010000507 |
HOLLY HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2000-02-09 00:00:00 |
010001715 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ADMINISTRATION/PTCAR |
2000-01-18 00:00:00 |
None |
No |
2000-03-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010012106 |
A99999 |
N |
None |
None |
SFY1999-00 |
010000507 |
HOLLY HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2000-06-01 00:00:00 |
010001750 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-05-02 00:00:00 |
2000-05-05 00:00:00 |
No |
2000-06-23 00:00:00 |
None |
B |
None |
800 |
900 |
-280 |
620 |
0 |
010012654 |
A99999 |
N |
None |
None |
SFY1999-00 |
010000765 |
HOPE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-06-07 00:00:00 |
010001849 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2001-05-11 00:00:00 |
2001-05-11 00:00:00 |
No |
2001-06-28 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
010014297 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-10-25 00:00:00 |
010001898 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ENFORCEMENT |
2001-06-24 00:00:00 |
2001-10-04 00:00:00 |
No |
2001-11-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010014757 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-11-01 00:00:00 |
010001900 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-03-23 00:00:00 |
2001-10-02 00:00:00 |
No |
2001-11-27 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
010014765 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000765 |
HOPE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-11-30 00:00:00 |
010001911 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-03-26 00:00:00 |
2001-10-30 00:00:00 |
Yes |
2004-05-26 00:00:00 |
2001-12-13 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
010014900 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000507 |
HOLLY HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-12-04 00:00:00 |
010001912 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-09-24 00:00:00 |
2001-09-24 00:00:00 |
No |
2001-12-27 00:00:00 |
None |
B |
None |
1000 |
2700 |
0 |
2700 |
0 |
010014908 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000507 |
HOLLY HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-12-19 00:00:00 |
010001917 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-07-28 00:00:00 |
2001-09-20 00:00:00 |
No |
2002-01-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010014954 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2002-03-22 00:00:00 |
010001932 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-02-15 00:00:00 |
2002-02-21 00:00:00 |
No |
2002-04-17 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
010015126 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2002-03-22 00:00:00 |
010001933 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-02-15 00:00:00 |
2002-02-21 00:00:00 |
No |
2002-04-17 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
010015132 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2003-03-20 00:00:00 |
010002017 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-06-09 00:00:00 |
2002-06-10 00:00:00 |
Yes |
2003-04-11 00:00:00 |
2003-04-03 00:00:00 |
A |
A |
10000 |
10000 |
0 |
10000 |
0 |
010015425 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-02-06 00:00:00 |
010002082 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2004-01-12 00:00:00 |
2004-01-12 00:00:00 |
No |
2004-03-02 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
010017455 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-02-06 00:00:00 |
010002084 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
A,P |
2004-01-12 00:00:00 |
2004-01-12 00:00:00 |
No |
2004-03-02 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
010017321 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-03-02 00:00:00 |
010002088 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PT CARE/STAFFING/DIE |
2004-01-12 00:00:00 |
None |
No |
2004-03-23 00:00:00 |
None |
B |
None |
1000 |
1700 |
-350 |
1350 |
0 |
010017499 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000079 |
HILLCREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-06-29 00:00:00 |
010002111 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-17 00:00:00 |
2004-02-17 00:00:00 |
Yes |
2004-07-21 00:00:00 |
2004-07-02 00:00:00 |
B |
Drop>Deficiency |
750 |
0 |
0 |
0 |
0 |
010017825 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000765 |
HOPE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-10-12 00:00:00 |
010002128 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2004-08-09 00:00:00 |
2004-08-09 00:00:00 |
No |
2004-11-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010018026 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000575 |
HOLLY HOME #2 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2004-10-12 00:00:00 |
010002129 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-10 00:00:00 |
2004-05-10 00:00:00 |
No |
2004-12-01 00:00:00 |
None |
B |
None |
500 |
500 |
-500 |
0 |
0 |
010018027 |
A99999 |
N |
None |
None |
SFY2004-05 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
1999-06-16 00:00:00 |
020002371 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-02-05 00:00:00 |
None |
Yes |
1999-07-14 00:00:00 |
1999-06-29 00:00:00 |
A |
A |
9000 |
6300 |
-6300 |
0 |
0 |
020010074 |
A99999 |
N |
None |
None |
SFY1998-99 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
1999-07-29 00:00:00 |
020002387 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-03-28 00:00:00 |
None |
Yes |
1999-08-25 00:00:00 |
1999-08-11 00:00:00 |
A |
A |
10000 |
7000 |
-7000 |
0 |
0 |
020010274 |
A99999 |
N |
None |
None |
SFY1999-00 |
020000047 |
HAYWARD HILLS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-09-22 00:00:00 |
020002557 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-08-26 00:00:00 |
None |
No |
2000-10-20 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
020012248 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000047 |
HAYWARD HILLS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-11-21 00:00:00 |
020002574 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-10-25 00:00:00 |
None |
No |
2000-12-19 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
020012527 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2000-11-21 00:00:00 |
020002575 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-11-04 00:00:00 |
None |
No |
2000-12-15 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
020012560 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-01-26 00:00:00 |
020002585 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-01 00:00:00 |
None |
No |
2001-02-22 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
020012845 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000047 |
HAYWARD HILLS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2001-03-19 00:00:00 |
020002603 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-02-22 00:00:00 |
None |
Yes |
2001-09-06 00:00:00 |
2001-04-04 00:00:00 |
B |
B |
600 |
1800 |
0 |
1800 |
0 |
020013140 |
A99999 |
N |
None |
None |
SFY2000-01 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-02-22 00:00:00 |
020002687 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-27 00:00:00 |
None |
No |
2002-03-19 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
020013836 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-05-02 00:00:00 |
020002699 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-08-29 00:00:00 |
2001-12-26 00:00:00 |
Yes |
2002-05-30 00:00:00 |
2002-05-13 00:00:00 |
A |
A |
15000 |
7500 |
0 |
7500 |
0 |
020014085 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-05-29 00:00:00 |
020002702 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2002-03-07 00:00:00 |
None |
Yes |
2002-12-16 00:00:00 |
2002-06-06 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
020014135 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000039 |
HAYWARD HEALTHCARE & WELLNESS CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-06-26 00:00:00 |
020002704 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-12-10 00:00:00 |
2001-12-23 00:00:00 |
Yes |
2002-07-22 00:00:00 |
2002-07-02 00:00:00 |
A |
B |
10000 |
10000 |
0 |
10000 |
0 |
020014025 |
A99999 |
N |
None |
None |
SFY2001-02 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-07-11 00:00:00 |
020002708 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-02-05 00:00:00 |
None |
No |
2002-08-05 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
020014315 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2002-07-11 00:00:00 |
020002709 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-06-11 00:00:00 |
None |
No |
2002-08-05 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
020014415 |
A99999 |
N |
None |
None |
SFY2002-03 |
020000047 |
HAYWARD HILLS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2004-09-29 00:00:00 |
020002816 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-08-15 00:00:00 |
None |
No |
2004-10-28 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
020016552 |
A99999 |
N |
None |
None |
SFY2004-05 |
020000047 |
HAYWARD HILLS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2005-03-01 00:00:00 |
020002828 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-01-27 00:00:00 |
None |
No |
2005-04-01 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
020016785 |
A99999 |
N |
None |
None |
SFY2004-05 |
020000047 |
HAYWARD HILLS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2012-03-20 00:00:00 |
020009163 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-10-29 00:00:00 |
2010-10-29 00:00:00 |
No |
2012-04-10 00:00:00 |
None |
B |
None |
700 |
700 |
0 |
700 |
0 |
None |
1MH711 |
N |
CA00249074 |
B |
SFY2011-12 |
020000103 |
HAYWARD GARDENS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2016-04-13 00:00:00 |
020012177 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-10-09 00:00:00 |
2015-10-09 00:00:00 |
Yes |
2016-05-04 00:00:00 |
2016-05-02 00:00:00 |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
G9IQ11 |
Y |
CA00461776, CA00461776, CA00461776 |
B, B, B |
SFY2015-16 |
140001362 |
HAPPY VALLEY #6 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2018-05-30 00:00:00 |
020014088 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-11-22 00:00:00 |
2017-11-22 00:00:00 |
No |
2018-06-20 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
2LBZ11 |
Y |
CA00562937 |
B |
SFY2017-18 |
020000047 |
HAYWARD HILLS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
East Bay |
2019-06-25 00:00:00 |
020015176 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-04-30 00:00:00 |
2019-04-30 00:00:00 |
No |
2019-07-16 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
M4ZF11 |
N |
CA00635860 |
B |
SFY2018-19 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-10-01 00:00:00 |
030004295 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse/ Facility Reported |
2007-07-01 00:00:00 |
2007-07-01 00:00:00 |
No |
2007-11-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2V7V11 |
N |
CA00119212 |
A |
SFY2007-08 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-06-18 00:00:00 |
030005146 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-08-17 00:00:00 |
2006-08-17 00:00:00 |
No |
2008-07-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
WWWD11 |
N |
CA00122279 |
B |
SFY2007-08 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-06-18 00:00:00 |
030005147 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-08-17 00:00:00 |
2006-08-17 00:00:00 |
No |
2008-07-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
WWWD11 |
N |
CA00122279 |
B |
SFY2007-08 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-08-26 00:00:00 |
030005356 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-05-09 00:00:00 |
2008-05-09 00:00:00 |
No |
2008-09-17 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
R2Z811 |
N |
CA00149935 |
B |
SFY2008-09 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2009-04-01 00:00:00 |
030006022 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-12-06 00:00:00 |
2007-12-06 00:00:00 |
No |
2009-04-24 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
Y8JG11 |
N |
CA00134699, CA00134852 |
B, B |
SFY2008-09 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2009-04-01 00:00:00 |
030006038 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-12-06 00:00:00 |
2007-12-06 00:00:00 |
No |
2009-04-24 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
Y8JG11 |
N |
CA00134699, CA00134852 |
B, B |
SFY2008-09 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2009-10-23 00:00:00 |
030006628 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-06-06 00:00:00 |
2008-06-06 00:00:00 |
No |
2009-11-16 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
6TC611 |
N |
CA00154975 |
B |
SFY2009-10 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2011-08-24 00:00:00 |
030008488 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-11-10 00:00:00 |
2009-11-10 00:00:00 |
No |
2011-09-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
39FH11 |
N |
CA00207911 |
B |
SFY2011-12 |
630011271 |
HAPPY RANCH PROGRAM |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Sacramento |
2012-10-25 00:00:00 |
030009566 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-06-26 00:00:00 |
2010-06-26 00:00:00 |
No |
2012-11-16 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
O3WL11 |
N |
CA00233858 |
C |
SFY2012-13 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2013-01-15 00:00:00 |
030009691 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-12-26 00:00:00 |
2009-12-26 00:00:00 |
No |
2013-02-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4MI011 |
N |
CA00212891 |
B |
SFY2012-13 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2019-04-04 00:00:00 |
030014914 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-06-24 00:00:00 |
2017-06-24 00:00:00 |
No |
2019-04-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
OIBQ11 |
N |
CA00541278, CA00541278 |
B, B |
SFY2018-19 |
040000014 |
HORIZON HEALTH & SUBACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-08-09 00:00:00 |
040001181 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1998-08-13 00:00:00 |
1998-08-13 00:00:00 |
Yes |
2000-08-31 00:00:00 |
2000-08-09 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
040011097 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000047 |
HEALTHCARE CENTRE OF FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-07-24 00:00:00 |
040001224 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
GENERAL MAINTENANCE |
2001-04-25 00:00:00 |
2001-04-25 00:00:00 |
No |
2001-08-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040012019 |
A99999 |
N |
None |
None |
SFY2001-02 |
040000047 |
HEALTHCARE CENTRE OF FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-06-27 00:00:00 |
040001261 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-25 00:00:00 |
2002-03-25 00:00:00 |
No |
2002-07-22 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
040013170 |
A99999 |
N |
None |
None |
SFY2001-02 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-04-17 00:00:00 |
040001310 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-01-11 00:00:00 |
2000-01-11 00:00:00 |
No |
2000-05-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
040013925 |
A99999 |
N |
None |
None |
SFY1999-00 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2001-10-02 00:00:00 |
040001311 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-04 00:00:00 |
None |
No |
2001-10-24 00:00:00 |
None |
B |
None |
300 |
300 |
0 |
300 |
0 |
040013937 |
A99999 |
N |
None |
None |
SFY2001-02 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-01-16 00:00:00 |
040001312 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-03 00:00:00 |
None |
No |
2002-02-07 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
040013945 |
A99999 |
N |
None |
None |
SFY2001-02 |
040000047 |
HEALTHCARE CENTRE OF FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-10-11 00:00:00 |
040001324 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-07-27 00:00:00 |
2002-07-27 00:00:00 |
Yes |
2002-11-05 00:00:00 |
2002-10-11 00:00:00 |
A |
A |
2500 |
2500 |
0 |
2500 |
0 |
040013554 |
A99999 |
N |
None |
None |
SFY2002-03 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2003-06-18 00:00:00 |
040001344 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-09-13 00:00:00 |
2001-09-13 00:00:00 |
Yes |
2003-07-11 00:00:00 |
2003-06-18 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
040014453 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000857 |
HARMONY HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2003-08-11 00:00:00 |
040001349 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2002-11-04 00:00:00 |
2002-11-04 00:00:00 |
Yes |
2003-09-03 00:00:00 |
2003-09-08 00:00:00 |
B |
B |
500 |
500 |
0 |
500 |
0 |
040014272 |
A99999 |
N |
None |
None |
SFY2003-04 |
040000857 |
HARMONY HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2003-08-11 00:00:00 |
040001350 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2002-11-04 00:00:00 |
2002-11-04 00:00:00 |
Yes |
2003-09-03 00:00:00 |
2003-09-09 00:00:00 |
B |
None |
500 |
500 |
-500 |
0 |
0 |
040015039 |
A99999 |
N |
None |
None |
SFY2003-04 |
040000857 |
HARMONY HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2003-08-11 00:00:00 |
040001351 |
Closed |
Citation |
Citation B (HSC 1424) |
Financial Occurrence/Fac Not Self Reported |
None |
2002-11-04 00:00:00 |
2002-11-04 00:00:00 |
Yes |
2003-09-03 00:00:00 |
2003-09-12 00:00:00 |
B |
None |
500 |
500 |
-500 |
0 |
0 |
040015072 |
A99999 |
N |
None |
None |
SFY2003-04 |
040000047 |
HEALTHCARE CENTRE OF FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2007-02-08 00:00:00 |
040003697 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2006-01-12 00:00:00 |
2006-01-12 00:00:00 |
No |
2007-03-05 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
HJKJ11 |
N |
CA00070091 |
C |
SFY2006-07 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2007-12-05 00:00:00 |
040004482 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-03-25 00:00:00 |
2006-03-25 00:00:00 |
No |
2007-12-27 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
None |
KFJE11 |
N |
CA00077131 |
C |
SFY2007-08 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2008-09-16 00:00:00 |
040005426 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-06-19 00:00:00 |
2008-06-19 00:00:00 |
No |
2008-10-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6K8G11 |
N |
CA00154243 |
C |
SFY2008-09 |
040001150 |
HOLLYWOOD HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Fresno |
2015-01-12 00:00:00 |
040011223 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-09-14 00:00:00 |
2014-09-14 00:00:00 |
No |
2015-02-03 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
YNF711 |
N |
CA00413411 |
C |
SFY2014-15 |
040000014 |
HORIZON HEALTH & SUBACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2015-12-09 00:00:00 |
040011885 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-06-14 00:00:00 |
2015-06-14 00:00:00 |
Yes |
2015-12-31 00:00:00 |
2015-12-10 00:00:00 |
B |
None |
1500 |
1500 |
0 |
0 |
1500 |
None |
1BM411 |
N |
CA00446735 |
B |
SFY2015-16 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2018-08-21 00:00:00 |
040014340 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-02-23 00:00:00 |
2018-02-23 00:00:00 |
Yes |
2018-09-12 00:00:00 |
2018-08-21 00:00:00 |
A |
B |
20000 |
12500 |
0 |
12500 |
0 |
None |
C4G811 |
N |
CA00575456, CA00577865 |
B, B |
SFY2018-19 |
040000014 |
HORIZON HEALTH & SUBACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2020-02-25 00:00:00 |
040015764 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-08-06 00:00:00 |
2018-08-06 00:00:00 |
Yes |
2020-03-17 00:00:00 |
2020-03-13 00:00:00 |
A |
A |
20000 |
16000 |
0 |
16000 |
0 |
None |
AL2L11 |
N |
CA00598760 |
B |
SFY2019-20 |
040000014 |
HORIZON HEALTH & SUBACUTE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2020-02-25 00:00:00 |
040015765 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-08-03 00:00:00 |
2018-08-03 00:00:00 |
Yes |
2020-03-17 00:00:00 |
2020-03-13 00:00:00 |
A |
A |
20000 |
16000 |
0 |
16000 |
0 |
None |
AL2L11 |
N |
CA00599257 |
B |
SFY2019-20 |
040000047 |
HEALTHCARE CENTRE OF FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2024-02-29 00:00:00 |
040019796 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-11-06 00:00:00 |
2023-11-06 00:00:00 |
No |
2024-03-21 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
OLVO11 |
N |
CA00868517 |
C |
SFY2023-24 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2000-12-20 00:00:00 |
050001407 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2000-10-11 00:00:00 |
None |
No |
2001-01-18 00:00:00 |
None |
A |
None |
6000 |
6000 |
-2100 |
3900 |
0 |
050014573 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2001-01-08 00:00:00 |
050001409 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-11-24 00:00:00 |
2000-11-24 00:00:00 |
No |
2001-02-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050014599 |
A99999 |
N |
None |
None |
SFY2000-01 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2001-10-24 00:00:00 |
050001475 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-09-12 00:00:00 |
2001-09-12 00:00:00 |
No |
2001-11-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
050015480 |
A99999 |
N |
None |
None |
SFY2001-02 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2001-12-27 00:00:00 |
050001486 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-11-06 00:00:00 |
None |
No |
2002-01-25 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
050015608 |
A99999 |
N |
None |
None |
SFY2001-02 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2002-03-21 00:00:00 |
050001497 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-01-29 00:00:00 |
None |
Yes |
2002-08-26 00:00:00 |
2002-04-15 00:00:00 |
A |
A |
10000 |
10000 |
0 |
10000 |
0 |
050015766 |
A99999 |
N |
None |
None |
SFY2001-02 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2005-01-21 00:00:00 |
050001621 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2004-04-05 00:00:00 |
None |
No |
2005-02-11 00:00:00 |
None |
B |
None |
100 |
100 |
0 |
100 |
0 |
050017187 |
A99999 |
N |
None |
None |
SFY2004-05 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2005-01-21 00:00:00 |
050001622 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2004-08-11 00:00:00 |
None |
No |
2005-02-11 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
050017187 |
A99999 |
N |
None |
None |
SFY2004-05 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2006-03-15 00:00:00 |
050002930 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-30 00:00:00 |
2005-12-30 00:00:00 |
No |
2006-04-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2QL011 |
N |
CA00069275 |
C |
SFY2005-06 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2006-03-15 00:00:00 |
050002932 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-02-02 00:00:00 |
2005-02-02 00:00:00 |
No |
2006-04-06 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
2QL011 |
N |
None |
None |
SFY2005-06 |
050001041 |
HORIZON HOUSE I |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2006-03-21 00:00:00 |
050002972 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-02-16 00:00:00 |
2006-02-16 00:00:00 |
No |
2006-04-12 00:00:00 |
None |
A |
None |
8000 |
8000 |
-2800 |
5200 |
0 |
None |
U6U511 |
N |
CA00072760 |
B |
SFY2005-06 |
050001041 |
HORIZON HOUSE I |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2008-05-21 00:00:00 |
050005059 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-12-17 00:00:00 |
2007-12-17 00:00:00 |
No |
2008-06-12 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
4V4S11 |
N |
CA00135667, CA00135720 |
B, B |
SFY2007-08 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2009-04-30 00:00:00 |
050006138 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
Failure to Report |
2008-07-08 00:00:00 |
2008-07-08 00:00:00 |
No |
2009-05-26 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
2OID11 |
N |
None |
None |
SFY2008-09 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2010-05-10 00:00:00 |
050007191 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-08-15 00:00:00 |
2009-08-15 00:00:00 |
No |
2010-06-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
K6UT11 |
N |
CA00199488 |
B |
SFY2009-10 |
050000052 |
HILLSIDE HOUSE INC |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Ventura |
2016-07-26 00:00:00 |
050012385 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-06-20 00:00:00 |
2016-06-20 00:00:00 |
No |
2016-08-16 00:00:00 |
None |
B |
None |
850 |
850 |
0 |
850 |
0 |
None |
4Z6M11 |
N |
CA00492454 |
B |
SFY2016-17 |
060001583 |
HILL ROAD HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2000-01-05 00:00:00 |
060001014 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-10-30 00:00:00 |
None |
No |
2000-01-27 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
060009268 |
A99999 |
N |
None |
None |
SFY1999-00 |
060000113 |
HARBOR VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-01-10 00:00:00 |
060001015 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-09-25 00:00:00 |
None |
No |
2000-02-02 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
060009269 |
A99999 |
N |
None |
None |
SFY1999-00 |
060000124 |
HEALTHCARE CENTER OF ORANGE COUNTY |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-05-25 00:00:00 |
060001022 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-08-07 00:00:00 |
None |
No |
2000-06-20 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
060009530 |
A99999 |
N |
None |
None |
SFY1999-00 |
060000124 |
HEALTHCARE CENTER OF ORANGE COUNTY |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-05-25 00:00:00 |
060001023 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-12-17 00:00:00 |
None |
No |
2000-06-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060009530 |
A99999 |
N |
None |
None |
SFY1999-00 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2000-07-18 00:00:00 |
060001027 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-05-29 00:00:00 |
None |
Yes |
2000-10-10 00:00:00 |
2000-09-25 00:00:00 |
A |
B |
5000 |
1000 |
0 |
1000 |
0 |
060009623 |
A99999 |
N |
None |
None |
SFY2000-01 |
060001698 |
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2000-10-24 00:00:00 |
060001030 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-09-29 00:00:00 |
None |
No |
2000-11-16 00:00:00 |
None |
A |
None |
7500 |
7500 |
-2625 |
4875 |
0 |
060009861 |
A99999 |
N |
None |
None |
SFY2000-01 |
060001112 |
HEALTHSOUTH TUSTIN REHABILITATION HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-02-26 00:00:00 |
060001046 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-07-13 00:00:00 |
None |
No |
2001-03-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060010366 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000113 |
HARBOR VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-06-07 00:00:00 |
060001059 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-03-24 00:00:00 |
None |
Yes |
2002-02-11 00:00:00 |
2001-06-08 00:00:00 |
A |
A |
10000 |
10000 |
0 |
10000 |
0 |
060010701 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000124 |
HEALTHCARE CENTER OF ORANGE COUNTY |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-02-28 00:00:00 |
060001088 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-16 00:00:00 |
None |
Yes |
2002-06-24 00:00:00 |
2002-03-11 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
060011619 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000054 |
HUNTINGTON VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-04-22 00:00:00 |
060001097 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-17 00:00:00 |
None |
Yes |
2002-09-03 00:00:00 |
2002-08-14 00:00:00 |
B |
Drop>Deficiency |
1000 |
500 |
0 |
500 |
0 |
060011493 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000054 |
HUNTINGTON VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-02-25 00:00:00 |
060001128 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-01-21 00:00:00 |
None |
No |
2003-03-18 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
060012961 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000054 |
HUNTINGTON VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-02-25 00:00:00 |
060001163 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-12-23 00:00:00 |
None |
Yes |
2004-03-17 00:00:00 |
2004-03-12 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
060014294 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000124 |
HEALTHCARE CENTER OF ORANGE COUNTY |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-10-23 00:00:00 |
060001183 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-08-13 00:00:00 |
None |
No |
2004-11-15 00:00:00 |
None |
B |
None |
100 |
100 |
0 |
100 |
0 |
060015207 |
A99999 |
N |
None |
None |
SFY2004-05 |
060000113 |
HARBOR VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2005-03-10 00:00:00 |
060001188 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-10-27 00:00:00 |
None |
Yes |
2005-04-04 00:00:00 |
2005-03-29 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
060015319 |
A99999 |
N |
None |
None |
SFY2004-05 |
060001291 |
HARBOR HEALTH CARE, INC. - REDWOOD DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2006-08-28 00:00:00 |
060003310 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-06-28 00:00:00 |
2006-06-28 00:00:00 |
No |
2006-09-19 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
None |
312111 |
N |
CA00090084 |
C |
SFY2006-07 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2007-02-05 00:00:00 |
060003688 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2006-12-09 00:00:00 |
2006-12-09 00:00:00 |
Yes |
2007-02-26 00:00:00 |
2007-02-27 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
JHF111 |
N |
CA00101496 |
C |
SFY2006-07 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2007-08-07 00:00:00 |
060004165 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-07-01 00:00:00 |
2007-07-01 00:00:00 |
Yes |
2007-08-28 00:00:00 |
2007-08-08 00:00:00 |
B |
B |
750 |
375 |
0 |
375 |
0 |
None |
CSVU11 |
N |
CA00119296 |
C |
SFY2007-08 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2008-01-16 00:00:00 |
060004572 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-10-04 00:00:00 |
2007-10-04 00:00:00 |
Yes |
2008-02-19 00:00:00 |
2008-01-29 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
XFQC11 |
N |
CA00128959 |
C |
SFY2007-08 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2008-03-26 00:00:00 |
060004801 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-06 00:00:00 |
2008-03-06 00:00:00 |
Yes |
2008-04-24 00:00:00 |
2008-03-27 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
0HD111 |
N |
CA00142144 |
C |
SFY2007-08 |
060000054 |
HUNTINGTON VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-06-01 00:00:00 |
060006231 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2009-03-02 00:00:00 |
2009-03-02 00:00:00 |
Yes |
2009-06-23 00:00:00 |
2009-06-17 00:00:00 |
AA |
A |
80000 |
80000 |
0 |
80000 |
0 |
None |
YFMT11 |
Y |
CA00184802 |
C |
SFY2008-09 |
060001576 |
HEATHER LANE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-08-31 00:00:00 |
060006508 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-06-30 00:00:00 |
2009-06-30 00:00:00 |
Yes |
2009-09-25 00:00:00 |
2009-09-22 00:00:00 |
B |
B |
500 |
250 |
0 |
250 |
0 |
None |
1MX711 |
N |
CA00193816 |
C |
SFY2009-10 |
060000082 |
HARRIET HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-09-16 00:00:00 |
060006551 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-02-11 00:00:00 |
2009-02-11 00:00:00 |
No |
2009-10-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
7R8P11 |
N |
None |
None |
SFY2009-10 |
060000054 |
