641 |
A99999 |
N |
None |
None |
SFY2005-06 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2006-01-18 00:00:00 |
040001379 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-07-01 00:00:00 |
2005-07-01 00:00:00 |
No |
2006-02-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040016646 |
A99999 |
N |
None |
None |
SFY2005-06 |
040000035 |
FRANCISCAN POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2006-05-16 00:00:00 |
040003100 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-09-22 00:00:00 |
2005-09-22 00:00:00 |
Yes |
2006-06-13 00:00:00 |
2006-06-15 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
Z8M711 |
N |
CA00062511 |
C |
SFY2005-06 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2006-09-11 00:00:00 |
040003319 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2006-06-14 00:00:00 |
2006-06-14 00:00:00 |
No |
2006-10-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
44X911 |
N |
None |
None |
SFY2006-07 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2006-09-11 00:00:00 |
040003321 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2006-06-08 00:00:00 |
2006-06-08 00:00:00 |
No |
2006-10-02 00:00:00 |
None |
B |
None |
1000 |
1350 |
-1350 |
0 |
0 |
None |
RE5M11 |
N |
None |
None |
SFY2006-07 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2006-09-11 00:00:00 |
040003322 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2006-06-06 00:00:00 |
2006-06-06 00:00:00 |
No |
2006-10-02 00:00:00 |
None |
B |
None |
1000 |
1350 |
-1350 |
0 |
0 |
None |
RE5M11 |
N |
None |
None |
SFY2006-07 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2006-09-11 00:00:00 |
040003325 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2006-06-14 00:00:00 |
2006-06-14 00:00:00 |
No |
2006-10-02 00:00:00 |
None |
A |
None |
15000 |
15000 |
-15000 |
0 |
0 |
None |
RE5M11 |
N |
None |
None |
SFY2006-07 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2006-09-11 00:00:00 |
040003326 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-06-13 00:00:00 |
2006-06-13 00:00:00 |
No |
2006-10-02 00:00:00 |
None |
A |
None |
20000 |
20000 |
-20000 |
0 |
0 |
None |
RE5M11 |
N |
None |
None |
SFY2006-07 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2006-09-11 00:00:00 |
040003330 |
Closed |
Citation |
Citation A (HSC 1424) |
Physical Environment |
None |
2006-06-15 00:00:00 |
2006-06-15 00:00:00 |
No |
2006-10-02 00:00:00 |
None |
A |
None |
20000 |
20000 |
-20000 |
0 |
0 |
None |
RE5M11 |
N |
None |
None |
SFY2006-07 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2007-02-09 00:00:00 |
040003698 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Abuse/Patient Rights |
2006-08-18 00:00:00 |
2006-08-18 00:00:00 |
No |
2007-03-02 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
EZ8V11 |
N |
CA00090908 |
C |
SFY2006-07 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2007-05-02 00:00:00 |
040003924 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-10-09 00:00:00 |
2006-10-09 00:00:00 |
No |
2007-05-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6PN511 |
N |
CA00095193 |
C |
SFY2006-07 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2008-04-23 00:00:00 |
040004954 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-02-06 00:00:00 |
2007-02-06 00:00:00 |
No |
2008-05-14 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
5QIW11 |
N |
CA00105828 |
B |
SFY2007-08 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2008-09-16 00:00:00 |
040005418 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-09 00:00:00 |
2008-02-09 00:00:00 |
No |
2008-10-07 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
78JO11 |
N |
CA00140767 |
C |
SFY2008-09 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2009-05-01 00:00:00 |
040006149 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-03-18 00:00:00 |
2009-03-18 00:00:00 |
Yes |
2009-05-22 00:00:00 |
2009-05-15 00:00:00 |
A |
B |
16000 |
16000 |
0 |
16000 |
0 |
None |
PWDX11 |
N |
CA00181569 |
C |
SFY2008-09 |
040000035 |
FRANCISCAN POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2012-03-27 00:00:00 |
040009139 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-10-02 00:00:00 |
2011-10-02 00:00:00 |
Yes |
2012-04-17 00:00:00 |
2012-04-11 00:00:00 |
B |
B |
1000 |
1050 |
0 |
1050 |
0 |
None |
0I8311 |
N |
CA00285512 |
C |
SFY2011-12 |
040000035 |
FRANCISCAN POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2012-08-21 00:00:00 |
040009448 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-10-06 00:00:00 |
2011-10-06 00:00:00 |
Yes |
2012-09-12 00:00:00 |
2012-08-31 00:00:00 |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
OHVE11 |
N |
CA00286785 |
C |
SFY2012-13 |
040000035 |
FRANCISCAN POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2016-12-08 00:00:00 |
040012798 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-09-16 00:00:00 |
2016-09-16 00:00:00 |
No |
2016-12-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
LH7H11 |
N |
CA00501613 |
A |
SFY2016-17 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2017-02-08 00:00:00 |
040012956 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-06-10 00:00:00 |
2016-06-10 00:00:00 |
No |
2017-03-02 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
8IH211 |
N |
CA00491420 |
A |
SFY2016-17 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2017-05-30 00:00:00 |
040013232 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2016-09-22 00:00:00 |
2016-09-22 00:00:00 |
No |
2017-06-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
IHLJ11 |
N |
CA00508510 |
B |
SFY2016-17 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2017-08-08 00:00:00 |
040013417 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2016-07-26 00:00:00 |
2016-07-26 00:00:00 |
No |
2017-08-29 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
BIFB11 |
N |
CA00496941 |
B |
SFY2017-18 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2018-07-10 00:00:00 |
040014228 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-03-05 00:00:00 |
2018-03-05 00:00:00 |
No |
2018-07-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
GL1Q11 |
N |
CA00576796 |
A |
SFY2018-19 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2018-09-26 00:00:00 |
040014433 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-05-18 00:00:00 |
2018-05-18 00:00:00 |
No |
2018-10-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
971011 |
N |
CA00587242, CA00587242, CA00587242 |
A, A, A |
SFY2018-19 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2019-03-29 00:00:00 |
040014915 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2019-02-01 00:00:00 |
2019-02-01 00:00:00 |
No |
2019-04-19 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
EM2Q13 |
N |
None |
None |
SFY2018-19 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2019-09-27 00:00:00 |
040015409 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2019-05-26 00:00:00 |
2019-05-26 00:00:00 |
No |
2019-10-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
8VMU11 |
N |
CA00639912 |
A |
SFY2019-20 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2020-02-14 00:00:00 |
040015748 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-09-12 00:00:00 |
2019-09-12 00:00:00 |
Yes |
2020-03-06 00:00:00 |
2020-03-02 00:00:00 |
A |
A |
20000 |
12000 |
0 |
12000 |
0 |
None |
Y5PT11 |
N |
CA00654416 |
A |
SFY2019-20 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2022-02-03 00:00:00 |
040017306 |
Closed |
Citation |
Citation A (HSC 1424) |
Physical Environment |
None |
2021-06-23 00:00:00 |
2021-06-23 00:00:00 |
No |
2022-02-25 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
89V011 |
N |
CA00741469 |
B |
SFY2021-22 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2022-12-01 00:00:00 |
040018187 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-01-15 00:00:00 |
2022-01-15 00:00:00 |
No |
2022-12-22 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
E1SM11 |
N |
CA00766351, CA00766351 |
B, B |
SFY2022-23 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2024-01-22 00:00:00 |
040019620 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-08-31 00:00:00 |
2023-08-31 00:00:00 |
No |
2024-02-12 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
MX3U11 |
N |
CA00858590, CA00858590, CA00858937, CA00860770 |
B, B, B, B |
SFY2023-24 |
050001071 |
FARROLL HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2000-03-08 00:00:00 |
050001371 |
Closed |
Citation |
Citation A (HSC 1424) |
Staffing |
None |
2000-02-08 00:00:00 |
2000-02-08 00:00:00 |
Yes |
2000-07-03 00:00:00 |
2001-01-31 00:00:00 |
A |
Drop>Deficiency |
1000 |
1000 |
0 |
1000 |
0 |
050013618 |
A99999 |
N |
None |
None |
SFY1999-00 |
050001071 |
FARROLL HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2003-05-12 00:00:00 |
050001568 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-01-24 00:00:00 |
None |
Yes |
2003-09-23 00:00:00 |
2003-09-26 00:00:00 |
A |
A |
3000 |
3000 |
0 |
3000 |
0 |
050016644 |
A99999 |
N |
None |
None |
SFY2002-03 |
050001071 |
FARROLL HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2003-09-12 00:00:00 |
050001588 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2003-04-10 00:00:00 |
None |
No |
2003-10-24 00:00:00 |
None |
A |
Drop>Deficiency |
5000 |
1800 |
-300 |
1500 |
0 |
050016837 |
A99999 |
N |
None |
None |
SFY2003-04 |
050001071 |
FARROLL HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2008-07-08 00:00:00 |
050005137 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-06-09 00:00:00 |
2008-06-09 00:00:00 |
Yes |
2008-08-01 00:00:00 |
2008-07-17 00:00:00 |
B |
B |
675 |
337.5 |
0 |
337.5 |
0 |
None |
IIF811 |
N |
None |
None |
SFY2008-09 |
050001071 |
FARROLL HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2015-07-06 00:00:00 |
050011520 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-01-03 00:00:00 |
2015-01-03 00:00:00 |
No |
2015-07-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
DDWV11 |
N |
CA00426649 |
B |
SFY2015-16 |
060001166 |
FOOTHILL REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-05-01 00:00:00 |
060001019 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-01-22 00:00:00 |
None |
No |
2000-05-22 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
060009479 |
A99999 |
N |
None |
None |
SFY1999-00 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-10-19 00:00:00 |
060001029 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-09-24 00:00:00 |
None |
No |
2000-11-13 00:00:00 |
None |
B |
None |
1000 |
1250 |
-350 |
900 |
0 |
060009848 |
A99999 |
N |
None |
None |
SFY2000-01 |
060001166 |
FOOTHILL REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-01-07 00:00:00 |
060001082 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-12-11 00:00:00 |
None |
No |
2002-01-29 00:00:00 |
None |
B |
None |
1000 |
1100 |
-350 |
750 |
0 |
060011424 |
A99999 |
N |
None |
None |
SFY2001-02 |
060001166 |
FOOTHILL REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-07-11 00:00:00 |
060001099 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-04-08 00:00:00 |
None |
Yes |
2002-08-01 00:00:00 |
2002-07-31 00:00:00 |
A |
A |
20000 |
15050 |
0 |
15050 |
0 |
060011851 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000839 |
FREEDOM VILLAGE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-07-01 00:00:00 |
060001106 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-05-06 00:00:00 |
None |
No |
2002-07-23 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
060012095 |
A99999 |
N |
None |
None |
SFY2002-03 |
060001166 |
FOOTHILL REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-09-10 00:00:00 |
060001114 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2002-06-05 00:00:00 |
None |
Yes |
2002-10-01 00:00:00 |
2002-09-16 00:00:00 |
AA |
AA |
90000 |
45100 |
-100 |
45000 |
0 |
060012295 |
A99999 |
Y |
None |
None |
SFY2002-03 |
060001166 |
FOOTHILL REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-03-05 00:00:00 |
060001131 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-01-28 00:00:00 |
None |
No |
2003-03-26 00:00:00 |
None |
B |
None |
1000 |
1250 |
0 |
1250 |
0 |
060013085 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-01-21 00:00:00 |
060001161 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-09-29 00:00:00 |
None |
No |
2004-02-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060014189 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-06-29 00:00:00 |
060001173 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-10 00:00:00 |
None |
Yes |
2004-07-21 00:00:00 |
2004-07-01 00:00:00 |
B |
B |
1000 |
650 |
-100 |
550 |
0 |
060014719 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-10-06 00:00:00 |
060001182 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-07-07 00:00:00 |
None |
Yes |
2004-11-02 00:00:00 |
