Table: health_facilities_state_enforcement_actions_1997_2023_data_file , facility_name like J*

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

facid facility_name ltc fac_type_code fac_fdr district_office penalty_issue_date penalty_number disposition penalty_type penalty_detail penalty_category penalty_category_other violation_from_date violation_to_date appealed appeal_due_date appeal_received_date class_assessed_initial class_assessed_final total_amount_initial total_amount_due_final total_penalty_offset_amount total_collected_amount total_balance_due aclaims_visit_number eventid death_related intakeid_all priority_all sfy
020000111 JONES CONVALESCENT HOSPITAL LTC SNF Skilled Nursing Facility East Bay 2006-12-06 00:00:00 020003546 Closed Citation Citation A (HSC 1424) Patient Care None 2006-08-03 00:00:00 2006-08-03 00:00:00 No 2006-12-28 00:00:00 None A None 16000 16000 -5600 10400 0 None 49ZL11 N CA00090772 C SFY2006-07
100000999 JEAN MARTIN HOME #3 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2013-02-22 00:00:00 030009751 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2009-09-03 00:00:00 2009-09-03 00:00:00 No 2013-03-15 00:00:00 None B None 1000 1000 -350 650 0 None LBQI11 N CA00200718 A SFY2012-13
100001800 J & M'S ICF/DDH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2019-02-27 00:00:00 030014829 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-12-04 00:00:00 2018-12-04 00:00:00 No 2019-03-20 00:00:00 None B None 1000 1000 -350 650 0 None 589E11 N CA00614617, CA00616110, CA00616110 A, B, B SFY2018-19
100000911 JEAN MARTIN HOME #2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Sacramento 2024-06-17 00:00:00 030020303 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2024-01-03 00:00:00 2024-01-03 00:00:00 No 2024-07-09 00:00:00 None B None 3000 3000 -1050 1950 0 None TNC511 N CA00898947 B SFY2023-24
040000345 JOHN C. FREMONT HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Fresno 2001-12-06 00:00:00 040001233 Closed Citation Citation B (HSC 1424) Patient Care None 2001-08-05 00:00:00 2001-08-05 00:00:00 No 2002-01-04 00:00:00 None B None 1000 1000 -350 650 0 040012377 A99999 N None None SFY2001-02
040000345 JOHN C. FREMONT HEALTHCARE DISTRICT D/P SNF LTC SNF Skilled Nursing Facility Fresno 2002-09-13 00:00:00 040001267 Closed Citation Citation A (HSC 1424) Medication None 2001-10-24 00:00:00 2001-10-24 00:00:00 No 2002-10-07 00:00:00 None A None 2000 2000 -700 1300 0 040013697 A99999 N None None SFY2002-03
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2000-02-18 00:00:00 050001365 Closed Citation Citation B (HSC 1424) Patient Care None 2000-01-06 00:00:00 2000-01-06 00:00:00 No 2000-03-30 00:00:00 None B None 700 700 -245 455 0 050013548 A99999 N None None SFY1999-00
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2003-09-09 00:00:00 050001587 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-08-04 00:00:00 None No 2003-10-02 00:00:00 None B None 1000 1000 -350 650 0 050016825 A99999 N None None SFY2003-04
050000898 JESSICA HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-01-21 00:00:00 050001623 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2004-11-14 00:00:00 None No 2005-02-11 00:00:00 None B None 100 100 0 100 0 050017769 A99999 N None None SFY2004-05
050000929 JOANNE COMMUNITY HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2005-09-22 00:00:00 050001634 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-08-16 00:00:00 2005-08-16 00:00:00 No 2005-10-18 00:00:00 None B None 200 200 0 200 0 050017816 A99999 N None None SFY2005-06
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2008-04-16 00:00:00 050004792 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-06 00:00:00 2008-03-06 00:00:00 No 2008-05-07 00:00:00 None B None 400 400 -140 260 0 None 7Q1X11 N CA00141860 B SFY2007-08
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2013-12-04 00:00:00 050009092 Closed Citation Citation B (HSC 1424) Patient Rights None 2010-11-08 00:00:00 2010-11-08 00:00:00 No 2013-12-26 00:00:00 None B None 500 500 -175 325 0 None 5X2M11 N CA00248775, CA00248817 E, E SFY2013-14
050001098 JADE HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Ventura 2017-02-03 00:00:00 050012858 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported Abuse/Facility Not Self R 2016-08-15 00:00:00 2016-08-15 00:00:00 No 2017-02-27 00:00:00 None B None 855 855 -299.25 555.75 0 None 0FN611 N CA00504689, CA00505004 A, A SFY2016-17
060000780 JOHN DOUGLAS FRENCH CENTER FOR ALZHEIMER'S DISEASE LTC SNF Skilled Nursing Facility Orange 2001-07-12 00:00:00 060001064 Closed Citation Citation B (HSC 1424) Patient Rights None 1999-03-01 00:00:00 None Yes 2001-10-25 00:00:00 2001-10-09 00:00:00 B B 800 800 0 800 0 060010848 A99999 N None None SFY2001-02
060001025 JENYMEL'S HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Orange 2002-03-11 00:00:00 060001090 Closed Citation Citation B (HSC 1424) Other SAFEGUARDS CLIENT MO 2002-02-08 00:00:00 None No 2002-04-02 00:00:00 None B None 1000 1000 -350 650 0 060011556 A99999 N None None SFY2001-02
060001990 J AND P HOMES - SAN PEDRO LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Orange 2002-10-15 00:00:00 060001118 Closed Citation Citation B (HSC 1424) Patient Care None 2002-07-26 00:00:00 None No 2002-11-05 00:00:00 None B None 500 500 -175 325 0 060012520 A99999 N None None SFY2002-03
090000076 JACOB HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2000-12-15 00:00:00 090002762 Closed Citation Citation B (HSC 1424) Other PATIENT TRUST ACCNT. 2000-08-29 00:00:00 None No 2001-01-10 00:00:00 None B None 1000 1000 -350 650 0 090022371 A99999 N None None SFY2000-01
090000076 JACOB HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2001-08-30 00:00:00 090002776 Closed Citation Citation B (HSC 1424) Patient Care None 2001-07-17 00:00:00 2001-07-17 00:00:00 No 2001-10-10 00:00:00 None B None 700 700 -245 455 0 090023166 A99999 N None None SFY2001-02
090000114 JACK CLOSE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Diego 2002-10-17 00:00:00 090002817 Closed Citation Citation B (HSC 1424) Patient Care None 2002-09-11 00:00:00 None No 2002-11-07 00:00:00 None B None 1000 1000 -350 650 0 090024490 A99999 N None None SFY2002-03