HUNTINGTON VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-09-29 00:00:00 |
060006591 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-07-25 00:00:00 |
2009-07-25 00:00:00 |
No |
2009-10-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
KF0C11 |
N |
CA00198516 |
C |
SFY2009-10 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-10-05 00:00:00 |
060006596 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2009-09-10 00:00:00 |
2009-09-10 00:00:00 |
Yes |
2009-10-30 00:00:00 |
2009-10-07 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
IXOF11 |
N |
CA00201535 |
C |
SFY2009-10 |
060001576 |
HEATHER LANE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2009-12-18 00:00:00 |
060006801 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-10-14 00:00:00 |
2009-10-14 00:00:00 |
Yes |
2010-01-21 00:00:00 |
2009-12-21 00:00:00 |
B |
B |
500 |
250 |
0 |
250 |
0 |
None |
6BZB11 |
N |
CA00205320 |
C |
SFY2009-10 |
060001278 |
HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2010-03-25 00:00:00 |
060007065 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-25 00:00:00 |
2010-02-25 00:00:00 |
No |
2010-04-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3ICL11 |
N |
CA00219556 |
C |
SFY2009-10 |
060001278 |
HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2010-03-25 00:00:00 |
060007066 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-25 00:00:00 |
2010-02-25 00:00:00 |
No |
2010-04-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3ICL11 |
N |
CA00219556 |
C |
SFY2009-10 |
060001278 |
HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2010-03-25 00:00:00 |
060007068 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-25 00:00:00 |
2010-02-25 00:00:00 |
No |
2010-04-19 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
3ICL11 |
N |
CA00219556 |
C |
SFY2009-10 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2010-04-15 00:00:00 |
060007131 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-18 00:00:00 |
2010-02-18 00:00:00 |
Yes |
2010-05-10 00:00:00 |
2010-04-16 00:00:00 |
B |
B |
800 |
400 |
800 |
1200 |
0 |
None |
IXNC11 |
N |
CA00221528 |
C |
SFY2009-10 |
060001278 |
HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2010-05-04 00:00:00 |
060007190 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-04-02 00:00:00 |
2010-04-02 00:00:00 |
No |
2010-05-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HLYO11 |
N |
CA00223743 |
B |
SFY2009-10 |
060001698 |
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2010-07-27 00:00:00 |
060007405 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-05-28 00:00:00 |
2010-05-28 00:00:00 |
Yes |
2013-01-29 00:00:00 |
2010-07-28 00:00:00 |
A |
A |
10000 |
10100 |
0 |
10100 |
0 |
None |
QJCW11 |
N |
CA00231993 |
B |
SFY2010-11 |
060000054 |
HUNTINGTON VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2011-07-13 00:00:00 |
060008363 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-04-20 00:00:00 |
2011-04-20 00:00:00 |
Yes |
2011-08-03 00:00:00 |
2011-07-27 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
E7EY11 |
N |
CA00267207 |
B |
SFY2011-12 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2011-07-15 00:00:00 |
060008382 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-06-04 00:00:00 |
2011-06-04 00:00:00 |
Yes |
2011-08-05 00:00:00 |
2011-07-28 00:00:00 |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
8JOE11 |
N |
CA00273903 |
C |
SFY2011-12 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2011-12-23 00:00:00 |
060008836 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2011-12-01 00:00:00 |
2011-12-01 00:00:00 |
Yes |
2014-05-21 00:00:00 |
2012-01-03 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
QESJ11 |
N |
CA00291945 |
C |
SFY2011-12 |
060001278 |
HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2012-02-14 00:00:00 |
060008999 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2011-12-24 00:00:00 |
2011-12-24 00:00:00 |
No |
2012-03-07 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
S5I311 |
N |
CA00294859 |
B |
SFY2011-12 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2014-07-08 00:00:00 |
060010851 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-05-29 00:00:00 |
2014-05-29 00:00:00 |
Yes |
2014-07-29 00:00:00 |
2014-07-09 00:00:00 |
B |
None |
1000 |
1150 |
-150 |
1000 |
0 |
None |
ZBSH11 |
N |
CA00399101 |
C |
SFY2014-15 |
060001291 |
HARBOR HEALTH CARE, INC. - REDWOOD DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2014-11-13 00:00:00 |
060011122 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-10-02 00:00:00 |
2014-10-02 00:00:00 |
No |
2014-12-08 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
NH1K11 |
N |
CA00414198 |
B |
SFY2014-15 |
060001278 |
HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2014-12-11 00:00:00 |
060011170 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2014-10-24 00:00:00 |
2014-10-24 00:00:00 |
Yes |
2015-01-02 00:00:00 |
2014-12-22 00:00:00 |
A |
A |
5000 |
2500 |
0 |
2500 |
0 |
None |
HJ9J11 |
N |
CA00418329 |
B |
SFY2014-15 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-03-12 00:00:00 |
060014871 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-01-09 00:00:00 |
2019-01-09 00:00:00 |
No |
2019-04-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
R2Q011 |
N |
None |
None |
SFY2018-19 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-03-12 00:00:00 |
060014873 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-07-16 00:00:00 |
2018-07-16 00:00:00 |
No |
2019-04-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
R2Q011 |
N |
None |
None |
SFY2018-19 |
060001576 |
HEATHER LANE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-06-05 00:00:00 |
060015097 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-03-18 00:00:00 |
2019-03-18 00:00:00 |
No |
2019-06-26 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
None |
TPD211 |
Y |
CA00628388 |
B |
SFY2018-19 |
060001698 |
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2019-08-06 00:00:00 |
060015266 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2019-04-18 00:00:00 |
2019-04-18 00:00:00 |
No |
2019-08-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QC0B11 |
N |
CA00637700, CA00638316 |
B, A |
SFY2019-20 |
060001291 |
HARBOR HEALTH CARE, INC. - REDWOOD DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-08-07 00:00:00 |
060015269 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-05-13 00:00:00 |
2019-05-13 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
2000 |
2650 |
0 |
2650 |
0 |
None |
P0MP11 |
N |
CA00637973 |
B |
SFY2019-20 |
060000056 |
HY-LOND GARDEN GROVE |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-08-20 00:00:00 |
060015322 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2019-05-30 00:00:00 |
2019-05-30 00:00:00 |
No |
2019-09-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5R8N11 |
N |
CA00639893 |
B |
SFY2019-20 |
060001576 |
HEATHER LANE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-09-30 00:00:00 |
060015421 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-08-28 00:00:00 |
2019-08-28 00:00:00 |
No |
2019-10-21 00:00:00 |
None |
B |
None |
1000 |
4950 |
-1050 |
3900 |
0 |
None |
WYGS11 |
N |
CA00650386 |
C |
SFY2019-20 |
060001576 |
HEATHER LANE HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2019-12-11 00:00:00 |
060015598 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-11-26 00:00:00 |
2019-11-26 00:00:00 |
No |
2020-01-01 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
GR1X11 |
N |
CA00659252 |
B |
SFY2019-20 |
060000124 |
HEALTHCARE CENTER OF ORANGE COUNTY |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2020-08-26 00:00:00 |
060015988 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
Unsafe Discharge |
2020-02-21 00:00:00 |
2020-02-21 00:00:00 |
No |
2020-09-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
IJE811 |
N |
CA00677093, CA00677093 |
A, A |
SFY2020-21 |
060000124 |
HEALTHCARE CENTER OF ORANGE COUNTY |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2020-08-26 00:00:00 |
060015990 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2020-02-19 00:00:00 |
2020-02-19 00:00:00 |
No |
2020-09-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
LD8711 |
Y |
CA00678817, CA00678817 |
B, B |
SFY2020-21 |
060001698 |
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-01-08 00:00:00 |
060016229 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-10-16 00:00:00 |
2020-10-16 00:00:00 |
No |
2021-02-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FVJ311 |
N |
CA00709778 |
B |
SFY2020-21 |
060001698 |
HEALTHBRIDGE CHILDREN'S HOSPITAL - ORANGE D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-01-08 00:00:00 |
060016233 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-10-16 00:00:00 |
2020-10-16 00:00:00 |
No |
2021-02-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FVJ311 |
N |
CA00709778, CA00709778 |
B, B |
SFY2020-21 |
060000124 |
HEALTHCARE CENTER OF ORANGE COUNTY |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-06-30 00:00:00 |
060016658 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-06-01 00:00:00 |
2021-06-01 00:00:00 |
No |
2021-07-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
7ESN11 |
N |
CA00731908, CA00731908 |
B, B |
SFY2020-21 |
060000124 |
HEALTHCARE CENTER OF ORANGE COUNTY |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2022-05-13 00:00:00 |
060017637 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-03-30 00:00:00 |
2022-03-30 00:00:00 |
No |
2022-06-06 00:00:00 |
None |
B |
None |
2500 |
7500 |
0 |
7500 |
0 |
None |
ROFJ11 |
N |
CA00774325 |
B |
SFY2021-22 |
060001278 |
HARBOR HEALTH CARE, INC. - BLACK STAR DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2022-11-15 00:00:00 |
060018137 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-09-24 00:00:00 |
2022-09-24 00:00:00 |
No |
2022-12-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
B2P311 |
N |
CA00804986 |
B |
SFY2022-23 |
060000113 |
HARBOR VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2023-08-09 00:00:00 |
060019040 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-06 00:00:00 |
2023-07-06 00:00:00 |
No |
2023-08-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ERWM11 |
N |
CA00848619, CA00848619 |
B, B |
SFY2023-24 |
070000060 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-04-21 00:00:00 |
070002324 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-21 00:00:00 |
None |
No |
2000-05-17 00:00:00 |
None |
B |
None |
400 |
400 |
-140 |
260 |
0 |
070014649 |
A99999 |
N |
None |
None |
SFY1999-00 |
070000060 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-05-05 00:00:00 |
070002325 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-24 00:00:00 |
None |
No |
2000-05-30 00:00:00 |
None |
B |
None |
400 |
1200 |
0 |
1200 |
0 |
070014702 |
A99999 |
N |
None |
None |
SFY1999-00 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-04-10 00:00:00 |
070002382 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-03-12 00:00:00 |
None |
No |
2001-05-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070016022 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-09-04 00:00:00 |
070002401 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-08-09 00:00:00 |
None |
No |
2001-09-27 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
070016436 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-09-20 00:00:00 |
070002405 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-08-25 00:00:00 |
None |
No |
2001-10-15 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
070016539 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-09-20 00:00:00 |
070002406 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-09-18 00:00:00 |
None |
No |
2001-10-15 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
070016539 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-01-22 00:00:00 |
070002426 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-11-26 00:00:00 |
None |
No |
2002-02-15 00:00:00 |
None |
B |
None |
1000 |
3450 |
-1050 |
2400 |
0 |
070016741 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-03-11 00:00:00 |
070002433 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-11-06 00:00:00 |
None |
No |
2002-04-03 00:00:00 |
None |
B |
None |
500 |
1500 |
-525 |
975 |
0 |
070017048 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-03-26 00:00:00 |
070002441 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-01-22 00:00:00 |
None |
No |
2002-04-22 00:00:00 |
None |
B |
None |
1000 |
3050 |
0 |
3050 |
0 |
070016927 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-03-26 00:00:00 |
070002442 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-12-24 00:00:00 |
None |
No |
2002-04-22 00:00:00 |
None |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
070017029 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-04-17 00:00:00 |
070002447 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-05-04 00:00:00 |
2001-12-29 00:00:00 |
Yes |
2002-05-09 00:00:00 |
2002-05-02 00:00:00 |
A |
A |
20000 |
11750 |
0 |
11750 |
0 |
070017193 |
A99999 |
N |
None |
None |
SFY2001-02 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-08-08 00:00:00 |
070002470 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-07-31 00:00:00 |
None |
No |
2002-09-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070017609 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000060 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-12-09 00:00:00 |
070002486 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-17 00:00:00 |
None |
No |
2003-01-02 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070018019 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-12-13 00:00:00 |
070002487 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-09-25 00:00:00 |
None |
No |
2003-01-08 00:00:00 |
None |
B |
None |
850 |
850 |
-297.5 |
552.5 |
0 |
070018031 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-07-10 00:00:00 |
070002519 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-06-28 00:00:00 |
None |
No |
2003-08-01 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
070019157 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-07-31 00:00:00 |
070002523 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-12 00:00:00 |
None |
No |
2003-08-21 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
070019223 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-09-11 00:00:00 |
070002525 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-26 00:00:00 |
None |
Yes |
2003-10-03 00:00:00 |
2003-09-25 00:00:00 |
B |
B Trebled |
1000 |
3300 |
-2886 |
414 |
0 |
070019360 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-09-11 00:00:00 |
070002526 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-08-09 00:00:00 |
None |
Yes |
2003-10-03 00:00:00 |
2003-09-23 00:00:00 |
B |
B |
1000 |
1000 |
-869 |
131 |
0 |
070019282 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-09-11 00:00:00 |
070002527 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-08-09 00:00:00 |
None |
Yes |
2003-10-03 00:00:00 |
2003-09-23 00:00:00 |
B |
B |
1000 |
1000 |
-869 |
131 |
0 |
070019282 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-09-11 00:00:00 |
070002528 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-08-12 00:00:00 |
None |
Yes |
2003-10-03 00:00:00 |
2003-09-23 00:00:00 |
B |
B |
1000 |
1150 |
-999 |
151 |
0 |
070019373 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-09-11 00:00:00 |
070002529 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2003-08-04 00:00:00 |
None |
Yes |
2004-01-30 00:00:00 |
2003-09-23 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
070019282 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-10-02 00:00:00 |
070002538 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-29 00:00:00 |
None |
Yes |
2004-02-02 00:00:00 |
2004-01-20 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
070019244 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-12-03 00:00:00 |
070002544 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-02 00:00:00 |
None |
No |
2003-12-29 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
070019579 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-12-15 00:00:00 |
070002545 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-10-12 00:00:00 |
None |
Yes |
2004-01-09 00:00:00 |
2003-12-23 00:00:00 |
B |
B |
1000 |
1000 |
-869 |
131 |
0 |
070019561 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-12-15 00:00:00 |
070002546 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-10-12 00:00:00 |
None |
Yes |
2004-01-09 00:00:00 |
2003-12-23 00:00:00 |
B |
B |
1000 |
1000 |
-869 |
131 |
0 |
070019561 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000060 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-02-10 00:00:00 |
070002556 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-12-31 00:00:00 |
None |
No |
2004-03-05 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070019803 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-02-18 00:00:00 |
070002557 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-01-22 00:00:00 |
None |
Yes |
2004-03-12 00:00:00 |
2004-02-19 00:00:00 |
B |
B |
1000 |
1000 |
-869 |
131 |
0 |
070019812 |
A99999 |
N |
None |
None |
SFY2003-04 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-04-19 00:00:00 |
070002572 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-03-18 00:00:00 |
None |
No |
2004-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070019917 |
A99999 |
N |
None |
None |
SFY2003-04 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-07-09 00:00:00 |
070002587 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-28 00:00:00 |
None |
No |
2004-08-03 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
070020103 |
A99999 |
N |
None |
None |
SFY2004-05 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2004-12-22 00:00:00 |
070002592 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-12-14 00:00:00 |
None |
No |
2005-01-13 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
070020408 |
A99999 |
N |
None |
None |
SFY2004-05 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2005-07-25 00:00:00 |
070002601 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2005-05-03 00:00:00 |
None |
No |
2005-08-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070020486 |
A99999 |
N |
None |
None |
SFY2005-06 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-01-09 00:00:00 |
070002611 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2005-11-11 00:00:00 |
2005-11-11 00:00:00 |
No |
2006-01-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070020505 |
A99999 |
N |
None |
None |
SFY2005-06 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-03-14 00:00:00 |
070002923 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-02-03 00:00:00 |
2006-02-03 00:00:00 |
Yes |
2006-04-05 00:00:00 |
2006-03-23 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
None |
WT8411 |
N |
CA00072037, CA00072382, CA00072384 |
B, B, B |
SFY2005-06 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-03-14 00:00:00 |
070002925 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-02-06 00:00:00 |
2006-02-06 00:00:00 |
Yes |
2006-04-05 00:00:00 |
2006-03-23 00:00:00 |
B |
Drop>Deficiency |
1000 |
1000 |
0 |
1000 |
0 |
None |
WT8411 |
N |
CA00072037 |
B |
SFY2005-06 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-06-08 00:00:00 |
070003147 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-06-01 00:00:00 |
2006-06-01 00:00:00 |
No |
2006-06-29 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
D05C11 |
N |
CA00079413, CA00080018, CA00082139 |
B, B, A |
SFY2005-06 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-06-08 00:00:00 |
070003149 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-05-31 00:00:00 |
2006-05-31 00:00:00 |
No |
2006-06-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D05C11 |
N |
CA00079413, CA00080018, CA00082139 |
B, B, A |
SFY2005-06 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-06-26 00:00:00 |
070003158 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-05-23 00:00:00 |
2006-05-23 00:00:00 |
No |
2006-07-18 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
64OH11 |
Y |
CA00081735 |
B |
SFY2005-06 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-08-29 00:00:00 |
070003314 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-08-24 00:00:00 |
2006-08-24 00:00:00 |
No |
2006-09-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4GKQ11 |
N |
CA00090819 |
B |
SFY2006-07 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2006-12-11 00:00:00 |
070003548 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-11-15 00:00:00 |
2006-11-15 00:00:00 |
No |
2007-01-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
Y1T011 |
N |
CA00098674 |
B |
SFY2006-07 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-01-24 00:00:00 |
070003664 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-12-23 00:00:00 |
2006-12-23 00:00:00 |
No |
2007-02-14 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
X4RL11 |
N |
CA00102817, CA00102830 |
B, B |
SFY2006-07 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-04-20 00:00:00 |
070003758 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-02-06 00:00:00 |
2007-02-06 00:00:00 |
Yes |
2007-05-11 00:00:00 |
2007-05-03 00:00:00 |
B |
None |
1000 |
1150 |
0 |
1150 |
0 |
None |
MTOP11 |
N |
CA00105986 |
C |
SFY2006-07 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-03-07 00:00:00 |
070003778 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-02-19 00:00:00 |
2007-02-19 00:00:00 |
Yes |
2007-03-28 00:00:00 |
2007-03-20 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
MTOP11 |
N |
CA00106836, CA00106926 |
B, B |
SFY2006-07 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-04-18 00:00:00 |
070003895 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2007-03-17 00:00:00 |
2007-03-17 00:00:00 |
No |
2007-05-09 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
None |
XBYO11 |
N |
CA00110675 |
A |
SFY2006-07 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-05-22 00:00:00 |
070003904 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-04-12 00:00:00 |
2007-04-12 00:00:00 |
Yes |
2007-06-12 00:00:00 |
2007-06-06 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
HJ4D11 |
N |
CA00110818, CA00111199, CA00111495, CA00111496 |
B, B, B, B |
SFY2006-07 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-04-20 00:00:00 |
070003909 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-02-06 00:00:00 |
2007-02-06 00:00:00 |
Yes |
2007-05-11 00:00:00 |
2007-05-03 00:00:00 |
B |
None |
1000 |
1150 |
0 |
1150 |
0 |
None |
MTOP11 |
N |
CA00105986 |
C |
SFY2006-07 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-07-10 00:00:00 |
070004014 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-01-31 00:00:00 |
2007-01-31 00:00:00 |
No |
2007-07-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C3IL11 |
N |
CA00106931 |
A |
SFY2007-08 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-08-01 00:00:00 |
070004062 |
Closed |
Citation |
Citation A (HSC 1424) |
Dietary |
None |
2007-06-16 00:00:00 |
2007-06-16 00:00:00 |
Yes |
2007-08-30 00:00:00 |
2007-08-10 00:00:00 |
A |
A |
20000 |
10500 |
0 |
10500 |
0 |
None |
OCX311 |
Y |
CA00117953 |
B |
SFY2007-08 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-08-15 00:00:00 |
070004184 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-07-05 00:00:00 |
2007-07-05 00:00:00 |
Yes |
2007-09-06 00:00:00 |
2007-08-24 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
GWOF11 |
N |
CA00119500, CA00119508, CA00119566, CA00119571 |
B, B, B, B |
SFY2007-08 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-12-20 00:00:00 |
070004210 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-06-25 00:00:00 |
2007-06-25 00:00:00 |
No |
2008-01-16 00:00:00 |
None |
B |
B |
600 |
600 |
-522 |
78 |
0 |
None |
1ICS11 |
N |
CA00120865 |
B |
SFY2007-08 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-08-30 00:00:00 |
070004211 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-06-25 00:00:00 |
2007-06-25 00:00:00 |
No |
2007-09-21 00:00:00 |
None |
A |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
EXLHII |
N |
CA00122760 |
B |
SFY2007-08 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2007-09-25 00:00:00 |
070004263 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-08-07 00:00:00 |
2007-08-07 00:00:00 |
No |
2007-10-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
MR2511 |
N |
CA00124264 |
B |
SFY2007-08 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-02-04 00:00:00 |
070004644 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-11-19 00:00:00 |
2007-11-19 00:00:00 |
Yes |
2008-03-04 00:00:00 |
2008-02-06 00:00:00 |
B |
B |
800 |
800 |
-695 |
105 |
0 |
None |
3SEZ11 |
N |
CA00133925 |
B |
SFY2007-08 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-04-03 00:00:00 |
070004854 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-02-13 00:00:00 |
2008-02-13 00:00:00 |
No |
2008-04-29 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
Q5WR11 |
N |
CA00141040, CA00141539 |
B, B |
SFY2007-08 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-04-03 00:00:00 |
070004855 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-02-14 00:00:00 |
2008-02-14 00:00:00 |
No |
2008-04-29 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
Q5WR11 |
N |
CA00141040, CA00141539 |
B, B |
SFY2007-08 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-04-03 00:00:00 |
070004856 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-14 00:00:00 |
2008-02-14 00:00:00 |
Yes |
2008-04-29 00:00:00 |
2008-04-07 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
Q5WR11 |
N |
CA00141040, CA00141539 |
B, B |
SFY2007-08 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-04-10 00:00:00 |
070004895 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-24 00:00:00 |
2008-03-24 00:00:00 |
No |
2008-05-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XPEP11 |
N |
CA00144948 |
B |
SFY2007-08 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-06-09 00:00:00 |
070004997 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-10-19 00:00:00 |
2007-10-19 00:00:00 |
No |
2008-06-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S6X411 |
N |
CA00143341 |
B |
SFY2007-08 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-06-09 00:00:00 |
070004998 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-03-25 00:00:00 |
2008-03-25 00:00:00 |
No |
2008-06-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S6X411 |
N |
CA00144111 |
B |
SFY2007-08 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-07-08 00:00:00 |
070005198 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-06-16 00:00:00 |
2008-06-16 00:00:00 |
No |
2008-07-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
95CW11 |
N |
None |
None |
SFY2008-09 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-08-08 00:00:00 |
070005300 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-07-18 00:00:00 |
2008-07-18 00:00:00 |
No |
2008-09-03 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
KROR11 |
N |
CA00157856 |
B |
SFY2008-09 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2008-09-23 00:00:00 |
070005459 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-09-07 00:00:00 |
2008-09-07 00:00:00 |
Yes |
2008-10-20 00:00:00 |
2008-09-25 00:00:00 |
B |
B |
750 |
375 |
0 |
375 |
0 |
None |
2N4V11 |
N |
CA00162731 |
B |
SFY2008-09 |
070000915 |
HACIENDA HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Jose |
2008-10-07 00:00:00 |
070005474 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-09-25 00:00:00 |
2008-09-25 00:00:00 |
No |
2008-10-29 00:00:00 |
None |
B |
None |
800 |
1000 |
-280 |
720 |
0 |
None |
HGZ211 |
N |
None |
None |
SFY2008-09 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-02-23 00:00:00 |
070005900 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-01-15 00:00:00 |
2009-01-15 00:00:00 |
Yes |
2009-03-19 00:00:00 |
2009-03-02 00:00:00 |
B |
B |
850 |
552.5 |
0 |
552.5 |
0 |
None |
C7NS11 |
N |
CA00175100 |
B |
SFY2008-09 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-04-23 00:00:00 |
070006105 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-18 00:00:00 |
2009-03-18 00:00:00 |
No |
2009-05-14 00:00:00 |
None |
B |
None |
950 |
1750 |
-332.5 |
1417.5 |
0 |
None |
G48S11 |
N |
CA00182602 |
B |
SFY2008-09 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-04-23 00:00:00 |
070006124 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-03-18 00:00:00 |
2009-03-18 00:00:00 |
No |
2009-05-14 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
None |
G48S11 |
N |
CA00182602 |
B |
SFY2008-09 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-05-27 00:00:00 |
070006220 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-11 00:00:00 |
2009-05-11 00:00:00 |
No |
2009-06-19 00:00:00 |
None |
B |
None |
950 |
1300 |
-332.5 |
967.5 |
0 |
None |
I6IH11 |
N |
CA00188217 |
B |
SFY2008-09 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-08-20 00:00:00 |
070006476 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-08-08 00:00:00 |
2009-08-08 00:00:00 |
No |
2009-09-11 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
052L11 |
N |
CA00198126 |
B |
SFY2009-10 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-08-20 00:00:00 |
070006482 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-01 00:00:00 |
2009-08-01 00:00:00 |
No |
2009-09-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
H2R011 |
N |
CA00197086 |
B |
SFY2009-10 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-09-03 00:00:00 |
070006527 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-07 00:00:00 |
2009-08-07 00:00:00 |
No |
2009-09-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
2TJ911 |
N |
CA00198072 |
B |
SFY2009-10 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-09-11 00:00:00 |
070006540 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2009-08-10 00:00:00 |
2009-08-10 00:00:00 |
Yes |
2009-10-02 00:00:00 |
2009-09-25 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
965111 |
N |
CA00198594 |
B |
SFY2009-10 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-10-26 00:00:00 |
070006593 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-09-28 00:00:00 |
2009-09-28 00:00:00 |
No |
2009-11-17 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
V1TF11 |
N |
CA00202752 |
B |
SFY2009-10 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-10-26 00:00:00 |
070006653 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-10-05 00:00:00 |
2009-10-05 00:00:00 |
No |
2009-11-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QG2K11 |
N |
CA00204103 |
B |
SFY2009-10 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-12-18 00:00:00 |
070006686 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-09-29 00:00:00 |
2009-09-29 00:00:00 |
Yes |
2010-01-12 00:00:00 |
2009-12-28 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
4PRW11 |
N |
CA00203452, CA00203598 |
B, B |
SFY2009-10 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2009-12-16 00:00:00 |
070006793 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-11-16 00:00:00 |
2009-11-16 00:00:00 |
No |
2010-01-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LCQZ11 |
N |
None |
None |
SFY2009-10 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-05-28 00:00:00 |
070007235 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-04-28 00:00:00 |
2010-04-28 00:00:00 |
No |
2010-06-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
H7NY11 |
N |
CA00227226 |
B |
SFY2009-10 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-10-05 00:00:00 |
070007611 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-07-06 00:00:00 |
2010-07-06 00:00:00 |
No |
2010-10-26 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
QL4511 |
N |
CA00241862 |
B |
SFY2010-11 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2010-12-09 00:00:00 |