2004-10-08 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
060015083 |
A99999 |
N |
None |
None |
SFY2004-05 |
060000839 |
FREEDOM VILLAGE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2005-11-14 00:00:00 |
060001262 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-08-08 00:00:00 |
None |
Yes |
2009-08-19 00:00:00 |
2009-09-23 00:00:00 |
A |
A |
10000 |
6500 |
0 |
6500 |
0 |
060015964 |
A99999 |
N |
None |
None |
SFY2005-06 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2006-04-07 00:00:00 |
060003019 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-12-26 00:00:00 |
2005-12-26 00:00:00 |
Yes |
2006-05-03 00:00:00 |
2006-04-17 00:00:00 |
B |
B |
750 |
375 |
0 |
375 |
0 |
None |
OY4111 |
N |
CA00070663 |
C |
SFY2005-06 |
060000837 |
FOUNTAIN VALLEY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2007-08-14 00:00:00 |
060004174 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-06-01 00:00:00 |
2007-06-01 00:00:00 |
No |
2007-09-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4ON511 |
N |
CA00117757 |
B |
SFY2007-08 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2008-05-20 00:00:00 |
060005051 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-04-03 00:00:00 |
2008-04-03 00:00:00 |
Yes |
2008-06-13 00:00:00 |
2008-05-30 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
7EYL11 |
N |
CA00146501, CA00146501 |
C, C |
SFY2007-08 |
060000837 |
FOUNTAIN VALLEY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-09-28 00:00:00 |
060006579 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2009-08-07 00:00:00 |
2009-08-07 00:00:00 |
No |
2009-10-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2D9K11 |
N |
CA00199232 |
C |
SFY2009-10 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-11-17 00:00:00 |
060006695 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-19 00:00:00 |
2008-08-19 00:00:00 |
Yes |
2009-12-14 00:00:00 |
2009-11-18 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
IPMW11 |
N |
CA00197796 |
C |
SFY2009-10 |
060000839 |
FREEDOM VILLAGE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2010-04-19 00:00:00 |
060007136 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2009-10-16 00:00:00 |
2009-10-16 00:00:00 |
No |
2010-05-12 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
S93E11 |
Y |
CA00214769 |
B |
SFY2009-10 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2011-05-24 00:00:00 |
060008236 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-04-28 00:00:00 |
2011-04-28 00:00:00 |
No |
2011-06-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
V49H11 |
N |
CA00267887 |
C |
SFY2010-11 |
060000837 |
FOUNTAIN VALLEY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2011-08-09 00:00:00 |
060008451 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-07-15 00:00:00 |
2011-07-15 00:00:00 |
No |
2011-08-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
66P811 |
N |
CA00276606 |
B |
SFY2011-12 |
060001166 |
FOOTHILL REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2012-04-24 00:00:00 |
060009257 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-12-27 00:00:00 |
2011-12-27 00:00:00 |
No |
2012-05-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
PRGN11 |
N |
CA00298720 |
C |
SFY2011-12 |
060001166 |
FOOTHILL REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2015-04-15 00:00:00 |
060011387 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-01-18 00:00:00 |
2015-01-18 00:00:00 |
No |
2015-05-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5OLP11 |
N |
CA00434111 |
B |
SFY2014-15 |
060000164 |
FRENCH PARK CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2019-12-20 00:00:00 |
060015624 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-05-25 00:00:00 |
2019-05-25 00:00:00 |
No |
2020-01-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
U01H11 |
N |
None |
None |
SFY2019-20 |
060000837 |
FOUNTAIN VALLEY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-07-29 00:00:00 |
060016776 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-05-12 00:00:00 |
2021-05-12 00:00:00 |
No |
2021-08-19 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
LN6P11 |
N |
CA00737406 |
B |
SFY2021-22 |
060001166 |
FOOTHILL REGIONAL MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2023-03-15 00:00:00 |
060018510 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-02-10 00:00:00 |
2023-02-10 00:00:00 |
No |
2023-04-06 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
7KOI11 |
N |
CA00820412 |
B |
SFY2022-23 |
630012059 |
FOREST HILL MANOR HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-12-06 00:00:00 |
070014606 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-11-18 00:00:00 |
2018-11-18 00:00:00 |
Yes |
2018-12-28 00:00:00 |
2018-12-24 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
OUMD11 |
N |
None |
None |
SFY2018-19 |
630012059 |
FOREST HILL MANOR HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-03-06 00:00:00 |
070019628 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-01-16 00:00:00 |
2024-01-16 00:00:00 |
No |
2024-03-27 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
VYST11 |
N |
None |
None |
SFY2023-24 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-05-11 00:00:00 |
080002779 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE/FAC REPORTED |
2000-11-01 00:00:00 |
None |
No |
2001-06-04 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
080023105 |
A99999 |
N |
None |
None |
SFY2000-01 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2001-05-11 00:00:00 |
080002780 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
ABUSE/FAC REPORTED |
2001-03-28 00:00:00 |
None |
Yes |
2001-06-04 00:00:00 |
2001-06-04 00:00:00 |
A |
A |
18000 |
9000 |
0 |
9000 |
0 |
080023111 |
A99999 |
N |
None |
None |
SFY2000-01 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2003-01-14 00:00:00 |
080002836 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-08-08 00:00:00 |
None |
No |
2003-02-06 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
080025326 |
A99999 |
N |
None |
None |
SFY2002-03 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2003-04-29 00:00:00 |
080002839 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-01 00:00:00 |
2002-10-01 00:00:00 |
No |
2003-05-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
080025325 |
A99999 |
N |
None |
None |
SFY2002-03 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2004-03-05 00:00:00 |
080002851 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-19 00:00:00 |
None |
No |
2004-03-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
080026818 |
A99999 |
N |
None |
None |
SFY2003-04 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-03-02 00:00:00 |
080005915 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-01-22 00:00:00 |
2009-01-22 00:00:00 |
No |
2009-03-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
EO9V11 |
N |
CA00175692 |
H |
SFY2008-09 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-09-08 00:00:00 |
080006541 |
Closed |
Citation |
Citation AA (HSC 1424) |
Other |
Accidents |
2009-06-08 00:00:00 |
2009-06-08 00:00:00 |
No |
2009-09-30 00:00:00 |
None |
AA |
None |
90000 |
90000 |
-31500 |
58500 |
0 |
None |
I6J511 |
Y |
CA00191586 |
C |
SFY2009-10 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2011-04-20 00:00:00 |
080008171 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-03-28 00:00:00 |
2011-03-28 00:00:00 |
No |
2011-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TWKD11 |
N |
CA00264351 |
B |
SFY2010-11 |
090000115 |
FRASER INTERMEDIATE CARE |
LTC |
ICF |
Intermediate Care Facility |
San Diego |
2000-09-22 00:00:00 |
090002758 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-12 00:00:00 |
None |
Yes |
2001-02-05 00:00:00 |
2000-10-10 00:00:00 |
B |
B |
700 |
700 |
0 |
700 |
0 |
090022166 |
A99999 |
N |
None |
None |
SFY2000-01 |
090000996 |
FRIENDSHIP VILLA AMISTAD |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2001-11-07 00:00:00 |
090002782 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-05 00:00:00 |
2001-11-05 00:00:00 |
No |
2001-12-03 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
090023338 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000115 |
FRASER INTERMEDIATE CARE |
LTC |
ICF |
Intermediate Care Facility |
San Diego |
2001-11-13 00:00:00 |
090002784 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2001-05-13 00:00:00 |
2001-05-13 00:00:00 |
No |
2001-12-11 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
090023408 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000055 |
FRIENDSHIP HOMES |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2002-07-23 00:00:00 |
090002806 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-06-09 00:00:00 |
2002-06-09 00:00:00 |
No |
2002-08-14 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
090024053 |
A99999 |
N |
None |
None |
SFY2002-03 |
090000055 |
FRIENDSHIP HOMES |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2006-01-05 00:00:00 |
090002857 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2005-11-07 00:00:00 |
2005-11-07 00:00:00 |
No |
2006-01-27 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
090027471 |
A99999 |
N |
None |
None |
SFY2005-06 |
090000055 |
FRIENDSHIP HOMES |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2006-01-17 00:00:00 |
090002858 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2005-11-10 00:00:00 |
2005-11-10 00:00:00 |
No |
2006-02-07 00:00:00 |
None |
B |
None |
975 |
975 |
-341.25 |
633.75 |
0 |
090027472 |
A99999 |
N |
None |
None |
SFY2005-06 |
090000055 |
FRIENDSHIP HOMES |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2006-01-17 00:00:00 |
090002859 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-17 00:00:00 |
2005-11-17 00:00:00 |
No |
2006-02-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
090027473 |
A99999 |
N |
None |
None |
SFY2005-06 |
090000055 |
FRIENDSHIP HOMES |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2006-11-03 00:00:00 |
090003465 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-07-30 00:00:00 |
2006-07-30 00:00:00 |
Yes |
2006-11-29 00:00:00 |
2006-11-17 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
None |
Z53C11 |
N |
CA00088577 |
B |
SFY2006-07 |
090000054 |
FREDERICKA MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2007-01-18 00:00:00 |
090003647 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-08-02 00:00:00 |
2006-08-02 00:00:00 |
No |
2007-02-08 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
None |
8LTJ11 |
N |
CA00102813 |
C |
SFY2006-07 |
090000058 |
FRIENDSHIP MANOR NURSING & REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-08-07 00:00:00 |
090006446 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-06-12 00:00:00 |
2009-06-12 00:00:00 |
No |
2009-08-28 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
None |
WSTF11 |
N |
CA00192310 |
C |
SFY2009-10 |
630010892 |
FAIRWAY COURT |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2012-08-21 00:00:00 |
090009450 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-03-18 00:00:00 |
2012-03-18 00:00:00 |
Yes |
2012-09-12 00:00:00 |
2012-09-04 00:00:00 |
B |
B |
750 |
375 |
0 |
375 |
0 |
None |
EI9B11 |
N |
CA00303653 |
B |
SFY2012-13 |
090000054 |
FREDERICKA MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2017-08-31 00:00:00 |
090013189 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-09-15 00:00:00 |
2016-09-15 00:00:00 |
No |
2017-09-22 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
5U8R11 |
N |
CA00503161 |
B |
SFY2017-18 |
100000003 |
FAIRMONT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2000-03-08 00:00:00 |
100002001 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-10-17 00:00:00 |
None |
Yes |
2000-03-29 00:00:00 |
2000-03-16 00:00:00 |
A |
A |
10000 |
6000 |
0 |
6000 |
0 |
100013953 |
A99999 |
N |
None |
None |
SFY1999-00 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-12-20 00:00:00 |
110001814 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-07-22 00:00:00 |
None |
Yes |
2001-01-10 00:00:00 |
2001-06-25 00:00:00 |
A |
A |
7500 |
7500 |
-5625 |
1875 |
0 |
110013674 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-10-03 00:00:00 |
110002007 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-28 00:00:00 |
2002-01-28 00:00:00 |
No |
2002-10-25 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110015718 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-02-05 00:00:00 |
110002027 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-10 00:00:00 |
2002-03-13 00:00:00 |
No |
2003-03-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015946 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-03-07 00:00:00 |
110002031 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-12-07 00:00:00 |
2001-12-07 00:00:00 |