090000076 JACOB HEALTHCARE CENTER LTC SNF Skilled Nursing Facility San Diego 2002-11-19 00:00:00 090002821 Closed Citation Citation B (HSC 1424) Problem Transfer None 2002-09-28 00:00:00 2002-09-28 00:00:00 Yes 2002-12-10 00:00:00 2002-12-10 00:00:00 B B 250 950 0 950 0 090024530 A99999 N None None SFY2002-03
110000621 JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2009-01-05 00:00:00 110005488 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-30 00:00:00 2008-09-30 00:00:00 No 2009-01-27 00:00:00 None B None 900 900 -315 585 0 None 5R2D11 N CA00164776 A SFY2008-09
110000621 JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2015-10-22 00:00:00 110011473 Closed Citation Citation A (HSC 1424) Patient Care None 2014-12-06 00:00:00 2014-12-06 00:00:00 No 2015-11-13 00:00:00 None A None 20000 20000 -7000 13000 0 None GOIW11 N CA00425299 B SFY2015-16
110000621 JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2016-01-20 00:00:00 110011925 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2014-11-09 00:00:00 2014-11-09 00:00:00 No 2016-02-10 00:00:00 None B None 2000 2000 -700 1300 0 None C8TE11 N CA00420246 B SFY2015-16
110000621 JEROLD PHELPS COMMUNITY HOSPITAL D/P SNF LTC SNF Skilled Nursing Facility Santa Rosa 2017-11-01 00:00:00 110012138 Open Citation Citation A (HSC 1424) Patient Care None 2015-06-06 00:00:00 2015-06-06 00:00:00 No 2017-11-27 00:00:00 None A None 20000 20000 -7000 13000 0 None U56W11 N CA00448194 B SFY2017-18
120001566 JAN & GAIL'S CARE HOME 4 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Bakersfield 2004-04-16 00:00:00 120001779 Closed Citation Citation B (HSC 1424) Administration None 2004-01-19 00:00:00 None No 2004-05-25 00:00:00 None B None 300 300 -105 195 0 120020486 A99999 N None None SFY2003-04
220000933 JAMES COURT MANOR INC. LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2000-06-13 00:00:00 220001048 Closed Citation Citation B (HSC 1424) Physical Environment None 2000-04-27 00:00:00 None No 2000-07-05 00:00:00 None B None 1000 1000 -350 650 0 220006974 A99999 N None None SFY1999-00
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2002-03-27 00:00:00 220001510 Closed Citation Citation B (HSC 1424) Patient Rights None 2000-11-20 00:00:00 None No 2002-04-18 00:00:00 None B None 1000 1000 -350 650 0 220011046 A99999 N None None SFY2001-02
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2002-07-18 00:00:00 220001522 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-03-14 00:00:00 None No 2002-08-08 00:00:00 None B None 1000 1000 -350 650 0 220011030 A99999 N None None SFY2002-03
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2006-04-28 00:00:00 220003068 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-04-22 00:00:00 2005-04-22 00:00:00 No 2006-05-19 00:00:00 None B None 1000 1000 -350 650 0 None 8WIN11 N CA00045571 C SFY2005-06
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2007-05-09 00:00:00 220003936 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-07 00:00:00 2007-03-07 00:00:00 Yes 2007-05-30 00:00:00 2007-05-24 00:00:00 B B 1000 500 0 500 0 None V2Y911 N CA00108494 B SFY2006-07
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2007-05-09 00:00:00 220003942 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-02-25 00:00:00 2007-02-25 00:00:00 Yes 2007-05-30 00:00:00 2007-05-24 00:00:00 B B 1000 500 0 500 0 None F6J611 N CA00108093 B SFY2006-07
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2007-05-09 00:00:00 220003947 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-02-25 00:00:00 2007-02-25 00:00:00 Yes 2007-05-31 00:00:00 2007-05-24 00:00:00 B None 1000 1000 0 1000 0 None F6J611 N CA00108093 B SFY2006-07
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2008-05-01 00:00:00 220004974 Closed Citation Citation B (HSC 1424) Patient Rights None 2008-03-04 00:00:00 2008-03-04 00:00:00 Yes 2008-05-22 00:00:00 2008-05-01 00:00:00 B B 1000 500 0 500 0 None HQ6111 N CA00142766 C SFY2007-08
630006441 JTM HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Francisco 2008-12-01 00:00:00 220005640 Closed Citation Citation B (HSC 1424) Patient Care None 2008-05-29 00:00:00 2008-05-29 00:00:00 No 2008-12-22 00:00:00 None B None 1000 1000 -350 650 0 None U3RI11 N CA00152452 B SFY2008-09
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2020-02-10 00:00:00 220015732 Closed Citation Citation A (HSC 1424) Patient Care None 2018-12-16 00:00:00 2018-12-16 00:00:00 Yes 2020-03-02 00:00:00 2020-02-11 00:00:00 A B 20000 12000 0 12000 0 None 0C2V11 N CA00616191, CA00616499 B, B SFY2019-20
220000518 JEWISH HOME & REHAB CENTER D/P SNF LTC SNF Skilled Nursing Facility San Francisco 2022-08-29 00:00:00 220017940 Open Citation Citation B (HSC 1424) Patient Care None 2022-02-18 00:00:00 2022-02-18 00:00:00 Yes 2022-09-20 00:00:00 2022-09-09 00:00:00 B None 2000 2000 0 0 2000 None V71M11 N CA00774239 C SFY2022-23
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-04-24 00:00:00 240001668 Closed Citation Citation B (HSC 1424) Administration None 2001-03-22 00:00:00 None No 2001-06-14 00:00:00 None B None 1000 1000 -1000 0 0 240014176 A99999 N None None SFY2000-01
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-04-24 00:00:00 240001672 Closed Citation Citation B (HSC 1424) Administration None 2001-02-08 00:00:00 None No 2001-06-14 00:00:00 None B None 1000 1000 -1000 0 0 240014031 A99999 N None None SFY2000-01
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2001-04-25 00:00:00 240001673 Closed Citation Citation A (HSC 1424) Physical Environment None 2001-03-14 00:00:00 2001-03-14 00:00:00 No 2001-05-16 00:00:00 None A None 18000 18000 -18000 0 0 240014031 A99999 N None None SFY2000-01
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2002-03-22 00:00:00 240001710 Closed Citation Citation A (HSC 1424) Patient Care None 2001-10-24 00:00:00 2001-10-24 00:00:00 Yes 2002-04-12 00:00:00 2002-03-22 00:00:00 A None 8000 8000 -8000 0 0 240015490 A99999 N None None SFY2001-02
240000126 JANE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2004-04-29 00:00:00 240001803 Closed Citation Citation B (HSC 1424) Patient Care None 2002-11-04 00:00:00 2002-11-04 00:00:00 No 2004-05-20 00:00:00 None B None 400 400 0 400 0 240016849 A99999 N None None SFY2003-04