070007756 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-11-24 00:00:00 |
2010-11-24 00:00:00 |
No |
2010-12-30 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
GSYT11 |
N |
CA00249916 |
B |
SFY2010-11 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-01-21 00:00:00 |
070007831 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-12-16 00:00:00 |
2010-12-16 00:00:00 |
No |
2011-02-11 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
1DW211 |
N |
CA00252806 |
B |
SFY2010-11 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-02-08 00:00:00 |
070007892 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-01-24 00:00:00 |
2011-01-24 00:00:00 |
No |
2011-03-02 00:00:00 |
None |
B |
None |
850 |
850 |
0 |
850 |
0 |
None |
W9NL11 |
N |
CA00256588, CA00256876, CA00256890 |
B, B, B |
SFY2010-11 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-05-12 00:00:00 |
070008235 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-03-29 00:00:00 |
2011-03-29 00:00:00 |
No |
2011-06-03 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
P0OF11 |
N |
CA00265049, CA00265228, CA00265254, CA00265269, CA00266046 |
B, B, B, B, B |
SFY2010-11 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-07-19 00:00:00 |
070008393 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-07-09 00:00:00 |
2011-07-09 00:00:00 |
No |
2011-08-09 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
L1RY11 |
N |
CA00275625, CA00276067 |
B, B |
SFY2011-12 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2011-09-09 00:00:00 |
070008476 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-07-31 00:00:00 |
2011-07-31 00:00:00 |
No |
2011-10-03 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
VJDB11 |
N |
CA00277999, CA00278924 |
B, B |
SFY2011-12 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2012-07-20 00:00:00 |
070009407 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Record |
None |
2012-02-01 00:00:00 |
2012-02-01 00:00:00 |
No |
2012-08-10 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
HYC811 |
N |
CA00315132 |
B |
SFY2012-13 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2015-06-30 00:00:00 |
070011563 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-05-15 00:00:00 |
2015-05-15 00:00:00 |
Yes |
2015-07-21 00:00:00 |
2015-07-07 00:00:00 |
B |
Drop>Deficiency |
2000 |
1300 |
0 |
1300 |
0 |
None |
ALHJ11 |
N |
CA00443898 |
B |
SFY2014-15 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2015-09-04 00:00:00 |
070011679 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-07-03 00:00:00 |
2015-07-03 00:00:00 |
No |
2015-09-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
N88T11 |
N |
CA00449689 |
B |
SFY2015-16 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2015-09-04 00:00:00 |
070011680 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-07-15 00:00:00 |
2015-07-15 00:00:00 |
No |
2015-09-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
N88T11 |
N |
CA00453336 |
B |
SFY2015-16 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2015-09-04 00:00:00 |
070011698 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-07-14 00:00:00 |
2015-07-14 00:00:00 |
No |
2015-09-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
BCNQ11 |
N |
CA00451400 |
B |
SFY2015-16 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2015-09-18 00:00:00 |
070011730 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-08-07 00:00:00 |
2015-08-07 00:00:00 |
No |
2015-10-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
9YP511 |
N |
CA00454093 |
B |
SFY2015-16 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2015-10-22 00:00:00 |
070011783 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-10-06 00:00:00 |
2015-10-06 00:00:00 |
Yes |
2015-11-13 00:00:00 |
2015-10-23 00:00:00 |
B |
B |
2000 |
1300 |
0 |
1300 |
0 |
None |
XL2I11 |
N |
CA00461443 |
B |
SFY2015-16 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-07-21 00:00:00 |
070012376 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-05-19 00:00:00 |
2016-05-19 00:00:00 |
Yes |
2016-08-11 00:00:00 |
2016-08-01 00:00:00 |
A |
A |
10000 |
6500 |
0 |
6500 |
0 |
None |
ZKGM11 |
N |
CA00489559 |
B |
SFY2016-17 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-10-10 00:00:00 |
070012625 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-08-21 00:00:00 |
2016-08-21 00:00:00 |
Yes |
2016-10-31 00:00:00 |
2016-10-19 00:00:00 |
B |
None |
2000 |
2000 |
-2000 |
0 |
0 |
None |
MK0Y11 |
N |
None |
None |
SFY2016-17 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-10-10 00:00:00 |
070012626 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2016-09-20 00:00:00 |
2016-09-20 00:00:00 |
Yes |
2016-10-31 00:00:00 |
2016-10-19 00:00:00 |
B |
B |
2000 |
1000 |
0 |
1000 |
0 |
None |
MK0Y11 |
N |
None |
None |
SFY2016-17 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-10-10 00:00:00 |
070012627 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2016-09-20 00:00:00 |
2016-09-20 00:00:00 |
Yes |
2016-10-31 00:00:00 |
2016-10-19 00:00:00 |
B |
B |
2000 |
500 |
0 |
500 |
0 |
None |
MK0Y11 |
N |
None |
None |
SFY2016-17 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-11-28 00:00:00 |
070012775 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-10-24 00:00:00 |
2016-10-24 00:00:00 |
No |
2016-12-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
LEIH11 |
N |
CA00508680 |
B |
SFY2016-17 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-11-28 00:00:00 |
070012776 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-10-24 00:00:00 |
2016-10-24 00:00:00 |
No |
2016-12-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LEIH11 |
N |
CA00508680 |
B |
SFY2016-17 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2016-12-09 00:00:00 |
070012804 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-11-18 00:00:00 |
2016-11-18 00:00:00 |
Yes |
2017-01-03 00:00:00 |
2016-12-28 00:00:00 |
B |
B |
1500 |
500 |
0 |
500 |
0 |
None |
U3PO11 |
N |
CA00510003 |
C |
SFY2016-17 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-04-05 00:00:00 |
070013053 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-02-04 00:00:00 |
2017-02-04 00:00:00 |
Yes |
2017-04-26 00:00:00 |
2017-04-13 00:00:00 |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
WGO111 |
N |
CA00522080 |
B |
SFY2016-17 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-04-11 00:00:00 |
070013101 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-03-24 00:00:00 |
2017-03-24 00:00:00 |
No |
2017-05-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
RRC911 |
N |
None |
None |
SFY2016-17 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2017-07-11 00:00:00 |
070013325 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-06-08 00:00:00 |
2017-06-08 00:00:00 |
No |
2017-08-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
4GG811 |
N |
CA00538807 |
B |
SFY2017-18 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-01-12 00:00:00 |
070013723 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
FAILURE TO REPORT |
2017-12-29 00:00:00 |
2017-12-29 00:00:00 |
Yes |
2018-02-02 00:00:00 |
2018-01-17 00:00:00 |
B |
B |
2000 |
1400 |
0 |
1400 |
0 |
None |
IDP711 |
N |
CA00567327 |
B |
SFY2017-18 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-07-11 00:00:00 |
070014230 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-05-17 00:00:00 |
2018-05-17 00:00:00 |
No |
2018-08-01 00:00:00 |
None |
B |
None |
1500 |
4500 |
-1575 |
2925 |
0 |
None |
43DC11 |
N |
CA00591668 |
B |
SFY2018-19 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2018-10-30 00:00:00 |
070014542 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Discharge Planning |
2018-10-25 00:00:00 |
2018-10-25 00:00:00 |
Yes |
2018-11-21 00:00:00 |
2018-11-07 00:00:00 |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
DTMR11 |
N |
CA00607756 |
B |
SFY2018-19 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-02-04 00:00:00 |
070014745 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-01-02 00:00:00 |
2019-01-02 00:00:00 |
Yes |
2019-02-25 00:00:00 |
2019-02-21 00:00:00 |
B |
B |
2000 |
5100 |
0 |
0 |
5100 |
None |
RDTH11 |
N |
CA00618468 |
B |
SFY2018-19 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-05-02 00:00:00 |
070015002 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-11-26 00:00:00 |
2018-11-26 00:00:00 |
No |
2019-05-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
9ID511 |
N |
None |
None |
SFY2018-19 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2019-07-29 00:00:00 |
070015239 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-07-15 00:00:00 |
2019-07-15 00:00:00 |
Yes |
2019-08-19 00:00:00 |
2019-08-07 00:00:00 |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
9W9N11 |
N |
None |
None |
SFY2019-20 |
220001079 |
HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-08-24 00:00:00 |
070015992 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Reporting Of Outbreaks |
2020-08-08 00:00:00 |
2020-08-08 00:00:00 |
No |
2020-09-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
M1K411 |
N |
None |
None |
SFY2020-21 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2020-09-23 00:00:00 |
070016035 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Reporting Of Outbreaks |
2020-09-01 00:00:00 |
2020-09-01 00:00:00 |
Yes |
2020-10-14 00:00:00 |
2020-10-06 00:00:00 |
B |
Drop>Deficiency |
1000 |
1000 |
0 |
1000 |
0 |
None |
935411 |
N |
None |
None |
SFY2020-21 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2021-06-30 00:00:00 |
070016664 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-05-11 00:00:00 |
2021-05-11 00:00:00 |
Yes |
2021-07-21 00:00:00 |
2021-07-06 00:00:00 |
B |
B |
2000 |
1800 |
0 |
1800 |
0 |
None |
YG4C11 |
N |
None |
None |
SFY2020-21 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2022-02-17 00:00:00 |
070017356 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Admission, T & D |
2022-01-27 00:00:00 |
2022-01-27 00:00:00 |
No |
2022-03-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
HTKE11 |
N |
CA00771333 |
A |
SFY2021-22 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-03-22 00:00:00 |
070019764 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-01-28 00:00:00 |
2024-01-28 00:00:00 |
No |
2024-04-12 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
LDCT11 |
N |
CA00885094 |
B |
SFY2023-24 |
070000057 |
HERMAN HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-03-22 00:00:00 |
070019813 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-02-12 00:00:00 |
2024-02-12 00:00:00 |
No |
2024-04-15 00:00:00 |
None |
B |
None |
3000 |
5150 |
0 |
0 |
5150 |
None |
LDCT11 |
N |
None |
None |
SFY2023-24 |
070001365 |
HAZEL HAWKINS MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-04-05 00:00:00 |
070019880 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-06-25 00:00:00 |
2022-06-25 00:00:00 |
No |
2024-04-26 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
3OI911 |
N |
None |
None |
SFY2023-24 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2024-06-26 00:00:00 |
070020302 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-04-15 00:00:00 |
2024-04-15 00:00:00 |
No |
2024-07-18 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
JEB511 |
N |
CA00893301, CA00893751, CA00895005 |
A, B, B |
SFY2023-24 |
090000112 |
HOME OF GUIDING HANDS UNIT #6 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2000-09-08 00:00:00 |
090002756 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-10 00:00:00 |
2000-04-10 00:00:00 |
No |
2000-10-02 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
090022103 |
A99999 |
N |
None |
None |
SFY2000-01 |
090000959 |
HOME OF GUIDING HANDS UNIT #1 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2001-08-17 00:00:00 |
090002774 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2001-07-19 00:00:00 |
2001-07-19 00:00:00 |
No |
2001-09-10 00:00:00 |
None |
B |
None |
550 |
550 |
-192.5 |
357.5 |
0 |
090023154 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000103 |
HOME OF GUIDING HANDS UNIT - #10 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2001-10-19 00:00:00 |
090002780 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
CLIENT CARE |
2001-09-07 00:00:00 |
2001-09-07 00:00:00 |
No |
2001-11-14 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
090023343 |
A99999 |
N |
None |
None |
SFY2001-02 |
090000112 |
HOME OF GUIDING HANDS UNIT #6 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2002-07-23 00:00:00 |
090002805 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-06-01 00:00:00 |
2002-06-01 00:00:00 |
No |
2002-08-13 00:00:00 |
None |
A |
None |
9000 |
9000 |
-3150 |
5850 |
0 |
090024022 |
A99999 |
N |
None |
None |
SFY2002-03 |
090000101 |
HOME OF GUIDING HANDS LOS RANCHITOS WAY |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2005-03-08 00:00:00 |
090002849 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-01-24 00:00:00 |
2005-01-24 00:00:00 |
No |
2005-03-29 00:00:00 |
None |
B |
None |
850 |
850 |
-297.5 |
552.5 |
0 |
090027463 |
A99999 |
N |
None |
None |
SFY2004-05 |
090000004 |
HILLCREST HEIGHTS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2008-11-17 00:00:00 |
090005612 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-02-16 00:00:00 |
2008-02-16 00:00:00 |
Yes |
2008-12-15 00:00:00 |
2008-12-09 00:00:00 |
B |
B |
600 |
300 |
0 |
300 |
0 |
None |
MTDC11 |
N |
CA00141398 |
C |
SFY2008-09 |
090000064 |
HILLCREST MANOR SANITARIUM |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2009-05-12 00:00:00 |
090006174 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-03-12 00:00:00 |
2009-03-12 00:00:00 |
No |
2009-06-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
8XPU11 |
N |
CA00180819 |
C |
SFY2008-09 |
090000004 |
HILLCREST HEIGHTS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2010-04-22 00:00:00 |
090007148 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-12-31 00:00:00 |
2005-12-31 00:00:00 |
No |
2010-05-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
CUWO11 |
N |
CA00211441 |
C |
SFY2009-10 |
090000138 |
HELIX |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2011-04-11 00:00:00 |
090008123 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Staff Training |
2010-12-24 00:00:00 |
2010-12-24 00:00:00 |
No |
2011-05-02 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
DY4U11 |
N |
CA00253544 |
C |
SFY2010-11 |
100000082 |
HARVEST CROSSING POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2003-07-25 00:00:00 |
100002228 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-10-18 00:00:00 |
None |
Yes |
2004-01-09 00:00:00 |
2004-01-08 00:00:00 |
A |
A |
10000 |
10000 |
-10000 |
0 |
0 |
100017677 |
A99999 |
Y |
None |
None |
SFY2003-04 |
090000118 |
HILLDALE HABILITATION CENTER |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2021-09-29 00:00:00 |
100016831 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
nursing services |
2019-06-05 00:00:00 |
2019-06-05 00:00:00 |
No |
2021-10-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
OPBI11 |
Y |
CA00640707 |
B |
SFY2021-22 |
090000118 |
HILLDALE HABILITATION CENTER |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
San Diego |
2021-12-23 00:00:00 |
100017223 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2020-04-08 00:00:00 |
2020-04-08 00:00:00 |
No |
2022-01-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
SIQ111 |
N |
CA00684264 |
B |
SFY2021-22 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-02-24 00:00:00 |
110001718 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
1999-06-24 00:00:00 |
2000-01-06 00:00:00 |
No |
2000-03-20 00:00:00 |
None |
B |
None |
1000 |
1400 |
-350 |
1050 |
0 |
110012242 |
A99999 |
N |
None |
None |
SFY1999-00 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-02-24 00:00:00 |
110001719 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-01-01 00:00:00 |
2000-01-01 00:00:00 |
No |
2000-03-20 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110012242 |
A99999 |
N |
None |
None |
SFY1999-00 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-12-08 00:00:00 |
110001809 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2000-09-03 00:00:00 |
None |
No |
2001-01-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110013588 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-12-15 00:00:00 |
110001813 |
Closed |
Citation |
Citation A (HSC 1424) |
Administration |
None |
2000-10-09 00:00:00 |
2000-10-10 00:00:00 |
No |
2001-01-11 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
110013639 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-04-20 00:00:00 |
110001838 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-11 00:00:00 |
None |
Yes |
2001-05-14 00:00:00 |
2001-05-18 00:00:00 |
B |
None |
800 |
800 |
0 |
800 |
0 |
110014172 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-05-24 00:00:00 |
110001839 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-06-30 00:00:00 |
None |
No |
2001-06-15 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
110014572 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-10-25 00:00:00 |
110001890 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PT. RIGHT, TRANSFER |
2000-12-27 00:00:00 |
2000-12-27 00:00:00 |
No |
2001-11-20 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
110015340 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001894 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001895 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001896 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001897 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001899 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001900 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001901 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001902 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-01-02 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-05 00:00:00 |
110001903 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-24 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-05 00:00:00 |
110001904 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-12 00:00:00 |
2002-07-02 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001913 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001914 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001915 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001916 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001917 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-12 00:00:00 |
2002-07-24 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001918 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001919 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001920 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-16 00:00:00 |
2001-12-28 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001921 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001922 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001923 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-19 00:00:00 |
2001-12-28 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-05 00:00:00 |
110001924 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-12 00:00:00 |
2002-07-24 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001925 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-12 00:00:00 |
2002-07-24 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001926 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-01-17 00:00:00 |
2002-07-15 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001928 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001929 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-15 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001930 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-22 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001931 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001932 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-31 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001933 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-16 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001934 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-15 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001935 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-16 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001936 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-15 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001937 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001938 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001939 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-12 00:00:00 |
2002-07-24 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001941 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001942 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-25 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001943 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001944 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-05 00:00:00 |
2002-07-19 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001945 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-31 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001946 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001947 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-15 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001948 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-07-23 00:00:00 |
2002-07-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001949 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-26 00:00:00 |
2002-08-09 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001950 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-22 00:00:00 |
2002-07-29 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001951 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-23 00:00:00 |
2002-08-09 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001952 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-23 00:00:00 |
2002-08-08 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001953 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-01-02 00:00:00 |
2001-12-28 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001954 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-22 00:00:00 |
2002-08-05 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001955 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-26 00:00:00 |
2002-08-09 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001956 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-19 00:00:00 |
2002-07-29 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001957 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-19 00:00:00 |
2002-07-29 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-11 00:00:00 |
110001958 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-04 00:00:00 |
2001-04-20 00:00:00 |
Yes |
2002-08-15 00:00:00 |
2002-07-30 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015221 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-21 00:00:00 |
110001962 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-11-25 00:00:00 |
2000-11-25 00:00:00 |
Yes |
2002-01-14 00:00:00 |
2002-01-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110013999 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-21 00:00:00 |
110001964 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-12 00:00:00 |
2001-01-19 00:00:00 |
Yes |
2002-01-14 00:00:00 |
2002-01-03 00:00:00 |
B |
B Trebled |
1000 |
1500 |
0 |
1500 |
0 |
110013987 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-28 00:00:00 |
110001965 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-11-06 00:00:00 |
2000-11-06 00:00:00 |
Yes |
2002-08-29 00:00:00 |
2002-08-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110014487 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000064 |
HEART OF NAPA |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-31 00:00:00 |
110001966 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-10 00:00:00 |
2001-04-10 00:00:00 |
Yes |
2002-08-29 00:00:00 |
2002-08-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110015545 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-07-19 00:00:00 |
110001986 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-24 00:00:00 |
2001-08-24 00:00:00 |
Yes |
2002-08-21 00:00:00 |
2002-08-02 00:00:00 |
B |
B |
800 |
500 |
0 |
500 |
0 |
110015396 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000702 |
HEALDSBURG HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-09-12 00:00:00 |
110002005 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2002-08-26 00:00:00 |
2002-08-26 00:00:00 |
No |
2002-10-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110016316 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-14 00:00:00 |
110002014 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-02 00:00:00 |
2002-01-02 00:00:00 |
Yes |
2003-02-04 00:00:00 |
2003-01-21 00:00:00 |
B |
B |
1000 |
400 |
0 |
400 |
0 |
110015575 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-08-13 00:00:00 |
110002064 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-24 00:00:00 |
2003-03-24 00:00:00 |
Yes |
2003-09-09 00:00:00 |
2003-08-25 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110016886 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-26 00:00:00 |
110002144 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-11 00:00:00 |
2003-11-11 00:00:00 |
Yes |
2004-03-09 00:00:00 |
2004-05-18 00:00:00 |
B |
B |
1000 |
450 |
0 |
450 |
0 |
110017843 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-02-05 00:00:00 |
110002180 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-12-18 00:00:00 |
2003-12-18 00:00:00 |
Yes |
2004-03-03 00:00:00 |
2004-02-17 00:00:00 |
A |
A |
18000 |
12000 |
0 |
12000 |
0 |
110018134 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-10-07 00:00:00 |
110002215 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2004-07-30 00:00:00 |
2004-07-30 00:00:00 |
Yes |
2004-10-28 00:00:00 |
2004-10-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
110018607 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-10-29 00:00:00 |
110002220 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-07-21 00:00:00 |
2004-07-21 00:00:00 |
Yes |
2004-11-29 00:00:00 |
2004-11-08 00:00:00 |
B |
B Trebled |
1000 |
1800 |
0 |
1800 |
0 |
110018652 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-08-04 00:00:00 |
110003254 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-06-29 00:00:00 |
2005-06-29 00:00:00 |
Yes |
2006-08-25 00:00:00 |
2006-08-08 00:00:00 |
A |
A |
16000 |
6000 |
0 |
6000 |
0 |
None |
P1Q911 |
N |
CA00053631 |
B |
SFY2006-07 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-08-14 00:00:00 |
110003918 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-04-13 00:00:00 |
2007-04-13 00:00:00 |
Yes |
2011-08-17 00:00:00 |
2011-08-08 00:00:00 |
A |
A |
18000 |
8000 |
0 |
8000 |
0 |
None |
2O6N11 |
N |
CA00112132 |
B |
SFY2007-08 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-07-12 00:00:00 |
110004086 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
c, pe |
2007-03-08 00:00:00 |
2007-03-08 00:00:00 |
Yes |
2007-08-02 00:00:00 |
2007-07-27 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
QY2X11 |
N |
CA00111006 |
B |
SFY2007-08 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-08-20 00:00:00 |
110004847 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-21 00:00:00 |
2008-03-21 00:00:00 |
Yes |
2008-09-15 00:00:00 |
2008-08-27 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
W4GQ11 |
N |
CA00144494 |
A |
SFY2008-09 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-02-05 00:00:00 |
110005714 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-12-14 00:00:00 |
2008-12-14 00:00:00 |
Yes |
2011-12-01 00:00:00 |
2009-02-19 00:00:00 |
A |
A |
16000 |
16000 |
0 |
16000 |
0 |
None |
MNV011 |
N |
CA00172029, CA00172141 |
A, A |
SFY2008-09 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-03-02 00:00:00 |
110005903 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-09-21 00:00:00 |
2008-09-21 00:00:00 |
Yes |
2009-03-23 00:00:00 |
2009-03-09 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
6PWN11 |
N |
CA00164179 |
A |
SFY2008-09 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-08-07 00:00:00 |
110006397 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-19 00:00:00 |
2009-05-19 00:00:00 |
Yes |
2009-08-28 00:00:00 |
2009-08-07 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
JEBS11 |
N |
CA00189066 |
A |
SFY2009-10 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-10-13 00:00:00 |
110006408 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-30 00:00:00 |
2009-05-30 00:00:00 |
Yes |
2009-11-03 00:00:00 |
2009-11-03 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
GV7S11 |
N |
CA00194707 |
A |
SFY2009-10 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-08-19 00:00:00 |
110006873 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2009-12-18 00:00:00 |
2009-12-18 00:00:00 |
No |
2010-09-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5WB211 |
N |
CA00211865 |
A |
SFY2010-11 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-09-28 00:00:00 |
110007473 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-07-30 00:00:00 |
2010-07-30 00:00:00 |
No |
2010-10-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TQ8F11 |
N |
CA00237857 |
A |
SFY2010-11 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-04-21 00:00:00 |
110007916 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-03-17 00:00:00 |
2010-03-17 00:00:00 |
No |
2011-05-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D35D11 |
N |
CA00221627 |
A |
SFY2010-11 |
110000030 |
HEARTWOOD AVENUE HEALTHCARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-05-10 00:00:00 |
110007980 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-09-27 00:00:00 |
2010-09-27 00:00:00 |
Yes |
2011-06-01 00:00:00 |
2011-05-27 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
MOMT11 |
N |
CA00248548 |
A |
SFY2010-11 |
110000702 |
HEALDSBURG HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-01-24 00:00:00 |
110009753 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2012-06-05 00:00:00 |
2012-06-05 00:00:00 |
No |
2014-02-14 00:00:00 |
None |
AA |
None |
50000 |
50000 |
-17500 |
32500 |
0 |
None |
IB9G11 |
Y |
CA00314658 |
C |
SFY2013-14 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-07-10 00:00:00 |
110011875 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-10-22 00:00:00 |
2014-10-22 00:00:00 |
No |
2018-07-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
4ZFF11 |
N |
CA00417913, CA00417913, CA00431704, CA00431704, CA00432881, CA00432881, CA00445951, CA00445951, CA00446900, CA00446900 |
H, H, H, H, H, H, H, H, H, H |
SFY2018-19 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-02-05 00:00:00 |
110011937 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2015-12-18 00:00:00 |
2015-12-18 00:00:00 |
No |
2016-02-29 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
07UM11 |
N |
None |
None |
SFY2015-16 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-03-30 00:00:00 |
110013071 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-07-08 00:00:00 |
2016-07-08 00:00:00 |
No |
2017-04-21 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
GYFL11 |
N |
None |
None |
SFY2016-17 |
010000079 |
HILLCREST POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-11-20 00:00:00 |
110014288 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-07-01 00:00:00 |
2018-07-01 00:00:00 |
No |
2018-12-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
L1OD11 |
N |
CA00593793 |
B |
SFY2018-19 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-01-06 00:00:00 |
110017206 |
Open |
Citation |
Citation A (HSC 1424) |
Administration |
None |
2021-11-15 00:00:00 |
2021-11-15 00:00:00 |
No |
2022-01-28 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