Yes |
2003-03-28 00:00:00 |
2003-03-28 00:00:00 |
A |
A |
20000 |
11477 |
0 |
11477 |
0 |
110015879 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-10-09 00:00:00 |
110002129 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-09-13 00:00:00 |
2003-09-13 00:00:00 |
No |
2003-11-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110017739 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-10 00:00:00 |
110002138 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-19 00:00:00 |
2002-10-19 00:00:00 |
Yes |
2003-12-08 00:00:00 |
2003-11-12 00:00:00 |
B |
B |
1000 |
574 |
0 |
574 |
0 |
110016800 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-06-28 00:00:00 |
110003144 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-07-14 00:00:00 |
2005-07-14 00:00:00 |
Yes |
2006-07-20 00:00:00 |
2006-07-18 00:00:00 |
A |
A |
18000 |
11500 |
0 |
11500 |
0 |
None |
9H3511 |
N |
CA00055436 |
A |
SFY2005-06 |
010000022 |
FRIENDS HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-12-20 00:00:00 |
110003574 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
C, AB |
2006-09-06 00:00:00 |
2006-09-06 00:00:00 |
No |
2007-01-12 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
VCEQ11 |
N |
CA00092718, CA00092780, CA00093660, CA00094337 |
A, H, B, A |
SFY2006-07 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-12-27 00:00:00 |
110003592 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-01-27 00:00:00 |
2006-01-27 00:00:00 |
No |
2007-01-18 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
HEBC11 |
N |
CA00071432 |
A |
SFY2006-07 |
010000022 |
FRIENDS HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-04-07 00:00:00 |
110004431 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2007-05-23 00:00:00 |
2007-05-23 00:00:00 |
Yes |
2011-08-22 00:00:00 |
2011-08-05 00:00:00 |
A |
A |
18000 |
18000 |
0 |
18000 |
0 |
None |
T5GG11 |
N |
CA00131570 |
B |
SFY2007-08 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-09-23 00:00:00 |
110004721 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-09-19 00:00:00 |
2007-09-19 00:00:00 |
No |
2008-10-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
EKYH11 |
N |
CA00127738 |
B |
SFY2008-09 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-09-25 00:00:00 |
110004837 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-06 00:00:00 |
2008-03-06 00:00:00 |
No |
2008-10-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HO2F11 |
N |
CA00143312, CA00143491, CA00143497 |
B, B, A |
SFY2008-09 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-10-19 00:00:00 |
110005291 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-07-19 00:00:00 |
2008-07-19 00:00:00 |
Yes |
2009-11-09 00:00:00 |
2009-10-26 00:00:00 |
A |
A |
18000 |
11700 |
0 |
11700 |
0 |
None |
V0LJ11 |
N |
CA00157650 |
B |
SFY2009-10 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-09-29 00:00:00 |
110005352 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-12-31 00:00:00 |
2007-12-31 00:00:00 |
No |
2008-10-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C61G11 |
N |
CA00136364 |
A |
SFY2008-09 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-09-23 00:00:00 |
110005412 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-09-19 00:00:00 |
2007-09-19 00:00:00 |
No |
2008-10-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
EKYH11 |
N |
CA00127738 |
B |
SFY2008-09 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-14 00:00:00 |
110005653 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-11-11 00:00:00 |
2008-11-11 00:00:00 |
Yes |
2009-05-05 00:00:00 |
2009-04-20 00:00:00 |
A |
A |
18000 |
11700 |
0 |
11700 |
0 |
None |
X17W11 |
N |
CA00169165 |
B |
SFY2008-09 |
010000022 |
FRIENDS HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-01-15 00:00:00 |
110006154 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-02-28 00:00:00 |
2009-02-28 00:00:00 |
Yes |
2012-07-12 00:00:00 |
2010-06-29 00:00:00 |
A |
A |
18000 |
18000 |
0 |
18000 |
0 |
None |
DE4411 |
N |
CA00179788 |
B |
SFY2009-10 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-07 00:00:00 |
110006443 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-25 00:00:00 |
2009-07-25 00:00:00 |
Yes |
2009-12-29 00:00:00 |
2009-12-11 00:00:00 |
B |
B |
1000 |
450 |
0 |
450 |
0 |
None |
GMNW11 |
N |
CA00196667 |
A |
SFY2009-10 |
010000022 |
FRIENDS HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-11-24 00:00:00 |
110006722 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-10-19 00:00:00 |
2009-10-19 00:00:00 |
Yes |
2009-12-17 00:00:00 |
2009-11-30 00:00:00 |
A |
A |
16000 |
16000 |
0 |
16000 |
0 |
None |
S65711 |
N |
None |
None |
SFY2009-10 |
010000585 |
FIFTY-O-ONE PARKHURST |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2010-07-20 00:00:00 |
110007307 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-03-17 00:00:00 |
2010-03-17 00:00:00 |
No |
2010-08-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ST8S11 |
N |
CA00222706, CA00224292 |
A, B |
SFY2010-11 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-05-25 00:00:00 |
110007752 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-09-16 00:00:00 |
2010-09-16 00:00:00 |
Yes |
2013-06-06 00:00:00 |
2013-05-17 00:00:00 |
A |
A |
19000 |
15000 |
0 |
15000 |
0 |
None |
TEFJ11 |
N |
CA00242993, CA00243131 |
A, A |
SFY2010-11 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-05-25 00:00:00 |
110008229 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-09-16 00:00:00 |
2010-09-16 00:00:00 |
Yes |
2011-06-16 00:00:00 |
2011-06-08 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
TEFJ11 |
N |
CA00242993, CA00243131 |
A, A |
SFY2010-11 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-11-14 00:00:00 |
110008625 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-09-10 00:00:00 |
2010-09-10 00:00:00 |
No |
2011-12-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6DVO11 |
N |
CA00242388 |
A |
SFY2011-12 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-10-15 00:00:00 |
110008824 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2011-11-25 00:00:00 |
2011-11-25 00:00:00 |
No |
2012-11-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
12JO11 |
N |
CA00291450, CA00291521 |
B, B |
SFY2012-13 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-04-27 00:00:00 |
110008977 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-01-13 00:00:00 |
2012-01-13 00:00:00 |
Yes |
2012-05-18 00:00:00 |
2012-05-16 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
RW8Q11 |
N |
CA00296216 |
B |
SFY2011-12 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-05-30 00:00:00 |
110009253 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2011-08-09 00:00:00 |
2011-08-09 00:00:00 |
No |
2012-06-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
Y66O11 |
N |
CA00281026, CA00281026, CA00281031 |
A, A, A |
SFY2011-12 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-04-10 00:00:00 |
110009374 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-09-21 00:00:00 |
2011-09-21 00:00:00 |
No |
2013-05-01 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
ZXHR11 |
N |
None |
None |
SFY2012-13 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-10-10 00:00:00 |
110010028 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2013-07-23 00:00:00 |
2013-07-23 00:00:00 |
No |
2013-10-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6LQP11 |
N |
CA00362749 |
B |
SFY2013-14 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-03-11 00:00:00 |
110010480 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-12-27 00:00:00 |
2013-12-27 00:00:00 |
No |
2014-04-02 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
2UMO11 |
N |
CA00382091 |
C |
SFY2013-14 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-03-28 00:00:00 |
110010481 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-01-08 00:00:00 |
2014-01-08 00:00:00 |
No |
2014-04-21 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
HJ0D11 |
N |
CA00384202, CA00386272 |
B, A |
SFY2013-14 |
010000022 |
FRIENDS HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-09-19 00:00:00 |
110010984 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-05-27 00:00:00 |
2014-05-27 00:00:00 |
No |
2014-10-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
UK9V11 |
N |
None |
None |
SFY2014-15 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2015-04-01 00:00:00 |
110011267 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2014-08-08 00:00:00 |
2014-08-08 00:00:00 |
No |
2015-04-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
880J11 |
N |
CA00409335 |
B |
SFY2014-15 |
010000022 |
FRIENDS HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2015-03-10 00:00:00 |
110011273 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-02-26 00:00:00 |
2013-02-26 00:00:00 |
No |
2015-04-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
F74511 |
N |
CA00346278 |
B |
SFY2014-15 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-06-29 00:00:00 |
110012069 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2015-12-22 00:00:00 |
2015-12-22 00:00:00 |
No |
2016-07-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
S0H011 |
N |
CA00468762 |
B |
SFY2015-16 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-06-23 00:00:00 |
110012282 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-05-05 00:00:00 |
2016-05-05 00:00:00 |
No |
2016-07-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
3KPQ11 |
N |
CA00487306 |
A |
SFY2015-16 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-09-07 00:00:00 |
110012498 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-04-14 00:00:00 |
2016-04-14 00:00:00 |
Yes |
2016-09-28 00:00:00 |
2016-09-13 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
845R11 |
N |
CA00484596, CA00485294 |
B, B |
SFY2016-17 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-09-07 00:00:00 |
110012499 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-07-14 00:00:00 |
2016-07-14 00:00:00 |
Yes |
2016-09-28 00:00:00 |
2016-09-15 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
845R11 |
N |
None |
None |
SFY2016-17 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-09-21 00:00:00 |
110012518 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-07-15 00:00:00 |
2016-07-15 00:00:00 |
No |
2016-10-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
J5KT11 |
N |
None |
None |
SFY2016-17 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-10-18 00:00:00 |
110012613 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-08-07 00:00:00 |
2016-08-07 00:00:00 |
No |
2016-11-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
845R12 |
N |
CA00498171 |
C |
SFY2016-17 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-01-18 00:00:00 |
110012614 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-09-05 00:00:00 |
2016-09-05 00:00:00 |
Yes |
2017-02-08 00:00:00 |
2017-01-20 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
845R12 |
N |
CA00498171, CA00500097 |
C, C |
SFY2016-17 |
010000585 |
FIFTY-O-ONE PARKHURST |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2017-01-18 00:00:00 |
110012865 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2016-04-08 00:00:00 |
2016-04-08 00:00:00 |
No |
2017-02-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
CWW911 |
N |
CA00483994 |
B |
SFY2016-17 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-04-03 00:00:00 |
110013921 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-02-19 00:00:00 |
2018-02-19 00:00:00 |
No |
2018-04-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
-2000 |
0 |
0 |
None |
JZL911 |
N |
CA00574833 |
A |
SFY2017-18 |
010000020 |
FIRCREST CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-04-03 00:00:00 |
110013922 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2018-02-17 00:00:00 |
2018-02-17 00:00:00 |
No |
2018-04-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
-2000 |
0 |
0 |
None |
JZL911 |
N |
CA00574833, CA00574833, CA00574833 |
A, A, A |
SFY2017-18 |
010000585 |
FIFTY-O-ONE PARKHURST |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2018-09-13 00:00:00 |
110014035 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2016-09-25 00:00:00 |
2016-09-25 00:00:00 |
No |
2018-10-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
S0IJ11 |
N |
CA00504534 |
A |
SFY2018-19 |
010000022 |
FRIENDS HOUSE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-09-20 00:00:00 |
110015343 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2019-06-01 00:00:00 |
2019-06-01 00:00:00 |
No |
2019-10-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
BUNK11 |
N |
None |
None |
SFY2019-20 |
140001348 |
FRANCISCO ICF |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2001-05-29 00:00:00 |
140002727 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-01-06 00:00:00 |
