Table: health_facilities_state_enforcement_actions_1997_2023_data_file , facility_name like M*

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
010000620	MUSTARD SEED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-05-04 00:00:00	010001741	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/RIGHTS	2000-03-21 00:00:00	2000-03-22 00:00:00	No	2000-06-06 00:00:00	None	B	None	800	800	-280	520	0	010012540	A99999	N	None	None	SFY1999-00
010000160	MILESTONES OF DEVELOPMENT #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-05-05 00:00:00	010001742	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/RIGHTS	1999-08-30 00:00:00	None	No	2000-06-01 00:00:00	None	A	None	7500	7500	-2625	4875	0	010012549	A99999	N	None	None	SFY1999-00
010000160	MILESTONES OF DEVELOPMENT #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-06-29 00:00:00	010001757	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-01 00:00:00	None	No	2000-07-21 00:00:00	None	A	None	3000	3000	-1050	1950	0	010012701	A99999	N	None	None	SFY1999-00
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-20 00:00:00	010001918	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-28 00:00:00	2001-06-28 00:00:00	No	2002-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	010014955	A99999	N	None	None	SFY2001-02
010000482	MOUNTAINVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-05-15 00:00:00	010001946	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-09-23 00:00:00	2001-11-05 00:00:00	No	2002-06-10 00:00:00	None	A	None	7500	7500	-2625	4875	0	010015305	A99999	N	None	None	SFY2001-02
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-29 00:00:00	010001952	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-05-21 00:00:00	2002-05-21 00:00:00	No	2002-06-24 00:00:00	None	B	None	1000	1000	-350	650	0	010015382	A99999	N	None	None	SFY2001-02
010000799	MY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-06-06 00:00:00	010001955	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-08 00:00:00	2002-03-08 00:00:00	No	2002-06-27 00:00:00	None	B	None	800	800	-280	520	0	010015402	A99999	N	None	None	SFY2001-02
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-21 00:00:00	010001973	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN/PHY ENVIRONMEN	2002-04-03 00:00:00	2002-04-05 00:00:00	No	2002-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	010015668	A99999	N	None	None	SFY2002-03
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	010002021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-02 00:00:00	2002-02-02 00:00:00	No	2003-04-24 00:00:00	None	B	None	1000	1000	-350	650	0	010015108	A99999	N	None	None	SFY2002-03
010000160	MILESTONES OF DEVELOPMENT #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-04-25 00:00:00	010002025	Closed	Citation	Citation B (HSC 1424)	Other	C,PR	2003-02-28 00:00:00	2003-02-28 00:00:00	No	2003-05-16 00:00:00	None	B	None	650	650	-227.5	422.5	0	010016345	A99999	N	None	None	SFY2002-03
010000487	MAYETTE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-07-18 00:00:00	010002042	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-05 00:00:00	2003-05-05 00:00:00	No	2003-09-05 00:00:00	None	B	None	500	500	0	500	0	010016811	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-30 00:00:00	010002045	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-25 00:00:00	2003-06-26 00:00:00	No	2003-08-27 00:00:00	None	B	None	750	750	0	750	0	010016769	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-10-23 00:00:00	010002058	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-25 00:00:00	2002-04-11 00:00:00	No	2003-12-10 00:00:00	None	A	None	10000	10700	-3500	7200	0	010015457	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-06 00:00:00	010002064	Closed	Citation	Citation AA (HSC 1424)	Administration	None	2003-04-01 00:00:00	2003-04-01 00:00:00	Yes	2003-12-02 00:00:00	2003-11-26 00:00:00	AA	AA	60000	30000	0	30000	0	010015668	A99999	Y	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-17 00:00:00	010002069	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-16 00:00:00	2003-09-16 00:00:00	Yes	2003-12-10 00:00:00	2003-11-21 00:00:00	B	B	800	800	0	800	0	010017136	A99999	N	None	None	SFY2003-04
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-04 00:00:00	010002089	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-02 00:00:00	2004-02-02 00:00:00	Yes	2004-03-25 00:00:00	2004-03-23 00:00:00	B	B	500	250	0	250	0	010017502	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-17 00:00:00	010002094	Closed	Citation	Citation B (HSC 1424)	Other	A, PR	2004-01-29 00:00:00	2004-01-29 00:00:00	Yes	2004-04-08 00:00:00	2004-03-24 00:00:00	B	None	800	800	0	800	0	010017466	A99999	N	None	None	SFY2003-04
010001001	MILES - CENTER ROAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-03-17 00:00:00	010002096	Closed	Citation	Citation B (HSC 1424)	Other	C, P	2004-02-23 00:00:00	2004-02-23 00:00:00	No	2004-04-08 00:00:00	None	B	None	700	700	-245	455	0	010017538	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-06-24 00:00:00	010002110	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-10-09 00:00:00	2003-10-09 00:00:00	No	2004-07-16 00:00:00	None	B	None	700	700	0	700	0	010017823	A99999	N	None	None	SFY2003-04
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-09-15 00:00:00	010002121	Closed	Citation	Citation B (HSC 1424)	Other	C,AB	2004-04-14 00:00:00	2004-04-14 00:00:00	No	2004-10-06 00:00:00	None	B	None	800	2400	-840	1560	0	010017635	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-18 00:00:00	010002131	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-08 00:00:00	2004-03-08 00:00:00	Yes	2004-12-09 00:00:00	2004-11-30 00:00:00	A	A	16000	5000	0	5000	0	010017546	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-18 00:00:00	010002132	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-30 00:00:00	2004-03-30 00:00:00	Yes	2004-12-09 00:00:00	2004-11-30 00:00:00	A	A	16000	5000	0	5000	0	010018113	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	010002144	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-28 00:00:00	2004-11-28 00:00:00	No	2005-04-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	010018207	A99999	N	None	None	SFY2004-05
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	010002145	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-18 00:00:00	2005-01-18 00:00:00	No	2005-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	010018271	A99999	N	None	None	SFY2004-05
010000482	MOUNTAINVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2005-05-16 00:00:00	010002156	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-21 00:00:00	2005-03-21 00:00:00	No	2005-06-07 00:00:00	None	B	None	1000	1000	-350	650	0	010018284	A99999	N	None	None	SFY2004-05
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-05-12 00:00:00	010002157	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-15 00:00:00	2004-04-29 00:00:00	Yes	2005-06-03 00:00:00	2005-05-19 00:00:00	A	B	7000	14000	0	14000	0	010018285	A99999	Y	None	None	SFY2004-05
010000482	MOUNTAINVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-02-15 00:00:00	010002184	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-12 00:00:00	2005-07-12 00:00:00	No	2006-03-09 00:00:00	None	B	None	1000	1000	-350	650	0	010018346	A99999	N	CA00055976	A	SFY2005-06
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-04 00:00:00	020002467	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-24 00:00:00	1999-09-23 00:00:00	Yes	2000-01-27 00:00:00	2000-01-18 00:00:00	A	None	9000	27000	-27000	0	0	020011028	A99999	N	None	None	SFY1999-00
020000040	MASONIC HOME	LTC	SNF	Skilled Nursing Facility	East Bay	2000-01-19 00:00:00	020002475	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-11-23 00:00:00	None	Yes	2000-08-23 00:00:00	2000-02-04 00:00:00	B	B	500	500	0	500	0	020011154	A99999	N	None	None	SFY1999-00
020000911	META-CARE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-02-07 00:00:00	020002483	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-11-27 00:00:00	None	Yes	2000-03-01 00:00:00	2001-05-18 00:00:00	A	A	8000	8550	-8550	0	0	020011262	A99999	N	None	None	SFY1999-00
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-18 00:00:00	020002513	Closed	Citation	Citation B (HSC 1424)	Administration	None	1995-01-01 00:00:00	None	Yes	2000-05-11 00:00:00	2000-05-03 00:00:00	B	B	800	850	-50	800	0	020011609	A99999	N	None	None	SFY1999-00
020000915	META-CARE #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-09-05 00:00:00	020002545	Closed	Citation	Citation A (HSC 1424)	Administration	None	1999-08-17 00:00:00	2000-04-28 00:00:00	Yes	2001-09-14 00:00:00	2000-09-25 00:00:00	A	B	2000	1000	-1000	0	0	020012164	A99999	N	None	None	SFY2000-01
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-07 00:00:00	020002549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-03 00:00:00	2000-07-16 00:00:00	No	2000-09-29 00:00:00	None	B	None	1000	1000	-350	650	0	020012179	A99999	N	None	None	SFY2000-01
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-05-18 00:00:00	020002615	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-25 00:00:00	2001-03-25 00:00:00	No	2001-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	020013294	A99999	N	None	None	SFY2000-01
020000099	MCCLURE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-06-14 00:00:00	020002643	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-14 00:00:00	None	No	2001-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	020013261	A99999	N	None	None	SFY2000-01
020001114	MAIN ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-07-12 00:00:00	020002645	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-02-22 00:00:00	2001-06-14 00:00:00	No	2001-08-07 00:00:00	None	B	None	600	600	-210	390	0	020013554	A99999	N	None	None	SFY2001-02
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-07-17 00:00:00	020002646	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-05 00:00:00	None	Yes	2001-08-10 00:00:00	2001-07-20 00:00:00	A	B	20000	12133	0	12133	0	020013378	A99999	Y	None	None	SFY2001-02
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-07-20 00:00:00	020002647	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-10 00:00:00	None	Yes	2001-08-15 00:00:00	2001-07-27 00:00:00	B	None	1000	1000	0	1000	0	020013260	A99999	N	None	None	SFY2001-02
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-11-13 00:00:00	020002672	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-27 00:00:00	None	No	2001-12-11 00:00:00	None	B	None	800	800	-280	520	0	020013773	A99999	N	None	None	SFY2001-02
020000099	MCCLURE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-01 00:00:00	020002689	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-08 00:00:00	2001-12-07 00:00:00	No	2002-03-27 00:00:00	None	B	None	750	750	0	750	0	020013985	A99999	N	None	None	SFY2001-02
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-05-15 00:00:00	020002700	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-02 00:00:00	None	No	2002-06-11 00:00:00	None	B	None	900	900	0	900	0	020014187	A99999	N	None	None	SFY2001-02
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2002-12-30 00:00:00	020002733	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-11 00:00:00	None	No	2003-01-24 00:00:00	None	B	None	650	650	0	650	0	020014705	A99999	N	None	None	SFY2002-03
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-17 00:00:00	020002760	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-17 00:00:00	None	No	2003-08-12 00:00:00	None	B	None	700	700	-245	455	0	020015523	A99999	N	None	None	SFY2003-04
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-03 00:00:00	020002771	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-17 00:00:00	None	No	2003-09-29 00:00:00	None	A	None	12000	12000	-4200	7800	0	020015708	A99999	N	None	None	SFY2003-04
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-16 00:00:00	020002776	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-06 00:00:00	2003-08-14 00:00:00	No	2003-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	020015716	A99999	N	None	None	SFY2003-04
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-11-06 00:00:00	020002781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-22 00:00:00	None	No	2003-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	020015778	A99999	N	None	None	SFY2003-04
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-11-25 00:00:00	020002782	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-03 00:00:00	None	No	2003-12-24 00:00:00	None	B	None	800	800	-280	520	0	020015803	A99999	N	None	None	SFY2003-04
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-06-30 00:00:00	020002807	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-21 00:00:00	2003-10-03 00:00:00	Yes	2004-07-26 00:00:00	2004-07-06 00:00:00	B	B	1000	2650	-2150	500	0	020016108	A99999	N	None	None	SFY2003-04
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2006-01-17 00:00:00	020002834	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-03 00:00:00	2005-10-03 00:00:00	No	2006-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	020016791	A99999	N	None	None	SFY2005-06
020001263	MIKA'S HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2009-02-04 00:00:00	020005840	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-18 00:00:00	2008-12-18 00:00:00	Yes	2013-03-01 00:00:00	2013-01-29 00:00:00	A	A	7500	7500	0	7500	0	None	WBJI11	N	CA00172792	C	SFY2008-09
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2010-01-19 00:00:00	020006923	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-04 00:00:00	2009-08-04 00:00:00	No	2010-02-09 00:00:00	None	B	None	900	900	-315	585	0	None	PVOC11	N	CA00197615	C	SFY2009-10
140001346	MEADOWBROOK CIRCLE ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2010-03-30 00:00:00	020007086	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-11-16 00:00:00	2009-11-16 00:00:00	No	2010-04-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	ZYD811	N	CA00210066	C	SFY2009-10
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-12 00:00:00	020009084	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-09-06 00:00:00	2011-09-06 00:00:00	Yes	2012-04-02 00:00:00	2012-03-22 00:00:00	AA	A	60000	75000	0	75000	0	None	ILXN11	Y	CA00283531	C	SFY2011-12
020000040	MASONIC HOME	LTC	SNF	Skilled Nursing Facility	East Bay	2015-06-25 00:00:00	020011580	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-20 00:00:00	2015-04-20 00:00:00	No	2015-07-16 00:00:00	None	B	None	1500	1500	-525	975	0	None	F0SB11	N	CA00440207	B	SFY2014-15
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-27 00:00:00	020013082	Closed	Citation	Citation B (HSC 1424)	Immediate Jeopardy	None	2016-05-30 00:00:00	2016-05-30 00:00:00	No	2017-04-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	FXHD11	N	CA00490574	B	SFY2016-17
020000808	MORTON BAKAR CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-03-27 00:00:00	020013083	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-30 00:00:00	2016-05-30 00:00:00	Yes	2017-04-18 00:00:00	2017-04-24 00:00:00	B	B	2000	2000	0	2000	0	None	FXHD11	N	CA00490574	B	SFY2016-17
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-05-02 00:00:00	020013171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-01 00:00:00	2017-03-01 00:00:00	No	2017-05-23 00:00:00	None	B	None	1200	1200	-420	780	0	None	066V11	N	CA00524759	A	SFY2016-17
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-01-16 00:00:00	020013332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-25 00:00:00	2017-03-25 00:00:00	No	2018-02-06 00:00:00	None	B	None	1200	1200	-420	780	0	None	F4EF11	N	CA00528577	B	SFY2017-18
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-10-18 00:00:00	020013549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-20 00:00:00	2017-08-20 00:00:00	No	2017-11-08 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	BH9411	N	CA00549994	B	SFY2017-18
140000081	MORAGA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2018-03-23 00:00:00	020013929	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-03 00:00:00	2018-02-03 00:00:00	No	2018-04-13 00:00:00	None	B	None	1200	1200	-420	780	0	None	RMVI11	N	CA00573427	A	SFY2017-18
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-11-15 00:00:00	020014579	Closed	Citation	Citation B (HSC 1424)	Other	Resident Abuse	2018-09-09 00:00:00	2018-09-09 00:00:00	No	2018-12-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7N7C11	N	CA00603640	B	SFY2018-19
020000040	MASONIC HOME	LTC	SNF	Skilled Nursing Facility	East Bay	2019-03-06 00:00:00	020014847	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-09 00:00:00	2018-09-09 00:00:00	Yes	2019-03-27 00:00:00	2019-03-22 00:00:00	A	A	15000	10000	0	10000	0	None	LSSN11	N	CA00603352, CA00611253	B, B	SFY2018-19
020000036	MISSION VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-09-08 00:00:00	020017934	Closed	Citation	Citation B (HSC 1424)	Other	Immediate Jeopardy	2022-04-24 00:00:00	2022-04-24 00:00:00	No	2022-09-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7NTZ11	N	CA00782248	B	SFY2022-23
020000100	MERCY RETIREMENT & CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-12-21 00:00:00	020019513	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2024-01-12 00:00:00	None	B	None	2000	2000	0	1300	700	None	E0ZW11	N	None	None	SFY2023-24
020000100	MERCY RETIREMENT & CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-12-21 00:00:00	020019521	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2024-01-12 00:00:00	None	B	None	2000	2000	0	1300	700	None	E0ZW11	N	None	None	SFY2023-24
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-04-14 00:00:00	030002009	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-26 00:00:00	None	No	2000-05-05 00:00:00	None	A	None	6500	6500	0	6500	0	030014062	A99999	N	None	None	SFY1999-00
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-04-14 00:00:00	030002010	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-09-26 00:00:00	None	No	2000-05-05 00:00:00	None	A	None	6500	6500	0	6500	0	030014061	A99999	N	None	None	SFY1999-00
030000007	MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-11-06 00:00:00	030002043	Closed	Citation	Citation A (HSC 1424)	Medication	None	2000-08-23 00:00:00	None	No	2000-11-27 00:00:00	None	A	None	7500	7500	-2625	4875	0	030014726	A99999	N	None	None	SFY2000-01
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-23 00:00:00	030002056	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-07 00:00:00	None	Yes	2001-06-11 00:00:00	2001-05-30 00:00:00	B	B	1000	350	0	350	0	030015171	A99999	N	None	None	SFY2000-01
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-16 00:00:00	030002080	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-12 00:00:00	None	Yes	2001-11-06 00:00:00	2001-10-31 00:00:00	A	A	20000	20000	0	20000	0	030015387	A99999	N	None	None	SFY2001-02
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-12-19 00:00:00	030002086	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-03-31 00:00:00	None	Yes	2002-01-17 00:00:00	2002-01-09 00:00:00	AA	A	60000	30000	0	30000	0	030016107	A99999	Y	None	None	SFY2001-02
030000007	MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-01-03 00:00:00	030002087	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-06-11 00:00:00	None	No	2002-01-25 00:00:00	None	AA	None	95000	95000	-33250	61750	0	030016138	A99999	Y	None	None	SFY2001-02
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-09 00:00:00	030002099	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2002-06-16 00:00:00	None	No	2002-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	030016610	A99999	N	None	None	SFY2002-03
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-10-01 00:00:00	030002107	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-06 00:00:00	None	No	2002-10-23 00:00:00	None	B	B	1000	650	0	650	0	030016934	A99999	N	None	None	SFY2002-03
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-16 00:00:00	030002109	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-19 00:00:00	None	No	2002-11-06 00:00:00	None	B	None	800	800	-280	520	0	030016709	A99999	N	None	None	SFY2002-03
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-04 00:00:00	030002143	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-22 00:00:00	None	Yes	2003-08-27 00:00:00	2003-08-21 00:00:00	A	A	16000	1000	0	1000	0	030016990	A99999	N	None	None	SFY2003-04