5CKL11 |
N |
None |
None |
SFY2021-22 |
010000029 |
HEALDSBURG SENIOR LIVING COMMUNITY |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-01-06 00:00:00 |
110017208 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
Abuse/No Self-Report |
2021-11-15 00:00:00 |
2021-11-15 00:00:00 |
No |
2022-01-28 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
5CKL11 |
N |
None |
None |
SFY2021-22 |
120001037 |
HIGHER GROUND HOMES, INC. #2 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Bakersfield |
2001-01-12 00:00:00 |
120001435 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-13 00:00:00 |
2000-12-13 00:00:00 |
No |
2001-02-14 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
120014636 |
A99999 |
N |
None |
None |
SFY2000-01 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2001-10-17 00:00:00 |
120001536 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-01-04 00:00:00 |
None |
No |
2001-11-07 00:00:00 |
None |
B |
None |
300 |
300 |
0 |
300 |
0 |
120015689 |
A99999 |
N |
None |
None |
SFY2001-02 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2001-11-06 00:00:00 |
120001539 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-31 00:00:00 |
2000-12-31 00:00:00 |
No |
2001-11-30 00:00:00 |
None |
B |
None |
2000 |
2300 |
-700 |
1600 |
0 |
120015783 |
A99999 |
N |
None |
None |
SFY2001-02 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2002-02-20 00:00:00 |
120001547 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-14 00:00:00 |
None |
No |
2002-03-13 00:00:00 |
None |
B |
None |
300 |
300 |
-105 |
195 |
0 |
120015753 |
A99999 |
N |
None |
None |
SFY2001-02 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2002-07-17 00:00:00 |
120001558 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-04-29 00:00:00 |
None |
No |
2002-08-12 00:00:00 |
None |
B |
None |
300 |
300 |
-105 |
195 |
0 |
120016108 |
A99999 |
N |
None |
None |
SFY2002-03 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2002-09-26 00:00:00 |
120001561 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-08-08 00:00:00 |
None |
No |
2002-10-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120016331 |
A99999 |
N |
None |
None |
SFY2002-03 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2002-09-26 00:00:00 |
120001562 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-08-13 00:00:00 |
None |
No |
2002-10-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120016325 |
A99999 |
N |
None |
None |
SFY2002-03 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2003-10-24 00:00:00 |
120001759 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-10-24 00:00:00 |
None |
No |
2003-11-18 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
120019777 |
A99999 |
N |
None |
None |
SFY2003-04 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2004-02-04 00:00:00 |
120001765 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT CARE/RIGHTS |
2003-12-02 00:00:00 |
None |
No |
2004-03-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020180 |
A99999 |
N |
None |
None |
SFY2003-04 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2004-02-11 00:00:00 |
120001767 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-09-03 00:00:00 |
None |
No |
2004-03-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020340 |
A99999 |
N |
None |
None |
SFY2003-04 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2004-05-28 00:00:00 |
120001784 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2003-06-23 00:00:00 |
None |
No |
2004-06-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120019775 |
A99999 |
N |
None |
None |
SFY2003-04 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2004-07-20 00:00:00 |
120001785 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-07-08 00:00:00 |
None |
No |
2004-08-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020637 |
A99999 |
N |
None |
None |
SFY2004-05 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2004-07-26 00:00:00 |
120001786 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-07-10 00:00:00 |
None |
No |
2004-08-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020645 |
A99999 |
N |
None |
None |
SFY2004-05 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2004-08-11 00:00:00 |
120001788 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-21 00:00:00 |
None |
No |
2004-09-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120019681 |
A99999 |
N |
None |
None |
SFY2004-05 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2005-06-27 00:00:00 |
120001823 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-10-13 00:00:00 |
None |
No |
2005-07-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020111 |
A99999 |
N |
None |
None |
SFY2004-05 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2005-08-03 00:00:00 |
120001825 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-11-19 00:00:00 |
None |
No |
2005-08-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020920 |
A99999 |
N |
None |
None |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2005-08-03 00:00:00 |
120001826 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-09-22 00:00:00 |
None |
No |
2005-08-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020358 |
A99999 |
N |
None |
None |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2005-08-03 00:00:00 |
120001827 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2004-01-25 00:00:00 |
None |
No |
2005-08-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020358 |
A99999 |
N |
None |
None |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2005-08-03 00:00:00 |
120001828 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2005-02-16 00:00:00 |
None |
No |
2005-08-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120020921 |
A99999 |
N |
None |
None |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2005-08-03 00:00:00 |
120001829 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-03-04 00:00:00 |
None |
Yes |
2005-08-26 00:00:00 |
2005-08-04 00:00:00 |
A |
A |
10000 |
5100 |
-100 |
5000 |
0 |
120020922 |
A99999 |
N |
None |
None |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2006-01-05 00:00:00 |
120001839 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-20 00:00:00 |
None |
No |
2006-02-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120021011 |
A99999 |
N |
None |
None |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2006-01-18 00:00:00 |
120001840 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-09-30 00:00:00 |
None |
No |
2006-02-10 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
120021012 |
A99999 |
N |
None |
None |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2006-02-14 00:00:00 |
120001845 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-27 00:00:00 |
2005-12-27 00:00:00 |
No |
2006-03-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
120021022 |
A99999 |
N |
CA00068988 |
B |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2006-05-15 00:00:00 |
120002958 |
Closed |
Citation |
Citation Retaliation/Discrimination (HSC 1432) |
Other |
Wrongful Termination |
2006-01-04 00:00:00 |
2006-01-04 00:00:00 |
Yes |
2006-06-06 00:00:00 |
2006-05-17 00:00:00 |
RD |
R/D First |
10000 |
10000 |
-8686 |
1314 |
0 |
None |
G9W011 |
None |
CA00070190 |
B |
SFY2005-06 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2006-08-23 00:00:00 |
120003212 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-22 00:00:00 |
2005-12-22 00:00:00 |
No |
2006-09-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZQ3D11 |
N |
CA00069013 |
B |
SFY2006-07 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2006-08-23 00:00:00 |
120003295 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-22 00:00:00 |
2005-12-22 00:00:00 |
No |
2006-09-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZQ3D11 |
N |
CA00069003 |
B |
SFY2006-07 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2006-08-23 00:00:00 |
120003296 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-20 00:00:00 |
2005-12-20 00:00:00 |
No |
2006-09-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZQ3D11 |
N |
CA00069020 |
B |
SFY2006-07 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2013-10-23 00:00:00 |
120010212 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-10-02 00:00:00 |
2013-10-02 00:00:00 |
Yes |
2013-11-14 00:00:00 |
2013-11-12 00:00:00 |
B |
None |
2000 |
2000 |
0 |
0 |
2000 |
None |
8NSR11 |
N |
CA00371956, CA00372072 |
A, B |
SFY2013-14 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2014-04-01 00:00:00 |
120010559 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-08-13 00:00:00 |
2012-08-13 00:00:00 |
Yes |
2014-04-22 00:00:00 |
2014-04-11 00:00:00 |
A |
A |
10000 |
11450 |
-1450 |
10000 |
0 |
None |
535P11 |
Y |
CA00325484 |
B |
SFY2013-14 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2014-08-04 00:00:00 |
120010870 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-02-23 00:00:00 |
2014-02-23 00:00:00 |
Yes |
2014-08-25 00:00:00 |
2014-08-11 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
R3QR11 |
N |
CA00390374 |
B |
SFY2014-15 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2015-04-06 00:00:00 |
120011359 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2014-10-20 00:00:00 |
2014-10-20 00:00:00 |
Yes |
2015-04-27 00:00:00 |
2015-04-23 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
XCF911 |
N |
None |
None |
SFY2014-15 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2015-06-02 00:00:00 |
120011468 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2015-02-16 00:00:00 |
2015-02-16 00:00:00 |
No |
2015-06-23 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
XCF913 |
N |
None |
None |
SFY2014-15 |
120001037 |
HIGHER GROUND HOMES, INC. #2 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Bakersfield |
2017-01-10 00:00:00 |
120012857 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-11-12 00:00:00 |
2016-11-12 00:00:00 |
No |
2017-02-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JUGI11 |
N |
CA00510493 |
C |
SFY2016-17 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2023-12-12 00:00:00 |
120019431 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-08-30 00:00:00 |
2023-08-30 00:00:00 |
No |
2024-01-03 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
T2A711 |
N |
CA00861826, CA00862904, CA00862905 |
B, B, B |
SFY2023-24 |
140001332 |
HAPPY VALLEY |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2003-03-20 00:00:00 |
140002719 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2003-02-19 00:00:00 |
None |
No |
2003-04-16 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
140016727 |
A99999 |
N |
None |
None |
SFY2002-03 |
140001342 |
HAPPY VALLEY ICF/DD-H #4 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2001-08-27 00:00:00 |
140002722 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-05-16 00:00:00 |
2001-05-16 00:00:00 |
No |
2001-09-18 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
140016853 |
A99999 |
N |
None |
None |
SFY2001-02 |
140001350 |
HAPPY VALLEY #5 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2001-01-19 00:00:00 |
140002728 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2000-04-05 00:00:00 |
2000-12-22 00:00:00 |
Yes |
2001-07-09 00:00:00 |
2001-01-20 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
140016953 |
A99999 |
N |
None |
None |
SFY2000-01 |
220001079 |
HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-06-27 00:00:00 |
220001472 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-04-12 00:00:00 |
None |
Yes |
2000-07-21 00:00:00 |
2000-07-18 00:00:00 |
B |
B |
600 |
0 |
0 |
0 |
0 |
220010027 |
A99999 |
N |
None |
None |
SFY1999-00 |
220001079 |
HEALTH CARE CTR AT THE FORUM AT RANCHO SAN ANTONIO |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-06-27 00:00:00 |
220001473 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-13 00:00:00 |
None |
Yes |
2000-07-21 00:00:00 |
2000-07-18 00:00:00 |
B |
B |
600 |
300 |
0 |
300 |
0 |
220010027 |
A99999 |
N |
None |
None |
SFY1999-00 |
220000064 |
HILLSDALE MANOR CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-06-05 00:00:00 |
220001515 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-10-15 00:00:00 |
None |
No |
2002-06-26 00:00:00 |
None |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
220010724 |
A99999 |
N |
None |
None |
SFY2001-02 |
220000056 |
HAYES CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2002-07-12 00:00:00 |
220001521 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-03-15 00:00:00 |
None |
Yes |
2002-08-02 00:00:00 |
2002-07-30 00:00:00 |
A |
A |
18000 |
0 |
0 |
0 |
0 |
220011062 |
A99999 |
N |
None |
None |
SFY2002-03 |
220000058 |
HERITAGE ON THE MARINA |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2008-10-31 00:00:00 |
220005566 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-06-20 00:00:00 |
2008-06-20 00:00:00 |
No |
2008-11-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D6GJ11 |
N |
CA00158305 |
B |
SFY2008-09 |
220000058 |
HERITAGE ON THE MARINA |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2009-06-16 00:00:00 |
220006290 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-09-10 00:00:00 |
2008-09-10 00:00:00 |
No |
2009-07-08 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
X9LP11 |
N |
CA00167302 |
C |
SFY2008-09 |
220000058 |
HERITAGE ON THE MARINA |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2019-05-21 00:00:00 |
220014440 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-03-24 00:00:00 |
2018-03-24 00:00:00 |
No |
2019-06-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
0XSC11 |
Y |
CA00580230 |
C |
SFY2018-19 |
230000049 |
HOME HEALTH SERVICES |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2002-02-15 00:00:00 |
230000966 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-09 00:00:00 |
None |
No |
2002-03-11 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
230007796 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
1999-12-10 00:00:00 |
240001475 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-11-08 00:00:00 |
None |
No |
2000-01-03 00:00:00 |
None |
A |
None |
5000 |
5000 |
-5000 |
0 |
0 |
240011608 |
A99999 |
N |
None |
None |
SFY1999-00 |
240001081 |
HERITAGE PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-03-28 00:00:00 |
240001480 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-03-16 00:00:00 |
None |
Yes |
2001-06-04 00:00:00 |
2001-05-22 00:00:00 |
A |
A |
10000 |
7650 |
-150 |
7500 |
0 |
240011926 |
A99999 |
N |
None |
None |
SFY1999-00 |
240001081 |
HERITAGE PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-04-26 00:00:00 |
240001486 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-02-10 00:00:00 |
None |
Yes |
2000-05-17 00:00:00 |
2000-05-16 00:00:00 |
A |
A |
5000 |
5050 |
0 |
5050 |
0 |
240012009 |
A99999 |
N |
None |
None |
SFY1999-00 |
240000904 |
HILLSIDE HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2000-05-23 00:00:00 |
240001491 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2000-05-09 00:00:00 |
None |
No |
2000-06-19 00:00:00 |
None |
A |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
240012102 |
A99999 |
N |
None |
None |
SFY1999-00 |
240001081 |
HERITAGE PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-05-26 00:00:00 |
240001492 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-02-15 00:00:00 |
None |
No |
2000-07-05 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
240012107 |
A99999 |
N |
None |
None |
SFY1999-00 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-07-10 00:00:00 |
240001499 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-03-11 00:00:00 |
2000-03-11 00:00:00 |
Yes |
2001-09-05 00:00:00 |
2000-05-16 00:00:00 |
A |
A |
5000 |
5100 |
0 |
5100 |
0 |
240012189 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-07-26 00:00:00 |
240001504 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-07-12 00:00:00 |
None |
No |
2000-08-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240012232 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000065 |
HERITAGE GARDENS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-08-29 00:00:00 |
240001510 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-01-05 00:00:00 |
None |
Yes |
2000-09-20 00:00:00 |
2000-09-06 00:00:00 |
A |
B |
7000 |
7500 |
0 |
7500 |
0 |
240012331 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2000-09-19 00:00:00 |
240001581 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-08-08 00:00:00 |
2000-08-08 00:00:00 |
No |
2000-10-10 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
240012734 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-03-27 00:00:00 |
240001663 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-12-31 00:00:00 |
None |
Yes |
2001-04-17 00:00:00 |
2001-04-13 00:00:00 |
A |
A |
15000 |
15000 |
-15000 |
0 |
0 |
240013877 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-06-11 00:00:00 |
240001678 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-02 00:00:00 |
2001-04-02 00:00:00 |
No |
2001-07-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014370 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-06-26 00:00:00 |
240001681 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-10 00:00:00 |
None |
No |
2001-07-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
240014276 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-09-06 00:00:00 |
240001692 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2001-07-17 00:00:00 |
2001-07-17 00:00:00 |
No |
2001-09-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014610 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-10-18 00:00:00 |
240001698 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2001-09-17 00:00:00 |
2001-09-17 00:00:00 |
No |
2001-11-08 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
240014934 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-11-16 00:00:00 |
240001700 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2001-09-20 00:00:00 |
2001-09-20 00:00:00 |
No |
2001-12-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240014851 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-10-29 00:00:00 |
240001701 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-09-25 00:00:00 |
2001-09-25 00:00:00 |
No |
2001-11-29 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
240014923 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2001-10-29 00:00:00 |
240001702 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-08-23 00:00:00 |
2001-08-23 00:00:00 |
No |
2001-11-19 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
240014757 |
A99999 |
N |
None |
None |
SFY2001-02 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2002-03-29 00:00:00 |
240001715 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2001-07-11 00:00:00 |
2001-07-11 00:00:00 |
Yes |
2002-05-01 00:00:00 |
2002-04-12 00:00:00 |
AA |
AA |
50000 |
15000 |
0 |
15000 |
0 |
240014605 |
A99999 |
Y |
None |
None |
SFY2001-02 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-01-22 00:00:00 |
240001746 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-10-09 00:00:00 |
None |
No |
2003-02-13 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
240015453 |
A99999 |
N |
None |
None |
SFY2002-03 |
240001249 |
HOLLY HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2003-05-02 00:00:00 |
240001764 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-07-14 00:00:00 |
2002-07-14 00:00:00 |
Yes |
2003-05-23 00:00:00 |
2003-05-02 00:00:00 |
A |
Dismissed by Court |
10000 |
0 |
0 |
0 |
0 |
240016027 |
A99999 |
N |
None |
None |
SFY2002-03 |
240001249 |
HOLLY HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2003-05-06 00:00:00 |
240001766 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-20 00:00:00 |
2002-11-20 00:00:00 |
Yes |
2003-05-27 00:00:00 |
2003-05-07 00:00:00 |
B |
None |
500 |
500 |
-500 |
0 |
0 |
240017077 |
A99999 |
N |
None |
None |
SFY2002-03 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2003-07-16 00:00:00 |
240001769 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-02 00:00:00 |
2002-10-02 00:00:00 |
Yes |
2003-08-12 00:00:00 |
2003-07-17 00:00:00 |
B |
B |
850 |
425 |
0 |
425 |
0 |
240016713 |
A99999 |
N |
None |
None |
SFY2003-04 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-07-22 00:00:00 |
240001811 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-06-21 00:00:00 |
2003-06-21 00:00:00 |
Yes |
2004-08-12 00:00:00 |
2004-08-10 00:00:00 |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
240018257 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-09-02 00:00:00 |
240001818 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-06-02 00:00:00 |
None |
No |
2004-09-24 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
240019693 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-09-02 00:00:00 |
240001821 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-22 00:00:00 |
None |
No |
2004-09-24 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
240019734 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-11-09 00:00:00 |
240001826 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-02-04 00:00:00 |
2004-02-04 00:00:00 |
Yes |
2011-04-18 00:00:00 |
2004-11-22 00:00:00 |
A |
A |
15000 |
15000 |
0 |
15000 |
0 |
240019800 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-11-03 00:00:00 |
240001831 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-08-22 00:00:00 |
None |
No |
2004-11-29 00:00:00 |
None |
B |
None |
300 |
300 |
-105 |
195 |
0 |
240018082 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2004-11-24 00:00:00 |
240001834 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-08-08 00:00:00 |
None |
Yes |
2005-01-27 00:00:00 |
2004-12-01 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
240019878 |
A99999 |
N |
None |
None |
SFY2004-05 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-05-16 00:00:00 |
240001857 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-10-02 00:00:00 |
2004-10-02 00:00:00 |
No |
2005-06-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240020003 |
A99999 |
N |
CA00032648 |
C |
SFY2004-05 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2005-09-21 00:00:00 |
240001863 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2005-03-25 00:00:00 |
None |
Yes |
2005-12-15 00:00:00 |
2005-10-06 00:00:00 |
B |
B |
300 |
150 |
0 |
150 |
0 |
240020017 |
A99999 |
N |
CA00044339 |
B |
SFY2005-06 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-01-27 00:00:00 |
240001867 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-10-21 00:00:00 |
2005-10-21 00:00:00 |
No |
2006-02-21 00:00:00 |
None |
B |
None |
300 |
400 |
-105 |
295 |
0 |
240020023 |
A99999 |
N |
CA00064311 |
C |
SFY2005-06 |
240000065 |
HERITAGE GARDENS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-08-03 00:00:00 |
240003219 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-01-17 00:00:00 |
2003-01-17 00:00:00 |
No |
2006-08-24 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
KXL011 |
N |
CA00033441 |
C |
SFY2006-07 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-08-03 00:00:00 |
240003220 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-09-01 00:00:00 |
2004-09-01 00:00:00 |
Yes |
2006-08-24 00:00:00 |
2006-08-24 00:00:00 |
A |
B |
10000 |
7500 |
0 |
7500 |
0 |
None |
IHRH11 |
N |
CA00037892 |
C |
SFY2006-07 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-07-28 00:00:00 |
240003241 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-10-28 00:00:00 |
2005-10-28 00:00:00 |
No |
2006-08-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TWWD11 |
N |
CA00065734 |
C |
SFY2006-07 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-11-21 00:00:00 |
240003507 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-04-21 00:00:00 |
2005-04-21 00:00:00 |
Yes |
2006-12-14 00:00:00 |
2006-11-21 00:00:00 |
A |
A |
17000 |
2350 |
-350 |
2000 |
0 |
None |
CDIE11 |
N |
CA00046984 |
C |
SFY2006-07 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2006-11-21 00:00:00 |
240003509 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-01-18 00:00:00 |
2006-01-18 00:00:00 |
Yes |
2006-12-14 00:00:00 |
2006-11-21 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
W6FC11 |
N |
CA00070841 |
B |
SFY2006-07 |
240000065 |
HERITAGE GARDENS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-10-18 00:00:00 |
240004371 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-26 00:00:00 |
2006-11-26 00:00:00 |
No |
2007-11-08 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
E90O11 |
N |
CA00107615 |
C |
SFY2007-08 |
240000065 |
HERITAGE GARDENS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2007-11-30 00:00:00 |
240004469 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-03-31 00:00:00 |
2007-03-31 00:00:00 |
No |
2007-12-21 00:00:00 |
None |
B |
None |
500 |
650 |
-175 |
475 |
0 |
None |
TXUD11 |
N |
CA00110904 |
A |
SFY2007-08 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-01-29 00:00:00 |
240004618 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-06-07 00:00:00 |
2005-06-07 00:00:00 |
Yes |
2008-02-21 00:00:00 |
2008-02-08 00:00:00 |
A |
A |
20000 |
20000 |
0 |
20000 |
0 |
None |
3G0311 |
N |
CA00054126 |
C |
SFY2007-08 |
240000065 |
HERITAGE GARDENS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-01-29 00:00:00 |
240004623 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-05-30 00:00:00 |
2007-05-30 00:00:00 |
No |
2008-02-21 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
None |
8OGX11 |
N |
CA00116772 |
C |
SFY2007-08 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-03-04 00:00:00 |
240004731 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-09-12 00:00:00 |
2007-09-12 00:00:00 |
No |
2008-03-25 00:00:00 |
None |
B |
None |
1000 |
1400 |
-350 |
1050 |
0 |
None |
EQY411 |
N |
CA00125457 |
B |
SFY2007-08 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-04-02 00:00:00 |
240004846 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2007-05-21 00:00:00 |
2007-05-21 00:00:00 |
No |
2008-04-23 00:00:00 |
None |
B |
None |
1000 |
1950 |
-350 |
1600 |
0 |
None |
5H8D11 |
N |
CA00115420, CA00115574 |
C, C |
SFY2007-08 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2008-08-29 00:00:00 |
240005368 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-03-17 00:00:00 |
2006-03-17 00:00:00 |
Yes |
2008-09-22 00:00:00 |
2008-09-02 00:00:00 |
B |
None |
900 |
2700 |
-945 |
1755 |
0 |
None |
18J811 |
N |
CA00076164 |
B |
SFY2008-09 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-03-11 00:00:00 |
240005947 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2006-10-03 00:00:00 |
2006-10-03 00:00:00 |
No |
2009-04-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
C52G11 |
N |
CA00096164 |
C |
SFY2008-09 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-11-10 00:00:00 |
240006690 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-12-19 00:00:00 |
2006-12-19 00:00:00 |
No |
2009-12-04 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
4SW711 |
N |
CA00101966 |
C |
SFY2009-10 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2009-12-30 00:00:00 |
240006842 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-06-11 00:00:00 |
2007-06-11 00:00:00 |
Yes |
2010-01-25 00:00:00 |
2010-01-20 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
KIEN11 |
N |
CA00117246 |
C |
SFY2009-10 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-03-29 00:00:00 |
240007067 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2009-03-09 00:00:00 |
2009-03-09 00:00:00 |
No |
2011-04-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QD7D11 |
N |
CA00181863 |
C |
SFY2010-11 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2010-08-27 00:00:00 |
240007529 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-06-01 00:00:00 |
2009-06-01 00:00:00 |
No |
2010-09-20 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
OEX011 |
N |
CA00190580 |
C |
SFY2010-11 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-03-07 00:00:00 |
240007976 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-04-14 00:00:00 |
2010-04-14 00:00:00 |
No |
2011-03-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3IVJ11 |
N |
CA00225621 |
B |
SFY2010-11 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-06-21 00:00:00 |
240008319 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-02-01 00:00:00 |
2008-02-01 00:00:00 |
No |
2011-07-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6LCY11 |
N |
CA00177753 |
C |
SFY2010-11 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-06-23 00:00:00 |
240008324 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-09-28 00:00:00 |
2009-09-28 00:00:00 |
No |
2011-07-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
USPI11 |
N |
CA00203450 |
C |
SFY2010-11 |
240001241 |
HERMOSA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2011-07-13 00:00:00 |
240008368 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-10-11 00:00:00 |
2010-10-11 00:00:00 |
Yes |
2011-08-03 00:00:00 |
2011-07-13 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
RJA311 |
N |
CA00246280 |
C |
SFY2011-12 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-10-05 00:00:00 |
240008608 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-27 00:00:00 |
2009-05-27 00:00:00 |
Yes |
2011-10-26 00:00:00 |
2011-10-28 00:00:00 |
B |
None |
1000 |
1000 |
-883.6 |
116.4 |
0 |
None |
0W4911 |
N |
CA00189969 |
E |
SFY2011-12 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2011-10-31 00:00:00 |
240008680 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-03-31 00:00:00 |
2009-03-31 00:00:00 |
Yes |
2011-11-22 00:00:00 |
2011-11-07 00:00:00 |
A |
B |
20000 |
15000 |
0 |
15000 |
0 |
None |
PKLS11 |
N |
CA00188378 |
C |
SFY2011-12 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-01-17 00:00:00 |
240008914 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-07-10 00:00:00 |
2010-07-10 00:00:00 |
No |
2012-02-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
7ZX711 |
N |
CA00236043 |
C |
SFY2011-12 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-02-23 00:00:00 |
240009036 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-02-08 00:00:00 |
2011-02-08 00:00:00 |
Yes |
2012-03-15 00:00:00 |
2012-03-08 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
0RL911 |
N |
CA00259104 |
B |
SFY2011-12 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-03-12 00:00:00 |
240009101 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-29 00:00:00 |
2010-03-29 00:00:00 |
No |
2012-04-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2VJ511 |
N |
CA00224683 |
B |
SFY2011-12 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-05-15 00:00:00 |
240009306 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-01-14 00:00:00 |
2010-01-14 00:00:00 |
No |
2012-06-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
YZGC11 |
N |
CA00260144 |
C |
SFY2011-12 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-07-05 00:00:00 |
240009385 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-09-02 00:00:00 |
2011-09-02 00:00:00 |
No |
2012-07-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
L4YO11 |
N |
CA00282355 |
C |
SFY2012-13 |
240001081 |
HERITAGE PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2012-10-18 00:00:00 |
240009558 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-03-31 00:00:00 |
2012-03-31 00:00:00 |
No |
2012-11-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
T0UH11 |
N |
CA00305473 |
C |
SFY2012-13 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2015-01-09 00:00:00 |
240011213 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-08-05 00:00:00 |
2014-08-05 00:00:00 |
No |
2015-02-02 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
9J0311 |
N |
CA00410873 |
B |
SFY2014-15 |
240000925 |
HI-DESERT MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2016-04-06 00:00:00 |
240012166 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-07-16 00:00:00 |
2015-07-16 00:00:00 |
No |