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-05-09 00:00:00 240003082 Closed Citation Citation B (HSC 1424) Dietary None 2005-11-03 00:00:00 2005-11-03 00:00:00 No 2006-05-31 00:00:00 None B None 1000 1000 -350 650 0 None K5T111 N CA00061187 C SFY2005-06
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2006-05-09 00:00:00 240003083 Closed Citation Citation B (HSC 1424) Administration None 2005-11-17 00:00:00 2005-11-17 00:00:00 No 2006-05-31 00:00:00 None B None 1000 1900 -350 1550 0 None BJVN11 N CA00056257 C SFY2005-06
240000126 JANE HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2006-07-10 00:00:00 240003197 Closed Citation Citation A (HSC 1424) Patient Rights None 2005-06-17 00:00:00 2005-06-17 00:00:00 Yes 2006-07-31 00:00:00 2006-07-14 00:00:00 A B 10000 2500 0 2500 0 None RFCV11 N CA00052377 C SFY2006-07
240001842 JASPER DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2007-01-24 00:00:00 240003659 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-10 00:00:00 2006-05-10 00:00:00 No 2007-02-15 00:00:00 None B None 1000 1000 0 1000 0 None S2HD11 N CA00080490 C SFY2006-07
240001842 JASPER DIVISION LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID San Bernardino 2011-03-02 00:00:00 240007977 Closed Citation Citation B (HSC 1424) Patient Care None 2010-11-10 00:00:00 2010-11-10 00:00:00 No 2011-03-23 00:00:00 None B None 1000 1000 -350 650 0 None 6ND311 N CA00249371 B SFY2010-11
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2012-04-12 00:00:00 240009227 Closed Citation Citation B (HSC 1424) Patient Care None 2010-12-12 00:00:00 2010-12-12 00:00:00 No 2012-05-03 00:00:00 None B None 1000 1000 0 1000 0 None DKBW11 N CA00252271 B SFY2011-12
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-06-15 00:00:00 240012330 Closed Citation Citation A (HSC 1424) Patient Care None 2014-08-02 00:00:00 2014-08-02 00:00:00 No 2016-07-07 00:00:00 None A None 17000 17000 -5950 11050 0 None KKKY11 N CA00408651 B SFY2015-16
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2016-11-10 00:00:00 240012742 Closed Citation Citation B (HSC 1424) Patient Rights None 2016-09-30 00:00:00 2016-09-30 00:00:00 No 2016-12-06 00:00:00 None B None 2000 2000 0 2000 0 None 3JLG11 N None None SFY2016-17
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-09-21 00:00:00 240014403 Closed Citation Citation A (HSC 1424) Patient Care None 2018-05-01 00:00:00 2018-05-01 00:00:00 No 2018-10-12 00:00:00 None A None 20000 20000 -7000 13000 0 None T7X111 Y CA00585851 A SFY2018-19
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2023-11-20 00:00:00 240019385 Open Citation Citation B (HSC 1424) Patient Care None 2023-10-03 00:00:00 2023-10-03 00:00:00 No 2023-12-13 00:00:00 None B None 3000 3000 0 3000 0 None WD6Y11 N CA00862527, CA00863706, CA00863706, CA00863706 B, A, A, A SFY2023-24
250000694 JOEL'S HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2002-11-14 00:00:00 250001505 Closed Citation Citation B (HSC 1424) Patient Care None 2002-06-06 00:00:00 None No 2002-12-18 00:00:00 None B None 500 500 -175 325 0 250013841 A99999 N None None SFY2002-03
250001441 JUAN BAUTISTA LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Riverside 2008-03-07 00:00:00 250004765 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2007-12-11 00:00:00 2007-12-11 00:00:00 No 2008-03-28 00:00:00 None B None 1000 1000 -350 650 0 None 1MQI11 N CA00134614 B SFY2007-08
630007321 JACK SURNOW HOUSE LTC CLHF Congregate Living Health Facility Riverside 2008-09-03 00:00:00 250005382 Closed Citation Citation B (HSC 1424) Other AB-Abuse 2007-09-17 00:00:00 2007-09-17 00:00:00 Yes 2008-09-24 00:00:00 2008-09-11 00:00:00 B B 1000 500 0 500 0 None DKOK11 N CA00126832 C SFY2008-09
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-01-06 00:00:00 250011835 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-04-03 00:00:00 2015-04-03 00:00:00 No 2016-01-28 00:00:00 None B None 2000 2000 -700 1300 0 None 3YTK11 N CA00437663, CA00458277, CA00467160, CA00467162 C, C, C, C SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-01-20 00:00:00 250011968 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-09-09 00:00:00 2015-09-09 00:00:00 Yes 2016-02-10 00:00:00 2016-02-05 00:00:00 B Drop>Deficiency 2000 500 0 500 0 None IIQW11 N CA00457763 B SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-01-20 00:00:00 250011969 Closed Citation Citation B (HSC 1424) Patient Care None 2014-07-01 00:00:00 2014-07-01 00:00:00 Yes 2016-02-10 00:00:00 2016-02-10 00:00:00 B B 2000 1250 0 1250 0 None SR9211 N CA00431076 B SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-04-07 00:00:00 250012161 Closed Citation Citation B (HSC 1424) Other Free of Accident Hazards 2015-09-06 00:00:00 2015-09-06 00:00:00 Yes 2016-04-28 00:00:00 2016-04-18 00:00:00 B B 1000 1000 0 1000 0 None WK1211 N CA00458277, CA00459935 C, C SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2016-04-19 00:00:00 250012202 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2015-12-07 00:00:00 2015-12-07 00:00:00 Yes 2016-05-10 00:00:00 2016-04-19 00:00:00 B B 1000 1000 0 1000 0 None OHLX11 N CA00469110 B SFY2015-16
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-02-09 00:00:00 250012948 Closed Citation Citation B (HSC 1424) Patient Care None 2015-10-19 00:00:00 2015-10-19 00:00:00 No 2017-03-03 00:00:00 None B None 2000 2350 -700 1650 0 None 4MGS11 N CA00463217 C SFY2016-17
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2017-03-07 00:00:00 250013007 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-01-10 00:00:00 2017-01-10 00:00:00 No 2017-03-28 00:00:00 None B None 2000 2000 -700 1300 0 None D5VF11 N None None SFY2016-17
630012729 JACKIE LEE AND JIM HOUSTON HOUSE LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID Riverside 2017-12-21 00:00:00 250013676 Closed Citation Citation B (HSC 1424) Patient Care None 2017-03-10 00:00:00 2017-03-10 00:00:00 No 2018-01-12 00:00:00 None B None 2000 2000 -700 1300 0 None 09JH11 N CA00526377 B SFY2017-18
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-02-28 00:00:00 250013853 Closed Citation Citation B (HSC 1424) Other Unusual Occurence/Not Rep 2017-10-28 00:00:00 2017-10-28 00:00:00 No 2018-03-21 00:00:00 None B None 2000 2000 -700 1300 0 None 2JX911 Y CA00557509 B SFY2017-18