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2003-10-24 00:00:00	030002149	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-26 00:00:00	None	No	2003-11-17 00:00:00	None	B	None	800	800	-280	520	0	030017952	A99999	N	None	None	SFY2003-04
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-03-30 00:00:00	030002168	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-19 00:00:00	None	No	2004-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	030016765	A99999	N	None	None	SFY2003-04
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2006-10-12 00:00:00	030003333	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2006-09-01 00:00:00	2006-09-01 00:00:00	No	2006-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	7E2L11	N	CA00092050	B	SFY2006-07
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2006-10-24 00:00:00	030003430	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-06-01 00:00:00	2006-06-01 00:00:00	Yes	2006-11-21 00:00:00	2006-10-26 00:00:00	B	B	800	400	0	400	0	None	P1KC11	N	CA00088291	B	SFY2006-07
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-12-20 00:00:00	030003582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-16 00:00:00	2006-10-16 00:00:00	No	2007-01-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	QO7U11	N	CA00096026	B	SFY2006-07
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-19 00:00:00	030004105	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-19 00:00:00	2003-10-19 00:00:00	Yes	2007-08-09 00:00:00	2007-08-03 00:00:00	B	B	1000	400	0	400	0	None	QKGF11	N	CA00076312	B	SFY2007-08
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2007-07-19 00:00:00	030004111	Closed	Citation	Citation B (HSC 1424)	Patient Care	Nursing Services	2007-05-15 00:00:00	2007-05-15 00:00:00	No	2007-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	TNVM11	N	CA00116360	B	SFY2007-08
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-04 00:00:00	030004230	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Self Reported	2006-06-08 00:00:00	2006-06-08 00:00:00	Yes	2007-09-25 00:00:00	2007-09-07 00:00:00	B	B	1000	400	0	400	0	None	XQ9L11	N	None	None	SFY2007-08
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-09-26 00:00:00	030004283	Closed	Citation	Citation B (HSC 1424)	Other	Injury of Unknown Origin	2007-08-28 00:00:00	2007-08-28 00:00:00	No	2007-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	085M11	N	CA00125056	B	SFY2007-08
030001064	MARSHALL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-01-16 00:00:00	030004857	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-13 00:00:00	2007-08-13 00:00:00	No	2009-02-06 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	8J4V11	N	CA00124061	B	SFY2008-09
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-07-31 00:00:00	030005271	Closed	Citation	Citation B (HSC 1424)	Other	Supv. & Prof. Standards	2007-08-05 00:00:00	2007-08-05 00:00:00	No	2008-08-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	9XS411	N	CA00122806	B	SFY2008-09
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2008-08-05 00:00:00	030005277	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-10 00:00:00	2007-11-10 00:00:00	No	2008-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	WKQP11	N	CA00131940	B	SFY2008-09
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-09-04 00:00:00	030005384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-05 00:00:00	2008-01-05 00:00:00	No	2008-09-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	D07411	N	CA00137646	B	SFY2008-09
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2009-02-20 00:00:00	030005703	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-11-16 00:00:00	2007-11-16 00:00:00	Yes	2010-03-24 00:00:00	2010-03-10 00:00:00	A	B	20000	20000	0	20000	0	None	PNSC11	N	CA00132772	B	SFY2008-09
030000007	MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-07-31 00:00:00	030006424	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-12 00:00:00	2008-09-12 00:00:00	No	2009-08-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	D27811	N	CA00165112	B	SFY2009-10
030000007	MERCYCARE, MERCY GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-07-31 00:00:00	030006425	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-08 00:00:00	2008-09-08 00:00:00	No	2009-08-28 00:00:00	None	B	None	800	800	-280	520	0	None	D27811	N	CA00165112	B	SFY2009-10
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-27 00:00:00	030007577	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-07-20 00:00:00	2008-07-20 00:00:00	Yes	2010-10-18 00:00:00	2010-12-27 00:00:00	AA	AA	100000	85050	-50	85000	0	None	HDU911	Y	CA00157781, CA00160099, CA00160099, CA00174717	B, B, B, B	SFY2010-11
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2012-10-04 00:00:00	030009531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-23 00:00:00	2009-08-23 00:00:00	No	2012-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	3HU211	Y	CA00199717, CA00202315	H, B	SFY2012-13
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2012-12-27 00:00:00	030009681	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-25 00:00:00	2009-06-25 00:00:00	No	2013-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	X7YY11	N	CA00218345	B	SFY2012-13
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-01-11 00:00:00	030009697	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-03 00:00:00	2009-03-03 00:00:00	Yes	2013-02-04 00:00:00	2013-01-11 00:00:00	B	None	1000	1000	0	1000	0	None	4JWJ11	N	CA00186774, CA00197417	D, D	SFY2012-13
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-30 00:00:00	030010188	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	2013-07-09 00:00:00	2013-07-09 00:00:00	No	2013-11-21 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	95MC11	None	CA00363771, CA00364852	B, D	SFY2013-14
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-10-30 00:00:00	030010189	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	2013-07-09 00:00:00	2013-07-09 00:00:00	No	2013-11-21 00:00:00	None	FTR RES	None	1100	1100	-275	825	0	None	95MC11	None	CA00363771, CA00364852	B, D	SFY2013-14
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-11-14 00:00:00	030010243	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-04-04 00:00:00	2011-04-04 00:00:00	No	2013-12-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z3OJ11	N	CA00268972	B	SFY2013-14
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-01-23 00:00:00	030010396	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-12 00:00:00	2011-04-12 00:00:00	Yes	2014-02-13 00:00:00	2014-01-23 00:00:00	B	None	1000	1000	-350	650	0	None	MGZG11	N	CA00266172	B	SFY2013-14
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-02-02 00:00:00	030012930	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-11-03 00:00:00	2015-11-03 00:00:00	No	2017-02-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	194911	N	CA00448211	B	SFY2016-17
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-04-14 00:00:00	030013121	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Re-admit	2016-08-01 00:00:00	2016-08-01 00:00:00	No	2017-05-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4H6V11	N	CA00499785	B	SFY2016-17
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-01-15 00:00:00	030015684	Closed	Citation	Citation B (HSC 1424)	Other	Failure to report transfe	2019-09-25 00:00:00	2019-09-25 00:00:00	No	2020-02-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NFMU11	N	None	None	SFY2019-20
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-09-14 00:00:00	030017960	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-01 00:00:00	2022-07-01 00:00:00	No	2022-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	NB7N11	N	CA00792446	B	SFY2022-23
030000165	MOUNTAIN MANOR SENIOR RESIDENCE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-07 00:00:00	030018021	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-27 00:00:00	2022-02-27 00:00:00	No	2022-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	5JRK11	N	CA00775062, CA00775062	B, B	SFY2022-23
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-07 00:00:00	030018036	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-06 00:00:00	2022-04-06 00:00:00	No	2022-10-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	NYDM11	N	CA00779876	B	SFY2022-23
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-11 00:00:00	030018066	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-22 00:00:00	2022-04-22 00:00:00	No	2022-11-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	RGVP11	N	CA00790187, CA00790187, CA00790187	B, B, B	SFY2022-23
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-08 00:00:00	030018453	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-17 00:00:00	2022-08-17 00:00:00	No	2023-03-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JC2611	N	CA00819854, CA00819854, CA00819854, CA00819854	B, B, B, B	SFY2022-23
030000053	MANZANITA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-10-12 00:00:00	030019217	Closed	Citation	Citation AA (HSC 1424)	Other	QoC: Free of Accident Haz	2022-08-26 00:00:00	2022-08-26 00:00:00	No	2023-11-02 00:00:00	None	AA	None	120000	120000	0	120000	0	None	5T2111	Y	CA00831775, CA00831775	B, B	SFY2023-24
030000165	MOUNTAIN MANOR SENIOR RESIDENCE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-11-15 00:00:00	030019359	Closed	Citation	Citation A (HSC 1424)	Patient Care	Patient Care/Not reported	2023-03-07 00:00:00	2023-03-07 00:00:00	No	2023-12-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7WN311	N	CA00830422, CA00830422, CA00831190	B, B, B	SFY2023-24
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-04-13 00:00:00	040001174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-01 00:00:00	2000-02-01 00:00:00	Yes	2000-05-05 00:00:00	2000-04-18 00:00:00	B	B Trebled	1000	1200	0	1200	0	040010798	A99999	N	None	None	SFY1999-00
040000048	MERCED BEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-09-20 00:00:00	040001186	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-29 00:00:00	2000-06-29 00:00:00	Yes	2000-10-12 00:00:00	2000-09-22 00:00:00	B	B	1000	900	0	900	0	040011226	A99999	N	None	None	SFY2000-01
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-11-30 00:00:00	040001194	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-10 00:00:00	2000-01-29 00:00:00	Yes	2000-12-21 00:00:00	2000-12-04 00:00:00	B	Drop>Deficiency	1000	800	0	800	0	040011495	A99999	N	None	None	SFY2000-01
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2000-12-04 00:00:00	040001195	Closed	Citation	Citation B (HSC 1424)	Other	RES. TO RES. ABUSE	2000-07-23 00:00:00	2000-07-23 00:00:00	Yes	2000-12-29 00:00:00	2000-12-11 00:00:00	B	B	1000	1000	0	1000	0	040011502	A99999	N	None	None	SFY2000-01
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-11-01 00:00:00	040001230	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-04 00:00:00	2001-01-04 00:00:00	No	2001-11-29 00:00:00	None	B	B	1000	1000	0	1000	0	040011625	A99999	N	None	None	SFY2001-02
040000019	MORNING STAR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-01-17 00:00:00	040001236	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-10 00:00:00	2001-09-10 00:00:00	No	2002-02-13 00:00:00	None	B	None	1000	1000	-350	650	0	040012478	A99999	N	None	None	SFY2001-02
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-03-14 00:00:00	040001242	Closed	Citation	Citation B (HSC 1424)	Other	RESTRAINTS	2001-04-22 00:00:00	2001-04-22 00:00:00	Yes	2002-04-05 00:00:00	2002-03-18 00:00:00	B	B	500	400	0	400	0	040012027	A99999	N	None	None	SFY2001-02
040000019	MORNING STAR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-03-28 00:00:00	040001245	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-05-09 00:00:00	2001-05-09 00:00:00	Yes	2002-04-22 00:00:00	2002-04-05 00:00:00	A	A	17500	13125	0	13125	0	040012379	A99999	N	None	None	SFY2001-02
040000019	MORNING STAR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-13 00:00:00	040001255	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-06 00:00:00	2002-04-06 00:00:00	No	2002-07-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	040013386	A99999	N	None	None	SFY2001-02
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-13 00:00:00	040001257	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-29 00:00:00	2001-09-29 00:00:00	Yes	2002-09-23 00:00:00	2002-06-19 00:00:00	B	B	500	500	0	500	0	040012475	A99999	N	None	None	SFY2001-02
040000046	MERCED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-26 00:00:00	040001260	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-05 00:00:00	2002-05-05 00:00:00	Yes	2002-07-23 00:00:00	2002-07-03 00:00:00	B	B	1000	800	0	800	0	040013282	A99999	N	None	None	SFY2001-02
630002861	MY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2008-03-18 00:00:00	040004795	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-01-31 00:00:00	2007-01-31 00:00:00	No	2008-04-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	GOR611	N	CA00108373	B	SFY2007-08
630002861	MY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2010-06-29 00:00:00	040007338	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-15 00:00:00	2009-10-15 00:00:00	No	2010-07-22 00:00:00	None	B	None	600	600	0	600	0	None	JE1I11	N	CA00205240	C	SFY2009-10
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2011-01-25 00:00:00	040007857	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-27 00:00:00	2010-03-27 00:00:00	No	2011-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	FMR811	N	CA00223425	C	SFY2010-11
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2013-07-25 00:00:00	040010032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-29 00:00:00	2013-03-29 00:00:00	No	2013-08-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DPHX11	N	CA00352336	B	SFY2013-14
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2013-10-22 00:00:00	040010229	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-02 00:00:00	2013-03-02 00:00:00	No	2013-11-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q2LP11	N	CA00345578	B	SFY2013-14
630006901	MARIA'S HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2014-05-12 00:00:00	040010723	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-04-23 00:00:00	2014-04-23 00:00:00	No	2014-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	CJG511	N	CA00396031	A	SFY2013-14
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-08-04 00:00:00	040010905	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2014-02-01 00:00:00	2014-02-01 00:00:00	Yes	2014-08-25 00:00:00	2014-08-04 00:00:00	B	None	2000	2000	0	0	2000	None	E50111	N	CA00386649	C	SFY2014-15
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2014-09-03 00:00:00	040010976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-02-18 00:00:00	2014-02-18 00:00:00	No	2014-09-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8V8E11	N	None	None	SFY2014-15
630002861	MY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2015-05-13 00:00:00	040011460	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-04 00:00:00	2015-03-04 00:00:00	No	2015-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	JS6611	N	CA00435510	B	SFY2014-15
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2016-09-16 00:00:00	040012581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-29 00:00:00	2016-07-29 00:00:00	No	2016-10-07 00:00:00	None	B	B	2000	1500	0	1500	0	None	77UF11	N	CA00496994	B	SFY2016-17
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2017-07-26 00:00:00	040013358	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-02-04 00:00:00	2017-02-04 00:00:00	No	2017-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0PDX11	N	CA00534476	B	SFY2017-18
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2017-07-26 00:00:00	040013361	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-02-04 00:00:00	2017-02-04 00:00:00	No	2017-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0PDX11	N	CA00531944	B	SFY2017-18
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2017-07-26 00:00:00	040013363	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2016-10-06 00:00:00	2016-10-06 00:00:00	No	2017-08-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	0PDX11	N	CA00506068	B	SFY2017-18
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-10-01 00:00:00	040014444	Closed	Citation	Citation A (HSC 1424)	Problem Transfer	None	2018-02-14 00:00:00	2018-02-14 00:00:00	No	2018-10-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IJXL11	N	CA00574409	A	SFY2018-19
040000048	MERCED BEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-12-29 00:00:00	040017225	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2020-10-06 00:00:00	2020-10-06 00:00:00	No	2022-01-20 00:00:00	None	A	None	20000	20000	0	20000	0	None	RHML11	N	CA00707973	A	SFY2021-22
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-04-06 00:00:00	040017547	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge Rights	2022-03-09 00:00:00	2022-03-09 00:00:00	No	2022-04-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	APNQ11	N	CA00776784	A	SFY2021-22
040000048	MERCED BEHAVIORAL CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-07-19 00:00:00	040018968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-01 00:00:00	2023-06-01 00:00:00	No	2023-08-09 00:00:00	None	B	None	2000	2050	0	2050	0	None	DRHI11	N	None	None	SFY2023-24
040000034	MADERA REHABILITATION & NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2024-05-03 00:00:00	040020083	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-15 00:00:00	2024-01-15 00:00:00	Yes	2024-05-24 00:00:00	2024-05-07 00:00:00	A	None	20000	20000	0	0	20000	None	45WD11	N	CA00882482, CA00882482	B, B	SFY2023-24
050000079	MILTON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-02-25 00:00:00	050001366	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-02 00:00:00	2000-02-02 00:00:00	Yes	2000-07-18 00:00:00	2000-03-13 00:00:00	B	B	500	500	0	500	0	050013560	A99999	N	None	None	SFY1999-00
050000871	MAGNOLIA COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-07-20 00:00:00	050001389	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-02-14 00:00:00	2000-02-14 00:00:00	Yes	2000-11-24 00:00:00	2001-03-19 00:00:00	A	A	6000	2000	0	2000	0	050014120	A99999	N	None	None	SFY2000-01
050000871	MAGNOLIA COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-01-23 00:00:00	050001437	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-22 00:00:00	None	Yes	2001-06-18 00:00:00	2001-01-25 00:00:00	B	B	800	800	0	800	0	050014669	A99999	N	None	None	SFY2000-01
050000648	MORRO BAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-19 00:00:00	050001472	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-06-24 00:00:00	2001-06-24 00:00:00	Yes	2002-01-28 00:00:00	2002-01-22 00:00:00	A	Drop>Deficiency	2500	2500	0	2500	0	050015471	A99999	N	None	None	SFY2001-02
050000648	MORRO BAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-19 00:00:00	050001473	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-09-16 00:00:00	2001-09-16 00:00:00	Yes	2002-02-14 00:00:00	2002-01-29 00:00:00	A	Dismissed by Court	2500	0	0	0	0	050015473	A99999	N	None	None	SFY2001-02
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-10-29 00:00:00	050001476	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-13 00:00:00	2001-07-31 00:00:00	No	2001-11-27 00:00:00	None	B	None	900	900	0	900	0	050015484	A99999	N	None	None	SFY2001-02
050001278	MOORPARK HEALTHCARE CENTER	LTC	CLHF	Congregate Living Health Facility	Ventura	2001-11-19 00:00:00	050001480	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-10-08 00:00:00	None	No	2001-12-13 00:00:00	None	B	None	700	700	-245	455	0	050015510	A99999	N	None	None	SFY2001-02
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-03-21 00:00:00	050001496	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-26 00:00:00	None	No	2002-04-17 00:00:00	None	B	None	1000	1000	-350	650	0	050015765	A99999	N	None	None	SFY2001-02
050000648	MORRO BAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-10 00:00:00	050001501	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-12 00:00:00	None	Yes	2002-10-04 00:00:00	2002-05-10 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	050015858	A99999	N	None	None	SFY2001-02