None |
Yes |
2001-09-25 00:00:00 |
2001-05-31 00:00:00 |
B |
B |
500 |
500 |
0 |
500 |
0 |
140016935 |
A99999 |
N |
None |
None |
SFY2000-01 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-01-19 00:00:00 |
170001658 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
ABUSE |
2000-12-10 00:00:00 |
None |
No |
2001-02-09 00:00:00 |
None |
A |
None |
7000 |
7000 |
-2450 |
4550 |
0 |
170013704 |
A99999 |
N |
None |
None |
SFY2000-01 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-03-27 00:00:00 |
170001664 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2001-02-20 00:00:00 |
None |
No |
2001-04-17 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
170013953 |
A99999 |
N |
None |
None |
SFY2000-01 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2001-07-05 00:00:00 |
170001683 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2001-06-12 00:00:00 |
None |
No |
2001-08-03 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
170014445 |
A99999 |
N |
None |
None |
SFY2001-02 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2002-05-21 00:00:00 |
170001697 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-17 00:00:00 |
None |
Yes |
2002-06-14 00:00:00 |
2002-06-04 00:00:00 |
B |
Dismissed by Court |
900 |
0 |
0 |
0 |
0 |
170014916 |
A99999 |
N |
None |
None |
SFY2001-02 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2002-07-16 00:00:00 |
170001700 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-02-14 00:00:00 |
None |
No |
2002-08-09 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
170014952 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2002-07-16 00:00:00 |
170001701 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-02-20 00:00:00 |
None |
No |
2002-08-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
170015015 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-02-04 00:00:00 |
170001709 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Rights |
None |
2002-07-30 00:00:00 |
None |
No |
2003-02-25 00:00:00 |
None |
AA |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
170015216 |
A99999 |
Y |
None |
None |
SFY2002-03 |
170001770 |
FAIRVIEW DEVELOPMENTAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2003-04-24 00:00:00 |
170001744 |
Closed |
Citation |
Citation AA (HSC 1424) |
Physical Environment |
None |
2002-07-05 00:00:00 |
None |
No |
2003-05-19 00:00:00 |
None |
AA |
None |
80000 |
80000 |
-28000 |
52000 |
0 |
170015161 |
A99999 |
Y |
None |
None |
SFY2002-03 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-04-30 00:00:00 |
170001745 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-12-08 00:00:00 |
None |
No |
2003-05-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170015444 |
A99999 |
N |
None |
None |
SFY2002-03 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-07-02 00:00:00 |
170001752 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-27 00:00:00 |
None |
No |
2003-07-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170016245 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-07-23 00:00:00 |
170001774 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-10 00:00:00 |
None |
No |
2003-08-15 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
170016768 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-07-31 00:00:00 |
170001776 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-15 00:00:00 |
None |
No |
2003-08-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170015185 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-08-05 00:00:00 |
170001777 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-30 00:00:00 |
None |
No |
2003-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170016692 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-08-21 00:00:00 |
170001778 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-07-30 00:00:00 |
None |
Yes |
2003-09-16 00:00:00 |
2003-08-26 00:00:00 |
B |
B |
1000 |
3000 |
0 |
3000 |
0 |
170017111 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2003-10-16 00:00:00 |
170001780 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-06 00:00:00 |
None |
No |
2003-11-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170016839 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2004-05-26 00:00:00 |
170001847 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-12-23 00:00:00 |
2003-12-23 00:00:00 |
No |
2004-06-21 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
170019064 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2004-06-17 00:00:00 |
170001848 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-03-24 00:00:00 |
None |
No |
2004-07-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170019089 |
A99999 |
N |
None |
None |
SFY2003-04 |
170001770 |
FAIRVIEW DEVELOPMENTAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2004-09-08 00:00:00 |
170001852 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-05-21 00:00:00 |
None |
No |
2004-10-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170019116 |
A99999 |
N |
None |
None |
SFY2004-05 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2004-10-22 00:00:00 |
170001854 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2004-05-06 00:00:00 |
None |
No |
2004-11-23 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
170019128 |
A99999 |
N |
None |
None |
SFY2004-05 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2004-11-04 00:00:00 |
170001856 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2004-07-17 00:00:00 |
None |
Yes |
2004-12-02 00:00:00 |
2004-11-16 00:00:00 |
AA |
AA |
25000 |
25000 |
0 |
25000 |
0 |
170019133 |
A99999 |
Y |
None |
None |
SFY2004-05 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2004-12-01 00:00:00 |
170001857 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2004-06-05 00:00:00 |
None |
Yes |
2004-12-30 00:00:00 |
2004-12-21 00:00:00 |
AA |
None |
25000 |
25000 |
0 |
25000 |
0 |
170019138 |
A99999 |
Y |
None |
None |
SFY2004-05 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2005-04-21 00:00:00 |
170001863 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-01-28 00:00:00 |
None |
No |
2005-05-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170019156 |
A99999 |
N |
None |
None |
SFY2004-05 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2005-06-01 00:00:00 |
170001867 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-02-02 00:00:00 |
None |
No |
2005-06-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170019159 |
A99999 |
N |
None |
None |
SFY2004-05 |
170001770 |
FAIRVIEW DEVELOPMENTAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2005-07-13 00:00:00 |
170001873 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-22 00:00:00 |
None |
Yes |
2005-08-03 00:00:00 |
2005-07-25 00:00:00 |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
170019165 |
A99999 |
N |
None |
None |
SFY2005-06 |
170001770 |
FAIRVIEW DEVELOPMENTAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2005-09-08 00:00:00 |
170001877 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-05-24 00:00:00 |
2005-05-24 00:00:00 |
No |
2005-09-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
170019169 |
A99999 |
N |
None |
None |
SFY2005-06 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-05-18 00:00:00 |
170002993 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-11-08 00:00:00 |
2005-11-08 00:00:00 |
No |
2006-06-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
F99811 |
N |
CA00065918 |
C |
SFY2005-06 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2006-08-08 00:00:00 |
170003096 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-05-11 00:00:00 |
2005-05-11 00:00:00 |
No |
2006-09-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
NZY311 |
N |
CA00048331 |
C |
SFY2006-07 |
170001770 |
FAIRVIEW DEVELOPMENTAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2006-07-13 00:00:00 |
170003099 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-02 00:00:00 |
2005-08-02 00:00:00 |
No |
2006-08-03 00:00:00 |
None |
B |
None |
800 |
850 |
0 |
850 |
0 |
None |
WGJ011 |
N |
CA00057426 |
C |
SFY2006-07 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2009-05-26 00:00:00 |
170006214 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Rights |
None |
2007-06-23 00:00:00 |
2007-06-23 00:00:00 |
No |
2009-06-16 00:00:00 |
None |
AA |
None |
22500 |
22500 |
0 |
22500 |
0 |
None |
13BC11 |
Y |
CA00118675 |
D |
SFY2008-09 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2010-07-08 00:00:00 |
170006835 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Rights |
None |
2007-06-21 00:00:00 |
2007-06-21 00:00:00 |
No |
2010-07-29 00:00:00 |
None |
AA |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
PO2011 |
Y |
CA00118671 |
D |
SFY2010-11 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2012-04-19 00:00:00 |
170006840 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2009-02-22 00:00:00 |
2009-02-22 00:00:00 |
No |
2012-05-10 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
IOD511 |
N |
CA00178891, CA00178929, CA00179998 |
C, C, C |
SFY2011-12 |
170001770 |
FAIRVIEW DEVELOPMENTAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2014-04-29 00:00:00 |
170008980 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-09-28 00:00:00 |
2011-09-28 00:00:00 |
No |
2014-05-20 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
I2D911 |
N |
CA00285809 |
C |
SFY2013-14 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-02-27 00:00:00 |
170009179 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-11-15 00:00:00 |
2011-11-15 00:00:00 |
No |
2014-03-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
R9F611 |
N |
CA00291174, CA00293476 |
D, C |
SFY2013-14 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-04-07 00:00:00 |
170009189 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2012-03-03 00:00:00 |
2012-03-03 00:00:00 |
No |
2014-04-28 00:00:00 |
None |
A |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
JJOE11 |
N |
CA00301989 |
B |
SFY2013-14 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-02-27 00:00:00 |
170009362 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-04-28 00:00:00 |
2012-04-28 00:00:00 |
No |
2014-03-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GP6O11 |
N |
CA00309848 |
C |
SFY2013-14 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2016-09-02 00:00:00 |
170010230 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-07-18 00:00:00 |
2013-07-18 00:00:00 |
No |
2016-09-26 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
Q7DL11 |
N |
CA00362883, CA00362993 |
B, A |
SFY2016-17 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-04-07 00:00:00 |
170010289 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-07-07 00:00:00 |
2012-07-07 00:00:00 |
No |
2014-04-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
0QV311 |
N |
CA00317411 |
C |
SFY2013-14 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2014-04-02 00:00:00 |
170010290 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-05-24 00:00:00 |
2013-05-24 00:00:00 |
No |
2014-04-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
RTS311 |
N |
CA00312436 |
C |
SFY2013-14 |
170001770 |
FAIRVIEW DEVELOPMENTAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
State Facilities Section |
2014-04-07 00:00:00 |
170010359 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-08-16 00:00:00 |
2013-08-16 00:00:00 |
No |
2014-04-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
IZG711 |
N |
CA00366907 |
B |
SFY2013-14 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2015-08-05 00:00:00 |
170011345 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2015-02-13 00:00:00 |
2015-02-13 00:00:00 |
No |
2015-08-26 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
VVLF11 |
N |
CA00432954 |
C |
SFY2015-16 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2015-12-14 00:00:00 |
170011482 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2015-04-30 00:00:00 |
2015-04-30 00:00:00 |
No |
2016-01-05 00:00:00 |
None |
A |
None |
7500 |
7500 |
-2625 |
4875 |
0 |
None |
LVFW11 |
N |
CA00441247 |
B |
SFY2015-16 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2015-09-30 00:00:00 |
170011537 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-02-02 00:00:00 |
2015-02-02 00:00:00 |
No |
2015-10-21 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
QC0D11 |
N |
CA00432482 |
C |
SFY2015-16 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2015-11-12 00:00:00 |
170011538 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-08-23 00:00:00 |
2014-08-23 00:00:00 |
No |
2015-12-07 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
PVEX11 |
N |
CA00410805 |
C |
SFY2015-16 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2016-09-02 00:00:00 |
170012215 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2016-02-23 00:00:00 |