630007321 JACK SURNOW HOUSE LTC CLHF Congregate Living Health Facility Riverside 2018-06-07 00:00:00 250014091 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2017-06-05 00:00:00 2017-06-05 00:00:00 No 2018-06-28 00:00:00 None B None 1000 1000 -350 650 0 None K2LO11 N CA00538216 B SFY2017-18
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-08-16 00:00:00 250014187 Closed Citation Citation B (HSC 1424) Other Accidents 2018-05-15 00:00:00 2018-05-15 00:00:00 No 2018-09-07 00:00:00 None B None 2000 2000 0 2000 0 None 5GC811 N None None SFY2018-19
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2018-08-06 00:00:00 250014275 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-02-10 00:00:00 2018-02-10 00:00:00 No 2018-08-27 00:00:00 None B None 2000 2000 0 2000 0 None YY7N11 N CA00573592 B SFY2018-19
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-03-20 00:00:00 250014869 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2018-10-21 00:00:00 2018-10-21 00:00:00 No 2019-04-10 00:00:00 None B None 2000 6000 0 6000 0 None IIG111 N CA00612872, CA00612872 B, B SFY2018-19
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2019-07-25 00:00:00 250015185 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-05-11 00:00:00 2019-05-11 00:00:00 No 2019-08-15 00:00:00 None B None 2000 6000 -2100 3900 0 None V9TI11 N CA00637811 B SFY2019-20
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-09-11 00:00:00 920015387 Closed Citation Citation A (HSC 1424) Patient Care None 2019-06-27 00:00:00 2019-06-27 00:00:00 No 2019-10-02 00:00:00 None A None 15000 15000 -5250 9750 0 None 494Q11 N CA00644443 B SFY2019-20
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2009-08-03 00:00:00 930006409 Closed Citation Citation A (HSC 1424) Patient Care None 2009-02-26 00:00:00 2009-02-26 00:00:00 Yes 2009-08-24 00:00:00 2009-08-14 00:00:00 A None 5000 5000 0 5000 0 None 58NZ11 N CA00181216 C SFY2009-10
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2011-03-31 00:00:00 930008037 Closed Citation Citation Willful Material Falsification (HSC 1424(f)(1)) Patient Record None 2010-10-27 00:00:00 2010-10-27 00:00:00 No 2011-04-21 00:00:00 None WF None 2000 2000 0 2000 0 None TV4411 None None None SFY2010-11
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2012-07-03 00:00:00 930009378 Closed Citation Citation A (HSC 1424) Patient Care None 2011-09-11 00:00:00 2011-09-11 00:00:00 Yes 2012-07-25 00:00:00 2012-07-13 00:00:00 A B 15000 15000 0 15000 0 None ZOV311 N CA00283490 B SFY2012-13
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2015-10-16 00:00:00 930011726 Closed Citation Citation B (HSC 1424) Patient Rights None 2015-07-22 00:00:00 2015-07-22 00:00:00 No 2015-11-06 00:00:00 None B None 2000 2000 0 2000 0 None OTWT11 N CA00451837 B SFY2015-16
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-03-29 00:00:00 930014928 Closed Citation Citation A (HSC 1424) Patient Care None 2018-10-10 00:00:00 2018-10-10 00:00:00 Yes 2019-04-22 00:00:00 2019-04-10 00:00:00 A B 20000 1000 0 1000 0 None NB7I11 N None None SFY2018-19
630011499 JOYCE EISENBERG KEEFER MEDICAL CENTER LTC SNF Skilled Nursing Facility LA Region 2 2019-03-29 00:00:00 930014929 Closed Citation Citation A (HSC 1424) Patient Care None 2018-09-18 00:00:00 2018-09-18 00:00:00 Yes 2019-04-19 00:00:00 2019-04-10 00:00:00 A A 20000 3100 -100 3000 0 None NB7I11 N None None SFY2018-19
960001871 JO-MI ALTA 5 LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2000-12-12 00:00:00 960000880 Closed Citation Citation B (HSC 1424) Patient Care None 2000-10-23 00:00:00 None Yes 2001-05-30 00:00:00 2000-12-28 00:00:00 B B 600 600 0 600 0 960007438 A99999 N None None SFY2000-01
960002036 JENYMEL'S HOME CARE INC. III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-03-07 00:00:00 960000888 Closed Citation Citation B (HSC 1424) Other ACTIVE TREATMENT 2001-01-29 00:00:00 None No 2001-05-18 00:00:00 None B None 1000 1000 -350 650 0 960007563 A99999 N None None SFY2000-01
960002036 JENYMEL'S HOME CARE INC. III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2001-12-07 00:00:00 960000944 Closed Citation Citation B (HSC 1424) Staffing None 2001-11-26 00:00:00 None No 2001-12-31 00:00:00 None B None 1000 1000 -350 650 0 960008197 A99999 N None None SFY2001-02
960001896 JANRAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2002-11-04 00:00:00 960000992 Closed Citation Citation B (HSC 1424) Patient Rights None 2002-09-26 00:00:00 None No 2002-12-04 00:00:00 None B None 600 600 -210 390 0 960008824 A99999 N None None SFY2002-03
960002705 JADE RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-02-10 00:00:00 960001004 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-01-30 00:00:00 None Yes 2003-05-27 00:00:00 2003-05-14 00:00:00 B B 1000 1000 0 1000 0 960009004 A99999 N None None SFY2002-03
960001584 JOYCE MARIE HOMES INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-03-12 00:00:00 960001009 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-12 00:00:00 None No 2003-04-10 00:00:00 None B None 1000 1000 -350 650 0 960009047 A99999 N None None SFY2002-03
960001584 JOYCE MARIE HOMES INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-03-20 00:00:00 960001010 Closed Citation Citation B (HSC 1424) Patient Rights None 2003-02-11 00:00:00 None No 2003-04-18 00:00:00 None B None 1000 1000 -350 650 0 960009068 A99999 N None None SFY2002-03
960002204 J-J EXCELCARE HOME 2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2003-04-29 00:00:00 960001015 Closed Citation Citation B (HSC 1424) Administration None 2003-03-28 00:00:00 None No 2003-05-28 00:00:00 None B None 800 800 -280 520 0 960009131 A99999 N None None SFY2002-03
960001255 JO-MI INTERMEDIATE CARE FAC/DEVELOPMENTALLY-NRSG LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-07-23 00:00:00 960001083 Closed Citation Citation B (HSC 1424) Administration None 2004-06-07 00:00:00 None No 2004-09-17 00:00:00 None B None 800 800 -280 520 0 960009773 A99999 N None None SFY2004-05
960002036 JENYMEL'S HOME CARE INC. III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2004-08-18 00:00:00 960001089 Closed Citation Citation B (HSC 1424) Administration None 2004-08-06 00:00:00 None No 2004-11-05 00:00:00 None B None 900 900 -315 585 0 960009856 A99999 N None None SFY2004-05