050000648	MORRO BAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-21 00:00:00	050001504	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-24 00:00:00	None	Yes	2002-10-17 00:00:00	2002-09-30 00:00:00	B	Drop>Deficiency	800	600	0	600	0	050015876	A99999	N	None	None	SFY2001-02
050000469	MOMENTUM AGENCIES BEL AIR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-06-11 00:00:00	050001509	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-04-16 00:00:00	None	No	2002-07-08 00:00:00	None	A	None	5000	5000	-1750	3250	0	050015920	A99999	N	None	None	SFY2001-02
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-07-19 00:00:00	050001512	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-30 00:00:00	None	No	2002-08-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	050016000	A99999	N	None	None	SFY2002-03
050000140	MARIAN REGIONAL MEDICAL CENTER DP/SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2002-08-07 00:00:00	050001514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-07-12 00:00:00	None	No	2002-08-30 00:00:00	None	B	None	100	100	0	100	0	050016028	A99999	N	None	None	SFY2002-03
050000140	MARIAN REGIONAL MEDICAL CENTER DP/SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2002-08-21 00:00:00	050001516	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-07 00:00:00	None	No	2002-09-17 00:00:00	None	A	None	5000	5000	-1750	3250	0	050016072	A99999	N	None	None	SFY2002-03
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-11-26 00:00:00	050001539	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-09-16 00:00:00	None	Yes	2002-12-23 00:00:00	2002-12-16 00:00:00	AA	AA	50000	50000	0	50000	0	050016286	A99999	Y	None	None	SFY2002-03
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-02-20 00:00:00	050001546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-14 00:00:00	None	Yes	2003-10-06 00:00:00	2003-03-06 00:00:00	A	A	12000	12000	0	12000	0	050016468	A99999	N	None	None	SFY2002-03
050000055	MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2003-02-20 00:00:00	050001547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-26 00:00:00	None	No	2003-03-14 00:00:00	None	B	None	300	300	-105	195	0	050016469	A99999	N	None	None	SFY2002-03
050000469	MOMENTUM AGENCIES BEL AIR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-19 00:00:00	050001555	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2002-12-31 00:00:00	None	No	2003-04-11 00:00:00	None	B	None	800	800	-280	520	0	050016529	A99999	N	None	None	SFY2002-03
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-30 00:00:00	050001577	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-16 00:00:00	None	No	2003-06-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	050016688	A99999	N	None	None	SFY2002-03
050001278	MOORPARK HEALTHCARE CENTER	LTC	CLHF	Congregate Living Health Facility	Ventura	2003-08-12 00:00:00	050001583	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-05-26 00:00:00	None	No	2003-09-04 00:00:00	None	B	None	1000	1000	-350	650	0	050016782	A99999	N	None	None	SFY2003-04
050000604	MOONSTONE HOME ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-02-09 00:00:00	050001624	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-03 00:00:00	None	No	2005-03-07 00:00:00	None	B	None	500	500	-175	325	0	050017796	A99999	N	None	None	SFY2004-05
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2005-05-25 00:00:00	050001628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-27 00:00:00	2005-04-27 00:00:00	No	2005-06-27 00:00:00	None	B	None	800	800	-280	520	0	050017803	A99999	N	None	None	SFY2004-05
050001278	MOORPARK HEALTHCARE CENTER	LTC	CLHF	Congregate Living Health Facility	Ventura	2005-12-13 00:00:00	050001638	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-08-27 00:00:00	2005-08-27 00:00:00	No	2006-01-09 00:00:00	None	B	None	250	250	0	250	0	050017844	A99999	N	None	None	SFY2005-06
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-12-22 00:00:00	050001641	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-12 00:00:00	2005-03-12 00:00:00	No	2006-01-17 00:00:00	None	B	None	600	600	-210	390	0	050017848	A99999	N	None	None	SFY2005-06
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-12-22 00:00:00	050001642	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-27 00:00:00	2005-04-27 00:00:00	No	2006-01-17 00:00:00	None	B	None	800	800	-280	520	0	050017849	A99999	N	None	None	SFY2005-06
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-04-06 00:00:00	050003015	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-14 00:00:00	2005-06-14 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	JZ0911	N	CA00052868	C	SFY2005-06
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-04-06 00:00:00	050003016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-12 00:00:00	2004-12-12 00:00:00	No	2006-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	LK2411	N	CA00054325	C	SFY2005-06
050000604	MOONSTONE HOME ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-08-14 00:00:00	050003283	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-30 00:00:00	2006-05-30 00:00:00	No	2006-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	1LTE11	N	CA00083159	C	SFY2006-07
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-25 00:00:00	050003660	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-06 00:00:00	2006-11-06 00:00:00	No	2007-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJOV11	N	CA00097915	B	SFY2006-07
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-25 00:00:00	050003661	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-22 00:00:00	2006-11-22 00:00:00	No	2007-02-15 00:00:00	None	B	None	800	800	-280	520	0	None	XJOV11	N	CA00099424	C	SFY2006-07
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-01-25 00:00:00	050003662	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-11 00:00:00	2006-11-11 00:00:00	No	2007-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	XJOV11	N	CA00099028	B	SFY2006-07
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-02-22 00:00:00	050003729	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-09 00:00:00	2006-06-09 00:00:00	No	2007-03-15 00:00:00	None	A	None	20000	20250	-7000	13250	0	None	77HK11	N	CA00083618	C	SFY2006-07
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-10-29 00:00:00	050003730	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-11 00:00:00	2006-06-11 00:00:00	No	2007-11-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	J6EI11	N	CA00087725, CA00088800	C, C	SFY2007-08
050000871	MAGNOLIA COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-11-06 00:00:00	050003868	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-18 00:00:00	2006-04-18 00:00:00	Yes	2007-12-04 00:00:00	2007-11-19 00:00:00	B	B	1000	500	0	500	0	None	M2MF11	N	CA00088325	C	SFY2007-08
050000871	MAGNOLIA COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-11-06 00:00:00	050003869	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-04-29 00:00:00	2006-04-29 00:00:00	Yes	2007-11-30 00:00:00	2009-09-08 00:00:00	A	A	2000	2000	0	2000	0	None	M2MF11	N	CA00079682	C	SFY2007-08
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-11-05 00:00:00	050004426	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-14 00:00:00	2006-07-14 00:00:00	No	2007-11-29 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	104Z11	N	CA00091669	C	SFY2007-08
050000004	MISSION PARK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2008-04-16 00:00:00	050004845	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-02-12 00:00:00	2005-02-12 00:00:00	No	2008-05-07 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	ZTZY11	N	CA00137555	C	SFY2007-08
050000140	MARIAN REGIONAL MEDICAL CENTER DP/SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-16 00:00:00	050005557	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-17 00:00:00	2008-09-17 00:00:00	No	2009-02-10 00:00:00	None	B	None	800	800	-280	520	0	None	H6BQ11	N	None	None	SFY2008-09
050000629	MITCHELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2009-04-30 00:00:00	050006139	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-18 00:00:00	2009-04-18 00:00:00	No	2009-05-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	HMJT11	N	CA00185445, CA00185532	B, B	SFY2008-09
050000468	MOMENTUM AGENCIES ICF/DD-N HILLCREST	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2012-04-11 00:00:00	050007674	Closed	Citation	Citation B (HSC 1424)	Patient Rights	sexual abuse	2010-09-18 00:00:00	2010-09-18 00:00:00	No	2012-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	56PP11	N	CA00243428	B	SFY2011-12
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-09-19 00:00:00	050008404	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-01-20 00:00:00	2011-01-20 00:00:00	No	2011-10-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q3M411	N	CA00257324	C	SFY2011-12
050000468	MOMENTUM AGENCIES ICF/DD-N HILLCREST	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2012-04-11 00:00:00	050009214	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-18 00:00:00	2010-09-18 00:00:00	No	2012-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	56PP11	N	CA00243431	B	SFY2011-12
050000140	MARIAN REGIONAL MEDICAL CENTER DP/SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2012-08-08 00:00:00	050009380	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-19 00:00:00	2011-10-19 00:00:00	No	2012-08-29 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	4W7U11	N	CA00287725	E	SFY2012-13
050000055	MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOSPITAL	LTC	SNF	Skilled Nursing Facility	Ventura	2015-11-03 00:00:00	050011175	Closed	Citation	Citation A (HSC 1424)	Medication	None	2014-11-27 00:00:00	2014-11-27 00:00:00	No	2015-11-25 00:00:00	None	A	None	4500	4500	-1575	2925	0	None	B2FE11	N	CA00422115	A	SFY2015-16
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2015-11-24 00:00:00	050011521	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-24 00:00:00	2014-08-24 00:00:00	Yes	2015-12-17 00:00:00	2015-12-14 00:00:00	B	B	1000	1000	0	1000	0	None	SKJM11	N	CA00436135, CA00441101	B, B	SFY2015-16
050000629	MITCHELL HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2015-10-19 00:00:00	050011629	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-21 00:00:00	2015-05-21 00:00:00	No	2015-11-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	I58X11	N	CA00442864, CA00448196	B, B	SFY2015-16
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-01-26 00:00:00	050011735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-07-25 00:00:00	2015-07-25 00:00:00	Yes	2016-02-17 00:00:00	2016-02-08 00:00:00	B	B	2000	1500	0	1500	0	None	ITZ711	N	None	None	SFY2015-16
050000051	MISSION VIEW HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2018-02-27 00:00:00	050013770	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-06 00:00:00	2017-11-06 00:00:00	Yes	2018-03-20 00:00:00	2018-03-02 00:00:00	A	B	17000	17000	0	17000	0	None	L0FS11	N	CA00560064, CA00560184, CA00561916, CA00562409	A, A, B, B	SFY2017-18
050000468	MOMENTUM AGENCIES ICF/DD-N HILLCREST	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2019-02-25 00:00:00	050014753	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-11 00:00:00	2018-12-11 00:00:00	No	2019-03-18 00:00:00	None	B	None	1805	1805	-631.75	1173.25	0	None	PJO911	N	CA00615637, CA00615637	B, B	SFY2018-19
050000079	MILTON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2023-06-15 00:00:00	050018710	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-06 00:00:00	2023-04-06 00:00:00	No	2023-07-07 00:00:00	None	B	None	2430	2430	0	2430	0	None	6FX711	N	CA00836860	A	SFY2022-23
060000784	MOMENTUM AGENCIES ICF/DD-H BUENA PARK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2000-10-24 00:00:00	060001031	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-03 00:00:00	None	No	2000-11-15 00:00:00	None	B	None	700	700	-245	455	0	060009862	A99999	N	None	None	SFY2000-01
060001466	MANGO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2000-12-06 00:00:00	060001035	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	None	No	2000-12-29 00:00:00	None	B	None	500	550	0	550	0	060009968	A99999	N	None	None	SFY2000-01
060001374	MERCED HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2002-03-11 00:00:00	060001089	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-17 00:00:00	None	No	2002-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	060011651	A99999	N	None	None	SFY2001-02
060001149	MISSION HOSPITAL LAGUNA BEACH D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2002-11-13 00:00:00	060001121	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-24 00:00:00	None	No	2002-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	060012680	A99999	N	None	None	SFY2002-03
060000055	MISSION PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-09-14 00:00:00	060001178	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-07-03 00:00:00	None	No	2004-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	060014982	A99999	N	None	None	SFY2004-05
060000055	MISSION PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2005-03-17 00:00:00	060001189	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-07 00:00:00	None	No	2005-04-13 00:00:00	None	B	None	800	800	-280	520	0	060015320	A99999	N	None	None	SFY2004-05
060001374	MERCED HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2006-03-02 00:00:00	060002880	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-06 00:00:00	2005-12-06 00:00:00	No	2006-03-23 00:00:00	None	B	None	500	500	-175	325	0	None	VLRX11	N	CA00069956	C	SFY2005-06
060001970	MARGARET'S HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2006-04-10 00:00:00	060003023	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2006-01-26 00:00:00	2006-01-26 00:00:00	Yes	2006-05-01 00:00:00	2006-04-11 00:00:00	AA	AA	50000	50000	0	50000	0	None	P6J011	Y	CA00071159	C	SFY2005-06
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-06-28 00:00:00	060003179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-03 00:00:00	2006-02-03 00:00:00	No	2006-07-20 00:00:00	None	B	None	750	750	0	750	0	None	UFM111	N	CA00073470	C	SFY2005-06
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2007-01-30 00:00:00	060003656	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-23 00:00:00	2006-11-23 00:00:00	No	2007-02-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	S80U11	N	CA00100354	C	SFY2006-07
060000122	MESA VERDE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-04-17 00:00:00	060003878	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-04 00:00:00	2007-04-04 00:00:00	Yes	2007-05-18 00:00:00	2007-04-24 00:00:00	A	A	25000	1000	0	1000	0	None	3UZ011	N	CA00106841	A	SFY2006-07
060001374	MERCED HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-08-13 00:00:00	060004175	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-07-30 00:00:00	2007-07-30 00:00:00	No	2007-09-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	JH5U12	N	None	None	SFY2007-08
060001466	MANGO HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2007-10-12 00:00:00	060004346	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-19 00:00:00	2007-09-19 00:00:00	Yes	2007-11-02 00:00:00	2007-10-15 00:00:00	B	B	1000	500	0	500	0	None	0PXH11	N	CA00126466	C	SFY2007-08
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2008-03-13 00:00:00	060004772	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-22 00:00:00	2007-12-22 00:00:00	No	2008-04-04 00:00:00	None	B	None	500	500	-175	325	0	None	999999	N	None	None	SFY2007-08
060001374	MERCED HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2008-05-23 00:00:00	060005066	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-05-06 00:00:00	2008-05-06 00:00:00	No	2008-06-16 00:00:00	None	B	None	1000	1100	-1100	0	0	None	E54G11	N	None	None	SFY2007-08
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2009-04-07 00:00:00	060006051	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-03-18 00:00:00	2009-03-18 00:00:00	No	2009-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	28CJ11	N	CA00181390	C	SFY2008-09
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-17 00:00:00	060008475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-29 00:00:00	2011-05-29 00:00:00	No	2011-09-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	0UZY11	N	CA00271148	B	SFY2011-12
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-17 00:00:00	060008478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-10 00:00:00	2011-06-10 00:00:00	No	2011-09-07 00:00:00	None	B	None	700	700	0	700	0	None	KNFW11	N	CA00272663	C	SFY2011-12
630012459	MARK LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2015-10-15 00:00:00	060009604	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-19 00:00:00	2012-08-19 00:00:00	Yes	2015-11-05 00:00:00	2012-11-30 00:00:00	B	B	3500	3500	0	3500	0	None	M3F611	N	None	None	SFY2015-16
060000055	MISSION PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2013-05-23 00:00:00	060009916	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-03-08 00:00:00	2013-03-08 00:00:00	Yes	2013-06-14 00:00:00	2013-05-30 00:00:00	A	A	7000	4000	0	4000	0	None	QYQ411	Y	CA00352356	B	SFY2012-13
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2014-07-24 00:00:00	060010883	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-07-03 00:00:00	2014-07-03 00:00:00	No	2014-08-14 00:00:00	None	B	None	1500	2600	-525	2075	0	None	JFNW11	N	CA00403433	C	SFY2014-15
060000122	MESA VERDE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2014-11-14 00:00:00	060011127	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-08-12 00:00:00	2014-08-12 00:00:00	No	2014-12-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KHLZ11	N	CA00409853	B	SFY2014-15
630012459	MARK LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2015-10-15 00:00:00	060011249	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-19 00:00:00	2012-08-19 00:00:00	Yes	2015-11-05 00:00:00	2012-11-30 00:00:00	B	B	3500	3500	0	3500	0	None	M3F611	N	None	None	SFY2015-16
060000122	MESA VERDE POST ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2015-10-13 00:00:00	060011742	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-07-14 00:00:00	2014-07-14 00:00:00	No	2015-11-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KZFV11	N	CA00451192, CA00453124, CA00453414, CA00454038, CA00455730	B, B, C, C, C	SFY2015-16
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2015-11-16 00:00:00	060011842	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-31 00:00:00	2015-08-31 00:00:00	No	2015-12-09 00:00:00	None	B	None	1500	1500	-525	975	0	None	VRWS11	N	CA00457821	C	SFY2015-16
630012459	MARK LANE ONE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2016-11-08 00:00:00	060012730	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-05 00:00:00	2016-10-05 00:00:00	No	2016-12-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	XZW811	N	CA00500927	B	SFY2016-17
060000784	MOMENTUM AGENCIES ICF/DD-H BUENA PARK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2017-08-30 00:00:00	060013458	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-12 00:00:00	2017-06-12 00:00:00	No	2017-09-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	O39M11	N	None	None	SFY2017-18
060000083	MALBORO HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2018-06-14 00:00:00	060014151	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-19 00:00:00	2018-04-19 00:00:00	No	2018-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	0MT211	N	CA00584045	B	SFY2017-18
630014382	MARK LANE TWO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-06-17 00:00:00	060015902	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-25 00:00:00	2020-02-25 00:00:00	No	2020-07-08 00:00:00	None	B	None	1000	1650	-350	1300	0	None	TXTZ11	N	None	None	SFY2019-20
630014382	MARK LANE TWO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-09-21 00:00:00	060016940	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-11 00:00:00	2021-08-11 00:00:00	No	2021-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZF9311	N	None	None	SFY2021-22
630014382	MARK LANE TWO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-09-27 00:00:00	060016944	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-07-10 00:00:00	2021-07-10 00:00:00	No	2021-10-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	7W8711	N	CA00744335	B	SFY2021-22