2016-04-27 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
6SOL11 |
N |
None |
None |
SFY2015-16 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2016-12-27 00:00:00 |
240012845 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2014-07-29 00:00:00 |
2014-07-29 00:00:00 |
No |
2017-01-19 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
None |
7C6L11 |
N |
CA00407517 |
B |
SFY2016-17 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2017-07-13 00:00:00 |
240013328 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-06-06 00:00:00 |
2017-06-06 00:00:00 |
No |
2017-08-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
7W2K11 |
N |
CA00537357 |
C |
SFY2017-18 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2017-07-24 00:00:00 |
240013356 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2017-05-11 00:00:00 |
2017-05-11 00:00:00 |
No |
2017-08-14 00:00:00 |
None |
A |
None |
5000 |
5000 |
0 |
5000 |
0 |
None |
DMFH11 |
N |
CA00535758 |
B |
SFY2017-18 |
240000065 |
HERITAGE GARDENS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2019-01-15 00:00:00 |
240014725 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-11-27 00:00:00 |
2018-11-27 00:00:00 |
No |
2019-02-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IU5T11 |
N |
None |
None |
SFY2018-19 |
240000065 |
HERITAGE GARDENS HEALTH CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2020-01-09 00:00:00 |
240015671 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-11-22 00:00:00 |
2019-11-22 00:00:00 |
No |
2020-01-30 00:00:00 |
None |
B |
None |
1200 |
1200 |
-420 |
780 |
0 |
None |
CHNI11 |
N |
None |
None |
SFY2019-20 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2020-02-19 00:00:00 |
240015754 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-10-23 00:00:00 |
2019-10-23 00:00:00 |
No |
2020-03-11 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
9FL011 |
N |
CA00661363, CA00661453 |
B, B |
SFY2019-20 |
240000020 |
HIGHLAND CARE CENTER OF REDLANDS |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2023-08-15 00:00:00 |
240019059 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-07-26 00:00:00 |
2023-07-26 00:00:00 |
Yes |
2023-09-06 00:00:00 |
2023-08-18 00:00:00 |
A |
None |
50000 |
50000 |
0 |
0 |
50000 |
None |
TYV711 |
Y |
CA00850319, CA00850319 |
A, A |
SFY2023-24 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2024-04-09 00:00:00 |
240019976 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-03-10 00:00:00 |
2024-03-10 00:00:00 |
No |
2024-04-30 00:00:00 |
None |
A |
None |
3500 |
3500 |
0 |
3500 |
0 |
None |
G77Q11 |
N |
CA00888720 |
A |
SFY2023-24 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2000-01-04 00:00:00 |
250001471 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-10-07 00:00:00 |
None |
No |
2000-01-27 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
250011500 |
A99999 |
N |
None |
None |
SFY1999-00 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2000-02-22 00:00:00 |
250001477 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-10-21 00:00:00 |
None |
No |
2000-03-17 00:00:00 |
None |
A |
None |
10000 |
10200 |
-3500 |
6700 |
0 |
250011667 |
A99999 |
N |
None |
None |
SFY1999-00 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2000-03-09 00:00:00 |
250001479 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1999-11-18 00:00:00 |
None |
No |
2000-03-30 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
250011674 |
A99999 |
N |
None |
None |
SFY1999-00 |
250001405 |
HUCKABEE HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2002-05-02 00:00:00 |
250001498 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-03-14 00:00:00 |
None |
Yes |
2002-05-23 00:00:00 |
2002-05-06 00:00:00 |
A |
B |
8000 |
5100 |
-100 |
5000 |
0 |
250013573 |
A99999 |
N |
None |
None |
SFY2001-02 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2002-05-29 00:00:00 |
250001500 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-03-27 00:00:00 |
None |
No |
2002-06-19 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
250013613 |
A99999 |
N |
None |
None |
SFY2001-02 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2002-05-29 00:00:00 |
250001501 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-04-02 00:00:00 |
None |
No |
2002-06-19 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
250013654 |
A99999 |
N |
None |
None |
SFY2001-02 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-01-30 00:00:00 |
250001507 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-11-25 00:00:00 |
None |
No |
2003-03-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
250014606 |
A99999 |
N |
None |
None |
SFY2002-03 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001514 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
2003-09-26 00:00:00 |
Yes |
2006-06-29 00:00:00 |
2006-06-14 00:00:00 |
B |
B |
500 |
250 |
0 |
250 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001515 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-07-28 00:00:00 |
2006-07-14 00:00:00 |
B |
B |
500 |
250 |
0 |
250 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001516 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-11 00:00:00 |
2006-07-26 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001517 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-11 00:00:00 |
2006-07-26 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001518 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-15 00:00:00 |
2006-07-27 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001519 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-07-28 00:00:00 |
2006-07-14 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001520 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-15 00:00:00 |
2006-07-27 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001521 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-15 00:00:00 |
2006-07-27 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001522 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-15 00:00:00 |
2006-07-27 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001523 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-15 00:00:00 |
2006-07-27 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001524 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-15 00:00:00 |
2006-07-27 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001525 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-15 00:00:00 |
2006-07-27 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001526 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-09-06 00:00:00 |
2006-08-18 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001527 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2005-02-28 00:00:00 |
2005-02-24 00:00:00 |
B |
B |
500 |
500 |
0 |
500 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001528 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-06-12 00:00:00 |
2006-06-14 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001529 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-07-21 00:00:00 |
2006-06-30 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001530 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-07-20 00:00:00 |
2006-06-30 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001531 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-07-20 00:00:00 |
2006-06-30 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001532 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-08-01 00:00:00 |
2006-07-14 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001533 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-07-28 00:00:00 |
2006-07-14 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001534 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-09-06 00:00:00 |
2006-08-18 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001535 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-09-06 00:00:00 |
2006-08-18 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2003-11-14 00:00:00 |
250001536 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-09-26 00:00:00 |
None |
Yes |
2006-09-06 00:00:00 |
2006-08-18 00:00:00 |
B |
B |
500 |
225 |
0 |
225 |
0 |
250015800 |
A99999 |
N |
None |
None |
SFY2003-04 |
250000761 |
HORSESHOE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2004-06-30 00:00:00 |
250001541 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-06 00:00:00 |
None |
No |
2004-07-22 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
250016405 |
A99999 |
N |
None |
None |
SFY2003-04 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2007-03-13 00:00:00 |
250003654 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2006-01-06 00:00:00 |
2006-01-06 00:00:00 |
No |
2007-04-03 00:00:00 |
None |
AA |
None |
75000 |
75000 |
-75000 |
0 |
0 |
None |
W3ZX11 |
Y |
CA00077183 |
C |
SFY2006-07 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2007-03-13 00:00:00 |
250003781 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2006-01-06 00:00:00 |
2006-01-06 00:00:00 |
Yes |
2007-04-25 00:00:00 |
2007-03-23 00:00:00 |
AA |
A |
75000 |
45000 |
0 |
45000 |
0 |
None |
W3ZX11 |
Y |
CA00077183, CA00077183, CA00077183 |
C, C, C |
SFY2006-07 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2008-08-20 00:00:00 |
250005326 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-09-14 00:00:00 |
2007-09-14 00:00:00 |
Yes |
2008-09-11 00:00:00 |
2008-08-20 00:00:00 |
AA |
AA |
100000 |
15000 |
0 |
15000 |
0 |
None |
JY2Q11 |
Y |
CA00137056, CA00147450 |
C, C |
SFY2008-09 |
250001363 |
HEMET VALLEY MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2008-12-04 00:00:00 |
250005627 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-04-28 00:00:00 |
2008-04-28 00:00:00 |
No |
2008-12-30 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
None |
7ZTE11 |
N |
CA00148121 |
C |
SFY2008-09 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2009-02-10 00:00:00 |
250005787 |
Closed |
Citation |
Citation A (HSC 1424) |
Physical Environment |
None |
2008-06-14 00:00:00 |
2008-06-14 00:00:00 |
No |
2009-03-05 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
None |
QB2G11 |
N |
CA00153736 |
C |
SFY2008-09 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2010-03-30 00:00:00 |
250007087 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-09-30 00:00:00 |
2008-09-30 00:00:00 |
No |
2010-04-21 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
22X811 |
N |
CA00165061 |
B |
SFY2009-10 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2010-03-30 00:00:00 |
250007088 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-09-30 00:00:00 |
2008-09-30 00:00:00 |
No |
2010-04-21 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
22X811 |
N |
CA00165061 |
B |
SFY2009-10 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2010-03-30 00:00:00 |
250007089 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-09-30 00:00:00 |
2008-09-30 00:00:00 |
No |
2010-04-21 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
22X811 |
N |
CA00165061 |
B |
SFY2009-10 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2011-11-16 00:00:00 |
250008748 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-11-26 00:00:00 |
2008-11-26 00:00:00 |
No |
2011-12-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
417Q11 |
N |
CA00170495, CA00170654 |
B, B |
SFY2011-12 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2012-03-29 00:00:00 |
250009184 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-05-01 00:00:00 |
2006-05-01 00:00:00 |
No |
2012-04-19 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
W3ZX11 |
N |
CA00079502 |
B |
SFY2011-12 |
250001525 |
HACIENDA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2013-09-09 00:00:00 |
250010109 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-04-15 00:00:00 |
2013-04-15 00:00:00 |
Yes |
2013-09-30 00:00:00 |
2013-09-11 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
JR6Q11 |
N |
CA00354310, CA00354310, CA00355028 |
B, B, B |
SFY2013-14 |
250001525 |
HACIENDA HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2013-09-09 00:00:00 |
250010114 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2013-04-15 00:00:00 |
2013-04-15 00:00:00 |
Yes |
2013-09-30 00:00:00 |
2013-09-11 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
JR6Q11 |
N |
CA00355028 |
B |
SFY2013-14 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2013-10-14 00:00:00 |
250010203 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2012-07-20 00:00:00 |
2012-07-20 00:00:00 |
No |
2013-11-04 00:00:00 |
None |
FTR BR |
None |
4700 |
4700 |
-1175 |
3525 |
0 |
None |
L4DK11 |
None |
CA00325409 |
D |
SFY2013-14 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-01-24 00:00:00 |
250010394 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-05-15 00:00:00 |
2011-05-15 00:00:00 |
Yes |
2014-02-14 00:00:00 |
2014-02-13 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
90DJ11 |
N |
CA00269901 |
B |
SFY2013-14 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-01-30 00:00:00 |
250010410 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-05-15 00:00:00 |
2011-05-15 00:00:00 |
No |
2014-02-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
90DJ11 |
N |
CA00269901 |
B |
SFY2013-14 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-02-12 00:00:00 |
250010457 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-11-11 00:00:00 |
2010-11-11 00:00:00 |
No |
2014-03-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
H79L11 |
N |
CA00248932 |
C |
SFY2013-14 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-03-27 00:00:00 |
250010574 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-02-29 00:00:00 |
2012-02-29 00:00:00 |
No |
2014-04-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
T0JZ11 |
Y |
CA00301469 |
C |
SFY2013-14 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-03-27 00:00:00 |
250010576 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2010-08-23 00:00:00 |
2010-08-23 00:00:00 |
No |
2014-04-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
OP8111 |
N |
CA00240521, CA00241043, CA00241265 |
C, C, C |
SFY2013-14 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2014-05-01 00:00:00 |
250010693 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2012-07-18 00:00:00 |
2012-07-18 00:00:00 |
No |
2014-05-22 00:00:00 |
None |
FTR RES |
None |
5400 |
5400 |
-1350 |
4050 |
0 |
None |
L4DK11 |
None |
CA00325409 |
D |
SFY2013-14 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2017-11-01 00:00:00 |
250013563 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2016-12-15 00:00:00 |
2016-12-15 00:00:00 |
No |
2017-11-27 00:00:00 |
None |
AA |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
DF9O11 |
Y |
CA00515005, CA00531502 |
B, C |
SFY2017-18 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-05-22 00:00:00 |
250014026 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-01-24 00:00:00 |
2018-01-24 00:00:00 |
No |
2018-06-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
VQ5P11 |
N |
CA00571362 |
B |
SFY2017-18 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-08-29 00:00:00 |
250014345 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2017-11-17 00:00:00 |
2017-11-17 00:00:00 |
No |
2018-09-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
TNSX11 |
N |
CA00577642, CA00581091 |
C, B |
SFY2018-19 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-08-29 00:00:00 |
250014346 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2017-12-18 00:00:00 |
2017-12-18 00:00:00 |
No |
2018-09-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
TNSX11 |
N |
CA00577642, CA00581091 |
C, B |
SFY2018-19 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-08-29 00:00:00 |
250014347 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2017-11-22 00:00:00 |
2017-11-22 00:00:00 |
No |
2018-09-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
TNSX11 |
N |
None |
None |
SFY2018-19 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-08-29 00:00:00 |
250014348 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2017-12-06 00:00:00 |
2017-12-06 00:00:00 |
No |
2018-09-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
TNSX11 |
N |
CA00577642, CA00581091 |
C, B |
SFY2018-19 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-11-19 00:00:00 |
250014519 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Notice to Ombudsman |
2018-07-28 00:00:00 |
2018-07-28 00:00:00 |
No |
2018-12-12 00:00:00 |
None |
B |
None |
200 |
200 |
0 |
200 |
0 |
None |
YIDG11 |
N |
CA00599394 |
B |
SFY2018-19 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-11-20 00:00:00 |
250014566 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-09-16 00:00:00 |
2018-09-16 00:00:00 |
No |
2018-12-13 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
GOCQ11 |
N |
CA00604214, CA00604364 |
B, B |
SFY2018-19 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2018-12-20 00:00:00 |
250014615 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-08-24 00:00:00 |
2018-08-24 00:00:00 |
No |
2019-01-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
Q6MB11 |
N |
CA00586935, CA00588169 |
B, B |
SFY2018-19 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-04-17 00:00:00 |
250014707 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Ombudsman Notification |
2018-06-20 00:00:00 |
2018-06-20 00:00:00 |
No |
2019-05-08 00:00:00 |
None |
B |
None |
200 |
200 |
-70 |
130 |
0 |
None |
00IJ11 |
N |
None |
None |
SFY2018-19 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2019-04-16 00:00:00 |
250014909 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2018-08-21 00:00:00 |
2018-08-21 00:00:00 |
No |
2019-05-07 00:00:00 |
None |
WF |
None |
2500 |
2500 |
-875 |
1625 |
0 |
None |
00IJ11 |
None |
CA00600945 |
A |
SFY2018-19 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2020-02-19 00:00:00 |
250015507 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2019-08-18 00:00:00 |
2019-08-18 00:00:00 |
No |
2020-03-11 00:00:00 |
None |
B |
None |
500 |
1500 |
0 |
1500 |
0 |
None |
J52Y11 |
N |
CA00651379 |
B |
SFY2019-20 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2021-08-23 00:00:00 |
250016371 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-06-30 00:00:00 |
2020-06-30 00:00:00 |
Yes |
2021-09-14 00:00:00 |
2021-08-30 00:00:00 |
A |
A |
10000 |
7000 |
0 |
7000 |
0 |
None |
D7SS11 |
Y |
CA00695862 |
B |
SFY2021-22 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-04-18 00:00:00 |
250020028 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-01-23 00:00:00 |
2024-01-23 00:00:00 |
No |
2024-05-09 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
XP5911 |
N |
CA00881135 |
B |
SFY2023-24 |
250001502 |
HEMET VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2024-05-31 00:00:00 |
250020242 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-12-14 00:00:00 |
2023-12-14 00:00:00 |
No |
2024-06-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
CJI511 |
N |
CA00890168, CA00890168, CA00890736 |
B, B, B |
SFY2023-24 |
910000046 |
HARBOR POST ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-02-07 00:00:00 |
910001290 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-04 00:00:00 |
2001-02-07 00:00:00 |
Yes |
2001-06-05 00:00:00 |
2001-02-26 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
910005655 |
A99999 |
N |
None |
None |
SFY2000-01 |
910000048 |
HERITAGE REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-06-11 00:00:00 |
910001468 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-04 00:00:00 |
2002-06-11 00:00:00 |
No |
2002-07-16 00:00:00 |
None |
B |
None |
950 |
950 |
-332.5 |
617.5 |
0 |
910007046 |
A99999 |
N |
None |
None |
SFY2001-02 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2003-04-07 00:00:00 |
910001495 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
CARE PLAN |
2003-03-28 00:00:00 |
None |
No |
2003-04-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
910007691 |
A99999 |
N |
None |
None |
SFY2002-03 |
910000048 |
HERITAGE REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2003-05-19 00:00:00 |
910001497 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-03-22 00:00:00 |
None |
No |
2003-06-23 00:00:00 |
None |
B |
B |
800 |
459 |
0 |
459 |
0 |
910007702 |
A99999 |
N |
None |
None |
SFY2002-03 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-07-13 00:00:00 |
910003207 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-01-31 00:00:00 |
2006-01-31 00:00:00 |
No |
2006-08-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
QGGX11 |
N |
None |
None |
SFY2006-07 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-05-09 00:00:00 |
910008225 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-09-14 00:00:00 |
2009-09-14 00:00:00 |
No |
2011-05-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JE5511 |
N |
None |
None |
SFY2010-11 |
910000046 |
HARBOR POST ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-04-04 00:00:00 |
910010582 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-09-07 00:00:00 |
2011-09-07 00:00:00 |
No |
2014-04-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5Q0F11 |
N |
CA00282479 |
C |
SFY2013-14 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-06-10 00:00:00 |
910012297 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-12-02 00:00:00 |
2011-12-02 00:00:00 |
Yes |
2016-07-01 00:00:00 |
2016-07-07 00:00:00 |
A |
None |
20000 |
20000 |
-20000 |
0 |
0 |
None |
6D7M11 |
N |
CA00289999 |
C |
SFY2015-16 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-06-21 00:00:00 |
910012317 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-05-25 00:00:00 |
2011-05-25 00:00:00 |
Yes |
2016-07-13 00:00:00 |
2016-07-07 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
F83R11 |
N |
CA00271237 |
C |
SFY2015-16 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-06-28 00:00:00 |
910012351 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-03-25 00:00:00 |
2012-03-25 00:00:00 |
No |
2016-07-20 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
K3UV11 |
N |
CA00304892 |
B |
SFY2015-16 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-05-03 00:00:00 |
910013153 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-03-07 00:00:00 |
2017-03-07 00:00:00 |
No |
2017-05-24 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
UZ4U11 |
N |
CA00525562 |
A |
SFY2016-17 |
910000048 |
HERITAGE REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-11-13 00:00:00 |
910013611 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-07-14 00:00:00 |
2017-07-14 00:00:00 |
Yes |
2017-12-06 00:00:00 |
2017-11-22 00:00:00 |
A |
B |
16000 |
16000 |
0 |
16000 |
0 |
None |
C6QE11 |
N |
CA00544503 |
B |
SFY2017-18 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-11-17 00:00:00 |
910013624 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Fiduciary Abuse |
2017-06-16 00:00:00 |
2017-06-16 00:00:00 |
No |
2017-12-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
E95Y11 |
N |
CA00543812 |
B |
SFY2017-18 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-02-27 00:00:00 |
910013845 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-08-11 00:00:00 |
2011-08-11 00:00:00 |
Yes |
2018-03-20 00:00:00 |
2018-03-20 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
6D7M11 |
N |
CA00289999 |
C |
SFY2017-18 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-04-27 00:00:00 |
910013987 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-05-13 00:00:00 |
2017-05-13 00:00:00 |
Yes |
2018-05-18 00:00:00 |
2018-05-01 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
VYSS11 |
Y |
CA00536047, CA00536047, CA00536593, CA00536593 |
B, B, B, B |
SFY2017-18 |
910000048 |
HERITAGE REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-08-23 00:00:00 |
910014360 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-04-16 00:00:00 |
2018-04-16 00:00:00 |
No |
2018-09-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5KVM11 |
N |
CA00584222 |
A |
SFY2018-19 |
910000046 |
HARBOR POST ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-11-30 00:00:00 |
910014610 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-03-08 00:00:00 |
2018-03-08 00:00:00 |
Yes |
2018-12-21 00:00:00 |
2018-12-03 00:00:00 |
A |
B |
20000 |
10000 |
0 |
10000 |
0 |
None |
RKF111 |
N |
CA00577587 |
B |
SFY2018-19 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-04-02 00:00:00 |
910014898 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-09-05 00:00:00 |
2018-09-05 00:00:00 |
Yes |
2019-04-23 00:00:00 |
2019-04-23 00:00:00 |
B |
B |
2000 |
1600 |
-100 |
1500 |
0 |
None |
R50L11 |
N |
CA00602832, CA00602832 |
B, B |
SFY2018-19 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-05-10 00:00:00 |
910015063 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-08-30 00:00:00 |
2018-08-30 00:00:00 |
No |
2019-05-31 00:00:00 |
None |
B |
None |
2000 |
2100 |
0 |
2100 |
0 |
None |
3L5411 |
N |
CA00628383 |
B |
SFY2018-19 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-06-27 00:00:00 |
910015204 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
Yes |
2019-07-18 00:00:00 |
2019-07-02 00:00:00 |
A |
A |
20000 |
14000 |
0 |
14000 |
0 |
None |
GY0U11 |
N |
None |
None |
SFY2018-19 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-10-10 00:00:00 |
910015450 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2019-06-24 00:00:00 |
2019-06-24 00:00:00 |
Yes |
2019-10-31 00:00:00 |
2019-10-31 00:00:00 |
A |
A |
20000 |
10250 |
0 |
10250 |
0 |
None |
V8M411 |
N |
CA00645756, CA00645756 |
A, A |
SFY2019-20 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-10-16 00:00:00 |
910015461 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-04-05 00:00:00 |
2019-04-05 00:00:00 |
No |
2019-11-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
23R511 |
N |
CA00632595, CA00632595, CA00632595, CA00632595 |
A, A, A, A |
SFY2019-20 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-12-06 00:00:00 |
910015597 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-07-15 00:00:00 |
2019-07-15 00:00:00 |
No |
2019-12-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
2TQW11 |
N |
CA00646060 |
B |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-12-27 00:00:00 |
910015637 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-09-28 00:00:00 |
2019-09-28 00:00:00 |
No |
2020-01-17 00:00:00 |
None |
A |
None |
20000 |
20100 |
0 |
20100 |
0 |
None |
KS2P11 |
N |
CA00657162 |
A |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-01-31 00:00:00 |
910015703 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-11-06 00:00:00 |
2019-11-06 00:00:00 |
Yes |
2020-02-21 00:00:00 |
2020-01-31 00:00:00 |
B |
B |
2000 |
1500 |
0 |
1500 |
0 |
None |
OFP011 |
N |
CA00662590, CA00662590 |
A, A |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-01-31 00:00:00 |
910015723 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-07-10 00:00:00 |
2019-07-10 00:00:00 |
Yes |
2020-02-21 00:00:00 |
2020-01-31 00:00:00 |
A |
A |
20000 |
12000 |
0 |
12000 |
0 |
None |
AGLZ11 |
Y |
CA00653455, CA00653455, CA00653455, CA00653455 |
B, B, B, B |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-01-31 00:00:00 |
910015724 |
Closed |
Citation |
Citation Willful Material Omission (HSC 1424(f)(1)) |
Willful Material Omission |
None |
2019-11-06 00:00:00 |
2019-11-06 00:00:00 |
No |
2020-02-21 00:00:00 |
None |
WO |
None |
6000 |
6000 |
0 |
6000 |
0 |
None |
OFP011 |
None |
CA00662590, CA00662590 |
A, A |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-02-12 00:00:00 |
910015737 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-09-17 00:00:00 |
2019-09-17 00:00:00 |
Yes |
2020-03-04 00:00:00 |
2020-03-02 00:00:00 |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
None |
ZVHI11 |
N |
CA00655067 |
B |
SFY2019-20 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-03-14 00:00:00 |
910015807 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-12-19 00:00:00 |
2019-12-19 00:00:00 |
No |
2020-04-03 00:00:00 |
None |
B |
None |
2000 |
2050 |
-700 |
1350 |
0 |
None |
QFCV11 |
N |
CA00668061, CA00668061 |
A, A |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-03-20 00:00:00 |
910015820 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-12-21 00:00:00 |
2019-12-21 00:00:00 |
Yes |
2020-04-13 00:00:00 |
2020-04-10 00:00:00 |
A |
B |
20000 |
20000 |
0 |
5019.76 |
14980.24 |
None |
XSQ511 |
N |
CA00668644 |
A |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-03-20 00:00:00 |
910015821 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-12-21 00:00:00 |
2019-12-21 00:00:00 |
Yes |
2020-04-10 00:00:00 |
2020-04-17 00:00:00 |
A |
A |
20000 |
12000 |
0 |
12000 |
0 |
None |
XSQ511 |
N |
CA00668644, CA00668644 |
A, A |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-04-03 00:00:00 |
910015838 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-12-31 00:00:00 |
2019-12-31 00:00:00 |
Yes |
2020-04-24 00:00:00 |
2020-04-17 00:00:00 |
A |
A |
10000 |
8000 |
0 |
8000 |
0 |
None |
TJSF11 |
N |
CA00670238 |
A |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-04-03 00:00:00 |
910015840 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-01-01 00:00:00 |
2020-01-01 00:00:00 |
No |
2020-04-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
TJSF11 |
N |
CA00670238, CA00670238 |
A, A |
SFY2019-20 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-04-09 00:00:00 |
910015841 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-02-20 00:00:00 |
2020-02-20 00:00:00 |
No |
2020-04-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
MMTC11 |
N |
CA00677308 |
A |
SFY2019-20 |
910000046 |
HARBOR POST ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-05-01 00:00:00 |
910015867 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-12-08 00:00:00 |
2019-12-08 00:00:00 |
No |
2020-05-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
J0LF11 |
N |
None |
None |
SFY2019-20 |
910000046 |
HARBOR POST ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-05-01 00:00:00 |
910015868 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-12-08 00:00:00 |
2019-12-08 00:00:00 |
No |
2020-05-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
J0LF11 |
N |
CA00674903, CA00675073 |
A, B |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-06-19 00:00:00 |
910015907 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-02-23 00:00:00 |
2020-02-23 00:00:00 |
Yes |
2020-07-10 00:00:00 |
2020-07-10 00:00:00 |
A |
A |
20000 |
12450 |
0 |
0 |
12450 |
None |
EWG011 |
N |
CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614 |
A, A, A, A, A, B |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-06-19 00:00:00 |
910015908 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-02-23 00:00:00 |
2020-02-23 00:00:00 |
Yes |
2020-07-10 00:00:00 |
2020-07-14 00:00:00 |
B |
B |
2000 |
1500 |
0 |
1500 |
0 |
None |
EWG011 |
N |
CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614 |
A, A, A, A, A, A, B, B |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-06-19 00:00:00 |
910015909 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-02-23 00:00:00 |
2020-02-23 00:00:00 |
Yes |
2020-07-10 00:00:00 |
2020-07-10 00:00:00 |
A |
A |
20000 |
30750 |
0 |
0 |
30750 |
None |
EWG011 |
N |
CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614 |
A, A, A, A, A, A, B, B |
SFY2019-20 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-06-19 00:00:00 |
910015910 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-11-16 00:00:00 |
2019-11-16 00:00:00 |
Yes |
2020-07-10 00:00:00 |
2020-07-10 00:00:00 |
A |
A |
20000 |
36000 |
0 |
0 |
36000 |
None |
EWG011 |
N |
CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677590, CA00677614, CA00677614 |
A, A, A, A, A, A, B, B |
SFY2019-20 |
940000073 |
HUNTINGTON PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-07-23 00:00:00 |
910015948 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2019-12-20 00:00:00 |
2019-12-20 00:00:00 |
No |
2020-08-13 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
1ZWO11 |
N |
CA00668696 |