960000929 JULIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-06-08 00:00:00 960001121 Closed Citation Citation B (HSC 1424) Patient Care None 2005-04-04 00:00:00 None No 2005-06-29 00:00:00 None B None 1000 1000 -350 650 0 960010139 A99999 N None None SFY2004-05
960002705 JADE RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-12-13 00:00:00 960001160 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-12 00:00:00 None Yes 2006-01-05 00:00:00 2005-12-28 00:00:00 B None 1000 1000 -350 650 0 960010366 A99999 N None None SFY2005-06
960002705 JADE RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2005-12-13 00:00:00 960001161 Closed Citation Citation B (HSC 1424) Patient Rights None 2005-10-19 00:00:00 None No 2006-01-26 00:00:00 None B None 1000 1000 -350 650 0 960010366 A99999 N None None SFY2005-06
960000929 JULIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-14 00:00:00 960003160 Closed Citation Citation B (HSC 1424) Patient Care None 2005-06-02 00:00:00 2005-06-02 00:00:00 Yes 2006-07-21 00:00:00 2006-06-15 00:00:00 B B 1000 500 0 500 0 None OTXO11 N None None SFY2005-06
960000929 JULIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2006-06-15 00:00:00 960003167 Closed Citation Citation B (HSC 1424) Patient Care None 2006-05-06 00:00:00 2006-05-06 00:00:00 Yes 2006-07-21 00:00:00 2006-06-15 00:00:00 B B 1000 500 0 500 0 None OTXO11 N None None SFY2005-06
960001584 JOYCE MARIE HOMES INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-04-13 00:00:00 960003900 Closed Citation Citation B (HSC 1424) Patient Care None 2007-03-20 00:00:00 2007-03-20 00:00:00 No 2007-05-04 00:00:00 None B None 1000 1000 -350 650 0 None FW6H11 N None None SFY2006-07
960001584 JOYCE MARIE HOMES INC LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-04-13 00:00:00 960003901 Closed Citation Citation B (HSC 1424) Patient Rights None 2007-03-17 00:00:00 2007-03-17 00:00:00 No 2007-05-04 00:00:00 None B None 1000 1000 -350 650 0 None FW6H11 N None None SFY2006-07
960000929 JULIAN HOUSE LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2007-10-04 00:00:00 960004320 Closed Citation Citation B (HSC 1424) Patient Care None 2007-02-03 00:00:00 2007-02-03 00:00:00 No 2007-10-26 00:00:00 None B None 1000 1000 -350 650 0 None B82111 Y CA00107812 C SFY2007-08
630004921 JANRAY HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-10-27 00:00:00 960005550 Closed Citation Citation B (HSC 1424) Patient Care None 2008-09-11 00:00:00 2008-09-11 00:00:00 No 2008-11-18 00:00:00 None B None 1000 1000 0 1000 0 None ZDQD11 N None None SFY2008-09
630004921 JANRAY HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-10-27 00:00:00 960005551 Closed Citation Citation B (HSC 1424) Administration None 2008-09-11 00:00:00 2008-09-11 00:00:00 No 2008-11-18 00:00:00 None B None 1000 1000 0 1000 0 None ZDQD11 N None None SFY2008-09
960001255 JO-MI INTERMEDIATE CARE FAC/DEVELOPMENTALLY-NRSG LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2008-12-04 00:00:00 960005666 Closed Citation Citation B (HSC 1424) Patient Care None 2008-10-10 00:00:00 2008-10-10 00:00:00 Yes 2008-12-26 00:00:00 2008-12-26 00:00:00 B B 1000 650 0 650 0 None JTZQ11 N None None SFY2008-09
630004921 JANRAY HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2010-01-05 00:00:00 960006869 Closed Citation Citation B (HSC 1424) Financial Occurrence/Fac Not Self Reported None 2009-11-19 00:00:00 2009-11-19 00:00:00 No 2010-01-28 00:00:00 None B None 1000 1000 -350 650 0 None EFK011 N None None SFY2009-10
960002036 JENYMEL'S HOME CARE INC. III LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2011-05-18 00:00:00 960008157 Closed Citation Citation AA (HSC 1424) Dietary None 2010-07-29 00:00:00 2010-07-29 00:00:00 No 2011-06-09 00:00:00 None AA None 20000 20000 -7000 13000 0 None ITYX11 Y CA00237721 C SFY2010-11
960001896 JANRAY LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2014-12-05 00:00:00 960011153 Closed Citation Citation B (HSC 1424) Patient Rights None 2014-03-08 00:00:00 2014-03-08 00:00:00 No 2014-12-29 00:00:00 None B None 1000 1000 -350 650 0 None EJ6L11 N None None SFY2014-15
960002705 JADE RANCH LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-03-31 00:00:00 960013102 Closed Citation Citation B (HSC 1424) Patient Care None 2017-01-28 00:00:00 2017-01-28 00:00:00 No 2017-04-21 00:00:00 None B None 1000 1000 -350 650 0 None REYY11 N CA00520411 C SFY2016-17
630004921 JANRAY HOME II LTC ICFDDN Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2017-06-20 00:00:00 960013259 Closed Citation Citation A (HSC 1424) Patient Care None 2017-02-04 00:00:00 2017-02-04 00:00:00 No 2017-07-12 00:00:00 None A None 5000 5000 -1750 3250 0 None CXFS11 Y CA00521228 B SFY2016-17
960002204 J-J EXCELCARE HOME 2 LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2020-02-12 00:00:00 960015733 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2019-06-19 00:00:00 2019-06-19 00:00:00 No 2020-03-04 00:00:00 None B None 1000 1000 -350 650 0 None YCGM11 N CA00642932 B SFY2019-20
960001723 JENYMEL'S HOME CARE, INC. II LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID LA ICF/DD/Clinics 2020-10-16 00:00:00 960016095 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2020-07-23 00:00:00 2020-07-23 00:00:00 No 2020-11-06 00:00:00 None B None 1000 1000 -350 650 0 None 8JLP11 N CA00698255, CA00698321 A, A SFY2020-21
100001800 J & M'S ICF/DDH HOME LTC ICFDDH Intermediate Care Facility-DD/H/N/CN/IID Stockton 2024-05-03 00:00:00 990020091 Closed Citation Citation B (HSC 1424) Abuse/Facility Not Self Reported None 2023-09-08 00:00:00 2023-09-08 00:00:00 No 2024-05-24 00:00:00 None B None 3000 3000 -1050 1950 0 None LCEK11 N CA00886160 B SFY2023-24
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2020-11-09 00:00:00 030016107 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-03-04 00:00:00 2019-06-03 00:00:00 No 2020-11-24 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None KVWD11 None None None SFY2020-21
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2014-09-11 00:00:00 240010983 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2014-03-09 00:00:00 2014-06-08 00:00:00 Yes 2014-09-26 00:00:00 None AP NHPPD UPHELD 15000 15000 0 15000 0 None CUUR11 None None None SFY2014-15
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2018-08-28 00:00:00 240014350 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 2 - 11 Days None 2017-03-17 00:00:00 2017-06-16 00:00:00 No 2018-09-12 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None UCFL11 None None None SFY2018-19