630014382	MARK LANE TWO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-12-14 00:00:00	060017188	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-07 00:00:00	2021-12-07 00:00:00	No	2022-01-04 00:00:00	None	B	None	1000	3200	0	3200	0	None	BS6I11	N	CA00758916	B	SFY2021-22
080001538	MAINPLACE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2023-03-30 00:00:00	060018583	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-04 00:00:00	2023-01-04 00:00:00	No	2023-04-21 00:00:00	None	A	None	40000	40000	-14000	26000	0	None	546L11	Y	None	None	SFY2022-23
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-07 00:00:00	070002308	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-29 00:00:00	None	Yes	2001-07-09 00:00:00	2000-01-20 00:00:00	B	B	800	800	0	800	0	070014363	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-07 00:00:00	070002309	Closed	Citation	Citation B (HSC 1424)	Medication	None	1999-12-13 00:00:00	None	Yes	2001-07-16 00:00:00	2000-01-20 00:00:00	B	B	800	800	0	800	0	070014371	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-07 00:00:00	070002310	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-24 00:00:00	None	Yes	2001-07-17 00:00:00	2000-01-20 00:00:00	B	B	800	950	0	950	0	070014372	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-01-13 00:00:00	070002311	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-24 00:00:00	None	Yes	2001-07-17 00:00:00	2000-01-20 00:00:00	B	B	800	800	0	800	0	070014391	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-05-17 00:00:00	070002326	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-05 00:00:00	None	Yes	2001-07-06 00:00:00	2000-05-19 00:00:00	B	B	1000	1000	0	1000	0	070014740	A99999	N	None	None	SFY1999-00
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-23 00:00:00	070002379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-21 00:00:00	None	No	2001-04-13 00:00:00	None	B	None	1000	3000	0	3000	0	070016047	A99999	N	None	None	SFY2000-01
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-07-12 00:00:00	070002395	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-31 00:00:00	None	Yes	2002-01-10 00:00:00	2001-07-19 00:00:00	B	B	1000	1000	-1000	0	0	070016322	A99999	N	None	None	SFY2001-02
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-06-19 00:00:00	070002515	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-04-04 00:00:00	None	No	2003-07-11 00:00:00	None	B	None	800	800	-280	520	0	070019127	A99999	N	None	None	SFY2002-03
070000030	MARGUERITE TERRACE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-02-19 00:00:00	070002558	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-15 00:00:00	None	No	2004-03-12 00:00:00	None	B	None	800	800	-280	520	0	070019819	A99999	N	None	None	SFY2003-04
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-22 00:00:00	070002563	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-02-05 00:00:00	None	Yes	2006-12-08 00:00:00	2004-04-12 00:00:00	AA	AA	90000	90000	0	90000	0	070019856	A99999	Y	None	None	SFY2003-04
070000014	MONTEREY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Jose	2004-05-03 00:00:00	070002576	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-09 00:00:00	None	No	2004-05-27 00:00:00	None	B	None	500	500	-500	0	0	070019977	A99999	N	None	None	SFY2003-04
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2004-06-01 00:00:00	070002582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-26 00:00:00	None	No	2004-06-24 00:00:00	None	B	None	1000	1000	-350	650	0	070020032	A99999	N	None	None	SFY2003-04
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2005-06-02 00:00:00	070002599	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-01-09 00:00:00	None	No	2005-06-24 00:00:00	None	B	None	500	500	-175	325	0	070020481	A99999	N	None	None	SFY2004-05
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-04-06 00:00:00	070003018	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-02-17 00:00:00	2006-02-17 00:00:00	No	2006-04-27 00:00:00	None	B	None	900	900	-315	585	0	None	1TE611	N	None	None	SFY2005-06
070000030	MARGUERITE TERRACE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-07-14 00:00:00	070003210	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-04-19 00:00:00	2006-04-19 00:00:00	Yes	2006-08-04 00:00:00	2006-07-28 00:00:00	A	A	20000	20000	0	20000	0	None	H08T11	N	CA00083254, CA00084243	B, B	SFY2006-07
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-12 00:00:00	070004091	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-29 00:00:00	2006-08-29 00:00:00	No	2007-08-02 00:00:00	None	B	None	600	700	-210	490	0	None	36JK11	N	CA00091871	B	SFY2007-08
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-16 00:00:00	070004590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-08 00:00:00	2007-12-08 00:00:00	No	2008-02-11 00:00:00	None	B	None	600	600	-210	390	0	None	PKGA11	N	CA00134378	B	SFY2007-08
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-24 00:00:00	070004596	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-28 00:00:00	2007-10-28 00:00:00	No	2008-02-15 00:00:00	None	B	None	800	800	-280	520	0	None	X43U11	N	CA00131647	B	SFY2007-08
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-02-08 00:00:00	070004656	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-08 00:00:00	2008-01-08 00:00:00	No	2008-03-04 00:00:00	None	B	None	900	900	-315	585	0	None	ZL3G11	N	CA00137137	B	SFY2007-08
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-25 00:00:00	070005901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-07 00:00:00	2009-01-07 00:00:00	No	2009-03-20 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	E18F11	N	CA00177323	B	SFY2008-09
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-09-14 00:00:00	070006543	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-19 00:00:00	2009-06-19 00:00:00	No	2009-10-19 00:00:00	None	B	None	800	800	-280	520	0	None	RW2N11	N	None	None	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-01 00:00:00	070006588	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-19 00:00:00	2009-09-19 00:00:00	No	2009-10-28 00:00:00	None	B	None	800	800	0	800	0	None	W1EF11	N	CA00202754	B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-10-20 00:00:00	070006634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-20 00:00:00	2009-09-20 00:00:00	No	2009-11-10 00:00:00	None	B	None	800	800	-280	520	0	None	W1EF11	N	CA00202523	B	SFY2009-10
070000059	MORGAN HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-01-28 00:00:00	070006948	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-01-13 00:00:00	2010-01-13 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	M6RK11	N	None	None	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-16 00:00:00	070007050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-19 00:00:00	2010-01-19 00:00:00	No	2010-04-21 00:00:00	None	B	None	600	600	-210	390	0	None	3SAS11	N	CA00215603	B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-14 00:00:00	070007173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-19 00:00:00	2010-03-19 00:00:00	No	2010-07-05 00:00:00	None	B	None	800	800	0	800	0	None	EGH811	N	CA00222298	B	SFY2009-10
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-25 00:00:00	070007185	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-19 00:00:00	2010-04-19 00:00:00	Yes	2010-12-02 00:00:00	2010-05-26 00:00:00	B	None	750	750	0	750	0	None	S8PG11	N	CA00226951	B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-14 00:00:00	070007309	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2010-11-30 00:00:00	None	B	None	800	800	0	800	0	None	EGH811	N	CA00223129	B	SFY2009-10
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-07-16 00:00:00	070007354	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-14 00:00:00	2010-06-14 00:00:00	No	2010-08-06 00:00:00	None	B	None	800	800	-280	520	0	None	WDNQ11	N	CA00233492	B	SFY2010-11
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-09-27 00:00:00	070007598	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-15 00:00:00	2010-09-15 00:00:00	No	2010-10-18 00:00:00	None	B	None	800	800	-280	520	0	None	TOLD11	N	CA00241146	B	SFY2010-11
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-19 00:00:00	070007704	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-23 00:00:00	2010-10-23 00:00:00	No	2010-12-14 00:00:00	None	B	None	700	2100	-735	1365	0	None	H4JZ11	N	CA00246988	B	SFY2010-11
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-29 00:00:00	070008056	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-02-19 00:00:00	2011-02-19 00:00:00	Yes	2012-11-30 00:00:00	2011-04-01 00:00:00	A	A	10000	10000	0	10000	0	None	HDD611	N	CA00260067	B	SFY2010-11
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-25 00:00:00	070008057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-08 00:00:00	2011-02-08 00:00:00	No	2011-04-18 00:00:00	None	B	None	850	2550	-892.5	1657.5	0	None	9BOR11	N	CA00259697	B	SFY2010-11
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-12-09 00:00:00	070008781	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-11-18 00:00:00	2011-11-18 00:00:00	Yes	2012-01-03 00:00:00	2011-12-30 00:00:00	A	A Trebled	20000	60000	0	60000	0	None	V0W611	N	CA00290353, CA00290648	B, B	SFY2011-12
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-03-24 00:00:00	070011333	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-02-22 00:00:00	2015-02-22 00:00:00	No	2015-04-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	0USZ11	N	CA00432626	B	SFY2014-15
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-07-27 00:00:00	070011494	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-04-04 00:00:00	2015-04-04 00:00:00	No	2015-08-17 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	7KN911	N	CA00437631	B	SFY2015-16
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-07-24 00:00:00	070011591	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-07 00:00:00	2015-06-07 00:00:00	No	2015-08-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	BSD911	N	CA00446175	B	SFY2015-16
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-07-24 00:00:00	070011592	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-07 00:00:00	2015-06-07 00:00:00	No	2015-08-14 00:00:00	None	B	None	500	500	0	500	0	None	BSD911	N	CA00446175	B	SFY2015-16
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-08-31 00:00:00	070012531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-07 00:00:00	2016-07-07 00:00:00	No	2016-09-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RF3B11	N	None	None	SFY2016-17
070000059	MORGAN HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-20 00:00:00	070012823	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-20 00:00:00	2016-07-20 00:00:00	No	2017-01-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	KM4811	N	None	None	SFY2016-17
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-02-07 00:00:00	070012940	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-18 00:00:00	2016-12-18 00:00:00	No	2017-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W6NN11	N	CA00515100, CA00515170, CA00515993, CA00516435	B, B, B, B	SFY2016-17
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-02-08 00:00:00	070012958	Closed	Citation	Citation B (HSC 1424)	Other	Readmission	2017-01-09 00:00:00	2017-01-09 00:00:00	Yes	2017-03-02 00:00:00	2017-02-13 00:00:00	B	B	2000	1300	0	1300	0	None	UKNF11	N	CA00517443, CA00520482	B, B	SFY2016-17
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-11 00:00:00	070013115	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-17 00:00:00	2017-02-17 00:00:00	No	2017-05-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	EPM011	N	CA00524747	B	SFY2016-17
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-10 00:00:00	070013422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-17 00:00:00	2017-01-17 00:00:00	No	2017-08-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VRDN11	N	None	None	SFY2017-18
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-01-02 00:00:00	070013699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-26 00:00:00	2017-11-26 00:00:00	No	2018-01-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BM6011	N	CA00562363	B	SFY2017-18
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-07-17 00:00:00	070014244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-07-03 00:00:00	2018-07-03 00:00:00	No	2018-08-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z0J311	N	CA00594264	A	SFY2018-19
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-03-15 00:00:00	070014892	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-02 00:00:00	2019-02-02 00:00:00	No	2019-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZZCB11	N	CA00623721	A	SFY2018-19
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-04-02 00:00:00	070014923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-03-15 00:00:00	2019-03-15 00:00:00	No	2019-04-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WZEB11	N	CA00628924	B	SFY2018-19
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-02 00:00:00	070015191	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2019-06-17 00:00:00	2019-06-17 00:00:00	No	2019-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YO5Z11	N	None	None	SFY2019-20
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-19 00:00:00	070015307	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-06-02 00:00:00	2019-06-02 00:00:00	No	2019-09-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V38E11	N	None	None	SFY2019-20
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-19 00:00:00	070015611	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-11-24 00:00:00	2019-11-24 00:00:00	Yes	2020-03-11 00:00:00	2020-03-05 00:00:00	B	B	2000	1300	0	1300	0	None	3RVP11	N	CA00666658, CA00666827	A, B	SFY2019-20
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-01-06 00:00:00	070015659	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-12-04 00:00:00	2019-12-04 00:00:00	Yes	2020-01-27 00:00:00	2020-01-13 00:00:00	B	None	2000	2000	0	2000	0	None	7MQ811	N	CA00668716	B	SFY2019-20
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-03-19 00:00:00	070016369	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-09-17 00:00:00	2019-09-17 00:00:00	No	2021-04-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	WJ2N11	N	CA00703969	B	SFY2020-21
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-09-08 00:00:00	070016503	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-02-22 00:00:00	2021-02-22 00:00:00	No	2021-09-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2D5K11	N	None	None	SFY2021-22
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-06-28 00:00:00	070016625	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-06-05 00:00:00	2021-06-05 00:00:00	No	2021-07-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	34RB11	N	None	None	SFY2020-21
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-10-22 00:00:00	070017033	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-13 00:00:00	2021-10-13 00:00:00	No	2021-11-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	WFUB11	N	CA00753109, CA00756736	B, B	SFY2021-22
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-04-05 00:00:00	070017499	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-25 00:00:00	2020-11-25 00:00:00	Yes	2022-04-26 00:00:00	2022-04-08 00:00:00	B	None	2000	3550	0	3550	0	None	4KFU11	N	CA00714223	B	SFY2021-22
070000047	MILPITAS CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-04-04 00:00:00	070017537	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-10 00:00:00	2022-02-10 00:00:00	Yes	2022-04-25 00:00:00	2022-04-07 00:00:00	B	None	2000	2000	0	2000	0	None	VILM11	N	CA00772290	A	SFY2021-22
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-17 00:00:00	070019849	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-06-03 00:00:00	2023-06-03 00:00:00	Yes	2024-06-10 00:00:00	2024-06-07 00:00:00	AA	None	100000	100000	0	0	100000	None	SRRR11	Y	CA00876083	B	SFY2023-24
070000626	MISSION DE LA CASA NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-16 00:00:00	070020009	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-19 00:00:00	2024-02-19 00:00:00	No	2024-05-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C5U911	N	CA00886175	B	SFY2023-24
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-06-17 00:00:00	070020234	Open	Citation	Citation A (HSC 1424)	Other	Abuse	2023-12-13 00:00:00	2023-12-13 00:00:00	Yes	2024-07-09 00:00:00	2024-06-20 00:00:00	A	None	60000	60000	0	0	60000	None	12V511	Y	CA00874766, CA00875588	A, A	SFY2023-24
080001708	MONTECATINI	LTC	CLHF	Congregate Living Health Facility	San Diego	2010-11-19 00:00:00	080007709	Closed	Citation	Citation B (HSC 1424)	Other	PHARMACEUDICAL SERVICES	2010-09-22 00:00:00	2010-09-22 00:00:00	No	2010-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	KMRY11	N	CA00236428	B	SFY2010-11
080001708	MONTECATINI	LTC	CLHF	Congregate Living Health Facility	San Diego	2010-11-19 00:00:00	080007710	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICES	2010-09-22 00:00:00	2010-09-22 00:00:00	No	2010-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	KMRY11	N	CA00236428	B	SFY2010-11
090001340	MOUNTAIN SHADOWS COMMUNITY HOMES - OAK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-07-25 00:00:00	090002755	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-30 00:00:00	None	No	2000-08-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	090021955	A99999	N	None	None	SFY2000-01
090001342	MOUNTAIN SHADOWS COMMUNITY HOMES - ELM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-09-20 00:00:00	090002757	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-06 00:00:00	2000-07-06 00:00:00	No	2000-11-28 00:00:00	None	B	None	650	650	-227.5	422.5	0	090022156	A99999	N	None	None	SFY2000-01
090000119	MOUNT VERNON GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2000-10-11 00:00:00	090002759	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-02 00:00:00	2000-07-02 00:00:00	No	2000-11-02 00:00:00	None	B	None	500	500	-175	325	0	090022181	A99999	N	None	None	SFY2000-01
090001316	MILLER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-08-17 00:00:00	090002772	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-06-17 00:00:00	2001-06-17 00:00:00	No	2001-09-10 00:00:00	None	B	None	800	800	-280	520	0	090023151	A99999	N	None	None	SFY2001-02
090000318	MOUNTAIN SHADOWS COMMUNITY HOMES - ORANGE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-10-24 00:00:00	090002781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-22 00:00:00	2001-10-22 00:00:00	No	2001-11-19 00:00:00	None	B	None	850	850	-297.5	552.5	0	090023353	A99999	N	None	None	SFY2001-02
090000282	MOUNTAIN SHADOWS COMMUNITY HOMES - PALM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-01-17 00:00:00	090002787	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-21 00:00:00	2001-12-21 00:00:00	No	2002-02-11 00:00:00	None	B	None	950	950	-332.5	617.5	0	090023545	A99999	N	None	None	SFY2001-02
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-02-06 00:00:00	090002788	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-08 00:00:00	2002-01-08 00:00:00	No	2002-03-06 00:00:00	None	B	None	550	550	-192.5	357.5	0	090023583	A99999	N	None	None	SFY2001-02
090000277	MOUNTAIN SHADOWS COMMUNITY HOMES - ASH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-06-07 00:00:00	090002803	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-05 00:00:00	2002-06-05 00:00:00	No	2002-06-28 00:00:00	None	B	None	500	500	0	500	0	090023995	A99999	N	None	None	SFY2001-02
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-06-12 00:00:00	090002804	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-19 00:00:00	2002-05-19 00:00:00	No	2002-07-03 00:00:00	None	B	None	550	1650	-577.5	1072.5	0	090023997	A99999	N	None	None	SFY2001-02
090000282	MOUNTAIN SHADOWS COMMUNITY HOMES - PALM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-08-15 00:00:00	090002808	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-16 00:00:00	2002-06-16 00:00:00	No	2002-09-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	090024082	A99999	N	None	None	SFY2002-03
090000745	MONTGOMERY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-08-20 00:00:00	090002809	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-17 00:00:00	2002-07-17 00:00:00	No	2002-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	090024269	A99999	N	None	None	SFY2002-03