A |
SFY2020-21 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-10-23 00:00:00 |
910016113 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-08-20 00:00:00 |
2019-08-20 00:00:00 |
No |
2020-11-16 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
KYF111 |
N |
CA00654306, CA00654783, CA00654894, CA00654898 |
B, A, A, B |
SFY2020-21 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-10-23 00:00:00 |
910016114 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-08-20 00:00:00 |
2019-08-20 00:00:00 |
No |
2020-11-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
KYF111 |
N |
CA00654306, CA00654306, CA00654783, CA00654783, CA00654894, CA00654894, CA00654898, CA00654898 |
B, B, A, A, A, A, B, B |
SFY2020-21 |
910000046 |
HARBOR POST ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-02-11 00:00:00 |
910016279 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-01-10 00:00:00 |
2020-01-10 00:00:00 |
Yes |
2021-03-05 00:00:00 |
2021-02-12 00:00:00 |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
None |
1RH811 |
Y |
CA00705431, CA00705431, CA00705431 |
B, B, B |
SFY2020-21 |
940000073 |
HUNTINGTON PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-12-10 00:00:00 |
910017179 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-04-14 00:00:00 |
2018-04-14 00:00:00 |
No |
2021-12-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
WFPM11 |
N |
CA00582832, CA00582832, CA00582832, CA00582832 |
B, B, B, B |
SFY2021-22 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-01-20 00:00:00 |
910017282 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-10-08 00:00:00 |
2021-10-08 00:00:00 |
No |
2022-02-10 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
7FSI11 |
N |
CA00756809 |
B |
SFY2021-22 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-02-17 00:00:00 |
910017367 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-12-23 00:00:00 |
2021-12-23 00:00:00 |
No |
2022-03-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
HJUM11 |
N |
CA00764385, CA00764385, CA00764385 |
B, B, B |
SFY2021-22 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-06-28 00:00:00 |
910017743 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-04-03 00:00:00 |
2022-04-03 00:00:00 |
Yes |
2022-07-20 00:00:00 |
2022-07-13 00:00:00 |
A |
A |
25000 |
18000 |
0 |
18000 |
0 |
None |
9BPQ11 |
N |
CA00779152, CA00779580 |
A, A |
SFY2021-22 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-06-29 00:00:00 |
910017746 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-05-09 00:00:00 |
2022-05-09 00:00:00 |
No |
2022-07-21 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
WTUS11 |
N |
CA00784074 |
A |
SFY2021-22 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2022-11-22 00:00:00 |
910018173 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-08-24 00:00:00 |
2022-08-24 00:00:00 |
Yes |
2022-12-14 00:00:00 |
2022-12-14 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
HUSX11 |
N |
CA00799975 |
B |
SFY2022-23 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-22 00:00:00 |
910018554 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-02-09 00:00:00 |
2023-02-09 00:00:00 |
Yes |
2023-04-13 00:00:00 |
2023-04-13 00:00:00 |
A |
None |
25000 |
25150 |
0 |
0 |
25150 |
None |
64QL11 |
N |
None |
None |
SFY2022-23 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-03-24 00:00:00 |
910018569 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Record |
None |
2023-02-09 00:00:00 |
2023-02-09 00:00:00 |
No |
2023-04-17 00:00:00 |
None |
A |
None |
25000 |
25050 |
0 |
25050 |
0 |
None |
64QL11 |
N |
None |
None |
SFY2022-23 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-23 00:00:00 |
910019090 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-06-17 00:00:00 |
2023-06-17 00:00:00 |
No |
2023-09-14 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
315N11 |
N |
CA00851672 |
A |
SFY2023-24 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-08-31 00:00:00 |
910019116 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Abuse/Facility not report |
2023-06-17 00:00:00 |
2023-06-17 00:00:00 |
No |
2023-09-22 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
315N11 |
N |
CA00851199, CA00851672, CA00851672 |
A, A, A |
SFY2023-24 |
910000048 |
HERITAGE REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-07 00:00:00 |
910019450 |
Open |
Citation |
Citation B (HSC 1424) |
Other |
Unusual Occurrence not re |
2023-06-12 00:00:00 |
2023-06-12 00:00:00 |
Yes |
2023-12-29 00:00:00 |
2023-12-21 00:00:00 |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
BW5O11 |
N |
CA00866778 |
A |
SFY2023-24 |
910000048 |
HERITAGE REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-08 00:00:00 |
910019456 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-06-13 00:00:00 |
2023-06-13 00:00:00 |
Yes |
2024-01-01 00:00:00 |
2023-12-22 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
BW5O11 |
N |
CA00866778, CA00866778 |
A, A |
SFY2023-24 |
940000073 |
HUNTINGTON PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-18 00:00:00 |
910019509 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-09-01 00:00:00 |
2023-09-01 00:00:00 |
Yes |
2024-01-10 00:00:00 |
2023-12-21 00:00:00 |
A |
None |
25000 |
25250 |
0 |
0 |
25250 |
None |
BC4T11 |
N |
CA00867020, CA00867020 |
B, B |
SFY2023-24 |
910000048 |
HERITAGE REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-12-20 00:00:00 |
910019520 |
Open |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2023-11-02 00:00:00 |
2023-11-02 00:00:00 |
No |
2024-01-11 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
CHS711 |
N |
CA00868302 |
A |
SFY2023-24 |
940000073 |
HUNTINGTON PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2024-05-23 00:00:00 |
910020230 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-07-12 00:00:00 |
2023-07-12 00:00:00 |
Yes |
2024-06-14 00:00:00 |
2024-06-03 00:00:00 |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
UJS711 |
N |
CA00893034, CA00893034, CA00893034, CA00893034, CA00893034, CA00893034, CA00893034 |
A, A, A, A, A, A, A |
SFY2023-24 |
920000026 |
HIGH VALLEY LODGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-05-05 00:00:00 |
920001076 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-02-11 00:00:00 |
2000-02-11 00:00:00 |
Yes |
2001-05-11 00:00:00 |
2000-05-11 00:00:00 |
B |
B |
800 |
800 |
0 |
800 |
0 |
920005586 |
A99999 |
N |
None |
None |
SFY1999-00 |
920000026 |
HIGH VALLEY LODGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-01-29 00:00:00 |
920001135 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-01-05 00:00:00 |
2002-01-05 00:00:00 |
No |
2002-02-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
920006415 |
A99999 |
N |
None |
None |
SFY2001-02 |
920000026 |
HIGH VALLEY LODGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-01-29 00:00:00 |
920001139 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-01-19 00:00:00 |
2002-01-19 00:00:00 |
No |
2002-02-26 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
920006416 |
A99999 |
N |
None |
None |
SFY2001-02 |
920000026 |
HIGH VALLEY LODGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2004-03-04 00:00:00 |
920001199 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-05 00:00:00 |
2004-02-05 00:00:00 |
No |
2004-03-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
920007600 |
A99999 |
N |
None |
None |
SFY2003-04 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2008-10-31 00:00:00 |
920005571 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-09-19 00:00:00 |
2008-09-19 00:00:00 |
No |
2008-11-24 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
GSMZ11 |
N |
CA00164382 |
A |
SFY2008-09 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2015-08-25 00:00:00 |
920011508 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-05-23 00:00:00 |
2012-05-23 00:00:00 |
Yes |
2015-09-16 00:00:00 |
2015-08-25 00:00:00 |
A |
B |
20000 |
15000 |
0 |
15000 |
0 |
None |
I2I911 |
Y |
CA00321696 |
B |
SFY2015-16 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2015-12-01 00:00:00 |
920011776 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2014-09-08 00:00:00 |
2014-09-08 00:00:00 |
Yes |
2015-12-22 00:00:00 |
2015-12-08 00:00:00 |
AA |
A |
100000 |
50000 |
0 |
50000 |
0 |
None |
B6O611 |
Y |
CA00452371, CA00452371, CA00452371, CA00452371 |
B, B, B, B |
SFY2015-16 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-10-14 00:00:00 |
920012638 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-01-27 00:00:00 |
2016-01-27 00:00:00 |
Yes |
2016-11-04 00:00:00 |
2016-11-02 00:00:00 |
A |
A |
15000 |
9000 |
0 |
9000 |
0 |
None |
IW0P11 |
N |
CA00474589 |
B |
SFY2016-17 |
920000026 |
HIGH VALLEY LODGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-01-11 00:00:00 |
920013729 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2017-01-28 00:00:00 |
2017-01-28 00:00:00 |
No |
2018-02-01 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
V83X21 |
N |
None |
None |
SFY2017-18 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-12-27 00:00:00 |
920015642 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-07-29 00:00:00 |
2018-07-29 00:00:00 |
No |
2020-01-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
X8WF11 |
N |
CA00598171 |
B |
SFY2019-20 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-03-19 00:00:00 |
920015815 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-03-28 00:00:00 |
2019-03-28 00:00:00 |
Yes |
2020-04-09 00:00:00 |
2020-03-27 00:00:00 |
A |
None |
20000 |
20000 |
0 |
0 |
20000 |
None |
5P2511 |
N |
CA00630789, CA00630789 |
A, A |
SFY2019-20 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-06-23 00:00:00 |
920015896 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-12-25 00:00:00 |
2019-12-25 00:00:00 |
Yes |
2020-07-14 00:00:00 |
2020-07-13 00:00:00 |
A |
A |
20000 |
15350 |
0 |
15350 |
0 |
None |
XB7P11 |
Y |
CA00683301, CA00683301 |
A, A |
SFY2019-20 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-06-18 00:00:00 |
920015905 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2020-05-27 00:00:00 |
2020-06-18 00:00:00 |
No |
2020-07-09 00:00:00 |
None |
B |
None |
2000 |
3100 |
-700 |
2400 |
0 |
None |
5QSI11 |
N |
CA00690243 |
A |
SFY2019-20 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-07-02 00:00:00 |
920016680 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2021-05-17 00:00:00 |
2021-05-17 00:00:00 |
Yes |
2021-07-23 00:00:00 |
2021-07-12 00:00:00 |
B |
B |
2000 |
1600 |
0 |
1600 |
0 |
None |
IUWE11 |
N |
None |
None |
SFY2021-22 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-05-05 00:00:00 |
920017622 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-04-04 00:00:00 |
2022-04-04 00:00:00 |
No |
2022-05-26 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
QZDY11 |
N |
None |
None |
SFY2021-22 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-01-06 00:00:00 |
920018290 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-10-12 00:00:00 |
2022-10-12 00:00:00 |
No |
2023-01-30 00:00:00 |
None |
A |
None |
25000 |
25050 |
0 |
0 |
25050 |
None |
R51711 |
N |
CA00807085 |
B |
SFY2022-23 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-02-23 00:00:00 |
920018438 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-11-24 00:00:00 |
2022-11-24 00:00:00 |
No |
2023-03-16 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
NT0O11 |
N |
CA00813566, CA00813566 |
B, B |
SFY2022-23 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-11-22 00:00:00 |
920019396 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-09-23 00:00:00 |
2023-09-23 00:00:00 |
No |
2023-12-15 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
MLWH11 |
N |
CA00862728 |
B |
SFY2023-24 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-29 00:00:00 |
920019537 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-11-01 00:00:00 |
2023-11-01 00:00:00 |
No |
2024-01-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
FKYB11 |
N |
CA00868153, CA00869541 |
B, B |
SFY2023-24 |
920000026 |
HIGH VALLEY LODGE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-03-07 00:00:00 |
920019835 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-04-15 00:00:00 |
2023-04-15 00:00:00 |
No |
2024-03-28 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
BOXC11 |
N |
CA00877071, CA00877521 |
B, B |
SFY2023-24 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-05-03 00:00:00 |
920020114 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2024-03-14 00:00:00 |
2024-03-14 00:00:00 |
No |
2024-05-24 00:00:00 |
None |
WF |
None |
3500 |
3500 |
-1225 |
2275 |
0 |
None |
SBU111 |
None |
None |
None |
SFY2023-24 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-05-21 00:00:00 |
920020202 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-06-02 00:00:00 |
2023-06-02 00:00:00 |
No |
2024-06-12 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
5M5N11 |
Y |
CA00893123 |
A |
SFY2023-24 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-06-21 00:00:00 |
920020344 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2024-05-08 00:00:00 |
2024-05-08 00:00:00 |
No |
2024-07-15 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
9LXO11 |
N |
CA00900415, CA00900415 |
A, A |
SFY2023-24 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-18 00:00:00 |
930000318 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-10 00:00:00 |
None |
Yes |
2001-05-15 00:00:00 |
2000-04-28 00:00:00 |
B |
B |
900 |
900 |
0 |
900 |
0 |
930010843 |
A99999 |
N |
None |
None |
SFY1999-00 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-05-02 00:00:00 |
930000320 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-04-20 00:00:00 |
None |
Yes |
2001-05-31 00:00:00 |
2000-05-11 00:00:00 |
B |
B |
850 |
850 |
0 |
850 |
0 |
930010865 |
A99999 |
N |
None |
None |
SFY1999-00 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2002-02-11 00:00:00 |
930000329 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-12-24 00:00:00 |
None |
No |
2002-03-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
930012655 |
A99999 |
N |
None |
None |
SFY2001-02 |
930000889 |
HENRY MAYO NEWHALL MEMORIAL HOSPITAL D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-04-16 00:00:00 |
930000337 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-01-03 00:00:00 |
None |
No |
2003-05-07 00:00:00 |
None |
A |
None |
12000 |
12000 |
-4200 |
7800 |
0 |
930013996 |
A99999 |
N |
None |
None |
SFY2002-03 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-09-05 00:00:00 |
930000340 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2003-05-22 00:00:00 |
None |
No |
2003-10-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
930014491 |
A99999 |
N |
None |
None |
SFY2003-04 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2005-09-21 00:00:00 |
930000346 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2005-08-08 00:00:00 |
None |
No |
2005-10-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
930015706 |
A99999 |
N |
None |
None |
SFY2005-06 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2011-06-27 00:00:00 |
930008083 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-05-02 00:00:00 |
2010-05-02 00:00:00 |
No |
2011-07-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4EZX11 |
N |
CA00228597 |
C |
SFY2010-11 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2011-06-27 00:00:00 |
930008084 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-05-04 00:00:00 |
2010-05-04 00:00:00 |
No |
2011-07-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4EZX11 |
N |
CA00228593 |
C |
SFY2010-11 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2012-07-17 00:00:00 |
930008863 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-01-26 00:00:00 |
2011-01-26 00:00:00 |
No |
2012-08-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
UVXY11 |
N |
CA00259085 |
C |
SFY2012-13 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2012-04-19 00:00:00 |
930009022 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-12-12 00:00:00 |
2011-12-12 00:00:00 |
No |
2012-05-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
71MV11 |
N |
CA00292802 |
C |
SFY2011-12 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-29 00:00:00 |
930013650 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-11-23 00:00:00 |
2016-11-23 00:00:00 |
No |
2017-12-20 00:00:00 |
None |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
JI0S11 |
N |
None |
None |
SFY2017-18 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2017-11-29 00:00:00 |
930013651 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-10-12 00:00:00 |
2017-10-12 00:00:00 |
No |
2017-12-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
JI0S11 |
N |
None |
None |
SFY2017-18 |
930000575 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-11-19 00:00:00 |
930014583 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-10-18 00:00:00 |
2018-10-18 00:00:00 |
No |
2018-12-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
UKKV11 |
N |
None |
None |
SFY2018-19 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-07-12 00:00:00 |
940001422 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-03 00:00:00 |
None |
Yes |
2001-08-20 00:00:00 |
2001-08-20 00:00:00 |
B |
B |
800 |
800 |
-640 |
160 |
0 |
940005675 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000073 |
HUNTINGTON PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-12-05 00:00:00 |
940001442 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-10 00:00:00 |
None |
No |
2002-01-02 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
940005894 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-04-11 00:00:00 |
940001458 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-01-01 00:00:00 |
2002-04-11 00:00:00 |
No |
2002-05-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940005979 |
A99999 |
N |
None |
None |
SFY2001-02 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-04-21 00:00:00 |
940001502 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-10-15 00:00:00 |
None |
No |
2005-05-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
940007387 |
A99999 |
N |
None |
None |
SFY2004-05 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-12-15 00:00:00 |
940001515 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-10-05 00:00:00 |
None |
No |
2006-01-25 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
940007686 |
A99999 |
N |
None |
None |
SFY2005-06 |
940000073 |
HUNTINGTON PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2010-02-10 00:00:00 |
940006987 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-10 00:00:00 |
2008-11-10 00:00:00 |
Yes |
2010-03-03 00:00:00 |
2010-03-20 00:00:00 |
B |
B |
1000 |
1000 |
0 |
0 |
1000 |
None |
48WB11 |
N |
CA00169141 |
A |
SFY2009-10 |
940000073 |
HUNTINGTON PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-04-26 00:00:00 |
940008198 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2011-03-26 00:00:00 |
2011-03-26 00:00:00 |
Yes |
2014-05-01 00:00:00 |
2014-04-11 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
None |
3ITL11 |
N |
None |
None |
SFY2010-11 |
940000073 |
HUNTINGTON PARK NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2011-04-26 00:00:00 |
940008199 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2011-03-23 00:00:00 |
2011-03-23 00:00:00 |
Yes |
2014-05-01 00:00:00 |
2014-04-11 00:00:00 |
B |
B |
1000 |
0 |
0 |
0 |
0 |
None |
3ITL11 |
N |
None |
None |
SFY2010-11 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-05-09 00:00:00 |
940009293 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-09-28 00:00:00 |
2011-09-28 00:00:00 |
No |
2012-05-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Z6LS11 |
N |
CA00289733 |
B |
SFY2011-12 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-05-16 00:00:00 |
940009309 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-10-21 00:00:00 |
2009-10-21 00:00:00 |
No |
2012-06-07 00:00:00 |
None |
B |
None |
1200 |
1200 |
-420 |
780 |
0 |
None |
PX4711 |
N |
CA00206139 |
A |
SFY2011-12 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-07-18 00:00:00 |
940009400 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2012-07-12 00:00:00 |
2012-07-12 00:00:00 |
No |
2012-08-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
0DOF11 |
N |
None |
None |
SFY2012-13 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-08-07 00:00:00 |
940009428 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2012-07-01 00:00:00 |
2012-07-01 00:00:00 |
No |
2012-08-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
WZ0E11 |
N |
CA00316682 |
B |
SFY2012-13 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-04-27 00:00:00 |
940012198 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-01-17 00:00:00 |
2016-01-17 00:00:00 |
No |
2016-05-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
09XU11 |
N |
CA00472912 |
B |
SFY2015-16 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-11-23 00:00:00 |
940012769 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2016-05-24 00:00:00 |
2016-05-24 00:00:00 |
No |
2016-12-16 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
MJQ911 |
N |
CA00491266 |
B |
SFY2016-17 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-08-31 00:00:00 |
940013460 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-04-15 00:00:00 |
2017-04-15 00:00:00 |
Yes |
2017-09-22 00:00:00 |
2017-09-05 00:00:00 |
A |
A |
20000 |
15000 |
0 |
15000 |
0 |
None |
0F5P11 |
N |
CA00535636 |
A |
SFY2017-18 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-01-13 00:00:00 |
940013735 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-06-17 00:00:00 |
2017-06-17 00:00:00 |
Yes |
2018-02-02 00:00:00 |
2018-01-17 00:00:00 |
A |
A |
20000 |
15500 |
0 |
15500 |
0 |
None |
SNC211 |
N |
CA00544468 |
A |
SFY2017-18 |
970000117 |
HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-02-26 00:00:00 |
940013852 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-01-28 00:00:00 |
2017-01-28 00:00:00 |
No |
2018-03-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
3HPY11 |
N |
CA00520301 |
B |
SFY2017-18 |
940000100 |
HARBOR VIEW BEHAVIORAL HEALTH CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-07-06 00:00:00 |
940014221 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-10-18 00:00:00 |
2016-10-18 00:00:00 |
No |
2018-07-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
TUJG11 |
N |
CA00509908 |
B |
SFY2018-19 |
950000046 |
HARVARD CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-03-16 00:00:00 |
950001333 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-07 00:00:00 |
2000-03-09 00:00:00 |
No |
2000-04-06 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
950006299 |
A99999 |
N |
None |
None |
SFY1999-00 |
950000046 |
HARVARD CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2000-03-23 00:00:00 |
950001334 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-11-27 00:00:00 |
1999-12-15 00:00:00 |
No |
2000-04-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
950006311 |
A99999 |
N |
None |
None |
SFY1999-00 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-05-03 00:00:00 |
950001390 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-04-18 00:00:00 |
None |
Yes |
2001-07-31 00:00:00 |
2001-05-10 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
950006922 |
A99999 |
N |
None |
None |
SFY2000-01 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2001-12-21 00:00:00 |
950001408 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-04 00:00:00 |
None |
No |
2002-01-30 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
950007153 |
A99999 |
N |
None |
None |
SFY2001-02 |
950000046 |
HARVARD CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2002-05-08 00:00:00 |
950001413 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-01-03 00:00:00 |
None |
Yes |
2002-06-12 00:00:00 |
2002-05-15 00:00:00 |
A |
Dismissed by Court |
10000 |
10000 |
0 |
10000 |
0 |
950007220 |
A99999 |
Y |
None |
None |
SFY2001-02 |
950000046 |
HARVARD CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2006-08-11 00:00:00 |
950003278 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-11-01 00:00:00 |
2005-11-01 00:00:00 |
No |
2006-09-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XYID11 |
N |
CA00065301 |
B |
SFY2006-07 |
950000046 |
HARVARD CREEK POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2012-11-05 00:00:00 |
950009552 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-08-16 00:00:00 |
2012-08-16 00:00:00 |
No |
2012-11-29 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
1TGK11 |
N |
CA00213197 |
B |
SFY2012-13 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2016-12-14 00:00:00 |
950012815 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-09-03 00:00:00 |
2015-09-03 00:00:00 |
No |
2017-01-05 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
DKN811 |
N |
None |
None |
SFY2016-17 |
970000117 |
HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2018-11-26 00:00:00 |
950014604 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-08-23 00:00:00 |
2018-08-23 00:00:00 |
No |
2018-12-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
R4BY11 |
N |
CA00602103, CA00602103 |
A, A |
SFY2018-19 |
970000117 |
HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2019-03-22 00:00:00 |
950014910 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-04 00:00:00 |
2018-12-04 00:00:00 |
No |
2019-04-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
AFNO11 |
N |
CA00617471 |
B |
SFY2018-19 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2020-09-17 00:00:00 |
950016039 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2020-08-04 00:00:00 |
2020-08-04 00:00:00 |
No |
2020-10-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Y5VO11 |
N |
CA00699701 |
A |
SFY2020-21 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2020-12-11 00:00:00 |
950016192 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-09-12 00:00:00 |
2020-09-12 00:00:00 |
No |
2021-01-05 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
IS1D11 |
N |
CA00704881, CA00704881, CA00704881, CA00704881, CA00704881, CA00704881 |
A, A, A, A, A, A |
SFY2020-21 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-01-29 00:00:00 |
950016258 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-10-07 00:00:00 |
2019-10-07 00:00:00 |
No |
2021-02-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
MBID11 |
N |
CA00711458, CA00711458, CA00711458 |
A, A, A |
SFY2020-21 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-09-03 00:00:00 |
950016870 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-05-20 00:00:00 |
2021-05-20 00:00:00 |
No |
2021-09-27 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
N2MH11 |
N |
CA00739402, CA00739402 |
A, A |
SFY2021-22 |
970000117 |
HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-09-01 00:00:00 |
950016873 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-11-25 00:00:00 |
2020-11-25 00:00:00 |
No |
2021-09-23 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
43I011 |
N |
None |
None |
SFY2021-22 |
970000117 |
HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-11-04 00:00:00 |
950017074 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-10-28 00:00:00 |
2021-10-28 00:00:00 |
No |
2021-11-30 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
DZK911 |
N |
CA00759125 |
A |
SFY2021-22 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-02-10 00:00:00 |
950017330 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-11-27 00:00:00 |
2020-11-27 00:00:00 |
Yes |
2022-03-04 00:00:00 |
2022-03-01 00:00:00 |
A |
A |
20000 |
20000 |
0 |
0 |
20000 |
None |
5NGR11 |
N |
CA00761336, CA00761336, CA00761336, CA00761901, CA00761901, CA00761901 |
A, A, A, A, A, A |
SFY2021-22 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-02-10 00:00:00 |
950017339 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-11-29 00:00:00 |
2020-11-29 00:00:00 |
No |
2022-03-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5NGR11 |
Y |
CA00761336, CA00761336, CA00761336, CA00761336, CA00761901, CA00761901, CA00761901, CA00761901 |
A, A, A, A, A, A, A, A |
SFY2021-22 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-03-04 00:00:00 |
950017464 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-11-12 00:00:00 |
2021-11-12 00:00:00 |
No |
2022-03-25 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
SFGT11 |
N |
CA00763841, CA00763841, CA00763841 |
B, B, B |
SFY2021-22 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-03-24 00:00:00 |
950017521 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-02-10 00:00:00 |
2022-02-10 00:00:00 |
No |
2022-04-15 00:00:00 |
None |
B |
None |
2500 |
2500 |
-875 |
1625 |
0 |
None |
8NOD11 |
N |
CA00772250, CA00772250, CA00772250, CA00772250, CA00772250 |
A, A, A, A, A |
SFY2021-22 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-04-08 00:00:00 |
950017551 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-02-16 00:00:00 |
2022-02-16 00:00:00 |
No |
2022-04-29 00:00:00 |
None |
B |
None |
2500 |
2500 |
-875 |
1625 |
0 |
None |
4OB111 |
N |
CA00773878, CA00773878, CA00773878 |
A, A, A |
SFY2021-22 |
970000169 |
HERITAGE MANOR |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-04-13 00:00:00 |
950017570 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-01-23 00:00:00 |
2022-01-23 00:00:00 |
No |
2022-05-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
U0U611 |
N |
CA00770187, CA00770187 |
A, A |
SFY2021-22 |
970000156 |
HOLLENBECK PALMS |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-10-06 00:00:00 |
950018051 |
Open |
Citation |
Citation AA (HSC 1424) |
Physical Environment |
None |
2022-07-31 00:00:00 |
2022-07-31 00:00:00 |
Yes |
2022-10-27 00:00:00 |
2022-10-24 00:00:00 |
AA |
AA |
120000 |
100000 |
0 |
50000 |
50000 |
None |
3W1V11 |
Y |
CA00796469, CA00796469, CA00796469 |
A, A, A |
SFY2022-23 |
970000169 |
HERITAGE MANOR |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2022-12-09 00:00:00 |
950018233 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2022-10-13 00:00:00 |
2022-10-13 00:00:00 |
No |
2022-12-30 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
I7MJ11 |
N |
CA00808002 |
B |
SFY2022-23 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-01-27 00:00:00 |
950018366 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2022-12-01 00:00:00 |
2022-12-19 00:00:00 |
No |
2023-02-17 00:00:00 |
None |
B |
None |
3000 |
3900 |
-1050 |
2850 |
0 |
None |
F0TC11 |
N |
CA00814361, CA00814361, CA00814361, CA00815404 |
A, A, A, A |
SFY2022-23 |
970000117 |
HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-04-28 00:00:00 |
950018706 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-02-10 00:00:00 |
2023-02-10 00:00:00 |
No |
2023-05-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
06C011 |
N |
CA00826233 |
B |
SFY2022-23 |
970000156 |
HOLLENBECK PALMS |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-08-11 00:00:00 |
950019056 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2023-07-05 00:00:00 |
2023-07-05 00:00:00 |
No |
2023-09-01 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
KNJU11 |
N |
CA00848792, CA00848792 |
A, A |
SFY2023-24 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-09-27 00:00:00 |
950019203 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-08-02 00:00:00 |
2023-08-02 00:00:00 |
No |
2023-10-18 00:00:00 |
None |
B |
None |
3000 |
3450 |
-1050 |
1950 |
450 |
None |
HW2O11 |
N |
CA00851950, CA00851950, CA00852680, CA00852680, CA00852680, CA00853636, CA00853636 |
B, B, B, B, B, A, A |
SFY2023-24 |
970000169 |
HERITAGE MANOR |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-01-02 00:00:00 |
950019556 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2023-11-21 00:00:00 |
2023-11-21 00:00:00 |
No |
2024-01-23 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
OWOP11 |
N |
CA00870237 |
B |
SFY2023-24 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-02-17 00:00:00 |
950019759 |
Closed |
Citation |