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2021-10-14 00:00:00 810016991 Closed Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2019-10-01 00:00:00 2019-12-31 00:00:00 No 2021-10-29 00:00:00 None AP NHPPD None 30000 30000 0 30000 0 None SI5Y11 None None None SFY2021-22
250000087 JURUPA HILLS POST ACUTE LTC SNF Skilled Nursing Facility Riverside 2022-03-21 00:00:00 810017489 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 2022-04-05 00:00:00 None AP NHPPD None 15000 15000 0 15000 0 None ZHTG11 None None None SFY2021-22
240000252 JOSHUA TREE POST ACUTE LTC SNF Skilled Nursing Facility San Bernardino 2024-05-06 00:00:00 810020077 Open Administrative Penalty AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) DHPPD: 12 - 24 Days None 2020-10-01 00:00:00 2020-12-31 00:00:00 No 2024-05-28 00:00:00 None AP NHPPD None 50000 50000 0 0 50000 None 15RC11 None None None SFY2023-24
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-02-20 00:00:00 020004706 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2007-11-02 12:26:00 2007-11-02 12:26:00 Yes 2008-03-14 00:00:00 2008-02-28 00:00:00 FTR AE None 2800 2800 0 2800 0 None F3F211 N CA00135308 C SFY2007-08
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-02-25 00:00:00 020004711 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-31 14:30:00 2008-01-31 14:30:00 Yes 2008-04-02 00:00:00 2008-03-03 00:00:00 FTR AE None 700 700 0 700 0 None 1YMD11 N CA00140955 C SFY2007-08
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-03-13 00:00:00 020004785 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2008-01-16 12:27:00 2008-01-16 12:27:00 Yes 2008-04-07 00:00:00 2008-03-19 00:00:00 FTR AE None 700 700 0 700 0 None DM3Z11 N CA00139055 C SFY2007-08
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-06-20 00:00:00 020005148 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE04 - Retention of a foreign object in a patient None 2008-04-26 04:40:00 2008-04-26 04:40:00 No 2008-07-16 00:00:00 None FTR AE None 800 800 0 800 0 None NRTW11 N CA00150159 B SFY2007-08
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-07-01 00:00:00 020005183 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-04-02 18:23:00 2008-04-02 18:23:00 No 2008-07-23 00:00:00 None FTR AE None 1400 1400 0 1400 0 None 124K11 N CA00147721 B SFY2008-09
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-07-03 00:00:00 020005188 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 2008-06-06 08:15:00 2008-06-06 08:15:00 No 2008-07-25 00:00:00 None FTR AE None 700 700 0 700 0 None Z1QT11 N CA00154662 C SFY2008-09
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-08-27 00:00:00 020005338 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 2008-06-30 09:45:00 2008-06-30 09:45:00 No 2008-09-19 00:00:00 None FTR AE None 400 400 0 400 0 None 77KV11 N CA00156194 C SFY2008-09
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-10-21 00:00:00 020005525 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 2008-09-03 16:00:00 2008-09-03 16:00:00 No 2008-11-13 00:00:00 None FTR AE None 300 300 0 300 0 None Y86F11 N None None SFY2008-09
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2008-12-08 00:00:00 020005673 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events State Monitoring 2008-10-18 00:00:00 2008-10-18 00:00:00 No 2008-12-30 00:00:00 None AP IJ None 25000 25000 0 25000 0 None RMYI11 N CA00167372 B SFY2008-09
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2009-07-03 00:00:00 020006347 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 2009-04-11 11:00:00 2009-04-11 11:00:00 No 2009-07-24 00:00:00 None FTR AE None 700 700 0 700 0 None 56EH11 N CA00186064 C SFY2009-10
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-02-16 00:00:00 020006917 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-06-22 15:00:00 2009-06-22 15:00:00 No 2010-03-11 00:00:00 None FTR BR None 500 500 -125 375 0 None 1IT611 None CA00195652 D SFY2009-10
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-02-16 00:00:00 020006959 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach by person other than a h/c worker None 2009-02-23 15:00:00 2009-02-23 15:00:00 No 2010-03-11 00:00:00 None FTR BR None 500 500 -125 375 0 None 1IT611 None CA00195652 D SFY2009-10
140000832 JOHN MUIR BEHAVIORAL HEALTH CENTER Non-LTC APH Acute Psychiatric Hospital East Bay 2010-04-20 00:00:00 020007102 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2010-01-18 00:00:00 2010-01-18 00:00:00 No 2010-05-11 00:00:00 None AP IJ AP IJ 50000 30000 0 30000 0 None CF3811 Y CA00215949 B SFY2009-10
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-04-22 00:00:00 020007103 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE11 - Suicide/attempted suicide None 2010-02-23 00:00:00 2010-02-23 00:00:00 No 2010-12-29 00:00:00 None AP IJ AP IJ 50000 30000 0 30000 0 None ISZN11 N CA00219946 B SFY2009-10
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-05-25 00:00:00 020007228 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2009-11-12 12:00:00 2009-11-12 12:00:00 No 2010-06-16 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None ZUSM11 None CA00211672 D SFY2009-10
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-06-14 00:00:00 020007296 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-07-24 15:00:00 2009-07-24 15:00:00 No 2010-07-07 00:00:00 None FTR RES None 1000 1000 -250 750 0 None XMU611 None CA00199293 D SFY2009-10
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-07-30 00:00:00 020007426 Closed Administrative Penalty AP - Breach (HSC 1280.15) Breach to person/entity outside facility/hc system None 2009-06-15 00:00:00 2009-06-15 00:00:00 No 2012-10-01 00:00:00 None AP BR None 42500 42500 -10625 31875 0 None YR3L11 None CA00200378 C SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2010-09-13 00:00:00 020007553 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 00:00:00 2010-08-13 00:00:00 No 2010-10-04 00:00:00 None FTR BR None 200 200 -50 150 0 None TKK611 None CA00201329 D SFY2010-11