090000317	MOUNTAIN SHADOWS COMMUNITY HOMES - MAPLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-08-20 00:00:00	090002810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-09 00:00:00	2002-07-09 00:00:00	No	2002-09-11 00:00:00	None	B	None	900	900	0	900	0	090024242	A99999	N	None	None	SFY2002-03
090000280	MOUNTAIN SHADOWS COMMUNITY HOMES- CREPE MYRTLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2003-08-07 00:00:00	090002832	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-20 00:00:00	2003-07-20 00:00:00	No	2003-08-28 00:00:00	None	B	None	1000	1000	-350	650	0	090025612	A99999	N	None	None	SFY2003-04
090000312	MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-08-02 00:00:00	090002843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-23 00:00:00	2004-04-23 00:00:00	No	2004-08-23 00:00:00	None	B	None	1000	1000	-350	650	0	090026947	A99999	N	None	None	SFY2004-05
090001340	MOUNTAIN SHADOWS COMMUNITY HOMES - OAK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-09-27 00:00:00	090002845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-29 00:00:00	2004-08-29 00:00:00	No	2004-10-19 00:00:00	None	B	None	1000	1000	-350	650	0	090027095	A99999	N	None	None	SFY2004-05
090000315	MOUNTAIN SHADOWS COMMUNITY HOMES - TANGELO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2005-07-01 00:00:00	090002854	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-06-08 00:00:00	2005-06-08 00:00:00	No	2005-07-25 00:00:00	None	B	None	750	750	-262.5	487.5	0	090027468	A99999	N	None	None	SFY2005-06
090001338	MARBLEHEAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-07-11 00:00:00	090003198	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-01-05 00:00:00	2006-01-05 00:00:00	Yes	2006-08-01 00:00:00	2006-07-13 00:00:00	AA	Dismissed by Court	25000	0	0	0	0	None	MP5F11	Y	None	None	SFY2006-07
090000277	MOUNTAIN SHADOWS COMMUNITY HOMES - ASH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-10-18 00:00:00	090003424	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-02 00:00:00	2006-09-02 00:00:00	No	2006-11-08 00:00:00	None	B	None	800	800	-280	520	0	None	UJ6S11	N	CA00091989	B	SFY2006-07
090000277	MOUNTAIN SHADOWS COMMUNITY HOMES - ASH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-12-29 00:00:00	090003611	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-06-13 00:00:00	2006-06-13 00:00:00	No	2007-01-22 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	PV8S11	N	CA00083694	B	SFY2006-07
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2009-05-13 00:00:00	090006180	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-01 00:00:00	2009-02-01 00:00:00	No	2009-06-04 00:00:00	None	B	None	800	800	-280	520	0	None	GVLU11	N	CA00176681	C	SFY2008-09
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-04-20 00:00:00	090008169	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-07 00:00:00	2010-04-07 00:00:00	No	2011-05-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	SX5711	Y	CA00224516	C	SFY2010-11
090000312	MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2012-09-05 00:00:00	090009474	Open	Citation	Citation B (HSC 1424)	Staffing	None	2012-04-30 00:00:00	2012-04-30 00:00:00	Yes	2012-09-26 00:00:00	2012-09-14 00:00:00	B	None	750	750	0	0	750	None	XN4D11	N	CA00308784	B	SFY2012-13
090001316	MILLER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2012-11-20 00:00:00	090009614	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-03-23 00:00:00	2012-03-23 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	SHZH11	N	CA00304294	B	SFY2012-13
090000134	MOUNTAIN SHADOWS COMMUNITY HOMES - OLIVE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2013-05-31 00:00:00	090009926	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-03-07 00:00:00	2013-03-07 00:00:00	No	2013-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	RUPV11	N	CA00346206, CA00346461, CA00347921, CA00347930	C, B, B, B	SFY2012-13
090000277	MOUNTAIN SHADOWS COMMUNITY HOMES - ASH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2014-03-28 00:00:00	090010419	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-01-04 00:00:00	2014-01-04 00:00:00	No	2014-04-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	VRVV11	N	CA00382681	B	SFY2013-14
090000003	MAGNOLIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2014-10-09 00:00:00	090010914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-02-03 00:00:00	2014-02-03 00:00:00	No	2014-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	OLD111	N	CA00387566	B	SFY2014-15
090000311	MOUNTAIN SHADOWS COMMUNITY HOMES - SPRUCE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2015-04-24 00:00:00	090011414	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-02-22 00:00:00	2015-02-22 00:00:00	No	2015-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	13Y111	N	CA00433225	B	SFY2014-15
090000312	MOUNTAIN SHADOWS COMMUNITY HOMES - LEMON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2015-06-30 00:00:00	090011586	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-17 00:00:00	2015-04-17 00:00:00	No	2015-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	I7IB11	N	CA00439260	A	SFY2014-15
090000039	MISSION HILLS POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2015-11-24 00:00:00	090011869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-26 00:00:00	2015-10-26 00:00:00	No	2015-12-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	9ZR111	N	CA00452724	B	SFY2015-16
090000119	MOUNT VERNON GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2016-10-13 00:00:00	090012650	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-27 00:00:00	2016-05-27 00:00:00	No	2016-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	4XZ511	N	CA00490091	A	SFY2016-17
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-11-02 00:00:00	100002042	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-18 00:00:00	2000-03-18 00:00:00	Yes	2001-06-20 00:00:00	2001-06-06 00:00:00	A	A	10000	10250	0	10250	0	100014720	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-01-18 00:00:00	100002054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-05 00:00:00	None	No	2001-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	100014747	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-01-18 00:00:00	100002055	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-05-19 00:00:00	None	No	2001-02-08 00:00:00	None	B	None	1000	1000	0	1000	0	100014747	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-06 00:00:00	100002060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-05 00:00:00	None	No	2001-03-01 00:00:00	None	A	None	16000	16000	-5600	10400	0	100015123	A99999	N	None	None	SFY2000-01
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-02-06 00:00:00	100002062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-05 00:00:00	None	No	2001-03-01 00:00:00	None	A	None	16000	16000	-5600	10400	0	100015123	A99999	N	None	None	SFY2000-01
100001445	MACIEL PROGRAM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2001-08-03 00:00:00	100002092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-11 00:00:00	None	No	2001-08-24 00:00:00	None	B	None	900	900	0	900	0	100015584	A99999	N	None	None	SFY2001-02
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-24 00:00:00	100002119	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-08 00:00:00	None	No	2001-11-15 00:00:00	None	B	None	800	800	-280	520	0	100015908	A99999	N	None	None	SFY2001-02
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-03-29 00:00:00	100002150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-01-09 00:00:00	None	Yes	2002-04-25 00:00:00	2002-04-10 00:00:00	A	A	20000	12500	0	12500	0	100016140	A99999	N	None	None	SFY2001-02
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-14 00:00:00	100002171	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-25 00:00:00	None	No	2002-09-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	100016875	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-14 00:00:00	100002173	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-26 00:00:00	None	No	2002-09-09 00:00:00	None	B	None	1000	1000	-350	650	0	100016663	A99999	N	None	None	SFY2002-03
100001535	MEADOWOOD A HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2002-09-13 00:00:00	100002178	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-25 00:00:00	None	No	2002-10-08 00:00:00	None	B	None	600	600	-210	390	0	100016804	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-09-25 00:00:00	100002179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-29 00:00:00	None	No	2002-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	100016827	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-09-25 00:00:00	100002180	Closed	Citation	Citation A (HSC 1424)	Other	PR,C	2002-08-01 00:00:00	None	No	2002-11-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	100016938	A99999	N	None	None	SFY2002-03
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-10-11 00:00:00	100002181	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-12 00:00:00	None	Yes	2002-11-06 00:00:00	2002-10-17 00:00:00	B	B	1000	350	0	350	0	100016895	A99999	N	None	None	SFY2002-03
100001445	MACIEL PROGRAM	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2002-11-01 00:00:00	100002185	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2002-01-30 00:00:00	None	No	2002-12-06 00:00:00	None	B	None	1000	1000	-350	650	0	100016385	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-11-15 00:00:00	100002191	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-20 00:00:00	None	No	2002-12-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	100017058	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-02-21 00:00:00	100002202	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-04 00:00:00	None	No	2003-03-19 00:00:00	None	B	None	1000	3000	0	3000	0	100017227	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-07 00:00:00	100002207	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-11 00:00:00	None	No	2003-04-03 00:00:00	None	A	None	20000	20000	-7000	13000	0	100016641	A99999	N	None	None	SFY2002-03
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-25 00:00:00	100002210	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-06-24 00:00:00	None	Yes	2003-04-18 00:00:00	2003-04-16 00:00:00	AA	A	85000	8500	0	8500	0	100016696	A99999	Y	None	None	SFY2002-03
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-07-03 00:00:00	100002225	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-04 00:00:00	None	Yes	2003-07-31 00:00:00	2003-07-08 00:00:00	A	A	15000	5000	0	5000	0	100017468	A99999	N	None	None	SFY2003-04
100001804	MY FRIENDS PEDIATRIC DAY HEALTH CARE CENTER II	LTC	PDHRCF	Pediatric Day Health & Respite Care Facility	Sacramento	2004-03-15 00:00:00	100002255	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-02-18 00:00:00	None	No	2004-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	100018959	A99999	N	None	None	SFY2003-04
100000093	MCKINLEY PARK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-01-13 00:00:00	100002304	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-08-03 00:00:00	2005-08-03 00:00:00	No	2006-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	100019973	A99999	N	CA00057033	A	SFY2005-06
090000745	MONTGOMERY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2019-06-24 00:00:00	100015174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-11-19 00:00:00	2018-11-19 00:00:00	No	2019-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	DVUJ11	N	CA00611333	B	SFY2018-19
090000315	MOUNTAIN SHADOWS COMMUNITY HOMES - TANGELO	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2023-09-14 00:00:00	100019161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-30 00:00:00	2022-01-30 00:00:00	No	2023-10-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WCZU11	Y	CA00771793, CA00771793, CA00772038, CA00772038	B, B, B, B	SFY2023-24
090000006	MOUNT MIGUEL COVENANT VILLAGE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-22 00:00:00	100019895	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-06 00:00:00	2024-01-06 00:00:00	No	2024-04-15 00:00:00	None	B	None	1800	1800	0	1800	0	None	2EZC11	N	CA00878704	B	SFY2023-24
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-05 00:00:00	110002121	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-20 00:00:00	2000-04-20 00:00:00	No	2001-06-26 00:00:00	None	B	None	1000	1000	0	1000	0	110017626	A99999	N	None	None	SFY2000-01
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-28 00:00:00	110002123	Closed	Citation	Citation AA (HSC 1424)	Other	PATIENT CARE/DIETARY	2000-09-05 00:00:00	2000-09-20 00:00:00	Yes	2004-01-22 00:00:00	2004-01-07 00:00:00	AA	A	65000	25000	0	25000	0	110017635	A99999	Y	None	None	SFY2001-02
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-21 00:00:00	110002124	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-27 00:00:00	2002-04-27 00:00:00	No	2002-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	110017663	A99999	N	None	None	SFY2001-02
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110002125	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-19 00:00:00	2002-08-07 00:00:00	No	2002-09-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	110017671	A99999	N	None	None	SFY2002-03
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110002126	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-30 00:00:00	2002-08-03 00:00:00	No	2002-09-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	110017672	A99999	N	None	None	SFY2002-03
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-02-05 00:00:00	110002127	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-18 00:00:00	2002-11-18 00:00:00	No	2003-02-28 00:00:00	None	B	None	500	500	-175	325	0	110017690	A99999	N	None	None	SFY2002-03
110000083	MARLINDA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-27 00:00:00	110002196	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-28 00:00:00	2004-02-28 00:00:00	Yes	2004-06-18 00:00:00	2004-06-17 00:00:00	B	B	1000	1000	-1000	0	0	110018405	A99999	N	None	None	SFY2003-04
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-05 00:00:00	110002214	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-05-31 00:00:00	2004-05-31 00:00:00	No	2004-11-02 00:00:00	None	B	None	800	800	-280	520	0	110018602	A99999	N	None	None	SFY2004-05
010000620	MUSTARD SEED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-08-23 00:00:00	110003307	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2006-06-02 00:00:00	2006-06-02 00:00:00	No	2006-09-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	MF5F11	N	CA00082648	B	SFY2006-07
010000164	MILESTONES OF DEVELOPMENT #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-03-01 00:00:00	110003513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-09-29 00:00:00	2006-09-29 00:00:00	No	2007-03-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	QGUZ11	N	CA00094967	B	SFY2006-07
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-09 00:00:00	110004026	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-12-23 00:00:00	2006-12-23 00:00:00	No	2007-06-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZESN11	Y	None	None	SFY2006-07
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-24 00:00:00	110004123	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-07-13 00:00:00	2007-07-13 00:00:00	No	2007-08-14 00:00:00	None	B	B	1000	1000	-869	131	0	None	BZSL11	N	CA00120688	A	SFY2007-08
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-30 00:00:00	110004130	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-03-16 00:00:00	2007-03-16 00:00:00	No	2007-08-20 00:00:00	None	B	B	1000	1000	-869	131	0	None	VEM611	N	CA00120873	B	SFY2007-08
010000042	MENDOCINO NURSING CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-02 00:00:00	110004153	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-29 00:00:00	2007-07-29 00:00:00	No	2007-08-23 00:00:00	None	B	B	1000	1000	-869	131	0	None	3Y9011	N	CA00121761	B	SFY2007-08
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-28 00:00:00	110004301	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-13 00:00:00	2006-10-13 00:00:00	No	2008-02-20 00:00:00	None	B	None	1000	1150	-350	800	0	None	ZH5D11	N	CA00122041	B	SFY2007-08
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-28 00:00:00	110004302	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2006-10-13 00:00:00	2006-10-13 00:00:00	No	2008-02-20 00:00:00	None	B	None	1000	1150	-350	800	0	None	ZH5D11	N	CA00122041	B	SFY2007-08
010000487	MAYETTE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-09-25 00:00:00	110004887	Closed	Citation	Citation B (HSC 1424)	Other	Admin / Patient Care	2007-07-02 00:00:00	2007-07-02 00:00:00	No	2008-10-20 00:00:00	None	B	None	1000	1050	0	1050	0	None	IV6Z11	N	CA00138585	A	SFY2008-09
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-04 00:00:00	110005554	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-02 00:00:00	2008-01-02 00:00:00	No	2008-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	46S311	N	CA00140436	A	SFY2008-09
010001124	MONTE VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-07-01 00:00:00	110006160	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-24 00:00:00	2008-12-24 00:00:00	No	2009-07-22 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	06PV11	Y	CA00173231	B	SFY2009-10
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-26 00:00:00	110006205	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-30 00:00:00	2009-04-30 00:00:00	Yes	2014-04-07 00:00:00	2010-02-02 00:00:00	B	B	1000	1000	0	1000	0	None	WT9U11	N	CA00186275	B	SFY2009-10
010000449	MEADOWVIEW HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-07-09 00:00:00	110006280	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-02 00:00:00	2009-06-02 00:00:00	No	2009-08-03 00:00:00	None	B	None	800	800	-280	520	0	None	F0QY11	N	CA00191125	A	SFY2009-10
010001124	MONTE VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2012-08-08 00:00:00	110008845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-05-27 00:00:00	2011-05-27 00:00:00	No	2012-08-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	JI5511	N	CA00271384	A	SFY2012-13
010001124	MONTE VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2012-08-08 00:00:00	110008846	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	AB Abuse/Facility Not Rep	2011-05-27 00:00:00	2011-05-27 00:00:00	No	2012-08-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	JI5511	N	CA00271384	A	SFY2012-13
110001250	MEADOWOOD NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-13 00:00:00	110009335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-16 00:00:00	2011-07-16 00:00:00	No	2012-07-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	W3YO11	N	CA00279514	B	SFY2011-12
010000161	MILESTONES OF DEVELOPMENT #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2017-05-25 00:00:00	110010848	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-04-10 00:00:00	2014-04-10 00:00:00	No	2017-06-16 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	GP4N11	N	CA00394559	B	SFY2016-17
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-07-25 00:00:00	110010871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-01-10 00:00:00	2014-01-10 00:00:00	No	2014-08-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	0OTT11	N	CA00383433	A	SFY2014-15
010000620	MUSTARD SEED	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2018-01-24 00:00:00	110013703	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	2018-02-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	BW5S11	N	None	None	SFY2017-18
010001001	MILES - CENTER ROAD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2018-12-13 00:00:00	110014647	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-02 00:00:00	2018-01-02 00:00:00	No	2019-01-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	8FY911	N	CA00567708, CA00567717	B, B	SFY2018-19
120001082	MERCY WESTSIDE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-05-03 00:00:00	120001377	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-24 00:00:00	2000-02-24 00:00:00	No	2000-06-08 00:00:00	None	B	None	1000	1000	-350	650	0	120013829	A99999	N	None	None	SFY1999-00