2016-02-23 00:00:00 |
No |
2016-09-26 00:00:00 |
None |
A |
None |
7500 |
22500 |
-7875 |
14625 |
0 |
None |
WKOB11 |
N |
CA00477988 |
C |
SFY2016-17 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2016-06-03 00:00:00 |
170012246 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-09-01 00:00:00 |
2015-09-01 00:00:00 |
No |
2016-06-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CP0N11 |
N |
CA00457849, CA00458098 |
C, E |
SFY2015-16 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2016-06-03 00:00:00 |
170012247 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-01-31 00:00:00 |
2016-01-31 00:00:00 |
No |
2016-06-24 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
None |
ZGOD11 |
N |
CA00475503 |
C |
SFY2015-16 |
170001769 |
FAIRVIEW DEVELOPMENTAL CENTER D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2016-06-03 00:00:00 |
170012305 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-09-01 00:00:00 |
2015-09-01 00:00:00 |
No |
2016-06-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CP0N11 |
N |
CA00457849 |
C |
SFY2015-16 |
230000037 |
FEATHER RIVER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2005-08-10 00:00:00 |
230001144 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-04-19 00:00:00 |
2005-04-19 00:00:00 |
No |
2005-08-31 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
230011618 |
A99999 |
N |
None |
None |
SFY2005-06 |
230000463 |
FEATHER RIVER HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-09-28 00:00:00 |
230003345 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-01 00:00:00 |
2005-08-01 00:00:00 |
No |
2006-10-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
CUZU11 |
N |
CA00064007 |
B |
SFY2006-07 |
230000463 |
FEATHER RIVER HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2006-09-28 00:00:00 |
230003346 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2005-07-26 00:00:00 |
2005-07-26 00:00:00 |
No |
2006-10-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
CUZU11 |
N |
CA00064007 |
B |
SFY2006-07 |
240001335 |
FOURTEENTH STREET DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2000-08-15 00:00:00 |
240001507 |
Closed |
Citation |
Citation A (HSC 1424) |
Administration |
None |
2000-02-23 00:00:00 |
None |
No |
2000-09-12 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
240012282 |
A99999 |
N |
None |
None |
SFY2000-01 |
240001335 |
FOURTEENTH STREET DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2001-07-26 00:00:00 |
240001689 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-03-02 00:00:00 |
None |
No |
2001-08-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
240014631 |
A99999 |
N |
None |
None |
SFY2001-02 |
240001335 |
FOURTEENTH STREET DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2003-03-20 00:00:00 |
240001757 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-07-17 00:00:00 |
2002-07-17 00:00:00 |
No |
2003-04-14 00:00:00 |
None |
B |
None |
600 |
600 |
-600 |
0 |
0 |
240016088 |
A99999 |
N |
None |
None |
SFY2002-03 |
240001155 |
FIFTEENTH STREET HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2016-09-22 00:00:00 |
240012589 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2016-02-10 00:00:00 |
2016-02-10 00:00:00 |
No |
2016-10-13 00:00:00 |
None |
A |
None |
7000 |
7000 |
-2450 |
4550 |
0 |
None |
D2KT11 |
N |
CA00476665 |
B |
SFY2016-17 |
240001155 |
FIFTEENTH STREET HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2016-09-22 00:00:00 |
240012591 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2016-03-23 00:00:00 |
2016-03-23 00:00:00 |
No |
2016-10-13 00:00:00 |
None |
A |
None |
7000 |
7000 |
-2450 |
4550 |
0 |
None |
0ZF611 |
N |
CA00481645 |
E |
SFY2016-17 |
630014639 |
FARMER HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2018-11-21 00:00:00 |
240014593 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-10-12 00:00:00 |
2018-10-12 00:00:00 |
No |
2018-12-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
25CR11 |
N |
None |
None |
SFY2018-19 |
250000596 |
FOXDALE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2012-12-12 00:00:00 |
250009664 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-09 00:00:00 |
2007-10-09 00:00:00 |
No |
2013-01-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z9YG11 |
N |
CA00130971 |
C |
SFY2012-13 |
250001210 |
FLEMING-HEIMARK HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2017-12-21 00:00:00 |
250013670 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2015-08-04 00:00:00 |
2015-08-04 00:00:00 |
No |
2018-01-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ZDK911 |
N |
CA00453435 |
C |
SFY2017-18 |
250001034 |
FRIEDMAN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2023-10-19 00:00:00 |
250019183 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-07-24 00:00:00 |
2023-07-24 00:00:00 |
No |
2023-11-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
NB1811 |
N |
CA00853990, CA00854111, CA00854688 |
B, B, B |
SFY2023-24 |
250001034 |
FRIEDMAN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2023-10-19 00:00:00 |
250019184 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-07-24 00:00:00 |
2023-07-24 00:00:00 |
No |
2023-11-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
NB1811 |
N |
CA00853990, CA00854111, CA00854688 |
B, B, B |
SFY2023-24 |
910000038 |
FIRESIDE HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-02-28 00:00:00 |
910001464 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-04 00:00:00 |
2002-02-28 00:00:00 |
No |
2002-04-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
910006956 |
A99999 |
N |
None |
None |
SFY2001-02 |
910000038 |
FIRESIDE HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-02-06 00:00:00 |
910001533 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Patient Care |
None |
2006-01-16 00:00:00 |
2006-01-16 00:00:00 |
No |
2006-03-01 00:00:00 |
None |
WF |
None |
2500 |
2500 |
0 |
2500 |
0 |
910008605 |
A99999 |
None |
None |
None |
SFY2005-06 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-02-04 00:00:00 |
920001061 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-01-27 00:00:00 |
2000-01-27 00:00:00 |
No |
2000-03-01 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
920005500 |
A99999 |
N |
None |
None |
SFY1999-00 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-11-03 00:00:00 |
920001093 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2000-10-30 00:00:00 |
2000-10-30 00:00:00 |
No |
2000-11-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
920005849 |
A99999 |
N |
None |
None |
SFY2000-01 |
920000006 |
FORESTER HAVEN |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-11-07 00:00:00 |
920001094 |
Closed |
Citation |
Citation Retaliation/Discrimination (HSC 1432) |
Patient Rights |
None |
2000-10-25 00:00:00 |
2000-10-25 00:00:00 |
Yes |
2001-05-10 00:00:00 |
2000-11-15 00:00:00 |
RD |
R/D=<$1000 |
700 |
700 |
0 |
700 |
0 |
920005852 |
A99999 |
None |
None |
None |
SFY2000-01 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-09-20 00:00:00 |
920001163 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-08-26 00:00:00 |
2002-09-20 00:00:00 |
No |
2002-11-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
920006743 |
A99999 |
N |
None |
None |
SFY2002-03 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-12-11 00:00:00 |
920001170 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-13 00:00:00 |
2002-11-13 00:00:00 |
No |
2003-01-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
920006895 |
A99999 |
N |
None |
None |
SFY2002-03 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-12-12 00:00:00 |
920001171 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-22 00:00:00 |
2002-12-12 00:00:00 |
No |
2003-01-08 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
920006880 |
A99999 |
N |
None |
None |
SFY2002-03 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-02-19 00:00:00 |
920001174 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2003-01-24 00:00:00 |
None |
No |
2003-03-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
920006963 |
A99999 |
N |
None |
None |
SFY2002-03 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2004-08-20 00:00:00 |
920001206 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-08-03 00:00:00 |
2004-08-03 00:00:00 |
Yes |
2004-09-20 00:00:00 |
2004-08-31 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
920007816 |
A99999 |
N |
None |
None |
SFY2004-05 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2004-11-23 00:00:00 |
920001208 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-09-06 00:00:00 |
2004-09-06 00:00:00 |
Yes |
2004-12-16 00:00:00 |
2004-11-29 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
920007952 |
A99999 |
N |
None |
None |
SFY2004-05 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-08-21 00:00:00 |
920003301 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-04-01 00:00:00 |
2005-04-01 00:00:00 |
Yes |
2006-09-12 00:00:00 |
2006-09-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
GRVT11 |
N |
CA00085615 |
A |
SFY2006-07 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-08-21 00:00:00 |
920003302 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-03-01 00:00:00 |
2006-03-01 00:00:00 |
Yes |
2006-09-12 00:00:00 |
2006-09-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
UHNP1 |
N |
CA00088807 |
A |
SFY2006-07 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-08-21 00:00:00 |
920003303 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-03-01 00:00:00 |
2006-03-01 00:00:00 |
Yes |
2006-09-12 00:00:00 |
2006-09-11 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
UHNP1 |
N |
CA00088807 |
A |
SFY2006-07 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-07-09 00:00:00 |
920004080 |
Closed |
Citation |
Citation Retaliation/Discrimination (HSC 1432) |
Administration |
Retaliation |
2007-06-12 00:00:00 |
2007-06-12 00:00:00 |
No |
2007-07-30 00:00:00 |
None |
RD |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JXEQ11 |
None |
CA00116726 |
B |
SFY2007-08 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-07-09 00:00:00 |
920004081 |
Closed |
Citation |
Citation Retaliation/Discrimination (HSC 1432) |
Administration |
Retaliation |
2007-06-12 00:00:00 |
2007-06-12 00:00:00 |
No |
2007-07-30 00:00:00 |
None |
RD |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JXEQ11 |
None |
CA00116726 |
B |
SFY2007-08 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-08-09 00:00:00 |
920004170 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-06-02 00:00:00 |
2007-06-02 00:00:00 |
No |
2007-08-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
340511 |
N |
CA00116722 |
A |
SFY2007-08 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-09-10 00:00:00 |
920004267 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2007-08-30 00:00:00 |
2007-08-30 00:00:00 |
No |
2007-10-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
N9L311 |
N |
None |
None |
SFY2007-08 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-12-07 00:00:00 |
920004508 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-03 00:00:00 |
2007-10-03 00:00:00 |
No |
2007-12-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3IP511 |
N |
CA00130833 |
A |
SFY2007-08 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2008-02-13 00:00:00 |
920004587 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-07-12 00:00:00 |
2007-07-12 00:00:00 |
Yes |
2008-03-06 00:00:00 |
2008-03-03 00:00:00 |
A |
A |
20000 |
5000 |
0 |
5000 |
0 |
None |
7ZNI11 |
N |
CA00120983 |
B |
SFY2007-08 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2009-02-04 00:00:00 |
920005857 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2009-01-21 00:00:00 |
2009-01-21 00:00:00 |
No |
2009-02-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
69K411 |
N |
None |
None |
SFY2008-09 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2009-03-04 00:00:00 |
920005931 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-14 00:00:00 |
2009-01-14 00:00:00 |
No |
2009-03-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3GP711 |
N |
CA00175147 |
A |
SFY2008-09 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2010-01-08 00:00:00 |
920006899 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-02-05 00:00:00 |
2009-02-05 00:00:00 |
Yes |
2010-02-02 00:00:00 |
2010-01-14 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
54JJ11 |
N |
CA00175542 |
C |
SFY2009-10 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2011-12-21 00:00:00 |
920008483 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2010-09-06 00:00:00 |
2010-09-06 00:00:00 |
Yes |
2012-01-13 00:00:00 |
2011-12-30 00:00:00 |
AA |
A |
75000 |
40000 |
0 |
40000 |
0 |
None |
FI4Z11 |
Y |
CA00246399 |
B |