020000161 JOHN MUIR HOME HEALTH SERVICES Non-LTC HHA Home Health Agency East Bay 2011-01-11 00:00:00 020007825 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach by h/c worker within facility/hc system None 2010-07-19 00:00:00 2010-07-19 00:00:00 No 2011-02-02 00:00:00 None FTR BR None 800 800 -200 600 0 None G9Y311 None CA00239446 C SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-02-17 00:00:00 020007950 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-01-01 13:25:00 2011-01-01 13:25:00 No 2011-03-11 00:00:00 None FTR AE None 500 500 0 500 0 None 2LCJ11 N CA00255262 C SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-03-01 00:00:00 020007953 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-18 00:00:00 2009-10-18 00:00:00 No 2011-03-22 00:00:00 None FTR BR None 8000 8000 -2000 6000 0 None VLGS11 None CA00220364 D SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-03-01 00:00:00 020007954 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-10-18 00:00:00 2009-10-18 00:00:00 No 2011-03-22 00:00:00 None FTR RES None 8000 8000 -8000 0 0 None VLGS11 None CA00220364 D SFY2010-11
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-05-05 00:00:00 020008214 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-11-21 12:39:00 2009-11-21 12:39:00 No 2011-05-26 00:00:00 None FTR BR None 2300 2300 -575 1725 0 None RSMP11 None CA00213566 D SFY2010-11
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-08-01 00:00:00 020008427 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2011-04-03 16:15:00 2011-04-03 16:15:00 No 2011-08-22 00:00:00 None FTR AE None 500 500 0 500 0 None BOMZ11 N CA00266175 C SFY2011-12
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-08-30 00:00:00 020008518 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE22 - Death associated with a fall None 2011-04-10 07:05:00 2011-04-10 07:05:00 No 2011-09-21 00:00:00 None FTR AE None 2000 2000 0 2000 0 None 5D0Y11 Y CA00270377 B SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-10-26 00:00:00 020008677 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2009-10-30 12:00:00 2009-10-30 12:00:00 No 2011-11-17 00:00:00 None FTR BR None 13200 13200 -3300 9900 0 None 73GM11 None CA00222169 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2011-10-26 00:00:00 020008679 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2009-10-30 12:00:00 2009-10-30 12:00:00 No 2011-11-17 00:00:00 None FTR RES None 13000 13000 -3250 9750 0 None 73GM11 None CA00222169 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-03-06 00:00:00 020009075 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Breach to person/entity outside facility/hc system None 2010-04-17 17:00:00 2010-04-17 17:00:00 No 2012-03-27 00:00:00 None FTR BR None 300 300 -75 225 0 None I02F11 None CA00230595 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-03-06 00:00:00 020009076 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-04-17 17:00:00 2010-04-17 17:00:00 No 2012-03-27 00:00:00 None FTR RES None 300 300 -75 225 0 None I02F11 None CA00230595 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-04-27 00:00:00 020009225 Closed Failure to Report Penalty Failure to Report Breach to Resident (HSC 1280.15(b)(2)) Breach to person/entity outside facility/hc system None 2010-01-17 13:04:00 2010-01-17 13:04:00 No 2012-05-18 00:00:00 None FTR RES None 13100 13100 -3275 9825 0 None IHKY11 None CA00235336 D SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-04-27 00:00:00 020009226 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 2010-01-17 13:04:00 2010-01-17 13:04:00 No 2012-05-18 00:00:00 None FTR BR None 13100 13100 -3275 9825 0 None IHKY11 None CA00235336 D SFY2011-12
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2012-05-07 00:00:00 020009280 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE08 - Death/disability due to intravascular air embolism None 2011-10-31 11:32:00 2011-10-31 11:32:00 No 2012-05-29 00:00:00 None FTR AE None 11500 11500 0 11500 0 None QGL711 Y CA00303523 B SFY2011-12
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2013-02-28 00:00:00 020009758 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE03 - Wrong surgical procedure performed on a patient None 2012-10-25 08:49:00 2012-10-25 08:49:00 No 2013-03-21 00:00:00 None FTR AE None 500 500 0 500 0 None WJZ011 N CA00333374 C SFY2012-13
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2013-05-01 00:00:00 020009843 Closed Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Patient Rights None 2013-01-18 09:00:00 2013-01-18 09:00:00 No 2013-05-22 00:00:00 None FTR BR None 400 400 -100 300 0 None MG8G11 None CA00340435 C SFY2012-13
140000196 JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2017-09-08 00:00:00 020013191 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-11-09 00:00:00 2015-11-09 00:00:00 No 2017-09-29 00:00:00 None AP NON-IJ None 12720 12720 0 12720 0 None ZT9E11 Y CA00468168 C SFY2017-18
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2018-06-15 00:00:00 020014153 Closed Administrative Penalty AP - Non-Immediate Jeopardy (HSC 1280.3) Other Non-Immediate Jeopardy (not an AE) None 2015-03-05 00:00:00 2015-03-05 00:00:00 No 2018-07-09 00:00:00 None AP NON-IJ None 5775 5775 0 5775 0 None MLTC11 Y CA00519013 B SFY2017-18
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2018-10-10 00:00:00 020014539 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2014-11-17 00:00:00 2014-11-17 00:00:00 No 2019-04-12 00:00:00 None AP BR None 49500 49500 -12375 37125 0 None LJ2Y11 None CA00547171, CA00547171 C, C SFY2018-19
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2018-11-08 00:00:00 020014690 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2015-10-30 00:00:00 2015-10-30 00:00:00 No 2018-12-04 00:00:00 None AP BR None 0 0 0 0 0 None 95GG11 None CA00491933 D SFY2018-19
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2022-01-28 00:00:00 020017261 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach by person other than a h/c worker None 2013-09-10 00:00:00 2013-09-10 00:00:00 No 2022-02-22 00:00:00 None AP BR None 15000 15000 -3750 11250 0 None WIZ211 None CA00374060 D SFY2021-22
140000187 JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS Non-LTC GACH General Acute Care Hospital East Bay 2021-12-03 00:00:00 020017900 Closed Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2017-04-01 00:00:00 2017-04-01 00:00:00 No 2022-09-15 00:00:00 None AP BR None 30000 30000 -7500 22500 0 None 4H3J11 None CA00596331 D SFY2021-22