120001082	MERCY WESTSIDE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-12-05 00:00:00	120001403	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-09-19 00:00:00	2000-09-19 00:00:00	No	2000-12-26 00:00:00	None	B	None	1000	1000	-350	650	0	120014529	A99999	N	None	None	SFY2000-01
120001082	MERCY WESTSIDE HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-07-23 00:00:00	120001532	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-13 00:00:00	None	No	2001-08-13 00:00:00	None	B	None	1000	1000	0	1000	0	120015576	A99999	N	None	None	SFY2001-02
120001460	MEMORIAL HOSPITAL AT EXETER D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-05-02 00:00:00	120001649	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-24 00:00:00	2000-11-29 00:00:00	No	2001-05-29 00:00:00	None	B	None	500	500	-175	325	0	120017419	A99999	N	None	None	SFY2000-01
120001505	MORGAN'S TLC - LINDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-05-08 00:00:00	120001754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-11 00:00:00	None	No	2003-06-05 00:00:00	None	B	None	300	300	-105	195	0	120019527	A99999	N	None	None	SFY2002-03
120000406	MERCY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-04-09 00:00:00	120001778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-18 00:00:00	None	No	2004-05-17 00:00:00	None	B	None	500	500	-175	325	0	120020479	A99999	N	None	None	SFY2003-04
120001549	MELENDEZ FAMILY HOME, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-11-07 00:00:00	120003287	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-01 00:00:00	2005-07-01 00:00:00	No	2006-12-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2TDX11	N	CA00053819	A	SFY2006-07
120001549	MELENDEZ FAMILY HOME, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-11-07 00:00:00	120003470	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-07-01 00:00:00	2005-07-01 00:00:00	No	2006-12-01 00:00:00	None	B	None	500	500	-175	325	0	None	2TDX11	N	CA00053819	A	SFY2006-07
120000406	MERCY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-11-08 00:00:00	120004260	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-03-24 00:00:00	2007-03-24 00:00:00	No	2008-01-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	OXH311	N	CA00110435	C	SFY2007-08
120000406	MERCY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-07-23 00:00:00	120004796	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-08-21 00:00:00	2007-08-21 00:00:00	No	2008-08-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	PPLJ11	N	CA00124638	A	SFY2008-09
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-02-28 00:00:00	120009041	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-20 00:00:00	2010-03-20 00:00:00	No	2012-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	HVE611	N	CA00223487	B	SFY2011-12
050000056	MAYWOOD ACRES HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2012-07-20 00:00:00	120009100	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-14 00:00:00	2011-12-14 00:00:00	Yes	2012-08-10 00:00:00	2012-07-30 00:00:00	A	B	10000	9500	0	9500	0	None	XZWG11	N	CA00295920, CA00296015	C, B	SFY2012-13
120001505	MORGAN'S TLC - LINDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2016-01-06 00:00:00	120011920	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-22 00:00:00	2015-11-22 00:00:00	No	2016-01-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	938N11	N	CA00466702	B	SFY2015-16
120001505	MORGAN'S TLC - LINDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2016-01-06 00:00:00	120011921	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-11-22 00:00:00	2015-11-22 00:00:00	No	2016-01-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	938N11	N	CA00466702	B	SFY2015-16
630017518	MACAU SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-06-13 00:00:00	120018692	Closed	Citation	Citation B (HSC 1424)	Administration	None	2023-03-10 00:00:00	2023-03-10 00:00:00	No	2023-07-05 00:00:00	None	B	None	1000	1000	-1000	0	0	None	20L911	N	CA00830974	B	SFY2022-23
630017518	MACAU SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-05-23 00:00:00	120018693	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2023-03-10 00:00:00	2023-03-10 00:00:00	No	2023-06-14 00:00:00	None	WF	None	3000	3000	-3000	0	0	None	20L911	N	CA00830974, CA00830974	B, B	SFY2022-23
630017518	MACAU SUBACUTE	LTC	CLHF	Congregate Living Health Facility	Bakersfield	2023-06-06 00:00:00	120018779	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2022-06-03 00:00:00	2022-06-03 00:00:00	No	2023-06-27 00:00:00	None	B	None	1000	1000	-1000	0	0	None	7VJG11	N	None	None	SFY2022-23
140001346	MEADOWBROOK CIRCLE ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-09-25 00:00:00	140002725	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-22 00:00:00	None	No	2001-10-19 00:00:00	None	B	None	500	500	-175	325	0	140016906	A99999	N	None	None	SFY2001-02
140001346	MEADOWBROOK CIRCLE ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-07-03 00:00:00	140002726	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-15 00:00:00	None	No	2002-07-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	140016914	A99999	N	None	None	SFY2002-03
220000846	MILLS-PENINSULA EXTENDED CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-12-26 00:00:00	220001075	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	1998-11-19 00:00:00	1998-11-30 00:00:00	Yes	2001-01-16 00:00:00	2001-01-12 00:00:00	AA	B	25000	1350	-350	1000	0	220007305	A99999	Y	None	None	SFY2000-01
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-04-06 00:00:00	220001152	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-11-29 00:00:00	None	Yes	2000-09-15 00:00:00	2000-04-12 00:00:00	B	B	1000	1000	0	1000	0	220007861	A99999	N	None	None	SFY1999-00
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2001-01-16 00:00:00	220001475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-08 00:00:00	None	No	2001-02-08 00:00:00	None	B	None	900	900	-315	585	0	220010110	A99999	N	None	None	SFY2000-01
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-06-22 00:00:00	220001490	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-18 00:00:00	2000-11-21 00:00:00	No	2001-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	220010130	A99999	N	None	None	SFY2000-01
220000071	MILLBRAE SERRA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-05-16 00:00:00	220001513	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-12 00:00:00	2001-03-12 00:00:00	Yes	2002-06-12 00:00:00	2002-06-03 00:00:00	A	B	12000	12000	0	12000	0	220010418	A99999	N	None	None	SFY2001-02
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-01 00:00:00	220001523	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-08 00:00:00	2001-10-08 00:00:00	Yes	2002-08-22 00:00:00	2002-08-08 00:00:00	B	B	800	400	0	400	0	220010837	A99999	N	None	None	SFY2002-03
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-10-17 00:00:00	220001534	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-06 00:00:00	None	No	2002-11-07 00:00:00	None	B	None	1000	1050	-350	700	0	220010503	A99999	N	None	None	SFY2002-03
220000071	MILLBRAE SERRA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-09-14 00:00:00	220003338	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-20 00:00:00	2003-05-20 00:00:00	Yes	2006-10-05 00:00:00	2006-09-20 00:00:00	A	B	18000	1000	0	1000	0	None	EU9S11	N	CA00006600	B	SFY2006-07
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-12-27 00:00:00	220003599	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-11 00:00:00	2006-10-11 00:00:00	No	2007-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	GIUV11	N	CA00083501, CA00083501, CA00083501, CA00088168, CA00088168, CA00088168, CA00088168	B, B, B, B, B, B, B	SFY2006-07
220000071	MILLBRAE SERRA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-08-28 00:00:00	220004219	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-15 00:00:00	2007-03-15 00:00:00	No	2007-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	NXLO11	N	CA00109395	B	SFY2007-08
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-01-31 00:00:00	220004632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-27 00:00:00	2007-11-27 00:00:00	No	2008-02-25 00:00:00	None	B	B	1000	1000	-869	131	0	None	E8TX11	N	CA00133367	B	SFY2007-08
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-28 00:00:00	220006402	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-23 00:00:00	2008-09-23 00:00:00	Yes	2011-08-03 00:00:00	2011-07-13 00:00:00	A	A	20000	8000	0	8000	0	None	F27I11	N	CA00165686	C	SFY2009-10
220001024	MISSION SKILLED NURSING & SUBACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-28 00:00:00	220006418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-04 00:00:00	2009-03-04 00:00:00	Yes	2009-08-20 00:00:00	2009-07-29 00:00:00	B	B	1000	1000	0	1000	0	None	EJ1U11	N	CA00178767	C	SFY2009-10
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-09-02 00:00:00	220006516	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-04 00:00:00	2009-08-04 00:00:00	Yes	2009-09-29 00:00:00	2009-09-09 00:00:00	B	None	700	700	-245	455	0	None	KCGC11	N	CA00198286	C	SFY2009-10
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2011-12-01 00:00:00	220008761	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-17 00:00:00	2010-11-17 00:00:00	No	2011-12-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	KFHS11	N	CA00249461	C	SFY2011-12
220001016	MOUNTAIN VIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2013-04-23 00:00:00	220009846	Closed	Citation	Citation B (HSC 1424)	Medication	None	2012-03-15 00:00:00	2012-03-15 00:00:00	No	2013-05-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	PLEY11	N	CA00343415	C	SFY2012-13
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2016-07-15 00:00:00	220012396	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-14 00:00:00	2016-04-14 00:00:00	No	2016-08-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VTZT11	N	CA00484400, CA00484411, CA00484457, CA00484648	C, C, C, C	SFY2016-17
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2000-03-24 00:00:00	230000878	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	1999-05-13 00:00:00	None	No	2000-04-17 00:00:00	None	B	None	800	800	0	800	0	230006274	A99999	N	None	None	SFY1999-00
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2000-03-24 00:00:00	230000879	Closed	Citation	Citation B (HSC 1424)	Medication	None	1999-09-10 00:00:00	None	No	2000-04-17 00:00:00	None	B	None	950	950	0	950	0	230006277	A99999	N	None	None	SFY1999-00
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-20 00:00:00	230000890	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-06 00:00:00	None	Yes	2000-05-12 00:00:00	2000-05-05 00:00:00	A	A	9000	7500	0	7500	0	230006383	A99999	N	None	None	SFY1999-00
230000109	MERAKEY - OLD LANTERN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2000-04-25 00:00:00	230000893	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-04 00:00:00	None	No	2000-05-19 00:00:00	None	A	None	6500	6500	-2275	4225	0	230006391	A99999	N	None	None	SFY1999-00
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-07-18 00:00:00	230000904	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-02 00:00:00	None	Yes	2000-08-14 00:00:00	2000-07-24 00:00:00	A	A	2500	2500	-1875	625	0	230006485	A99999	N	None	None	SFY2000-01
230000597	MERAKEY - HERBSCENTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-05-03 00:00:00	230000937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-18 00:00:00	None	Yes	2001-08-31 00:00:00	2001-05-03 00:00:00	B	B	700	700	0	700	0	230006885	A99999	N	None	None	SFY2000-01
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2001-06-07 00:00:00	230000942	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-28 00:00:00	None	No	2001-07-02 00:00:00	None	B	None	700	700	-245	455	0	230007178	A99999	N	None	None	SFY2000-01
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2001-10-24 00:00:00	230000955	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-11 00:00:00	None	No	2001-11-16 00:00:00	None	B	None	1000	1150	0	1150	0	230007530	A99999	N	None	None	SFY2001-02
230000109	MERAKEY - OLD LANTERN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2001-11-07 00:00:00	230000958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-08 00:00:00	None	No	2001-12-05 00:00:00	None	B	None	900	900	-315	585	0	230007441	A99999	N	None	None	SFY2001-02
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-01-14 00:00:00	230000960	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-29 00:00:00	None	No	2002-02-08 00:00:00	None	B	None	800	800	-280	520	0	230007652	A99999	N	None	None	SFY2001-02
230000468	MERAKEY - VALENTINE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-02-01 00:00:00	230000965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-25 00:00:00	None	No	2002-03-01 00:00:00	None	B	None	600	600	-210	390	0	230007573	A99999	N	None	None	SFY2001-02
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-06-11 00:00:00	230000984	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-18 00:00:00	None	Yes	2002-07-05 00:00:00	2002-06-17 00:00:00	A	A	14000	3000	0	3000	0	230007712	A99999	N	None	None	SFY2001-02
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-06-11 00:00:00	230000985	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-31 00:00:00	None	No	2002-07-09 00:00:00	None	B	None	800	800	-280	520	0	230007895	A99999	N	None	None	SFY2001-02
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2002-06-26 00:00:00	230000989	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-12-20 00:00:00	None	No	2002-07-19 00:00:00	None	A	None	2000	2000	-700	1300	0	230007682	A99999	N	None	None	SFY2001-02
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-06-26 00:00:00	230000990	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-08 00:00:00	None	No	2002-07-22 00:00:00	None	B	None	800	800	-280	520	0	230008104	A99999	N	None	None	SFY2001-02
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-08-21 00:00:00	230000992	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-18 00:00:00	2002-07-18 00:00:00	Yes	2002-09-12 00:00:00	2002-08-21 00:00:00	B	B	1000	1000	0	1000	0	230009207	A99999	N	None	None	SFY2002-03
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2002-10-09 00:00:00	230000998	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-07 00:00:00	2002-08-07 00:00:00	No	2002-11-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	230008534	A99999	N	None	None	SFY2002-03
230000242	MERCY MEDICAL CENTER MT. SHASTA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-04-09 00:00:00	230001023	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-15 00:00:00	2002-05-15 00:00:00	No	2003-05-02 00:00:00	None	B	None	800	800	-280	520	0	230009135	A99999	N	None	None	SFY2002-03
230000242	MERCY MEDICAL CENTER MT. SHASTA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-04-09 00:00:00	230001024	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-17 00:00:00	2002-10-17 00:00:00	No	2003-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	230009135	A99999	N	None	None	SFY2002-03
230000242	MERCY MEDICAL CENTER MT. SHASTA D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-05-21 00:00:00	230001027	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-08 00:00:00	2003-03-08 00:00:00	No	2003-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	230009041	A99999	N	None	None	SFY2002-03
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-27 00:00:00	230001048	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-12 00:00:00	2002-05-12 00:00:00	No	2003-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230009287	A99999	N	None	None	SFY2003-04
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-27 00:00:00	230001049	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-03 00:00:00	2002-06-03 00:00:00	No	2003-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230009287	A99999	N	None	None	SFY2003-04
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-27 00:00:00	230001050	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-19 00:00:00	2002-07-19 00:00:00	No	2003-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230009287	A99999	N	None	None	SFY2003-04
230000497	MERAKEY - HARPOLE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2003-08-27 00:00:00	230001051	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-05 00:00:00	2002-05-05 00:00:00	No	2003-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	230009287	A99999	N	None	None	SFY2003-04
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2003-09-25 00:00:00	230001059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-19 00:00:00	2003-06-19 00:00:00	No	2003-10-23 00:00:00	None	B	None	1000	1000	-350	650	0	230009731	A99999	N	None	None	SFY2003-04
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-21 00:00:00	230001085	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-17 00:00:00	2004-06-17 00:00:00	No	2004-08-24 00:00:00	None	B	None	500	500	-175	325	0	230010765	A99999	N	None	None	SFY2004-05
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2004-07-21 00:00:00	230001086	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-06-27 00:00:00	2004-06-27 00:00:00	No	2004-08-24 00:00:00	None	B	None	500	500	-175	325	0	230010766	A99999	N	None	None	SFY2004-05
230000780	MERAKEY - WILVERN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2004-12-28 00:00:00	230001118	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-11-06 00:00:00	2003-11-06 00:00:00	No	2005-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	230011108	A99999	N	None	None	SFY2004-05
230000109	MERAKEY - OLD LANTERN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2005-02-01 00:00:00	230001120	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-17 00:00:00	2004-12-17 00:00:00	No	2005-03-08 00:00:00	None	B	None	800	800	-280	520	0	230011428	A99999	N	None	None	SFY2004-05
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2005-03-01 00:00:00	230001128	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-27 00:00:00	2004-10-27 00:00:00	No	2005-03-25 00:00:00	None	B	None	1000	2750	-350	2400	0	230011253	A99999	N	None	None	SFY2004-05
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2005-06-29 00:00:00	230001141	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-14 00:00:00	2004-11-14 00:00:00	No	2005-07-29 00:00:00	None	B	None	500	500	-175	325	0	230011390	A99999	N	None	None	SFY2004-05
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-30 00:00:00	230001143	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-16 00:00:00	2005-01-16 00:00:00	No	2005-09-21 00:00:00	None	B	None	800	800	-280	520	0	230011539	A99999	N	None	None	SFY2005-06
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-11 00:00:00	230001146	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-02-23 00:00:00	2005-02-23 00:00:00	No	2005-09-01 00:00:00	None	B	None	500	500	-175	325	0	230011620	A99999	N	None	None	SFY2005-06
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-09-20 00:00:00	230001150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-11 00:00:00	2005-02-11 00:00:00	No	2005-10-12 00:00:00	None	B	None	800	800	0	800	0	230011629	A99999	N	None	None	SFY2005-06
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2005-12-05 00:00:00	230001153	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-30 00:00:00	2005-05-30 00:00:00	No	2005-12-27 00:00:00	None	B	None	1000	1000	0	1000	0	230011632	A99999	N	None	None	SFY2005-06
230000633	MERAKEY - TOM POLK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2006-04-13 00:00:00	230003017	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-14 00:00:00	2006-02-14 00:00:00	No	2006-05-04 00:00:00	None	B	None	750	750	0	750	0	None	SJKD11	N	None	None	SFY2005-06
230000680	MERAKEY - OAK MESA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2006-05-09 00:00:00	230003034	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-23 00:00:00	2005-10-23 00:00:00	Yes	2006-05-31 00:00:00	2006-05-09 00:00:00	B	B	750	375	0	375	0	None	XSTU11	N	CA00064569	B	SFY2005-06
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-07 00:00:00	230003749	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-08-15 00:00:00	2006-08-15 00:00:00	No	2007-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	YL2811	N	CA00090238	B	SFY2006-07
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-05-14 00:00:00	230003944	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-26 00:00:00	2007-03-26 00:00:00	No	2007-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	2N8R11	N	CA00110491	B	SFY2006-07