SFY2011-12 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2011-09-07 00:00:00 |
920008499 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-07-17 00:00:00 |
2011-07-17 00:00:00 |
No |
2011-09-29 00:00:00 |
None |
A |
None |
7500 |
7500 |
-2625 |
4875 |
0 |
None |
1QF011 |
N |
CA00276212 |
B |
SFY2011-12 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2012-03-16 00:00:00 |
920009122 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-01-11 00:00:00 |
2012-01-11 00:00:00 |
No |
2012-04-06 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
05ET11 |
N |
None |
None |
SFY2011-12 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-11-01 00:00:00 |
920012714 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2016-03-11 00:00:00 |
2016-03-11 00:00:00 |
No |
2016-11-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
NDIN11 |
N |
CA00492032 |
B |
SFY2016-17 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-12-01 00:00:00 |
920012729 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-05-06 00:00:00 |
2016-05-06 00:00:00 |
No |
2016-12-22 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
9J6111 |
N |
CA00493074 |
B |
SFY2016-17 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-12-21 00:00:00 |
920012826 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2015-12-13 00:00:00 |
2015-12-13 00:00:00 |
No |
2017-01-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
38PH11 |
N |
CA00469186 |
B |
SFY2016-17 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-04-24 00:00:00 |
920013129 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-01-07 00:00:00 |
2017-01-07 00:00:00 |
Yes |
2017-05-15 00:00:00 |
2017-04-27 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
NV0W11 |
N |
CA00517253 |
A |
SFY2016-17 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-09-29 00:00:00 |
920013525 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-06-13 00:00:00 |
2017-06-13 00:00:00 |
No |
2017-10-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
R2UT11 |
N |
CA00539185 |
A |
SFY2017-18 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-04-12 00:00:00 |
920014954 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-06-01 00:00:00 |
2018-06-01 00:00:00 |
No |
2019-05-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
UT2T11 |
N |
None |
None |
SFY2018-19 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-04-12 00:00:00 |
920014955 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-01-11 00:00:00 |
2019-01-11 00:00:00 |
No |
2019-05-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
UT2T11 |
N |
CA00623327, CA00623327, CA00623327 |
B, B, B |
SFY2018-19 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-04-22 00:00:00 |
920014970 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-05-08 00:00:00 |
2017-05-08 00:00:00 |
No |
2019-05-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
HIMH11 |
N |
CA00536461, CA00536461 |
B, B |
SFY2018-19 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-05-03 00:00:00 |
920015033 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-01-29 00:00:00 |
2019-01-29 00:00:00 |
No |
2019-05-24 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
WUFO11 |
Y |
CA00623235, CA00623235 |
A, A |
SFY2018-19 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-05-10 00:00:00 |
920015064 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-09-09 00:00:00 |
2017-09-09 00:00:00 |
No |
2019-05-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
35FC11 |
N |
CA00552254 |
B |
SFY2018-19 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-06-10 00:00:00 |
920015139 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-06-01 00:00:00 |
2018-06-01 00:00:00 |
No |
2019-07-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
GG8F11 |
N |
CA00629234 |
B |
SFY2018-19 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-04-06 00:00:00 |
920015826 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2020-02-20 00:00:00 |
2020-02-20 00:00:00 |
No |
2020-04-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
G5LP11 |
N |
None |
None |
SFY2019-20 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-04-06 00:00:00 |
920015827 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2020-02-20 00:00:00 |
2020-02-20 00:00:00 |
No |
2020-04-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
G5LP11 |
N |
None |
None |
SFY2019-20 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-04-06 00:00:00 |
920015828 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2020-02-20 00:00:00 |
2020-02-20 00:00:00 |
No |
2020-04-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
G5LP11 |
N |
None |
None |
SFY2019-20 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-04-06 00:00:00 |
920015829 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2020-02-20 00:00:00 |
2020-02-20 00:00:00 |
No |
2020-04-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
G5LP11 |
N |
None |
None |
SFY2019-20 |
910000038 |
FIRESIDE HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-04-30 00:00:00 |
920015865 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-10-14 00:00:00 |
2019-10-14 00:00:00 |
No |
2020-05-21 00:00:00 |
None |
A |
None |
15000 |
15200 |
-5250 |
9950 |
0 |
None |
GXPP11 |
Y |
CA00673974, CA00673974 |
A, A |
SFY2019-20 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-05-12 00:00:00 |
920016488 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-02-10 00:00:00 |
2021-02-10 00:00:00 |
No |
2021-06-03 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
97IU11 |
N |
CA00725171, CA00726048, CA00726048 |
A, B, B |
SFY2020-21 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-07-16 00:00:00 |
920016710 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-04-21 00:00:00 |
2021-04-21 00:00:00 |
No |
2021-08-06 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
NBYP11 |
N |
CA00733800 |
B |
SFY2021-22 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-09-17 00:00:00 |
920016929 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-07-20 00:00:00 |
2021-07-20 00:00:00 |
Yes |
2021-10-08 00:00:00 |
2021-10-06 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
ZES511 |
N |
None |
None |
SFY2021-22 |
910000038 |
FIRESIDE HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-01-27 00:00:00 |
920017291 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-11-03 00:00:00 |
2021-11-03 00:00:00 |
No |
2022-02-17 00:00:00 |
None |
B |
None |
2000 |
2200 |
0 |
2200 |
0 |
None |
1GCU11 |
N |
None |
None |
SFY2021-22 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-03-17 00:00:00 |
920017498 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2021-07-21 00:00:00 |
2021-07-21 00:00:00 |
No |
2022-04-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
DO9O11 |
N |
CA00766363, CA00766363 |
A, A |
SFY2021-22 |
910000038 |
FIRESIDE HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-03-25 00:00:00 |
920017530 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2021-12-13 00:00:00 |
2021-12-13 00:00:00 |
No |
2022-04-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
YCEC11 |
N |
None |
None |
SFY2021-22 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-09-28 00:00:00 |
920018018 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2022-08-29 00:00:00 |
2022-08-29 00:00:00 |
No |
2022-10-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
9RPM11 |
N |
CA00800175, CA00800175 |
B, B |
SFY2022-23 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-10-14 00:00:00 |
920018085 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-02-28 00:00:00 |
2022-02-28 00:00:00 |
No |
2022-11-04 00:00:00 |
None |
A |
None |
25000 |
75000 |
-26250 |
48750 |
0 |
None |
I4P411 |
N |
CA00796130, CA00796130 |
B, B |
SFY2022-23 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-11-22 00:00:00 |
920019399 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-10-04 00:00:00 |
2023-10-04 00:00:00 |
No |
2023-12-15 00:00:00 |
None |
A |
None |
25000 |
25000 |
-8750 |
16250 |
0 |
None |
5RAT11 |
N |
CA00862262, CA00863178 |
B, B |
SFY2023-24 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-01-11 00:00:00 |
920019588 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-01-15 00:00:00 |
2023-01-15 00:00:00 |
No |
2024-02-01 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
3QHB11 |
N |
CA00870633, CA00870633, CA00870633, CA00870633, CA00870633 |
B, B, B, B, B |
SFY2023-24 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-01-19 00:00:00 |
920019612 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-11-16 00:00:00 |
2023-11-16 00:00:00 |
No |
2024-02-09 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
9K6311 |
N |
CA00871414, CA00871414, CA00871414 |
A, A, A |
SFY2023-24 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-06-14 00:00:00 |
920020321 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-05-02 00:00:00 |
2024-05-02 00:00:00 |
Yes |
2024-07-08 00:00:00 |
2024-06-27 00:00:00 |
A |
None |
25000 |
75000 |
0 |
0 |
75000 |
None |
DH9V11 |
N |
None |
None |
SFY2023-24 |
970000037 |
FLOWER VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-01-07 00:00:00 |
940012872 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-11-09 00:00:00 |
2016-11-09 00:00:00 |
No |
2017-01-30 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
JYRG11 |
N |
None |
None |
SFY2016-17 |
970000037 |
FLOWER VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-02-08 00:00:00 |
940013787 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-12-23 00:00:00 |
2017-12-23 00:00:00 |
No |
2018-03-01 00:00:00 |
None |
A |
None |
20000 |
20050 |
-7000 |
13050 |
0 |
None |
WTEI11 |
N |
None |
None |
SFY2017-18 |
970000037 |
FLOWER VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-01-31 00:00:00 |
940014784 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-10-20 00:00:00 |
2018-10-20 00:00:00 |
No |
2019-02-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
PVI811 |
N |
None |
None |
SFY2018-19 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-01-07 00:00:00 |
950001320 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-03-26 00:00:00 |
None |
No |
2000-02-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
950006212 |
A99999 |
N |
None |
None |
SFY1999-00 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-09-28 00:00:00 |
950001404 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NEGLECT/ABUSE |
2001-08-01 00:00:00 |
None |
No |
2001-12-13 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
950007030 |
A99999 |
N |
None |
None |
SFY2001-02 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-07-03 00:00:00 |
950009371 |
Closed |
Citation |
Citation AA (HSC 1424) |
Physical Environment |
None |
2011-12-28 00:00:00 |
2011-12-28 00:00:00 |
Yes |
2012-07-25 00:00:00 |
2012-07-17 00:00:00 |
AA |
AA |
80000 |
52000 |
-0.01 |
51999.99 |
0 |
None |
6M4I11 |
Y |
CA00259599 |
A |
SFY2012-13 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-05-24 00:00:00 |
950012064 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2015-03-05 00:00:00 |
2015-03-05 00:00:00 |
Yes |
2016-06-15 00:00:00 |
2016-06-15 00:00:00 |
AA |
AA |
100000 |
50000 |
0 |
50000 |
0 |
None |
E5GN11 |
Y |
CA00433847 |
A |
SFY2015-16 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-06-09 00:00:00 |
950013274 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-04-04 00:00:00 |
2017-04-04 00:00:00 |
No |
2017-06-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
9LZI11 |
N |
CA00527715 |
B |
SFY2016-17 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-11-22 00:00:00 |
950013644 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-11-06 00:00:00 |
2017-11-06 00:00:00 |
No |
2017-12-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
J7UT11 |
N |
CA00554654 |
B |
SFY2017-18 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2017-11-22 00:00:00 |
950013645 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-11-06 00:00:00 |
2017-11-06 00:00:00 |
No |
2017-12-15 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
J7UT11 |
N |
None |
None |
SFY2017-18 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-05-02 00:00:00 |
950014042 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-10-27 00:00:00 |
2017-10-27 00:00:00 |
No |
2018-05-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
MBYW11 |
N |
CA00559802, CA00559802 |
B, B |
SFY2017-18 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-08-16 00:00:00 |
950014341 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-01-31 00:00:00 |
2018-01-31 00:00:00 |
No |
2018-09-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
O2XG11 |
N |
CA00571859, CA00571859, CA00574968 |
B, B, A |
SFY2018-19 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2020-10-09 00:00:00 |
950016044 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-08-20 00:00:00 |
2020-08-20 00:00:00 |