110000057 JEROLD PHELPS COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-06-25 00:00:00 110009857 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 2012-06-26 11:25:00 2012-06-26 11:25:00 No 2014-07-17 00:00:00 None FTR BR None 700 700 -175 525 0 None SOJN11 None CA00317815 C SFY2013-14
110000057 JEROLD PHELPS COMMUNITY HOSPITAL Non-LTC GACH General Acute Care Hospital Santa Rosa 2014-06-25 00:00:00 110009858 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 2012-06-26 11:25:00 2012-06-26 11:25:00 No 2014-07-17 00:00:00 None FTR RES None 700 700 -175 525 0 None SOJN11 None CA00317815 C SFY2013-14
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-09-16 00:00:00 250006559 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2008-08-04 00:00:00 2008-08-04 00:00:00 Yes 2009-10-07 00:00:00 2010-01-28 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None 96D811 N CA00158812, CA00158976 B, C SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-09-16 00:00:00 250006564 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-08-04 00:00:00 2008-08-04 00:00:00 Yes 2009-10-07 00:00:00 2010-01-28 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None 96D811 N CA00158812, CA00159980 B, C SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-09-16 00:00:00 250006565 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE12 - Medication error None 2008-08-04 00:00:00 2008-08-04 00:00:00 Yes 2009-10-07 00:00:00 2010-01-28 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None 96D811 N CA00158812 B SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2009-09-16 00:00:00 250006566 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE28 - Adverse event or series of adverse events None 2008-08-04 00:00:00 2008-08-04 00:00:00 Yes 2009-10-07 00:00:00 2010-01-28 00:00:00 AP IJ AP IJ 25000 17500 0 17500 0 None 96D811 N CA00158812 B SFY2009-10
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2010-07-20 00:00:00 250007412 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2008-11-03 00:00:00 2008-11-03 00:00:00 No 2010-08-10 00:00:00 None FTR AE None 3200 3200 0 3200 0 None N27711 N CA00171903 C SFY2010-11
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2011-05-18 00:00:00 250008263 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2009-10-07 00:00:00 2009-10-07 00:00:00 No 2011-06-09 00:00:00 None FTR AE None 100 100 0 100 0 None RBQI11 N CA00204865 C SFY2010-11
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2012-02-13 00:00:00 250009015 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) AE01 - Surgery performed on a wrong body part None 2010-10-29 00:00:00 2010-10-29 00:00:00 Yes 2012-09-20 00:00:00 2012-09-04 00:00:00 AP IJ AP IJ 50000 35000 0 35000 0 None X0XG11 N CA00247960 C SFY2011-12
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-02-05 00:00:00 250010444 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 2012-10-15 00:00:00 2012-10-15 00:00:00 No 2014-02-27 00:00:00 None FTR RES None 900 900 0 900 0 None MTK811 None CA00331182 E SFY2013-14
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-03-07 00:00:00 250010454 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 2012-10-15 00:00:00 2012-10-15 00:00:00 No 2014-03-28 00:00:00 None FTR BR None 900 900 0 900 0 None MTK811 None CA00331182 E SFY2013-14
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2014-08-11 00:00:00 250010926 Closed Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2011-10-06 00:00:00 2011-10-06 00:00:00 Yes 2015-03-05 00:00:00 2015-02-23 00:00:00 AP IJ AP IJ 100000 77250 0 77250 0 None YXPK11 Y CA00286109 B SFY2014-15
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2016-05-26 00:00:00 250012294 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 2016-02-21 00:00:00 2016-02-21 00:00:00 No 2016-06-17 00:00:00 None FTR BR None 100 100 -25 75 0 None H9T311 None CA00480624 D SFY2015-16
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2016-05-31 00:00:00 250012295 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 2016-02-21 00:00:00 2016-02-21 00:00:00 No 2016-06-21 00:00:00 None FTR RES None 100 100 -25 75 0 None H9T311 None CA00480624 D SFY2015-16
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2017-10-26 00:00:00 250013577 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 2016-07-12 00:00:00 2016-07-12 00:00:00 No 2017-11-17 00:00:00 None FTR AE None 9300 9300 0 9300 0 None 1GQP11 N CA00506126 C SFY2017-18
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2018-06-12 00:00:00 250014148 Open Administrative Penalty AP - Immediate Jeopardy (HSC 1280.3) Other Immediate Jeopardy (not an AE) None 2017-09-05 00:00:00 2017-09-05 00:00:00 Yes 2018-07-03 00:00:00 2018-08-21 00:00:00 AP IJ None 75000 75000 0 0 75000 None ENQQ11 Y CA00552371 B SFY2017-18
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2019-10-23 00:00:00 250015472 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE28 - Adverse event or series of adverse events None 2019-08-05 00:00:00 2019-08-05 00:00:00 No 2019-11-13 00:00:00 None FTR AE None 1100 1100 0 1100 0 None G5B211 N CA00651469 C SFY2019-20
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2022-02-04 00:00:00 250017321 Closed Failure to Report Penalty Failure to Report Adverse Events to CDPH (HSC 1280.4) AE17 - Stage 3 or 4 ulcer acquired after admission None 2021-05-11 00:00:00 2021-05-11 00:00:00 No 2022-02-28 00:00:00 None FTR AE None 400 400 0 400 0 None USO211 N CA00737297, CA00737297 B, B SFY2021-22
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-02-01 00:00:00 250020152 Open Administrative Penalty AP - Breach (HSC 1280.15) Deliberate breach of PHI by health care worker None 2021-04-10 00:00:00 2021-04-10 00:00:00 No 2024-06-19 00:00:00 None AP BR None 20000 20000 0 0 20000 None Z71W11 None CA00736640 D SFY2023-24
250000017 JOHN F. KENNEDY MEMORIAL HOSPITAL Non-LTC GACH General Acute Care Hospital Riverside 2024-02-01 00:00:00 250020189 Open Failure to Report Penalty Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) Deliberate breach of PHI by health care worker None 2021-04-10 00:00:00 2021-04-10 00:00:00 No 2024-02-23 00:00:00 None FTR BR None 800 800 0 0 800 None Z71W11 None CA00736640 D SFY2023-24