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-11 00:00:00	230004074	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-08 00:00:00	2006-03-08 00:00:00	No	2007-08-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	7JL211	N	CA00082022	B	SFY2007-08
230000778	MERAKEY - KELSEY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-09-25 00:00:00	230004266	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	L12P11	N	CA00120518	B	SFY2007-08
230000597	MERAKEY - HERBSCENTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-10-18 00:00:00	230004328	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-05-18 00:00:00	2006-05-18 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	FVVK11	N	CA00105397	B	SFY2007-08
230000597	MERAKEY - HERBSCENTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-10-18 00:00:00	230004349	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-22 00:00:00	2007-06-22 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	RW4D11	N	CA00113072	C	SFY2007-08
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004354	Closed	Citation	Citation B (HSC 1424)	Other	failure to report	2007-05-12 00:00:00	2007-05-12 00:00:00	No	2007-11-08 00:00:00	None	B	None	800	800	-280	520	0	None	TLY911	N	CA00114772	B	SFY2007-08
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004356	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-04 00:00:00	2007-07-04 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	NKHR11	N	CA00121055	C	SFY2007-08
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-18 00:00:00	230004360	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-07-04 00:00:00	2007-07-04 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	NKHR11	N	CA00121055	C	SFY2007-08
230000468	MERAKEY - VALENTINE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-10-18 00:00:00	230004363	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-21 00:00:00	2007-08-21 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	OFN911	N	CA00124364, CA00124594	B, B	SFY2007-08
230000633	MERAKEY - TOM POLK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-12-18 00:00:00	230004500	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-01-28 00:00:00	2007-01-28 00:00:00	No	2008-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	QV7811	N	CA00105263	B	SFY2007-08
230000633	MERAKEY - TOM POLK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2007-12-18 00:00:00	230004501	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-27 00:00:00	2007-01-27 00:00:00	No	2008-01-10 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	QV7811	N	CA00105263	B	SFY2007-08
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-17 00:00:00	230004546	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-09 00:00:00	2006-12-09 00:00:00	No	2008-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	S8KK11	N	CA00102705	B	SFY2007-08
230000682	MERAKEY - ARCH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-01-31 00:00:00	230004625	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-04-22 00:00:00	2007-04-22 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	KVUZ11	N	CA00112875	C	SFY2007-08
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2008-02-27 00:00:00	230004705	Closed	Citation	Citation A (HSC 1424)	Other	ACCIDENT	2007-05-21 00:00:00	2007-05-21 00:00:00	Yes	2008-03-19 00:00:00	2008-02-28 00:00:00	A	A	20000	20000	0	20000	0	None	L4LZ11	Y	CA00115350	B	SFY2007-08
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-23 00:00:00	230004928	Closed	Citation	Citation A (HSC 1424)	Other	ACCIDENTS	2008-01-25 00:00:00	2008-01-25 00:00:00	No	2008-05-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	8QQ211	N	CA00139044	B	SFY2007-08
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2008-05-13 00:00:00	230005003	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-17 00:00:00	2008-03-17 00:00:00	No	2008-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	CP2U11	N	CA00144298	C	SFY2007-08
230000597	MERAKEY - HERBSCENTA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-09-23 00:00:00	230005452	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-03-18 00:00:00	2008-03-18 00:00:00	Yes	2008-10-15 00:00:00	2008-09-23 00:00:00	A	None	10000	10000	0	10000	0	None	KP0P11	N	CA00145643	C	SFY2008-09
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-30 00:00:00	230005455	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-09 00:00:00	2008-07-09 00:00:00	No	2008-10-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	ED2Q11	N	CA00156368	C	SFY2008-09
230000680	MERAKEY - OAK MESA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-09-26 00:00:00	230005460	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-15 00:00:00	2008-08-15 00:00:00	No	2008-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	M4RW11	N	CA00162294	C	SFY2008-09
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-11-12 00:00:00	230005586	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-04 00:00:00	2008-10-04 00:00:00	Yes	2008-12-05 00:00:00	2008-11-12 00:00:00	B	B	750	375	0	375	0	None	7EW511	N	CA00165743	C	SFY2008-09
230000682	MERAKEY - ARCH	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2008-11-20 00:00:00	230005629	Closed	Citation	Citation B (HSC 1424)	Other	neglect	2008-10-11 00:00:00	2008-10-11 00:00:00	No	2008-12-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	M9LZ11	N	CA00166262	C	SFY2008-09
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-11 00:00:00	230005678	Closed	Citation	Citation B (HSC 1424)	Other	FAILED TO REPORT 24 HRS	2008-10-23 00:00:00	2008-10-23 00:00:00	No	2009-01-06 00:00:00	None	B	None	800	800	0	800	0	None	YC8D11	N	CA00167525	C	SFY2008-09
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-30 00:00:00	230005735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-07 00:00:00	2008-12-07 00:00:00	No	2009-01-21 00:00:00	None	B	None	800	800	0	800	0	None	FKEO11	N	CA00171457, CA00171755	C, B	SFY2008-09
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-06 00:00:00	230005751	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2008-08-13 00:00:00	2008-08-13 00:00:00	No	2009-01-27 00:00:00	None	B	None	800	800	-280	520	0	None	LD5X11	N	CA00165102	C	SFY2008-09
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-06 00:00:00	230005752	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-13 00:00:00	2008-08-13 00:00:00	No	2009-02-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	LD5X11	N	CA00165102	C	SFY2008-09
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-17 00:00:00	230006089	Closed	Citation	Citation A (HSC 1424)	Other	Required Services	2008-12-24 00:00:00	2008-12-24 00:00:00	No	2009-05-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	RIRY11	N	CA00175567	C	SFY2008-09
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-15 00:00:00	230006274	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2009-05-15 00:00:00	2009-05-15 00:00:00	Yes	2009-07-06 00:00:00	2009-06-19 00:00:00	B	B	1000	650	0	650	0	None	CSUF11	N	CA00188735	C	SFY2008-09
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-06-30 00:00:00	230006306	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-06 00:00:00	2009-06-06 00:00:00	No	2009-07-30 00:00:00	None	B	None	800	2400	-840	1560	0	None	2VXS11	N	CA00191065	C	SFY2008-09
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-23 00:00:00	230006411	Closed	Citation	Citation B (HSC 1424)	Other	Physical Environment	2009-04-14 00:00:00	2009-04-14 00:00:00	No	2009-08-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z05E11	N	CA00184930	A	SFY2009-10
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-23 00:00:00	230006412	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-21 00:00:00	2009-03-21 00:00:00	Yes	2009-08-13 00:00:00	2009-07-29 00:00:00	B	None	1000	3000	0	3000	0	None	JVRL11	N	CA00182434	B	SFY2009-10
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-19 00:00:00	230006462	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2009-05-05 00:00:00	2009-05-05 00:00:00	Yes	2009-09-21 00:00:00	2009-09-03 00:00:00	B	B	500	325	0	325	0	None	1Q9R11	N	CA00187551	C	SFY2009-10
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-19 00:00:00	230006463	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-05 00:00:00	2009-05-05 00:00:00	Yes	2009-09-10 00:00:00	2009-09-03 00:00:00	B	B	1000	650	0	650	0	None	1Q9R11	N	CA00187551	C	SFY2009-10
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-09 00:00:00	230006521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-02 00:00:00	2009-08-02 00:00:00	No	2009-10-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	O7YG11	N	CA00197170	C	SFY2009-10
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-09 00:00:00	230006539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-26 00:00:00	2009-07-26 00:00:00	No	2009-10-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DKP211	Y	CA00196738	C	SFY2009-10
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-22 00:00:00	230006553	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety 1418	2009-07-31 00:00:00	2009-07-31 00:00:00	No	2009-10-14 00:00:00	None	B	None	700	2100	-735	1365	0	None	H08H11	N	CA00200111	C	SFY2009-10
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-22 00:00:00	230006554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-31 00:00:00	2009-07-31 00:00:00	No	2009-10-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	H08H11	N	CA00200111	C	SFY2009-10
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-21 00:00:00	230006640	Closed	Citation	Citation B (HSC 1424)	Other	HSC	2009-09-27 00:00:00	2009-09-27 00:00:00	No	2009-11-12 00:00:00	None	B	None	800	800	-280	520	0	None	RHT911	N	CA00203634	C	SFY2009-10
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-04 00:00:00	230006950	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2009-11-26 00:00:00	2009-11-26 00:00:00	No	2010-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	72PU11	N	CA00209745	C	SFY2009-10
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2010-02-04 00:00:00	230006952	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-03-24 00:00:00	2009-03-24 00:00:00	No	2010-02-25 00:00:00	None	AA	None	50000	50000	-17500	32500	0	None	YBV411	Y	CA00182739, CA00183154, CA00183466	C, C, C	SFY2009-10
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-14 00:00:00	230007367	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2010-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	FT0G11	N	CA00222318	C	SFY2010-11
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-14 00:00:00	230007368	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2010-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	FT0G11	N	CA00222799	C	SFY2010-11
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-14 00:00:00	230007369	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT ABUSE	2010-03-17 00:00:00	2010-03-17 00:00:00	No	2010-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	FT0G11	N	CA00222799	C	SFY2010-11
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2010-10-21 00:00:00	230007651	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-02 00:00:00	2010-07-02 00:00:00	No	2010-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZUYG11	N	CA00234919	B	SFY2010-11
230000780	MERAKEY - WILVERN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-03-22 00:00:00	230008041	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-27 00:00:00	2010-09-27 00:00:00	No	2011-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	8CWH11	N	CA00244635	B	SFY2010-11
230000760	MERAKEY - CIRRUS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-09-01 00:00:00	230008507	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-14 00:00:00	2011-04-14 00:00:00	No	2011-09-23 00:00:00	None	B	None	500	500	-175	325	0	None	JSX311	N	CA00266209	B	SFY2011-12
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-02 00:00:00	230008508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-24 00:00:00	2011-02-24 00:00:00	No	2011-09-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	DJ7O11	N	CA00260510	B	SFY2011-12
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2011-09-02 00:00:00	230008510	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-06-01 00:00:00	2011-06-01 00:00:00	No	2011-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	41NX11	N	CA00271582	B	SFY2011-12
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2011-10-18 00:00:00	230008641	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2011-11-08 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	VI1A11	N	CA00276374	B	SFY2011-12
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2011-11-30 00:00:00	230008704	Closed	Citation	Citation B (HSC 1424)	Other	Health & Safety	2011-09-19 00:00:00	2011-09-19 00:00:00	No	2011-12-21 00:00:00	None	B	None	100	100	0	100	0	None	PVGH11	N	CA00284921	B	SFY2011-12
230000780	MERAKEY - WILVERN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2011-11-21 00:00:00	230008707	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-27 00:00:00	2011-08-27 00:00:00	Yes	2011-12-14 00:00:00	2011-11-21 00:00:00	B	B	1000	650	0	650	0	None	5ROW11	N	CA00281744	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-06-19 00:00:00	230008708	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-06 00:00:00	2011-03-06 00:00:00	No	2012-07-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	F0NN11	N	CA00262413	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2011-12-06 00:00:00	230008785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-07 00:00:00	2011-08-07 00:00:00	No	2011-12-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	EX7F11	N	CA00279283	B	SFY2011-12
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230008862	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-01 00:00:00	2011-12-01 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7LI11	N	CA00292969	B	SFY2012-13
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-02-08 00:00:00	230008965	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2011-10-07 00:00:00	2011-10-07 00:00:00	No	2012-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	1LZQ11	N	CA00286760	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-02-08 00:00:00	230008970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-07 00:00:00	2011-10-07 00:00:00	No	2012-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	1LZQ11	N	CA00286760	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-04 00:00:00	230009021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-13 00:00:00	2011-12-13 00:00:00	No	2012-04-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	4W3Q11	N	CA00292764	B	SFY2011-12
230000680	MERAKEY - OAK MESA	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-05-21 00:00:00	230009088	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-02-21 00:00:00	2012-02-21 00:00:00	No	2012-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	PIM311	N	CA00300468	B	SFY2011-12
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230009130	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-01 00:00:00	2011-12-01 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7LI11	N	CA00292157	B	SFY2012-13
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230009131	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-23 00:00:00	2011-11-23 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7LI11	N	CA00292157	B	SFY2012-13
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-23 00:00:00	230009132	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-11-28 00:00:00	2011-11-28 00:00:00	No	2012-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H7LI11	N	CA00292157	B	SFY2012-13
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-25 00:00:00	230009133	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-12 00:00:00	2011-02-12 00:00:00	No	2012-05-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	ERRL11	N	CA00299258	B	SFY2011-12
230000389	MODOC MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-04 00:00:00	230009201	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-12-25 00:00:00	2011-12-25 00:00:00	No	2012-04-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	Z9D411	N	CA00298582	B	SFY2011-12
230000633	MERAKEY - TOM POLK	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-05-16 00:00:00	230009247	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-05-24 00:00:00	2010-05-24 00:00:00	Yes	2012-06-07 00:00:00	2012-09-17 00:00:00	A	None	5000	5050	0	5050	0	None	8DYS11	N	CA00229979, CA00230307, CA00245803	C, C, B	SFY2011-12
230000468	MERAKEY - VALENTINE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2012-05-24 00:00:00	230009307	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-01-09 00:00:00	2012-01-09 00:00:00	No	2012-06-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	FFM211	N	CA00295605	B	SFY2011-12
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-10-16 00:00:00	230009377	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-21 00:00:00	2012-04-21 00:00:00	No	2012-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	2J5211	N	CA00307847, CA00307855	B, B	SFY2012-13
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2013-04-26 00:00:00	230009575	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-08 00:00:00	2012-08-08 00:00:00	No	2013-05-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LU3011	N	CA00321349	B	SFY2012-13
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2014-03-05 00:00:00	230010288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-12 00:00:00	2013-11-12 00:00:00	No	2014-03-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZKE611	N	CA00376899	B	SFY2013-14
230000760	MERAKEY - CIRRUS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2014-02-20 00:00:00	230010420	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-18 00:00:00	2013-04-18 00:00:00	No	2014-03-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	1R6611	N	CA00351955	A	SFY2013-14
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2015-08-07 00:00:00	230011643	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-07-20 00:00:00	2014-07-20 00:00:00	No	2015-08-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VIR811	N	CA00406902	B	SFY2015-16
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2016-04-01 00:00:00	230012151	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-11-06 00:00:00	2015-11-06 00:00:00	No	2016-04-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6UUW11	N	CA00464968	B	SFY2015-16
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2016-05-31 00:00:00	230012276	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2015-03-25 00:00:00	2015-03-25 00:00:00	No	2016-06-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4B3J11	N	CA00438030	C	SFY2015-16
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2017-01-04 00:00:00	230012786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-09-27 00:00:00	2016-09-27 00:00:00	No	2017-01-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5X4F11	N	CA00506274	B	SFY2016-17
230000760	MERAKEY - CIRRUS	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Chico	2018-03-22 00:00:00	230013875	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-09-24 00:00:00	2017-09-24 00:00:00	No	2018-04-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	4EBU11	N	CA00554381	B	SFY2017-18
230000187	MAYERS MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2024-06-18 00:00:00	230020206	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-08 00:00:00	2024-04-08 00:00:00	No	2024-07-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0T7J11	N	None	None	SFY2023-24
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-05-08 00:00:00	240001487	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-04-15 00:00:00	None	Yes	2000-05-30 00:00:00	2001-03-05 00:00:00	A	A	10000	6500	0	6500	0	240012050	A99999	N	None	None	SFY1999-00
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-05-10 00:00:00	240001488	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-25 00:00:00	None	Yes	2001-06-27 00:00:00	2001-06-25 00:00:00	A	Drop>Deficiency	10000	5000	0	5000	0	240012050	A99999	N	None	None	SFY1999-00