No |
2020-10-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
NQG011 |
N |
CA00701853, CA00701853 |
A, A |
SFY2020-21 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2020-09-25 00:00:00 |
950016061 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-05-30 00:00:00 |
2020-05-30 00:00:00 |
No |
2020-10-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
WHCB11 |
N |
CA00690707, CA00690743 |
A, A |
SFY2020-21 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2020-11-25 00:00:00 |
950016170 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2020-10-01 00:00:00 |
2020-10-01 00:00:00 |
No |
2020-12-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
CVGL11 |
N |
CA00707189, CA00707189, CA00708050, CA00708050 |
A, A, B, B |
SFY2020-21 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-02-11 00:00:00 |
950016276 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-10-02 00:00:00 |
2020-10-02 00:00:00 |
No |
2021-03-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
PHOG11 |
N |
CA00712662, CA00713242, CA00713242 |
A, B, B |
SFY2020-21 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-10-15 00:00:00 |
950017021 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-03-29 00:00:00 |
2021-03-29 00:00:00 |
No |
2021-11-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
IHKC11 |
N |
CA00737426, CA00737426 |
A, A |
SFY2021-22 |
950000006 |
FIDELITY HEALTH CARE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-02-11 00:00:00 |
950017344 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-11-29 00:00:00 |
2021-11-29 00:00:00 |
No |
2022-03-07 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
06DN11 |
N |
CA00761364 |
B |
SFY2021-22 |
960001907 |
FAIRVIEW HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-03-14 00:00:00 |
960000835 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-02-23 00:00:00 |
None |
No |
2000-04-04 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
960006924 |
A99999 |
N |
None |
None |
SFY1999-00 |
960002316 |
FLORINDA STREET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-03-30 00:00:00 |
960000845 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-17 00:00:00 |
None |
No |
2000-04-20 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
960006950 |
A99999 |
N |
None |
None |
SFY1999-00 |
960001907 |
FAIRVIEW HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-02-14 00:00:00 |
960000886 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-01-22 00:00:00 |
None |
No |
2001-03-21 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
960007526 |
A99999 |
N |
None |
None |
SFY2000-01 |
960002295 |
FORBES DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-06-28 00:00:00 |
960000914 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-06-04 00:00:00 |
None |
No |
2001-08-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960007866 |
A99999 |
N |
None |
None |
SFY2000-01 |
960001748 |
FERNWOOD HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2002-05-22 00:00:00 |
960000972 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-05-15 00:00:00 |
None |
No |
2002-06-13 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
960008557 |
A99999 |
N |
None |
None |
SFY2001-02 |
960002295 |
FORBES DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2002-05-24 00:00:00 |
960000973 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-05-20 00:00:00 |
None |
No |
2002-06-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960008564 |
A99999 |
N |
None |
None |
SFY2001-02 |
960000943 |
FENTON HOUSE ICF/DD-H |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-10-01 00:00:00 |
960001035 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-07-11 00:00:00 |
None |
No |
2003-10-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009405 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002316 |
FLORINDA STREET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-05-25 00:00:00 |
960003120 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-03-19 00:00:00 |
2006-03-19 00:00:00 |
No |
2006-07-06 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
X4C111 |
N |
CA00075852 |
B |
SFY2005-06 |
960001911 |
FELIZ HEALTH CARE CENTER II |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-06-30 00:00:00 |
960003189 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2004-03-13 00:00:00 |
2004-03-13 00:00:00 |
No |
2006-07-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
629J11 |
N |
None |
None |
SFY2005-06 |
960002295 |
FORBES DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-10-24 00:00:00 |
960003442 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-06-08 00:00:00 |
2006-06-08 00:00:00 |
No |
2006-11-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z1NY11 |
N |
CA00083286 |
D |
SFY2006-07 |
960002316 |
FLORINDA STREET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-12-28 00:00:00 |
960004528 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-22 00:00:00 |
2007-09-22 00:00:00 |
No |
2008-01-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I6VU11 |
N |
CA00131613 |
C |
SFY2007-08 |
960002316 |
FLORINDA STREET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2011-12-06 00:00:00 |
960008789 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-07-07 00:00:00 |
2011-07-07 00:00:00 |
No |
2011-12-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3GVN11 |
N |
None |
None |
SFY2011-12 |
960001792 |
FELIZ HEALTH CARE CENTER |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2022-10-14 00:00:00 |
960018088 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-08-22 00:00:00 |
2022-08-22 00:00:00 |
No |
2022-11-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
63XS11 |
N |
CA00799130 |
A |
SFY2022-23 |
960002316 |
FLORINDA STREET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2023-10-19 00:00:00 |
960019279 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2023-09-26 00:00:00 |
2023-09-26 00:00:00 |
No |
2023-11-09 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
P4MX11 |
N |
CA00864318 |
B |
SFY2023-24 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-12-01 00:00:00 |
970001203 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-11-16 00:00:00 |
None |
No |
2000-12-22 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
970006092 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-03-21 00:00:00 |
970001374 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-18 00:00:00 |
None |
Yes |
2002-04-22 00:00:00 |
2002-04-01 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
970007046 |
A99999 |
N |
None |
None |
SFY2001-02 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2005-03-10 00:00:00 |
970001454 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2004-09-20 00:00:00 |
None |
Yes |
2005-04-12 00:00:00 |
2005-03-31 00:00:00 |
AA |
A |
70000 |
70000 |
0 |
70000 |
0 |
970008150 |
A99999 |
Y |
None |
None |
SFY2004-05 |
970000037 |
FLOWER VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-12-28 00:00:00 |
970004548 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-12-07 00:00:00 |
2007-12-07 00:00:00 |
No |
2008-01-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
VQK811 |
N |
None |
None |
SFY2007-08 |
970000037 |
FLOWER VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-12-28 00:00:00 |
970004549 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-12-05 00:00:00 |
2007-12-05 00:00:00 |
No |
2008-01-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
VQK811 |
N |
None |
None |
SFY2007-08 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2008-06-23 00:00:00 |
970004730 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-02-27 00:00:00 |
2008-02-27 00:00:00 |
No |
2008-07-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
SGGD11 |
N |
None |
None |
SFY2007-08 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-09-17 00:00:00 |
970006563 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-03-05 00:00:00 |
2008-03-05 00:00:00 |
No |
2009-10-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5INU11 |
N |
CA00143139 |
C |
SFY2009-10 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-03-26 00:00:00 |
970009181 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2012-02-17 00:00:00 |
2012-02-17 00:00:00 |
No |
2012-04-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
1F1L11 |
N |
CA00299588 |
B |
SFY2011-12 |
630014467 |
FAMILY CIRCLE CLHF, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2017-01-04 00:00:00 |
980012854 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-10-04 00:00:00 |
2016-10-04 00:00:00 |
No |
2017-01-26 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
SCV511 |
N |
CA00505991 |
A |
SFY2016-17 |
630014467 |
FAMILY CIRCLE CLHF, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2022-11-03 00:00:00 |
980018141 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-03-03 00:00:00 |
2022-03-03 00:00:00 |
No |
2022-11-28 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
3OCN11 |
N |
CA00775218, CA00775218, CA00775218 |
A, A, A |
SFY2022-23 |
630014231 |
FENTON VILLA, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-06-15 00:00:00 |
980018870 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-06-02 00:00:00 |
2023-06-02 00:00:00 |
No |
2023-07-07 00:00:00 |
None |
B |
None |
1000 |
1300 |
0 |
0 |
1300 |
None |
53GX11 |
N |
None |
None |
SFY2022-23 |
630014231 |
FENTON VILLA, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-06-16 00:00:00 |
980018879 |
Open |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2023-06-02 00:00:00 |
2023-06-02 00:00:00 |
Yes |
2023-07-10 00:00:00 |
2023-08-08 00:00:00 |
B |
None |
1000 |
2000 |
0 |
1000 |
1000 |
None |
53GX11 |
N |
None |
None |
SFY2022-23 |
630014467 |
FAMILY CIRCLE CLHF, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-10-19 00:00:00 |
980019284 |
Open |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2023-09-12 00:00:00 |
2023-09-12 00:00:00 |
No |
2023-11-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
0 |
1000 |
None |
QB0P11 |
N |
CA00860331, CA00860331 |
A, A |
SFY2023-24 |
630015889 |
FIVE POINT CARE, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-03-21 00:00:00 |
980019893 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-01-23 00:00:00 |
2024-01-23 00:00:00 |
No |
2024-04-12 00:00:00 |
None |
B |
None |
1000 |
2050 |
0 |
1000 |
1050 |
None |
ZREV11 |
N |
CA00881015, CA00881015, CA00881015 |
A, A, A |
SFY2023-24 |
630015889 |
FIVE POINT CARE, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-04-04 00:00:00 |
980019959 |
Open |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2024-03-19 00:00:00 |
2024-03-19 00:00:00 |
No |
2024-04-25 00:00:00 |
None |
B |
None |
1000 |
1400 |
0 |
1000 |
400 |
None |
98WE11 |
N |
None |
None |
SFY2023-24 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2023-10-26 00:00:00 |
990019286 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-07-25 00:00:00 |
2023-07-25 00:00:00 |
No |
2023-11-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
OJ8611 |
N |
CA00852800 |
A |
SFY2023-24 |
100000003 |
FAIRMONT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-12-23 00:00:00 |
030017200 |
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 |
2022-01-07 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
7EWF11 |
None |
None |
None |
SFY2021-22 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2017-05-04 00:00:00 |
040013168 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2015-08-23 00:00:00 |
2015-11-22 00:00:00 |
Yes |
2017-05-19 00:00:00 |
None |
AP NHPPD |
APPEAL WITHDRAWN BY |
15000 |
15000 |
0 |
15000 |
0 |
None |
GT2T11 |
None |
None |
None |
SFY2016-17 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2021-02-24 00:00:00 |
810016287 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
2021-03-11 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
4CIJ11 |
None |
None |
None |
SFY2020-21 |
030001819 |
FULTON GARDENS POST ACUTE, LLC |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2021-07-20 00:00:00 |
810016753 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-10-01 00:00:00 |
3019-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
RVZC11 |
None |
None |
None |
SFY2021-22 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2021-09-01 00:00:00 |
810016805 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-09-16 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
-15000 |
0 |
0 |
None |
RSPW11 |
None |
None |
None |
SFY2021-22 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-08-23 00:00:00 |
810016821 |
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 |
2021-09-07 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
3O1211 |
None |
None |
None |
SFY2021-22 |
970000174 |
FOOTHILL HEIGHTS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-08-31 00:00:00 |
810016840 |