Citation B (HSC 1424) |
Refusal to Readmit |
None |
2023-12-26 00:00:00 |
2023-12-28 00:00:00 |
No |
2024-03-08 00:00:00 |
None |
B |
None |
3000 |
3100 |
-1050 |
2050 |
0 |
None |
CWT811 |
N |
CA00876852, CA00876852 |
A, A |
SFY2023-24 |
970000169 |
HERITAGE MANOR |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-05-24 00:00:00 |
950020235 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2024-02-08 00:00:00 |
2024-02-08 00:00:00 |
No |
2024-06-17 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
95DV11 |
N |
None |
None |
SFY2023-24 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2024-06-18 00:00:00 |
950020337 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2024-04-17 00:00:00 |
2024-04-17 00:00:00 |
No |
2024-07-10 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
ESS711 |
N |
CA00896338 |
B |
SFY2023-24 |
960001050 |
HOLY INFANT HOME FOR CHILDREN |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-04-27 00:00:00 |
960000852 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-12 00:00:00 |
None |
No |
2000-05-18 00:00:00 |
None |
B |
None |
600 |
600 |
0 |
600 |
0 |
960007059 |
A99999 |
N |
None |
None |
SFY1999-00 |
960000947 |
HELEN EVANS HOME |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2001-10-09 00:00:00 |
960000937 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-09-28 00:00:00 |
None |
No |
2001-11-19 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
960008073 |
A99999 |
N |
None |
None |
SFY2001-02 |
960002066 |
HAWAIIAN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2002-12-26 00:00:00 |
960000998 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2002-12-11 00:00:00 |
None |
No |
2003-01-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960008928 |
A99999 |
N |
None |
None |
SFY2002-03 |
960000984 |
HARBOR HEALTH CARE, INC. - BAYLOR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-03-07 00:00:00 |
960001008 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-01-27 00:00:00 |
None |
Yes |
2003-06-05 00:00:00 |
2003-03-12 00:00:00 |
B |
Dismissed by Court |
800 |
0 |
0 |
0 |
0 |
960008988 |
A99999 |
N |
None |
None |
SFY2002-03 |
960002084 |
HOME CARE FORTE, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-04-08 00:00:00 |
960001012 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-03-17 00:00:00 |
None |
No |
2003-06-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
960009100 |
A99999 |
N |
None |
None |
SFY2002-03 |
960001553 |
HOLY HILL HOME CARE/BENFIELD HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-10-14 00:00:00 |
960001036 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-09-19 00:00:00 |
None |
No |
2003-11-10 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
960009392 |
A99999 |
N |
None |
None |
SFY2003-04 |
960000956 |
HARBOR HEALTH CARE, INC. - HOBACK DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2003-12-30 00:00:00 |
960001047 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-10-21 00:00:00 |
None |
Yes |
2004-06-04 00:00:00 |
2004-01-06 00:00:00 |
B |
Dismissed by Court |
900 |
0 |
0 |
0 |
0 |
960009486 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002084 |
HOME CARE FORTE, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-03-30 00:00:00 |
960001064 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2003-11-25 00:00:00 |
None |
No |
2004-04-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009638 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002084 |
HOME CARE FORTE, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-07-12 00:00:00 |
960001080 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-12-06 00:00:00 |
None |
No |
2004-09-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009804 |
A99999 |
N |
None |
None |
SFY2004-05 |
960000984 |
HARBOR HEALTH CARE, INC. - BAYLOR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-08-02 00:00:00 |
960001085 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-06-23 00:00:00 |
None |
No |
2004-09-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
960009789 |
A99999 |
N |
None |
None |
SFY2004-05 |
960002084 |
HOME CARE FORTE, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-02-14 00:00:00 |
960001102 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-24 00:00:00 |
None |
No |
2005-03-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010043 |
A99999 |
N |
None |
None |
SFY2004-05 |
960002084 |
HOME CARE FORTE, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-02-14 00:00:00 |
960001103 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-24 00:00:00 |
None |
No |
2005-03-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010043 |
A99999 |
N |
None |
None |
SFY2004-05 |
960002084 |
HOME CARE FORTE, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-02-14 00:00:00 |
960001104 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-24 00:00:00 |
None |
No |
2005-03-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010043 |
A99999 |
N |
None |
None |
SFY2004-05 |
960002066 |
HAWAIIAN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-12-23 00:00:00 |
960001164 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-10-28 00:00:00 |
None |
No |
2006-03-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010388 |
A99999 |
N |
None |
None |
SFY2005-06 |
960000954 |
HARBOR HEALTH CARE, INC. ANTONIO DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-01-06 00:00:00 |
960001166 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-12-07 00:00:00 |
None |
No |
2006-02-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010435 |
A99999 |
N |
None |
None |
SFY2005-06 |
960000954 |
HARBOR HEALTH CARE, INC. ANTONIO DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-01-10 00:00:00 |
960001167 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-17 00:00:00 |
None |
Yes |
2006-02-16 00:00:00 |
2006-01-12 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
960010435 |
A99999 |
N |
None |
None |
SFY2005-06 |
960001553 |
HOLY HILL HOME CARE/BENFIELD HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-01-19 00:00:00 |
960001168 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-12-07 00:00:00 |
None |
Yes |
2006-03-13 00:00:00 |
2006-01-19 00:00:00 |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010423 |
A99999 |
N |
None |
None |
SFY2005-06 |
960001841 |
HOLY HILL HOME CARE/BELLFLOWER HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-07-07 00:00:00 |
960003195 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-05-04 00:00:00 |
2006-05-04 00:00:00 |
No |
2006-09-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
76NO11 |
N |
CA00081021 |
C |
SFY2006-07 |
960001841 |
HOLY HILL HOME CARE/BELLFLOWER HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-07-07 00:00:00 |
960003196 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-05-04 00:00:00 |
2006-05-04 00:00:00 |
No |
2006-09-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
76NO11 |
N |
CA00081021 |
C |
SFY2006-07 |
960000984 |
HARBOR HEALTH CARE, INC. - BAYLOR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-07-11 00:00:00 |
960003199 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-07-04 00:00:00 |
2006-07-04 00:00:00 |
Yes |
2006-08-30 00:00:00 |
2006-08-08 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
None |
C8XU11 |
N |
None |
None |
SFY2006-07 |
960000954 |
HARBOR HEALTH CARE, INC. ANTONIO DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-03-12 00:00:00 |
960003788 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-02-11 00:00:00 |
2007-02-11 00:00:00 |
No |
2007-04-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0EIH11 |
N |
None |
None |
SFY2006-07 |
960000984 |
HARBOR HEALTH CARE, INC. - BAYLOR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2007-09-27 00:00:00 |
960004299 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-08-24 00:00:00 |
2007-08-24 00:00:00 |
No |
2007-10-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
4XZS11 |
N |
None |
None |
SFY2007-08 |
960000956 |
HARBOR HEALTH CARE, INC. - HOBACK DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2008-03-31 00:00:00 |
960004842 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-03-07 00:00:00 |
2008-03-07 00:00:00 |
No |
2008-04-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
53QC11 |
N |
None |
None |
SFY2007-08 |
960000956 |
HARBOR HEALTH CARE, INC. - HOBACK DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2008-03-31 00:00:00 |
960004843 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-03-19 00:00:00 |
2008-03-19 00:00:00 |
No |
2008-04-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
53QC11 |
N |
None |
None |
SFY2007-08 |
960001841 |
HOLY HILL HOME CARE/BELLFLOWER HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2008-07-03 00:00:00 |
960005209 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-06-17 00:00:00 |
2008-06-17 00:00:00 |
No |
2008-07-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
PTTQ11 |
N |
None |
None |
SFY2008-09 |
960001553 |
HOLY HILL HOME CARE/BENFIELD HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2009-04-10 00:00:00 |
960006081 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-03-15 00:00:00 |
2009-03-15 00:00:00 |
No |
2009-05-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
8GIC11 |
N |
None |
None |
SFY2008-09 |
960000976 |
HARBOR HEALTH CARE, INC. - BRIAR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2009-07-21 00:00:00 |
960006399 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-06-30 00:00:00 |
2009-06-30 00:00:00 |
No |
2009-08-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZNW911 |
N |
CA00193429 |
A |
SFY2009-10 |
960002084 |
HOME CARE FORTE, INC. |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-05-04 00:00:00 |
960007182 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-04-10 00:00:00 |
2010-04-10 00:00:00 |
No |
2010-05-25 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
9J5O11 |
N |
None |
None |
SFY2009-10 |
960000947 |
HELEN EVANS HOME |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-05-26 00:00:00 |
960007255 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-01-05 00:00:00 |
2010-01-05 00:00:00 |
Yes |
2010-06-17 00:00:00 |
2010-07-08 00:00:00 |
A |
A |
5000 |
5000 |
0 |
5000 |
0 |
None |
V4X411 |
N |
None |
None |
SFY2009-10 |
960002066 |
HAWAIIAN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-07-01 00:00:00 |
960007350 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-05-15 00:00:00 |
2010-05-15 00:00:00 |
No |
2010-07-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
0RDZ11 |
N |
None |
None |
SFY2010-11 |
960000947 |
HELEN EVANS HOME |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-12-16 00:00:00 |
960007734 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-05-05 00:00:00 |
2010-05-05 00:00:00 |
Yes |
2011-01-06 00:00:00 |
2011-01-03 00:00:00 |
A |
A |
10000 |
10000 |
0 |
10000 |
0 |
None |
B7B211 |
N |
CA00234753 |
C |
SFY2010-11 |
960001553 |
HOLY HILL HOME CARE/BENFIELD HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2013-04-02 00:00:00 |
960009826 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-02-22 00:00:00 |
2013-02-22 00:00:00 |
No |
2013-04-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
7LGC11 |
N |
None |
None |
SFY2012-13 |
960000973 |
HARBOR HEALTH CARE, INC. - DESTINO DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2014-12-05 00:00:00 |
960011154 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2014-05-23 00:00:00 |
2014-05-23 00:00:00 |
No |
2014-12-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
H1IW11 |
N |
None |
None |
SFY2014-15 |
960001841 |
HOLY HILL HOME CARE/BELLFLOWER HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2015-10-08 00:00:00 |
960011774 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2014-09-14 00:00:00 |
2014-09-14 00:00:00 |
No |
2015-10-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
OF7H11 |
N |
None |
None |
SFY2015-16 |
960000976 |
HARBOR HEALTH CARE, INC. - BRIAR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2017-03-29 00:00:00 |
960013096 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2017-03-12 00:00:00 |
2017-03-12 00:00:00 |
No |
2017-04-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
XWRR11 |
N |
CA00526372 |
A |
SFY2016-17 |
960000984 |
HARBOR HEALTH CARE, INC. - BAYLOR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2017-12-01 00:00:00 |
960013659 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-09-01 00:00:00 |
2017-09-01 00:00:00 |
No |
2017-12-22 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
D3EI11 |
N |
None |
None |
SFY2017-18 |
960000984 |
HARBOR HEALTH CARE, INC. - BAYLOR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2017-12-01 00:00:00 |
960013661 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-09-01 00:00:00 |
2017-09-01 00:00:00 |
No |
2017-12-22 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
D3EI11 |
N |
None |
None |
SFY2017-18 |
960000984 |
HARBOR HEALTH CARE, INC. - BAYLOR DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2017-12-01 00:00:00 |
960013663 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-09-01 00:00:00 |
2017-09-01 00:00:00 |
No |
2017-12-22 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
D3EI11 |
N |
None |
None |
SFY2017-18 |
960000973 |
HARBOR HEALTH CARE, INC. - DESTINO DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2021-05-21 00:00:00 |
960016522 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-10-16 00:00:00 |
2017-10-16 00:00:00 |
No |
2021-06-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
6J9G11 |
N |
None |
None |
SFY2020-21 |
960000973 |
HARBOR HEALTH CARE, INC. - DESTINO DIVISION |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2021-05-21 00:00:00 |
960016523 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-10-16 00:00:00 |
2017-10-16 00:00:00 |
No |
2021-06-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
6J9G11 |
N |
CA00557536 |
B |
SFY2020-21 |
970000039 |
HOLLYWOOD PREMIER HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2000-04-12 00:00:00 |
970001006 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE |
2000-02-15 00:00:00 |
None |
Yes |
2001-05-18 00:00:00 |
2000-04-20 00:00:00 |
B |
B |
900 |
900 |
0 |
900 |
0 |
970005108 |
A99999 |
N |
None |
None |
SFY1999-00 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2000-11-22 00:00:00 |
970001059 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2000-10-20 00:00:00 |
None |
No |
2000-12-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970005392 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-06-26 00:00:00 |
970001359 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-20 00:00:00 |
None |
No |
2001-07-18 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970006789 |
A99999 |
N |
None |
None |
SFY2000-01 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2001-11-14 00:00:00 |
970001367 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2001-08-30 00:00:00 |
None |
No |
2001-12-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970006902 |
A99999 |
N |
None |
None |
SFY2001-02 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-02-11 00:00:00 |
970001373 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-25 00:00:00 |
None |
No |
2002-03-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970006831 |
A99999 |
N |
None |
None |
SFY2001-02 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-05-14 00:00:00 |
970001376 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-30 00:00:00 |
None |
No |
2002-06-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970007138 |
A99999 |
N |
None |
None |
SFY2001-02 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2002-06-11 00:00:00 |
970001377 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-03-27 00:00:00 |
None |
No |
2002-07-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970007128 |
A99999 |
N |
None |
None |
SFY2001-02 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2005-12-21 00:00:00 |
970001456 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-09-21 00:00:00 |
None |
No |
2006-01-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970008461 |
A99999 |
N |
None |
None |
SFY2005-06 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-02-06 00:00:00 |
970001460 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2005-12-15 00:00:00 |
2005-12-15 00:00:00 |
No |
2006-03-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
970008527 |
A99999 |
N |
None |
None |
SFY2005-06 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-04-20 00:00:00 |
970003041 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-05 00:00:00 |
2005-11-05 00:00:00 |
No |
2006-06-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
70KD11 |
N |
CA00065365 |
C |
SFY2005-06 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-06-23 00:00:00 |
970003176 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-12-09 00:00:00 |
2005-12-09 00:00:00 |
No |
2006-07-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
None |
6K3N11 |
N |
CA00067970 |
A |
SFY2005-06 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003230 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-20 00:00:00 |
2006-06-20 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003231 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-06 00:00:00 |
2006-06-06 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003232 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-06-21 00:00:00 |
2006-06-21 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003233 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-06 00:00:00 |
2006-06-06 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003234 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-05-15 00:00:00 |
2006-05-15 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003235 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-06-09 00:00:00 |
2006-06-09 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1400 |
-1400 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003236 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-06-06 00:00:00 |
2006-06-06 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003237 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2006-06-09 00:00:00 |
2006-06-09 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003239 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-09-10 00:00:00 |
2005-09-10 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
A |
None |
5000 |
5250 |
-5250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003240 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-09-05 00:00:00 |
2005-09-05 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
A |
None |
20000 |
20250 |
-20250 |
0 |
0 |
None |
CL2911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003242 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2006-06-06 00:00:00 |
2006-06-06 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
A |
None |
20000 |
20250 |
-20250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003243 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2006-06-07 00:00:00 |
2006-06-07 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
A |
None |
20000 |
20300 |
-20300 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003244 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-05-22 00:00:00 |
2006-05-22 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
A |
None |
10000 |
10250 |
-10250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003245 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2005-11-15 00:00:00 |
2005-11-15 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
A |
None |
20000 |
20250 |
-20250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-07 00:00:00 |
970003246 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2006-05-02 00:00:00 |
2006-05-02 00:00:00 |
No |
2006-08-28 00:00:00 |
None |
B |
None |
1000 |
3350 |
-3350 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003247 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-30 00:00:00 |
2006-06-30 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003249 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-20 00:00:00 |
2006-06-20 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003250 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-06-06 00:00:00 |
2006-06-06 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2006-08-09 00:00:00 |
970003262 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2006-05-08 00:00:00 |
2006-05-08 00:00:00 |
No |
2006-08-30 00:00:00 |
None |
B |
None |
1000 |
1250 |
-1250 |
0 |
0 |
None |
CL6911 |
N |
CA00089036 |
B |
SFY2006-07 |
970000117 |
HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2007-08-08 00:00:00 |
970004040 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2007-05-20 00:00:00 |
2007-05-20 00:00:00 |
No |
2007-08-29 00:00:00 |
None |
B |
B |
900 |
900 |
-782 |
118 |
0 |
None |
TVZU11 |
N |
CA00115255 |
B |
SFY2007-08 |
970000117 |
HIGHLAND PARK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2008-01-31 00:00:00 |
970004424 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2007-09-17 00:00:00 |
2007-09-17 00:00:00 |
Yes |
2008-02-25 00:00:00 |
2008-02-14 00:00:00 |
AA |
AA |
90000 |
90000 |
-78170 |
11830 |
0 |
None |
GNLD11 |
Y |
CA00126648 |
A |
SFY2007-08 |
970000169 |
HERITAGE MANOR |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2008-03-07 00:00:00 |
970004725 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-12-13 00:00:00 |
2007-12-13 00:00:00 |
Yes |
2008-03-28 00:00:00 |
2008-03-10 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
8D0K11 |
N |
CA00135156 |
B |
SFY2007-08 |
970000169 |
HERITAGE MANOR |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2009-10-20 00:00:00 |
970006528 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-03-09 00:00:00 |
2009-03-09 00:00:00 |
Yes |
2009-11-10 00:00:00 |
2009-10-26 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
KVLD11 |
N |
CA00179718 |
C |
SFY2009-10 |
630013124 |
HEART TO HEART HEALTH CARE, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2014-03-24 00:00:00 |
980010567 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2014-03-02 00:00:00 |
2014-03-02 00:00:00 |
No |
2014-04-15 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
Z90211 |
N |
CA00389676 |
B |
SFY2013-14 |
630013124 |
HEART TO HEART HEALTH CARE, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2021-06-22 00:00:00 |
980016627 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-05-27 00:00:00 |
2021-05-27 00:00:00 |
No |
2021-07-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
7Z3R11 |
N |
None |
None |
SFY2020-21 |
630026176 |
HAYVEN HOME, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-04-26 00:00:00 |
980018696 |
Open |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2023-03-14 00:00:00 |
2023-03-14 00:00:00 |
No |
2023-05-17 00:00:00 |
None |
B |
None |
1000 |
1250 |
0 |
0 |
1250 |
None |
9NOC11 |
N |
CA00831031 |
A |
SFY2022-23 |
630015698 |
HOUSE OF FAITH CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-05-29 00:00:00 |
980020241 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Nursing Service/Admin |
2024-05-14 00:00:00 |
2024-05-14 00:00:00 |
Yes |
2024-06-19 00:00:00 |
2024-06-05 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
6EMZ11 |
N |
None |
None |
SFY2023-24 |
630025909 |
HANDS ON HANDS CONGREGATE LIVING |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-06-28 00:00:00 |
980020373 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-04-11 00:00:00 |
2024-04-11 00:00:00 |
No |
2024-07-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
0 |
1000 |
None |
NOC311 |
N |
CA00897385, CA00897385, CA00897385 |
A, A, A |
SFY2023-24 |
040000047 |
HEALTHCARE CENTRE OF FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2013-06-13 00:00:00 |
040009930 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2011-07-22 00:00:00 |
2011-10-18 00:00:00 |
Yes |
2013-06-28 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
LG5M11 |
None |
None |
None |
SFY2012-13 |
060000054 |
HUNTINGTON VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2019-05-02 00:00:00 |
060014998 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2017-11-01 00:00:00 |
2018-01-29 00:00:00 |
No |
2019-05-17 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
24Y311 |
None |
None |
None |
SFY2018-19 |
070000068 |
HEARTS & HANDS, POST ACUTE CARE & REHAB CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2013-02-11 00:00:00 |
070009161 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2011-11-01 00:00:00 |
2012-01-28 00:00:00 |
Yes |
2013-02-26 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
X1ZU11 |
None |
None |
None |
SFY2012-13 |
120000331 |
HEIGHT STREET SKILLED CARE |
LTC |
SNF |
Skilled Nursing Facility |
Bakersfield |
2015-02-05 00:00:00 |
120011248 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2014-01-12 00:00:00 |
2014-04-13 00:00:00 |
Yes |
2015-02-20 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
B7PI11 |
None |
None |
None |
SFY2014-15 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2013-09-04 00:00:00 |
240010111 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-04-02 00:00:00 |
2012-06-16 00:00:00 |
Yes |
2013-09-19 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
OTVU11 |
None |
None |
None |
SFY2013-14 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2014-02-20 00:00:00 |
240010354 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2013-02-04 00:00:00 |
2013-06-16 00:00:00 |
No |
2014-03-07 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
36R111 |
None |
None |
None |
SFY2013-14 |
240000058 |
HAVEN POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2014-12-17 00:00:00 |
240011137 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2014-03-17 00:00:00 |
2014-06-16 00:00:00 |
No |
2015-01-01 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
YOFE11 |
None |
None |
None |
SFY2014-15 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2015-09-02 00:00:00 |
240011690 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2015-02-11 00:00:00 |
2015-05-13 00:00:00 |
No |
2015-09-17 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
W24Y11 |
None |
None |
None |
SFY2015-16 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2019-10-14 00:00:00 |
810015444 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2018-03-17 00:00:00 |
2018-06-16 00:00:00 |
No |
2019-10-29 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
W5Y311 |
None |
None |
None |
SFY2019-20 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2020-08-06 00:00:00 |
810015962 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-03-17 00:00:00 |
2019-06-16 00:00:00 |
No |
2020-08-21 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
KBNQ11 |
None |
None |
None |
SFY2020-21 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2021-03-25 00:00:00 |
810016357 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
2021-04-09 00:00:00 |
None |
AP NHPPD |
None |
30000 |
30000 |
0 |
30000 |
0 |
None |
12S711 |
None |
None |
None |
SFY2020-21 |
240000020 |
HIGHLAND CARE CENTER OF REDLANDS |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2021-06-29 00:00:00 |
810016562 |
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 |
2021-07-14 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
PE8111 |
None |
None |
None |
SFY2020-21 |
240000066 |
HILLCREST NURSING HOME |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2021-07-08 00:00:00 |
810016594 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
X23C11 |
None |
None |
None |
SFY2021-22 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-06-18 00:00:00 |
810016638 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
95C411 |
None |
None |
None |
SFY2020-21 |
240000068 |
HIGHLAND PALMS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2021-07-21 00:00:00 |
810016715 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-07-01 00:00:00 |
2019-09-30 00:00:00 |
No |
2021-08-05 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
7HL511 |
None |
None |
None |
SFY2021-22 |
090000064 |
HILLCREST MANOR SANITARIUM |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2021-08-10 00:00:00 |
810016936 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
FIGU11 |
None |
None |
None |
SFY2021-22 |
060000113 |
HARBOR VILLA CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-11-02 00:00:00 |
810017043 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-11-17 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
8LSC11 |
None |
None |
None |
SFY2021-22 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2022-01-10 00:00:00 |
810017070 |
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 |
2022-01-25 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
2IN911 |
None |
None |
None |
SFY2021-22 |
060000054 |
HUNTINGTON VALLEY HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2021-12-29 00:00:00 |
810017210 |
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 |
2022-01-13 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
EV7U11 |
None |
None |
None |
SFY2021-22 |
040000047 |
HEALTHCARE CENTRE OF FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2022-06-07 00:00:00 |
810017678 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2022-06-22 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
LIHV11 |
None |
None |
None |
SFY2021-22 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2021-08-09 00:00:00 |
810017858 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
WJ8C11 |
None |
None |
None |
SFY2021-22 |
250000567 |
HEMET HILLS POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2022-09-21 00:00:00 |
810017927 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2022-10-06 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
9E4X11 |
None |
None |
None |
SFY2022-23 |
250000284 |
HIGHLAND SPRINGS CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Riverside |
2023-04-06 00:00:00 |
810018586 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2023-04-27 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
S3I711 |
None |
None |
None |
SFY2022-23 |
240000020 |
HIGHLAND CARE CENTER OF REDLANDS |
LTC |
SNF |
Skilled Nursing Facility |
San Bernardino |
2023-04-10 00:00:00 |
810018619 |
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 |
WG9P11 |
None |
None |
None |
SFY2022-23 |
090000004 |
HILLCREST HEIGHTS HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
San Diego |
2023-10-03 00:00:00 |
810019201 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-10-01 00:00:00 |
2020-12-31 00:00:00 |
No |
2023-10-24 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
ROD511 |
None |
None |
None |
SFY2023-24 |
950000062 |
HUNTINGTON DRIVE HEALTH AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 1 |
2023-08-31 00:00:00 |
810019221 |
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 |
G8LZ11 |
None |
None |
None |
SFY2023-24 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-09-12 00:00:00 |
810019461 |
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 |
V3CO11 |
None |
None |
None |
SFY2023-24 |
040000047 |
HEALTHCARE CENTRE OF FRESNO |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2024-01-24 00:00:00 |
810019610 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-02-14 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
XBKU11 |
None |
None |
None |
SFY2023-24 |
220000056 |
HAYES CONVALESCENT HOSPITAL |
LTC |
SNF |
Skilled Nursing Facility |
San Francisco |
2024-02-06 00:00:00 |
810019665 |
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 |
2024-02-27 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
SBWW11 |
None |
None |
None |
SFY2023-24 |
040001364 |
HANFORD POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2024-03-14 00:00:00 |
810019838 |
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 |
2024-04-04 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
Y7T911 |
None |
None |
None |
SFY2023-24 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2012-12-31 00:00:00 |
910009688 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-04-02 00:00:00 |
2012-06-16 00:00:00 |
No |
2013-01-15 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
QOQ511 |
None |
None |
None |
SFY2012-13 |
910000046 |
HARBOR POST ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-08-04 00:00:00 |
910010891 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2013-11-26 00:00:00 |
2014-02-25 00:00:00 |
Yes |
2014-08-19 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
58FQ11 |
None |
None |
None |
SFY2014-15 |
910000047 |
HAWTHORNE HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-01-07 00:00:00 |
910011905 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2014-11-10 00:00:00 |
2015-02-09 00:00:00 |
Yes |
2016-01-22 00:00:00 |
None |
AP NHPPD |
UPHELD |
15000 |
15000 |
0 |
15000 |
0 |
None |
7GSH11 |
None |
None |
None |
SFY2015-16 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2016-03-24 00:00:00 |
910012124 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2015-03-17 00:00:00 |
2015-06-16 00:00:00 |
No |
2016-04-08 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
7OXP11 |
None |
None |
None |
SFY2015-16 |
910000049 |
HYDE PARK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2017-12-15 00:00:00 |
910013665 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2016-03-17 00:00:00 |
2016-06-16 00:00:00 |
No |
2017-12-26 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
9QYQ11 |
None |
None |
None |
SFY2017-18 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-06-23 00:00:00 |
920012338 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2015-09-06 00:00:00 |
2015-12-06 00:00:00 |
No |
2016-07-08 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
3N3A11 |
None |
None |
None |
SFY2015-16 |
920000068 |
HOLIDAY MANOR CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-05-06 00:00:00 |
920015004 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2018-03-17 00:00:00 |
2018-06-16 00:00:00 |
No |
2019-05-21 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
Z6NG11 |
None |
None |
None |
SFY2018-19 |
970000115 |
HUNTINGTON HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2014-02-28 00:00:00 |
940010304 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-10-23 00:00:00 |
2013-01-07 00:00:00 |
No |
2014-03-15 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
5WXP11 |
None |
None |
None |
SFY2013-14 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-08-11 00:00:00 |
020005286 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-02-05 17:00:00 |
2008-02-05 17:00:00 |
No |
2008-09-03 00:00:00 |
None |
FTR AE |
None |
7300 |
7300 |
0 |
7300 |
0 |
None |
YZSZ11 |
N |
CA00147800 |
C |
SFY2008-09 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-08-11 00:00:00 |
020005289 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-04-23 09:20:00 |
2008-04-23 09:20:00 |
No |
2008-09-03 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
YZSZ11 |
N |
CA00148599 |
C |
SFY2008-09 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-08-11 00:00:00 |
020005290 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-04-22 10:27:00 |
2008-04-22 10:27:00 |
No |
2008-09-03 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
YZSZ11 |
N |
CA00148599 |
C |
SFY2008-09 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2008-12-01 00:00:00 |
020005637 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-09-17 20:00:00 |
2008-09-17 20:00:00 |
No |
2008-12-26 00:00:00 |
None |
FTR AE |
None |
1100 |
1100 |
0 |
1100 |
0 |
None |
1CDY11 |
N |
CA00165541 |
C |
SFY2008-09 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-02-17 00:00:00 |
020005880 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-09-10 11:30:00 |
2008-09-10 11:30:00 |
No |
2009-03-11 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
0QK111 |
N |
CA00164261 |
C |
SFY2008-09 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-06-10 00:00:00 |
020006258 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-04-02 17:30:00 |
2009-04-02 17:30:00 |
No |
2009-07-01 00:00:00 |
None |
FTR AE |
None |
1400 |
1400 |
0 |
1400 |
0 |
None |
HEWF11 |
N |
CA00186217 |
C |
SFY2008-09 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-06-10 00:00:00 |
020006260 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-04-16 15:20:00 |
2009-04-16 15:20:00 |
No |
2009-07-01 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
HEWF11 |
N |
CA00186921 |
C |
SFY2008-09 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2009-09-02 00:00:00 |
020006475 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2009-02-16 00:00:00 |
2009-02-16 00:00:00 |
No |
2009-09-24 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
L5LC11 |
N |
CA00178293 |
A |
SFY2009-10 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-01-05 00:00:00 |
020006844 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE27 - Death/injury from a physical assault |
None |
2009-04-16 12:45:00 |
2009-04-16 12:45:00 |
No |
2010-01-29 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
Z2OO11 |
N |
CA00186325 |
C |
SFY2009-10 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-01-13 00:00:00 |
020006883 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2009-10-07 00:00:00 |
2009-10-07 00:00:00 |
No |
2010-02-05 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
MOV011 |
N |
CA00204680 |
A |
SFY2009-10 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-04-08 00:00:00 |
020007108 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-09-05 20:00:00 |
2009-09-05 20:00:00 |
No |
2010-04-29 00:00:00 |
None |
FTR AE |
None |
1100 |
1100 |
0 |
1100 |
0 |
None |
3J8G11 |
N |
CA00203391 |
C |
SFY2009-10 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2010-04-27 00:00:00 |
020007160 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2009-07-06 12:20:00 |
2009-07-06 12:20:00 |
No |
2010-05-20 00:00:00 |
None |
FTR AE |
None |
600 |
600 |
0 |
600 |
0 |
None |
EYJ611 |
N |
CA00195622 |
C |
SFY2009-10 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2011-01-10 00:00:00 |
020007812 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2010-01-21 16:00:00 |
2010-01-21 16:00:00 |
No |
2011-02-01 00:00:00 |
None |
FTR AE |
None |
3200 |
3200 |
0 |
3200 |
0 |
None |
51QT11 |
N |
CA00220155 |
C |
SFY2010-11 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2017-05-02 00:00:00 |
020013531 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2017-03-13 00:00:00 |
2017-03-13 00:00:00 |
No |
2017-05-23 00:00:00 |
None |
AP IJ |
None |
39187 |
39187 |
0 |
39187 |
0 |
None |
QITB11 |
N |
CA00526681 |
A |
SFY2016-17 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2017-11-28 00:00:00 |
020013802 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2015-09-29 00:00:00 |
2015-09-29 00:00:00 |
No |
2018-10-01 00:00:00 |
None |
AP BR |
None |
7500 |
7500 |
-1875 |
5625 |
0 |
None |
3Q6P11 |
None |
CA00503431 |
C |
SFY2017-18 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2019-01-16 00:00:00 |
020014739 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2017-12-07 00:00:00 |
2017-12-07 00:00:00 |
No |
2019-02-06 00:00:00 |
None |
AP NON-IJ |
None |
12000 |
12000 |
0 |
12000 |
0 |
None |
J6GM11 |
N |
CA00564173 |
A |
SFY2018-19 |
140000034 |
HIGHLAND HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
East Bay |
2021-04-20 00:00:00 |
020016372 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2018-10-16 00:00:00 |
2018-10-16 00:00:00 |
No |
2021-05-11 00:00:00 |
None |
AP NON-IJ |
None |
13800 |
13800 |
0 |
13800 |
0 |
None |
ZZBF11 |
Y |
CA00609136, CA00609136, CA00609136, CA00609136, CA00609136, CA00609356 |
B, B, B, B, B, B |
SFY2020-21 |
030000822 |
HERITAGE OAKS HOSPITAL |
Non-LTC |
APH |
Acute Psychiatric Hospital |
Sacramento |
2009-10-06 00:00:00 |
030006604 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2007-08-16 00:00:00 |
2007-08-16 00:00:00 |
No |
2009-10-28 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
BX5511 |
N |
CA00123668, CA00123691 |
A, A |
SFY2009-10 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2008-06-04 00:00:00 |
060005104 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2008-04-14 00:00:00 |
2008-04-14 00:00:00 |
No |
2008-06-25 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
WKO611 |
N |
CA00147573 |
A |
SFY2007-08 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2008-12-12 00:00:00 |
060005668 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE02 - Wrong patient surgery |
None |
2008-07-23 08:00:00 |
2008-07-23 08:00:00 |
No |
2009-01-05 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
NXMW11 |
N |
CA00159256 |
B |
SFY2008-09 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2009-03-12 00:00:00 |
060005951 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2008-12-30 00:00:00 |
2008-12-30 00:00:00 |
No |
2009-04-06 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
V22111 |
N |
CA00173787 |
B |
SFY2008-09 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2009-04-07 00:00:00 |
060006059 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2009-01-12 00:00:00 |
2009-01-12 00:00:00 |
No |
2009-04-29 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
ZBBT11 |
N |
CA00176128 |
C |
SFY2008-09 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2010-05-07 00:00:00 |
060007197 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2009-11-16 08:00:00 |
2009-11-16 08:00:00 |
No |
2010-06-01 00:00:00 |
None |
FTR AE |
None |
9400 |
9400 |
0 |
9400 |
0 |
None |
NF5F11 |
N |
CA00219779 |
C |
SFY2009-10 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2011-05-11 00:00:00 |
060008232 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-08-13 08:00:00 |
2010-08-13 08:00:00 |
No |
2011-06-02 00:00:00 |
None |
FTR BR |
None |
1100 |
1100 |
-275 |
825 |
0 |
None |
PLRV11 |
None |
CA00242534 |
D |
SFY2010-11 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2011-05-11 00:00:00 |
060008233 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-08-13 08:00:00 |
2010-08-13 08:00:00 |
No |
2011-06-02 00:00:00 |
None |
FTR BR |
None |
2700 |
2700 |
-675 |
2025 |
0 |
None |
PLRV11 |
None |
CA00242534 |
D |
SFY2010-11 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2011-05-11 00:00:00 |
060008234 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-08-13 08:00:00 |
2010-08-13 08:00:00 |
No |
2011-06-02 00:00:00 |
None |
FTR BR |
None |
2500 |
2500 |
-625 |
1875 |
0 |
None |
PLRV11 |
None |
CA00242534 |
D |
SFY2010-11 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2013-08-02 00:00:00 |
060010051 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2012-04-17 00:00:00 |
2012-04-17 00:00:00 |
No |
2013-08-23 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
U54211 |
N |
CA00319238 |
B |
SFY2013-14 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2013-09-12 00:00:00 |
060010139 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2012-12-31 00:00:00 |
2012-12-31 00:00:00 |
No |
2013-10-03 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
O1KI11 |
N |
CA00345331 |
B |
SFY2013-14 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-02-18 00:00:00 |
060010460 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2012-05-22 00:00:00 |
2012-05-22 00:00:00 |
No |
2014-03-11 00:00:00 |
None |
FTR RES |
None |
1400 |
1400 |
-350 |
1050 |
0 |
None |
BJSC11 |
None |
CA00362508 |
E |
SFY2013-14 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-02-18 00:00:00 |
060010461 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2012-05-22 00:00:00 |
2012-05-22 00:00:00 |
No |
2014-03-11 00:00:00 |
None |
FTR BR |
None |
1900 |
1900 |
-475 |
1425 |
0 |
None |
BJSC11 |
None |
CA00362508 |
E |
SFY2013-14 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-02-18 00:00:00 |
060010462 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2012-04-29 00:00:00 |
2012-04-29 00:00:00 |
No |
2014-03-11 00:00:00 |
None |
FTR RES |
None |
7000 |
7000 |
-1750 |
5250 |
0 |
None |
74LE11 |
None |
CA00362512 |
E |
SFY2013-14 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-02-18 00:00:00 |
060010463 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2012-04-29 00:00:00 |
2012-04-29 00:00:00 |
No |
2014-03-11 00:00:00 |
None |
FTR BR |
None |
7300 |
7300 |
-1825 |
5475 |
0 |
None |
74LE11 |
None |
CA00362512 |
E |
SFY2013-14 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-02-18 00:00:00 |
060010464 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2012-05-11 00:00:00 |
2012-05-11 00:00:00 |
No |
2014-03-11 00:00:00 |
None |
FTR RES |
None |
700 |
700 |
-175 |
525 |
0 |
None |
C8LP11 |
None |
CA00362505 |
E |
SFY2013-14 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-02-18 00:00:00 |
060010465 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2012-05-11 00:00:00 |
2012-05-11 00:00:00 |
No |
2014-03-11 00:00:00 |
None |
FTR BR |
None |
1100 |
1100 |
-275 |
825 |
0 |
None |
C8LP11 |
None |
CA00362505 |
E |
SFY2013-14 |
630012891 |
HOAG ORTHOPEDIC INSTITUTE |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-07-29 00:00:00 |
060010890 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2012-09-27 00:00:00 |
2012-09-27 00:00:00 |
No |
2014-08-19 00:00:00 |
None |
FTR BR |
None |
1100 |
1100 |
0 |
1100 |
0 |
None |
8JV411 |
None |
CA00401968 |
E |
SFY2014-15 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-08-21 00:00:00 |
060010947 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2013-02-20 00:00:00 |
2013-02-20 00:00:00 |
No |
2014-09-12 00:00:00 |
None |
FTR AE |
None |
1200 |
1200 |
0 |
1200 |
0 |
None |
OFRS11 |
N |
CA00351485 |
D |
SFY2014-15 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2014-11-06 00:00:00 |
060011112 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2013-04-15 00:00:00 |
2013-04-15 00:00:00 |
No |
2014-12-02 00:00:00 |
None |
FTR AE |
None |
800 |
800 |
0 |
800 |
0 |
None |
PUFY11 |
N |
CA00354480 |
D |
SFY2014-15 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2016-12-01 00:00:00 |
060012782 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2016-01-30 00:00:00 |
2016-01-30 00:00:00 |
No |
2016-12-22 00:00:00 |
None |
FTR AE |
None |
2800 |
2800 |
0 |
2800 |
0 |
None |
6VLK11 |
N |
CA00479189 |
D |
SFY2016-17 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2017-08-03 00:00:00 |
060013364 |
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 |
2016-01-21 00:00:00 |
2016-01-21 00:00:00 |
No |
2017-08-24 00:00:00 |
None |
FTR BR |
None |
15900 |
15900 |
0 |
15900 |
0 |
None |
QPCX11 |
None |
CA00506303 |
D |
SFY2017-18 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2017-08-03 00:00:00 |
060013365 |
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 |
2016-01-21 00:00:00 |
2016-01-21 00:00:00 |
No |
2017-08-24 00:00:00 |
None |
FTR RES |
None |
15800 |
15800 |
0 |
15800 |
0 |
None |
QPCX11 |
None |
CA00506303 |
D |
SFY2017-18 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2019-02-21 00:00:00 |
060014826 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE26 - Sexual assault on a patient |
None |
2018-03-09 00:00:00 |
2018-03-09 00:00:00 |
No |
2019-03-14 00:00:00 |
None |
FTR AE |
None |
6900 |
6900 |
0 |
6900 |
0 |
None |
48NI11 |
N |
CA00589391 |
B |
SFY2018-19 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2020-06-19 00:00:00 |
060015906 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2020-02-03 00:00:00 |
2020-02-03 00:00:00 |
Yes |
2020-07-10 00:00:00 |
2020-06-30 00:00:00 |
FTR AE |
None |
9000 |
9000 |
0 |
9000 |
0 |
None |
VD4K11 |
N |
CA00688097 |
D |
SFY2019-20 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2022-07-05 00:00:00 |
060017759 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE28 - Adverse event or series of adverse events |
None |
2021-02-14 00:00:00 |
2021-02-14 00:00:00 |
No |
2022-07-26 00:00:00 |
None |
AP IJ |
None |
31350 |
31350 |
0 |
31350 |
0 |
None |
XHTC11 |
Y |
CA00725805, CA00725805 |
B, B |
SFY2022-23 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2022-12-27 00:00:00 |
060018259 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2022-10-22 00:00:00 |
2022-10-22 00:00:00 |
No |
2023-01-19 00:00:00 |
None |
FTR AE |
None |
1100 |
1100 |
0 |
1100 |
0 |
None |
7Y7611 |
N |
CA00810634 |
D |
SFY2022-23 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2021-12-03 00:00:00 |
060018364 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2018-08-31 00:00:00 |
2018-08-31 00:00:00 |
No |
2023-03-02 00:00:00 |
None |
AP BR |
None |
15000 |
15000 |
-3750 |
11250 |
0 |
None |
6BBO11 |
None |
CA00554732 |
D |
SFY2021-22 |
060000015 |
HUNTINGTON BEACH HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2023-07-25 00:00:00 |
060018996 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2023-03-02 00:00:00 |
2023-03-02 00:00:00 |
No |
2023-08-15 00:00:00 |
None |
FTR AE |
None |
11300 |
11300 |
0 |
11300 |
0 |
None |
DPI311 |
N |
CA00845910 |
B |
SFY2023-24 |
060000014 |
HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
Non-LTC |
GACH |
General Acute Care Hospital |
Orange |
2023-08-29 00:00:00 |
060019571 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2022-08-10 00:00:00 |
2022-08-10 00:00:00 |
No |
2024-02-14 00:00:00 |
None |
AP BR |
None |
15000 |
15000 |
-3750 |
11250 |
0 |
None |
67MN11 |
None |
CA00807025 |
D |
SFY2023-24 |
070000142 |
HAZEL HAWKINS MEMORIAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2011-02-16 00:00:00 |
070007943 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2010-05-20 08:00:00 |
2010-05-20 08:00:00 |
No |
2011-03-10 00:00:00 |
None |
FTR AE |
None |
17800 |
17800 |
0 |
17800 |
0 |
None |
PKXN11 |
N |
CA00249934 |
C |
SFY2010-11 |
070000142 |
HAZEL HAWKINS MEMORIAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2011-02-16 00:00:00 |
070007944 |
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 |
2010-11-07 08:00:00 |
2010-11-07 08:00:00 |
No |
2011-03-10 00:00:00 |
None |
FTR BR |
None |
200 |
200 |
-50 |
150 |
0 |
None |
PKXN11 |
None |
CA00249917 |
C |
SFY2010-11 |
070000142 |
HAZEL HAWKINS MEMORIAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2012-03-27 00:00:00 |
070009191 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2011-12-30 08:00:00 |
2011-12-30 08:00:00 |
No |
2012-04-17 00:00:00 |
None |
FTR BR |
None |
200 |
200 |
-50 |
150 |
0 |
None |
BFDS11 |
None |
CA00295986 |
C |
SFY2011-12 |
070000142 |
HAZEL HAWKINS MEMORIAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2012-03-27 00:00:00 |
070009193 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach by h/c worker within facility/hc system |
None |
2011-12-30 08:00:00 |
2011-12-30 08:00:00 |
No |
2012-04-17 00:00:00 |
None |
FTR RES |
None |
200 |
200 |
-50 |
150 |
0 |
None |
BFDS11 |
None |
CA00295986 |
C |
SFY2011-12 |
070000142 |
HAZEL HAWKINS MEMORIAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2014-11-04 00:00:00 |
070011105 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2013-08-15 00:00:00 |
2013-08-15 00:00:00 |
No |
2014-11-26 00:00:00 |
None |
FTR BR |
None |
1400 |
1400 |
-350 |
1050 |
0 |
None |
21JG11 |
None |
CA00368792 |
C |
SFY2014-15 |
070000142 |
HAZEL HAWKINS MEMORIAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2014-11-04 00:00:00 |
070011106 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach to person/entity outside facility/hc system |
None |
2013-08-15 00:00:00 |
2013-08-15 00:00:00 |
No |
2014-11-26 00:00:00 |
None |
FTR RES |
None |
1400 |
1400 |
-350 |
1050 |
0 |
None |
21JG11 |
None |
CA00368792 |
C |
SFY2014-15 |
070000142 |
HAZEL HAWKINS MEMORIAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2023-08-15 00:00:00 |
070019602 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2021-11-02 00:00:00 |
2021-11-02 00:00:00 |
No |
2023-09-06 00:00:00 |
None |
AP BR |
None |
125000 |
125000 |
-31250 |
93750 |
0 |
None |
B4YJ11 |
None |
CA00766496 |
D |
SFY2023-24 |
070000142 |
HAZEL HAWKINS MEMORIAL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2023-08-15 00:00:00 |
070019606 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2022-08-25 00:00:00 |
2022-08-25 00:00:00 |
No |
2024-02-14 00:00:00 |
None |
AP BR |
None |
125000 |
125000 |
-31250 |
93750 |
0 |
None |
NFVO11 |
None |
CA00802061 |
D |
SFY2023-24 |
110000009 |
HEALDSBURG HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-05-12 00:00:00 |
110008213 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2011-02-16 00:00:00 |
2011-02-16 00:00:00 |
No |
2011-06-03 00:00:00 |
None |
FTR BR |
None |
500 |
500 |
0 |
500 |
0 |
None |
0KE211 |
None |
CA00260533 |
C |
SFY2010-11 |
100001730 |
HEARTLAND HOSPICE SERVICES |
Non-LTC |
HOSPICE |
Hospice |
Santa Rosa |
2015-07-08 00:00:00 |
110011548 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2014-08-12 00:00:00 |
2014-08-12 00:00:00 |
No |
2015-07-29 00:00:00 |
None |
FTR BR |
None |
200 |
200 |
-50 |
150 |
0 |
None |
EUZR11 |
None |
CA00411593 |
E |
SFY2015-16 |
930000026 |
HUNTINGTON HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2016-08-04 00:00:00 |
170012356 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE06 -Use of contaminated drug, device, or biologic |
None |
2015-07-16 00:00:00 |
2015-07-16 00:00:00 |
No |
2016-08-25 00:00:00 |
None |
FTR AE |
None |
29800 |
29800 |
0 |
29800 |
0 |
None |
NJ4C11 |
N |
CA00455049 |
A |
SFY2016-17 |
220000417 |
HEALTH AT HOME |
Non-LTC |
HHA |
Home Health Agency |
San Francisco |
2013-05-20 00:00:00 |
220009915 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach of IT system theft/loss of edevice/med rec |
None |
2013-01-09 00:00:00 |
2013-01-09 00:00:00 |
No |
2015-11-09 00:00:00 |
None |
AP BR |
None |
250000 |
250000 |
-62500 |
187500 |
0 |
None |
S8SE11 |
None |
CA00339503 |
C |
SFY2012-13 |
230000423 |
HOME HEALTH CARE MANAGEMENT, INC. |
Non-LTC |
HHA |
Home Health Agency |
Chico |
2010-08-19 00:00:00 |
230007435 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2010-02-06 00:00:00 |
2010-02-06 00:00:00 |
No |
2010-09-13 00:00:00 |
None |
FTR BR |
None |
5100 |
5100 |
-1275 |
3825 |
0 |
None |
WIPL11 |
None |
CA00226132 |
E |
SFY2010-11 |
240000014 |
HI-DESERT MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2009-11-24 00:00:00 |
240006736 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE21 - Death/disability due to a burn |
None |
2009-05-22 00:00:00 |
2009-05-22 00:00:00 |
Yes |
2009-12-17 00:00:00 |
2010-05-27 00:00:00 |
AP IJ |
AP IJ |
50000 |
15000 |
0 |
15000 |
0 |
None |
7NZN11 |
N |
CA00189824, CA00190039 |
C, E |
SFY2009-10 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2014-04-10 00:00:00 |
250010613 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach by h/c worker within facility/hc system |
None |
2013-06-05 00:00:00 |
2013-06-05 00:00:00 |
No |
2014-05-01 00:00:00 |
None |
FTR BR |
None |
900 |
900 |
-225 |
675 |
0 |
None |
HIWI11 |
None |
CA00359526 |
D |
SFY2013-14 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2014-04-10 00:00:00 |
250010614 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to Resident (HSC 1280.15(b)(2)) |
Breach by h/c worker within facility/hc system |
None |
2013-06-05 00:00:00 |
2013-06-05 00:00:00 |
No |
2014-05-01 00:00:00 |
None |
FTR RES |
None |
900 |
900 |
-225 |
675 |
0 |
None |
HIWI11 |
None |
CA00359526 |
D |
SFY2013-14 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2015-05-19 00:00:00 |
250011488 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2014-06-11 00:00:00 |
2014-06-11 00:00:00 |
No |
2015-06-10 00:00:00 |
None |
FTR AE |
None |
6000 |
6000 |
0 |
6000 |
0 |
None |
HK5Q11 |
N |
CA00409642 |
C |
SFY2014-15 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2016-08-24 00:00:00 |
250012539 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2015-11-27 00:00:00 |
2015-11-27 00:00:00 |
No |
2016-09-15 00:00:00 |
None |
AP NON-IJ |
None |
11250 |
11250 |
0 |
11250 |
0 |
None |
H3FY11 |
N |
CA00467815 |
C |
SFY2016-17 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2017-04-26 00:00:00 |
250013161 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2016-04-30 00:00:00 |
2016-04-30 00:00:00 |
No |
2017-05-17 00:00:00 |
None |
AP NON-IJ |
None |
15750 |
15750 |
0 |
15750 |
0 |
None |
E50511 |
N |
CA00486392 |
B |
SFY2016-17 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2018-03-27 00:00:00 |
250013944 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2016-12-14 00:00:00 |
2016-12-14 00:00:00 |
Yes |
2018-04-17 00:00:00 |
2018-08-24 00:00:00 |
AP IJ |
AP IJ |
49500 |
37125 |
0 |
37125 |
0 |
None |
5MVL11 |
N |
CA00514753 |
C |
SFY2017-18 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2021-04-01 00:00:00 |
250016391 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2020-09-11 00:00:00 |
2020-09-11 00:00:00 |
No |
2021-04-22 00:00:00 |
None |
FTR AE |
None |
1900 |
1900 |
0 |
1900 |
0 |
None |
1SHF11 |
N |
CA00703373, CA00707707 |
B, C |
SFY2020-21 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2021-04-05 00:00:00 |
250016400 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2020-09-17 00:00:00 |
2020-09-17 00:00:00 |
No |
2021-04-26 00:00:00 |
None |
FTR AE |
None |
5900 |
5900 |
0 |
5900 |
0 |
None |
1SHF11 |
N |
CA00703373, CA00707707 |
B, C |
SFY2020-21 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2021-06-11 00:00:00 |
250016603 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2020-11-11 00:00:00 |
2020-11-11 00:00:00 |
No |
2021-07-02 00:00:00 |
None |
FTR AE |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
BW1611 |
N |
CA00714861 |
B |
SFY2020-21 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2022-12-09 00:00:00 |
250018231 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2022-05-23 00:00:00 |
2022-05-23 00:00:00 |
Yes |
2022-12-30 00:00:00 |
2022-12-19 00:00:00 |
FTR AE |
FTR AE |
1000 |
750 |
0 |
750 |
0 |
None |
XNWD11 |
N |
CA00788141, CA00788141 |
B, B |
SFY2022-23 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2023-01-06 00:00:00 |
250018287 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2022-05-26 00:00:00 |
2022-05-26 00:00:00 |
No |
2023-01-30 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
T7SL11 |
N |
CA00788142, CA00788142 |
B, B |
SFY2022-23 |
250000012 |
HEMET GLOBAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Riverside |
2023-04-13 00:00:00 |
250018633 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2023-03-22 00:00:00 |
2023-03-22 00:00:00 |
No |
2023-05-04 00:00:00 |
None |
AP NON-IJ |
None |
11812.5 |
11812.5 |
0 |
11812.5 |
0 |
None |
3DZD11 |
N |
CA00778332, CA00778332 |
B, B |
SFY2022-23 |
930000065 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2008-12-11 00:00:00 |
930005690 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE13 - Hemolytic reaction |
None |
2008-10-29 00:00:00 |
2008-10-29 00:00:00 |
No |
2009-01-05 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
K78W11 |
Y |
None |
None |
SFY2008-09 |
930000065 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2010-01-13 00:00:00 |
930006910 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2009-04-17 00:00:00 |
2009-04-17 00:00:00 |
No |
2010-02-05 00:00:00 |
None |
FTR BR |
None |
1900 |
1900 |
0 |
1900 |
0 |
None |
SXS311 |
None |
CA00208513 |
C |
SFY2009-10 |
930000063 |
HENRY MAYO NEWHALL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2011-06-03 00:00:00 |
930008290 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2010-01-15 00:00:00 |
2010-01-15 00:00:00 |
Yes |
2011-12-30 00:00:00 |
2011-12-14 00:00:00 |
AP IJ |
AP IJ |
50000 |
25000 |
0 |
25000 |
0 |
None |
DE4C11 |
N |
None |
None |
SFY2010-11 |
930000065 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2013-03-12 00:00:00 |
930009781 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2012-01-10 00:00:00 |
2012-01-10 00:00:00 |
No |
2013-09-06 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
YJVP11 |
Y |
CA00315502 |
C |
SFY2012-13 |
930000026 |
HUNTINGTON HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2011-11-28 00:00:00 |
930010241 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2011-09-28 00:00:00 |
2011-09-28 00:00:00 |
Yes |
2015-02-24 00:00:00 |
2015-02-12 00:00:00 |
AP BR |
AP BR |
250000 |
150000 |
0 |
150000 |
0 |
None |
LFT811 |
None |
CA00303677 |
C |
SFY2011-12 |
930000063 |
HENRY MAYO NEWHALL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2016-06-09 00:00:00 |
930012321 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2015-07-14 00:00:00 |
2015-07-14 00:00:00 |
No |
2016-06-30 00:00:00 |
None |
AP NON-IJ |
None |
12375 |
12375 |
0 |
12375 |
0 |
None |
FB0V11 |
Y |
CA00453376 |
B |
SFY2015-16 |
930000065 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-01-29 00:00:00 |
930013724 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2017-04-19 00:00:00 |
2017-04-19 00:00:00 |
No |
2018-02-20 00:00:00 |
None |
FTR AE |
None |
200 |
200 |
0 |
200 |
0 |
None |
E9NX11 |
N |
CA00533106 |
B |
SFY2017-18 |
930000026 |
HUNTINGTON HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-11-26 00:00:00 |
930014603 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE01 - Surgery performed on a wrong body part |
None |
2017-05-02 00:00:00 |
2017-05-02 00:00:00 |
No |
2018-12-17 00:00:00 |
None |
AP NON-IJ |
None |
11812.5 |
11812.5 |
0 |
11812.5 |
0 |
None |
HCJN11 |
N |
CA00534500 |
B |
SFY2018-19 |
930000026 |
HUNTINGTON HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-11-29 00:00:00 |
930014614 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2017-08-20 00:00:00 |
2017-08-20 00:00:00 |
No |
2018-12-20 00:00:00 |
None |
AP NON-IJ |
None |
5250 |
5250 |
0 |
5250 |
0 |
None |
75M711 |
N |
CA00549590 |
B |
SFY2018-19 |
930000065 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-01-02 00:00:00 |
930014680 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE03 - Wrong surgical procedure performed on a patient |
None |
2016-09-13 00:00:00 |
2016-09-13 00:00:00 |
No |
2019-01-24 00:00:00 |
None |
AP NON-IJ |
None |
15675 |
15675 |
0 |
15675 |
0 |
None |
SLTY11 |
N |
CA00503979 |
B |
SFY2018-19 |
930000063 |
HENRY MAYO NEWHALL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2018-11-13 00:00:00 |
930014828 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2017-09-14 00:00:00 |
2017-09-14 00:00:00 |
No |
2019-07-09 00:00:00 |
None |
AP IJ |
None |
53000 |
53000 |
0 |
53000 |
0 |
None |
SHHG11 |
N |
CA00543798 |
B |
SFY2018-19 |
930000065 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-03-27 00:00:00 |
930014857 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2015-03-17 00:00:00 |
2015-03-17 00:00:00 |
No |
2020-10-19 00:00:00 |
None |
AP IJ |
None |
75000 |
75000 |
0 |
75000 |
0 |
None |
SJNV11 |
Y |
CA00435760 |
C |
SFY2018-19 |
930000026 |
HUNTINGTON HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2019-04-24 00:00:00 |
930014983 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2016-04-08 00:00:00 |
2016-04-08 00:00:00 |
No |
2019-05-15 00:00:00 |
None |
FTR AE |
None |
1200 |
1200 |
0 |
1200 |
0 |
None |
GVG311 |
N |
CA00485597 |
B |
SFY2018-19 |
930000065 |
HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2020-01-10 00:00:00 |
930015677 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2019-09-30 00:00:00 |
2019-09-30 00:00:00 |
No |
2020-01-31 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
6MD011 |
N |
CA00660013 |
B |
SFY2019-20 |
930000063 |
HENRY MAYO NEWHALL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2020-01-10 00:00:00 |
930015682 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2018-07-19 00:00:00 |
2018-07-19 00:00:00 |
No |
2020-01-31 00:00:00 |
None |
FTR AE |
None |
1700 |
1700 |
0 |
1700 |
0 |
None |
VGGR11 |
N |
CA00599273 |
B |
SFY2019-20 |
930000063 |
HENRY MAYO NEWHALL HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2023-11-21 00:00:00 |
930019706 |
Open |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2022-01-14 00:00:00 |
2022-01-14 00:00:00 |
Yes |
2024-03-13 00:00:00 |
2024-03-02 00:00:00 |
AP BR |
None |
170000 |
170000 |
0 |
0 |
170000 |
None |
UDB811 |
None |
CA00772425 |
D |
SFY2023-24 |