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 |
Yes |
2021-09-15 00:00:00 |
2021-09-04 00:00:00 |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
ENL011 |
None |
None |
None |
SFY2021-22 |
090000054 |
FREDERICKA MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2021-09-02 00:00:00 |
810016855 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-09-17 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
RTX011 |
None |
None |
None |
SFY2021-22 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-12-07 00:00:00 |
810017140 |
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 |
2021-12-22 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
KMRL11 |
None |
None |
None |
SFY2021-22 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-03-15 00:00:00 |
810017469 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2019-08-01 00:00:00 |
2019-10-31 00:00:00 |
No |
2022-03-30 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
P4BZ11 |
None |
None |
None |
SFY2021-22 |
110000018 |
FAIRFIELD POST ACUTE REHABILITATION |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-04-19 00:00:00 |
810017565 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-05-04 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
JDUF11 |
None |
None |
None |
SFY2021-22 |
910000038 |
FIRESIDE HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-06-14 00:00:00 |
810017693 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-06-29 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
DNNE11 |
None |
None |
None |
SFY2021-22 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2022-06-30 00:00:00 |
810017735 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-07-15 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
6LMD11 |
None |
None |
None |
SFY2021-22 |
230000037 |
FEATHER RIVER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Chico |
2022-10-25 00:00:00 |
810018090 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-07-01 00:00:00 |
2020-09-30 00:00:00 |
No |
2022-11-16 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
XLWA11 |
None |
None |
None |
SFY2022-23 |
040000004 |
FRESNO POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2023-01-19 00:00:00 |
810018307 |
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 |
2023-02-09 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
K3WC11 |
None |
None |
None |
SFY2022-23 |
040000043 |
FRESNO NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2023-01-12 00:00:00 |
810018336 |
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 |
TXID11 |
None |
None |
None |
SFY2022-23 |
040000025 |
FOWLER CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2023-12-13 00:00:00 |
810019473 |
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 |
SS5D11 |
None |
None |
None |
SFY2023-24 |
080000053 |
FALLBROOK SKILLED NURSING |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2023-12-27 00:00:00 |
810019518 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-09-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2024-01-19 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
P11E11 |
None |
None |
None |
SFY2023-24 |
100000003 |
FAIRMONT REHABILITATION HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2024-01-17 00:00:00 |
810019583 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2024-02-07 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
P73411 |
None |
None |
None |
SFY2023-24 |
030000071 |
FAIR OAKS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2024-02-20 00:00:00 |
810019728 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2024-03-12 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
4PF611 |
None |
None |
None |
SFY2023-24 |
010000075 |
FORTUNA REHABILITATION & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2024-04-11 00:00:00 |
810019957 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-05-02 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
XV5P11 |
None |
None |
None |
SFY2023-24 |
970000015 |
FOUNTAIN VIEW SUBACUTE AND NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-04-24 00:00:00 |
810020015 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-05-15 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
8H9Z11 |
None |
None |
None |
SFY2023-24 |
090000054 |
FREDERICKA MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2024-06-27 00:00:00 |
810020355 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-07-19 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
3P3K11 |
None |
None |
None |
SFY2023-24 |
920000004 |
FOUR SEASONS HEALTHCARE & WELLNESS CENTER, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2013-06-20 00:00:00 |
920009955 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-03-19 00:00:00 |
2012-06-03 00:00:00 |
No |
2013-07-05 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
3JFP11 |
None |
None |
None |
SFY2012-13 |
970000037 |
FLOWER VILLA, INC. |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2013-07-19 00:00:00 |
940009801 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2011-10-04 00:00:00 |
2011-12-31 00:00:00 |
No |
2013-08-03 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
733E11 |
None |
None |
None |
SFY2013-14 |
140000707 |
FREMONT HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
East Bay |
2017-05-03 00:00:00 |
020013172 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2016-12-03 00:00:00 |
2016-12-03 00:00:00 |
No |
2017-05-24 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
1FR811 |
Y |
CA00512985 |
A |
SFY2016-17 |
100001176 |
FIRST CALL HOME HEALTH |
Non-LTC |
HHA |
Home Health Agency |
Sacramento |
2017-08-15 00:00:00 |
030013434 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2010-11-03 00:00:00 |
2010-11-03 00:00:00 |
No |
2017-09-06 00:00:00 |
None |
FTR RES |
None |
600 |
600 |
0 |
600 |
0 |
None |
999999 |
None |
None |
None |
SFY2017-18 |
040001397 |
FRESNO HEART AND SURGICAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2008-02-25 00:00:00 |
040004709 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2007-12-22 00:00:00 |
2007-12-22 00:00:00 |
Yes |
2008-03-17 00:00:00 |
2008-03-05 00:00:00 |
FTR AE |
None |
4000 |
4000 |
0 |
4000 |
0 |
None |
J9YX11 |
N |
CA00139709 |
B |
SFY2007-08 |
040000254 |
FRESNO SURGICAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2011-10-10 00:00:00 |
040008688 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2011-02-08 00:00:00 |
2011-02-08 00:00:00 |
No |
2013-02-26 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
NZ0L11 |
N |
CA00258732 |
C |
SFY2011-12 |
040000254 |
FRESNO SURGICAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2011-10-10 00:00:00 |
040008690 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2009-05-12 00:00:00 |
2009-05-12 00:00:00 |
No |
2011-12-30 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
KRE011 |
N |
CA00246867 |
D |
SFY2011-12 |
040000254 |
FRESNO SURGICAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2015-11-20 00:00:00 |
040011829 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2015-05-20 00:00:00 |
2015-05-20 00:00:00 |
No |
2015-12-15 00:00:00 |
None |
AP NON-IJ |
None |
3750 |
3750 |
0 |
3750 |
0 |
None |
24T311 |
N |
CA00444060 |
B |
SFY2015-16 |
040000254 |
FRESNO SURGICAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2016-09-16 00:00:00 |
040012580 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2015-12-16 00:00:00 |
2015-12-16 00:00:00 |
No |
2016-10-07 00:00:00 |
None |
AP NON-IJ |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
ZD1O11 |
N |
CA00469450 |
A |
SFY2016-17 |
040001397 |
FRESNO HEART AND SURGICAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Fresno |
2018-08-24 00:00:00 |
040014355 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2017-03-03 00:00:00 |
2017-03-03 00:00:00 |
Yes |
2019-02-28 00:00:00 |
2019-02-19 00:00:00 |
AP IJ |
AP IJ |
42750 |
32063 |
0 |
32063 |
0 |
None |
6SQZ11 |
N |
CA00529409 |
B |
SFY2018-19 |
050000016 |
FRENCH HOSPITAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2017-08-29 00:00:00 |
050012336 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2011-09-01 00:00:00 |
2011-09-01 00:00:00 |
No |
2017-09-20 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
C7SF11 |
N |
CA00433908 |
B |
SFY2017-18 |
050000016 |
FRENCH HOSPITAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Ventura |
2023-05-17 00:00:00 |
050018755 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2022-10-20 00:00:00 |
2022-10-20 00:00:00 |
No |
2023-06-08 00:00:00 |
None |
AP NON-IJ |
None |
11362.5 |
11362.5 |
0 |
11362.5 |
0 |
None |
QWI411 |
N |
CA00808777, CA00808777 |
A, A |
SFY2022-23 |
060000013 |
FOOTHILL REGIONAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2018-03-14 00:00:00 |
060013901 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2016-03-13 00:00:00 |
2016-03-13 00:00:00 |
Yes |
2018-04-06 00:00:00 |
2018-03-26 00:00:00 |
AP NON-IJ |
AP NON-IJ |
13200 |
10000 |
0 |
10000 |
0 |
None |
G3OS11 |
N |
CA00480627, CA00480627, CA00480627 |
B, B, B |
SFY2017-18 |
080000043 |
FALLBROOK HOSPITAL DISTRICT |
Non-LTC |
GACH |
General Acute Care Hospital |
San Diego |
2011-01-10 00:00:00 |
080008896 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2011-01-05 00:00:00 |
2011-01-05 00:00:00 |
No |
2013-06-26 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
7G7611 |
N |
CA00254765 |
B |
SFY2010-11 |
080000043 |
FALLBROOK HOSPITAL DISTRICT |
Non-LTC |
GACH |
General Acute Care Hospital |
San Diego |
2014-04-25 00:00:00 |
080010663 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach of IT system theft/loss of edevice/med rec |
None |
2014-03-28 09:00:00 |
2014-03-28 09:00:00 |
No |
2014-05-16 00:00:00 |
None |
FTR BR |
None |
1200 |
1200 |
0 |
1200 |
0 |
None |
OEK911 |
None |
CA00395210 |
D |
SFY2013-14 |
080000043 |
FALLBROOK HOSPITAL DISTRICT |
Non-LTC |
GACH |
General Acute Care Hospital |
San Diego |
2014-04-25 00:00:00 |
080010665 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2014-03-28 10:45:00 |
2014-03-28 10:45:00 |
No |
2014-05-16 00:00:00 |
None |
FTR BR |
None |
1100 |
1100 |
0 |
1100 |
0 |
None |
HMY511 |
None |
CA00395212 |
D |
SFY2013-14 |
110001143 |
FRESENIUS MEDICAL CARE OF EUREKA |
Non-LTC |
ESRD/CDC |
Chronic Dialysis Clinic |
Santa Rosa |
2014-02-07 00:00:00 |
110010330 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Other |
Loss of Medical Records |
2012-12-11 00:00:00 |
2012-12-11 00:00:00 |
No |
2014-03-03 00:00:00 |
None |
FTR RES |
None |
3000 |
3000 |
-750 |
2250 |
0 |
None |
CXY311 |
None |
CA00341245 |
C |
SFY2013-14 |
110001143 |
FRESENIUS MEDICAL CARE OF EUREKA |
Non-LTC |
ESRD/CDC |
Chronic Dialysis Clinic |
Santa Rosa |
2014-03-11 00:00:00 |
110010333 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Other |
Loss of Medical Record |
2012-12-11 00:00:00 |
2012-12-11 00:00:00 |
No |
2014-04-02 00:00:00 |
None |
FTR BR |
None |
4100 |
4100 |
-1025 |
3075 |
0 |
None |
CXY311 |
None |
CA00341245 |
C |
SFY2013-14 |
120001471 |
FAMILY HEALTHCARE NETWORK |
Non-LTC |
COMTYC |
Primary Care Clinic |
Bakersfield |
2016-02-03 00:00:00 |
120011851 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2014-08-11 00:00:00 |
2014-08-11 00:00:00 |
No |
2016-02-25 00:00:00 |
None |
AP BR |
None |
12750 |
12750 |
-3187.5 |
9562.5 |
0 |
None |
97E311 |
None |
CA00409572 |
B |
SFY2015-16 |
120001653 |
FAMILY HEALTHCARE NETWORK |
Non-LTC |
COMTYC |
Primary Care Clinic |
Bakersfield |
2017-06-14 00:00:00 |
120013016 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2016-06-23 00:00:00 |
2016-06-23 00:00:00 |
No |
2017-07-07 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-25000 |
0 |
0 |
None |
WBIM11 |
None |
CA00497267 |
C |
SFY2016-17 |
630016214 |
FAMILY HEALTHCARE NETWORK |
Non-LTC |
COMTYC |
Primary Care Clinic |
Bakersfield |
2018-03-29 00:00:00 |
120014037 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2017-09-30 00:00:00 |
2017-09-30 00:00:00 |
No |
2019-04-12 00:00:00 |
None |
AP BR |
None |
7500 |
7500 |
-1875 |
5625 |
0 |
None |
XT5H11 |
None |
CA00560339 |
D |
SFY2017-18 |
230000089 |
FEATHER RIVER TRIBAL HEALTH, INC. |
Non-LTC |
COMTYC |
Primary Care Clinic |
Chico |
2010-08-20 00:00:00 |
230007469 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach of IT system theft/loss of edevice/med rec |
None |
2010-05-06 00:00:00 |
2010-05-06 00:00:00 |
No |
2010-09-14 00:00:00 |
None |
FTR BR |
None |
700 |
700 |
0 |
700 |
0 |
None |
M6LV11 |
None |
CA00229590 |
E |
SFY2010-11 |
230000089 |
FEATHER RIVER TRIBAL HEALTH, INC. |
Non-LTC |
COMTYC |
Primary Care Clinic |
Chico |
2011-05-24 00:00:00 |
230008247 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2011-04-06 00:00:00 |
2011-04-06 00:00:00 |
No |
2014-02-14 00:00:00 |
None |
AP BR |
None |
5000 |
5000 |
-1250 |
3750 |
0 |
None |
8MK111 |
None |
CA00265525 |
D |
SFY2010-11 |