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-05-10 00:00:00	240001489	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-27 00:00:00	None	Yes	2000-06-01 00:00:00	2001-03-26 00:00:00	A	B	10000	5000	0	5000	0	240012061	A99999	N	None	None	SFY1999-00
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2000-07-20 00:00:00	240001503	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-15 00:00:00	None	Yes	2000-08-18 00:00:00	2000-08-07 00:00:00	A	A	3000	3000	0	3000	0	240012213	A99999	N	None	None	SFY2000-01
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-09-14 00:00:00	240001694	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2001-08-28 00:00:00	None	No	2001-10-05 00:00:00	None	B	None	1000	1100	-350	750	0	240014756	A99999	N	None	None	SFY2001-02
240000991	MOUNTAINS COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2001-10-17 00:00:00	240001699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-26 00:00:00	None	Yes	2001-11-09 00:00:00	2001-11-08 00:00:00	B	None	400	400	0	400	0	240014940	A99999	N	None	None	SFY2001-02
240001162	MONTE VISTA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2002-03-05 00:00:00	240001709	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-05 00:00:00	None	No	2002-04-05 00:00:00	None	B	None	500	500	0	500	0	240014831	A99999	N	None	None	SFY2001-02
240000085	MONTCLAIR MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-05-03 00:00:00	240001720	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-07 00:00:00	None	No	2002-05-24 00:00:00	None	B	None	1000	1000	-350	650	0	240015019	A99999	N	None	None	SFY2001-02
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-19 00:00:00	240001741	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-15 00:00:00	2001-10-15 00:00:00	Yes	2002-12-17 00:00:00	2002-11-27 00:00:00	A	A	12000	8000	0	8000	0	240015659	A99999	N	None	None	SFY2002-03
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-26 00:00:00	240001743	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-24 00:00:00	None	No	2002-12-26 00:00:00	None	B	None	1000	1400	-350	1050	0	240016558	A99999	N	None	None	SFY2002-03
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-03-12 00:00:00	240001755	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-12 00:00:00	1999-10-12 00:00:00	No	2003-04-02 00:00:00	None	B	None	1000	1000	-350	650	0	240017392	A99999	N	None	None	SFY2002-03
240001092	MAVIS DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-09-18 00:00:00	240001778	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-03 00:00:00	2003-02-03 00:00:00	No	2003-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	240017754	A99999	N	None	None	SFY2003-04
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-10-20 00:00:00	240001783	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-07 00:00:00	None	No	2003-11-10 00:00:00	None	B	None	350	350	-122.5	227.5	0	240018697	A99999	N	None	None	SFY2003-04
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-01-20 00:00:00	240001787	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-07 00:00:00	None	No	2004-02-10 00:00:00	None	B	None	450	1350	-472.5	877.5	0	240018829	A99999	N	None	None	SFY2003-04
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-07-22 00:00:00	240001810	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-12-08 00:00:00	None	No	2004-08-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	240019398	A99999	N	None	None	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-09-08 00:00:00	240001822	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-11-19 00:00:00	2003-11-19 00:00:00	Yes	2004-09-29 00:00:00	2004-09-27 00:00:00	A	A	10000	6000	0	6000	0	240019328	A99999	N	None	None	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-09-09 00:00:00	240001824	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-18 00:00:00	None	No	2004-09-30 00:00:00	None	B	None	950	950	-332.5	617.5	0	240019746	A99999	N	None	None	SFY2004-05
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-10-18 00:00:00	240001827	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-12-26 00:00:00	None	No	2004-11-08 00:00:00	None	B	None	800	800	-280	520	0	240019814	A99999	N	None	None	SFY2004-05
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-10-18 00:00:00	240001828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-18 00:00:00	None	No	2004-11-08 00:00:00	None	B	None	1000	1000	-350	650	0	240019815	A99999	N	None	None	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-11-18 00:00:00	240001833	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-04-08 00:00:00	None	Yes	2004-12-13 00:00:00	2004-12-03 00:00:00	B	B	300	180	0	180	0	240019876	A99999	N	None	None	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-01-06 00:00:00	240001839	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-09 00:00:00	2004-08-09 00:00:00	No	2005-01-28 00:00:00	None	B	None	300	500	-105	395	0	240019953	A99999	N	CA00029875	C	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-01-14 00:00:00	240001841	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-14 00:00:00	None	No	2005-02-11 00:00:00	None	B	None	500	1500	-525	975	0	240019960	A99999	N	CA00024598	B	SFY2004-05
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-01-18 00:00:00	240001842	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-01 00:00:00	None	Yes	2005-02-11 00:00:00	2005-01-28 00:00:00	A	A	10000	6000	0	6000	0	240019966	A99999	N	None	None	SFY2004-05
240001682	MESA TERRACE DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2005-05-10 00:00:00	240001855	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-14 00:00:00	2004-09-14 00:00:00	No	2005-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	240020006	A99999	N	CA00037638, CA00037992	A, C	SFY2004-05
240001092	MAVIS DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2005-08-23 00:00:00	240001861	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-02 00:00:00	2005-01-02 00:00:00	No	2005-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	240020015	A99999	N	None	None	SFY2005-06
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-06-01 00:00:00	240003134	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-06-22 00:00:00	2005-06-22 00:00:00	Yes	2010-09-28 00:00:00	2010-09-20 00:00:00	AA	AA	65000	65000	0	65000	0	None	C74G11	Y	CA00070511	C	SFY2005-06
240000085	MONTCLAIR MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-21 00:00:00	240003351	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-27 00:00:00	2004-05-27 00:00:00	Yes	2006-10-13 00:00:00	2006-09-21 00:00:00	A	A	20000	20000	0	20000	0	None	4FX911	N	CA00025363, CA00056482	B, C	SFY2006-07
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-10-19 00:00:00	240003425	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-17 00:00:00	2006-08-17 00:00:00	No	2006-11-09 00:00:00	None	B	None	600	600	-210	390	0	None	3SE111	N	CA00082149	C	SFY2006-07
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-12-04 00:00:00	240003540	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-15 00:00:00	2005-06-15 00:00:00	Yes	2006-12-26 00:00:00	2006-12-06 00:00:00	B	B	1000	600	0	600	0	None	WYCE11	N	CA00053230	C	SFY2006-07
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-04-29 00:00:00	240004962	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-07-12 00:00:00	2006-07-12 00:00:00	No	2008-05-22 00:00:00	None	A	None	19500	19500	-6825	12675	0	None	BTM011	N	CA00088531	C	SFY2007-08
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-06-25 00:00:00	240005123	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-02-06 00:00:00	2007-02-06 00:00:00	No	2008-07-17 00:00:00	None	A	None	10000	10000	0	10000	0	None	ZJD211	N	CA00106001	C	SFY2007-08
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-02-19 00:00:00	240005886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-11 00:00:00	2006-01-11 00:00:00	No	2009-03-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	TF0T11	N	CA00079789	C	SFY2008-09
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-09-17 00:00:00	240006548	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-02-05 00:00:00	2007-02-05 00:00:00	Yes	2009-10-08 00:00:00	2009-09-24 00:00:00	A	A	17500	10500	0	10500	0	None	3RLK11	Y	CA00107574	C	SFY2009-10
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-09-14 00:00:00	240007573	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-12 00:00:00	2010-01-12 00:00:00	No	2010-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y7N011	N	CA00215145	C	SFY2010-11
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-10-20 00:00:00	240007650	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-02-05 00:00:00	2007-02-05 00:00:00	No	2010-11-10 00:00:00	None	B	None	500	500	-175	325	0	None	KLC211	N	CA00172572	C	SFY2010-11
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-03-08 00:00:00	240007975	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2009-03-01 00:00:00	2009-03-01 00:00:00	Yes	2011-03-29 00:00:00	2011-03-08 00:00:00	B	B	1000	650	0	650	0	None	08M911	N	CA00221796	B	SFY2010-11
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-03-10 00:00:00	240008024	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-05-13 00:00:00	2010-05-13 00:00:00	No	2011-04-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	X7NV11	N	CA00229264	C	SFY2010-11
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-14 00:00:00	240008133	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-01 00:00:00	2010-01-01 00:00:00	No	2011-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	IXZC11	N	CA00214747	C	SFY2010-11
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-14 00:00:00	240008142	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-01 00:00:00	2010-01-01 00:00:00	No	2011-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	IXZC11	N	CA00214747	C	SFY2010-11
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-04-19 00:00:00	240008168	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-11 00:00:00	2008-07-11 00:00:00	No	2011-05-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	JKIL11	N	CA00156811	C	SFY2010-11
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-12 00:00:00	240008546	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-03-27 00:00:00	2008-03-27 00:00:00	No	2011-10-04 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	31LL11	N	CA00145662	C	SFY2011-12
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-13 00:00:00	240008558	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-18 00:00:00	2009-02-18 00:00:00	No	2011-10-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	TPXK11	N	CA00195568	B	SFY2011-12
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-29 00:00:00	240008591	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-06 00:00:00	2010-10-06 00:00:00	No	2011-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	1E5Y11	N	CA00240732	C	SFY2011-12
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-11-03 00:00:00	240008699	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-05-03 00:00:00	2011-05-03 00:00:00	Yes	2011-11-29 00:00:00	2011-11-21 00:00:00	B	B	1000	1000	0	1000	0	None	TQGY11	N	CA00268129	C	SFY2011-12
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-02-21 00:00:00	240009030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-26 00:00:00	2011-06-26 00:00:00	No	2012-03-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	PCYD11	N	CA00277694	C	SFY2011-12
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-07-05 00:00:00	240009386	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-09-12 00:00:00	2011-09-12 00:00:00	No	2012-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	0V3O11	N	CA00285563	C	SFY2012-13
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-11-28 00:00:00	240009615	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-18 00:00:00	2010-11-18 00:00:00	Yes	2012-12-19 00:00:00	2012-11-28 00:00:00	B	None	1000	1050	-50	1000	0	None	0T4B11	N	CA00250819	C	SFY2012-13
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-03-25 00:00:00	240010561	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-06-20 00:00:00	2013-06-20 00:00:00	No	2014-04-16 00:00:00	None	B	None	1500	1500	-525	975	0	None	1FY611	N	CA00359468	B	SFY2013-14
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-04-20 00:00:00	240012199	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-08-12 00:00:00	2014-08-12 00:00:00	No	2016-05-11 00:00:00	None	B	None	1400	1400	0	1400	0	None	7TTH11	N	CA00411354	B	SFY2015-16
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-08-18 00:00:00	240012516	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-11-24 00:00:00	2015-11-24 00:00:00	No	2016-09-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	Y46V11	N	CA00464407	A	SFY2016-17
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-01 00:00:00	240012552	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-09-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	XBDF11	N	None	None	SFY2016-17
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-01 00:00:00	240012554	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-09-23 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	XBDF11	N	None	None	SFY2016-17
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-01 00:00:00	240012556	Closed	Citation	Citation A (HSC 1424)	Medication	None	2016-03-09 00:00:00	2016-03-09 00:00:00	No	2016-09-23 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	YPY011	N	None	None	SFY2016-17
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-06 00:00:00	240012559	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-06-15 00:00:00	2016-06-15 00:00:00	No	2016-09-27 00:00:00	None	B	None	1500	1500	-525	975	0	None	XBDF11	N	None	None	SFY2016-17
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2017-07-19 00:00:00	240013350	Closed	Citation	Citation A (HSC 1424)	Medication	None	2017-05-27 00:00:00	2017-05-27 00:00:00	No	2017-08-09 00:00:00	None	A	None	3000	3050	0	3050	0	None	YFWW11	N	CA00537599	B	SFY2017-18
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-02-08 00:00:00	240013794	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-12-07 00:00:00	2017-12-07 00:00:00	No	2018-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	0J0211	N	None	None	SFY2017-18
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-07-20 00:00:00	240014262	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-06-04 00:00:00	2018-06-04 00:00:00	No	2018-08-10 00:00:00	None	B	None	1500	1500	0	1500	0	None	RF2R11	N	None	None	SFY2018-19
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-08-16 00:00:00	240014338	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-29 00:00:00	2018-05-29 00:00:00	No	2018-09-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R6U411	N	CA00589033	A	SFY2018-19
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-01-14 00:00:00	240014715	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-08 00:00:00	2018-11-08 00:00:00	No	2019-02-04 00:00:00	None	B	None	800	800	0	800	0	None	8RST11	N	None	None	SFY2018-19
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-01-14 00:00:00	240014720	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2018-11-26 00:00:00	2018-11-26 00:00:00	No	2019-02-04 00:00:00	None	B	None	800	800	0	800	0	None	8RST11	N	None	None	SFY2018-19
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-01-14 00:00:00	240014721	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-28 00:00:00	2018-11-28 00:00:00	No	2019-02-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	8RST11	N	None	None	SFY2018-19
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-09-09 00:00:00	240015371	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-09-30 00:00:00	2018-09-30 00:00:00	No	2019-09-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	FV3W11	N	CA00605932	A	SFY2019-20
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-10-11 00:00:00	240018072	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-09-20 00:00:00	2022-09-20 00:00:00	No	2022-11-01 00:00:00	None	B	None	2500	3250	-875	2375	0	None	2EIT11	N	CA00797896, CA00797896	A, A	SFY2022-23
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-10-24 00:00:00	240018113	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-10-10 00:00:00	2022-10-10 00:00:00	No	2022-11-15 00:00:00	None	B	None	2000	3100	0	3100	0	None	GJSG11	N	CA00804266, CA00804266	A, A	SFY2022-23
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2000-11-06 00:00:00	250001487	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-08 00:00:00	None	No	2000-12-06 00:00:00	None	B	None	1000	1000	0	1000	0	250012203	A99999	N	None	None	SFY2000-01
250001390	MANCHESTER DIVISION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2001-10-01 00:00:00	250001494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-12 00:00:00	None	No	2001-10-23 00:00:00	None	B	None	1000	1000	-350	650	0	250012994	A99999	N	None	None	SFY2001-02
250000869	MARIAN JAMES TRANSITIONAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2004-05-12 00:00:00	250001539	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-10 00:00:00	None	No	2004-06-03 00:00:00	None	B	None	500	500	-175	325	0	250016325	A99999	N	None	None	SFY2003-04
250001468	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SUNSHINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-05-05 00:00:00	250001552	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-05 00:00:00	None	No	2005-05-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	250016826	A99999	N	None	None	SFY2004-05
250001468	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SUNSHINE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-05-05 00:00:00	250001553	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-05-05 00:00:00	None	No	2005-05-27 00:00:00	None	AA	None	25000	25000	-8750	16250	0	250016827	A99999	Y	None	None	SFY2004-05
250001183	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MIRAMAR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2005-11-15 00:00:00	250001565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-28 00:00:00	2005-08-28 00:00:00	No	2005-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	250016839	A99999	N	None	None	SFY2005-06
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2007-08-23 00:00:00	250004187	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-28 00:00:00	2006-11-28 00:00:00	Yes	2012-01-26 00:00:00	2012-01-12 00:00:00	A	B	12000	10500	0	10500	0	None	KZ0311	N	CA00100111	B	SFY2007-08
250000770	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-BAIN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2007-11-02 00:00:00	250004377	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-11-28 00:00:00	2006-11-28 00:00:00	Yes	2007-11-28 00:00:00	2007-11-07 00:00:00	A	A	10000	0	0	0	0	None	FD1V11	N	CA00099896	B	SFY2007-08
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2008-05-15 00:00:00	250004976	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-05-23 00:00:00	2007-05-23 00:00:00	Yes	2008-06-13 00:00:00	2008-05-28 00:00:00	B	B	1000	650	-100	550	0	None	FY3311	N	CA00121383	C	SFY2007-08
250000770	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-BAIN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-07-11 00:00:00	250005217	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-05-21 00:00:00	2008-05-21 00:00:00	Yes	2008-08-01 00:00:00	2008-07-23 00:00:00	B	None	1000	1200	-350	850	0	None	B5YC11	N	CA00152022	C	SFY2008-09
250000985	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2008-07-17 00:00:00	250005235	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-05-23 00:00:00	2008-05-23 00:00:00	Yes	2012-01-18 00:00:00	2012-01-09 00:00:00	A	A	10000	5000	0	5000	0	None	Z35R11	N	CA00151501	C	SFY2008-09
250000270	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2008-09-10 00:00:00	250005361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-03 00:00:00	2007-03-03 00:00:00	Yes	2008-10-01 00:00:00	2008-09-19 00:00:00	B	B	1000	500	0	500	0	None	C5QC11	N	CA00108126	C	SFY2008-09
250001571	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-SHEILA MARIE HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2011-11-10 00:00:00	250008694	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-06-28 00:00:00	2008-06-28 00:00:00	Yes	2011-12-06 00:00:00	2011-11-18 00:00:00	A	A	10000	6000	0	6000	0	None	KHVC11	N	CA00155282	B	SFY2011-12
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-11-10 00:00:00	250008716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-09 00:00:00	2006-08-09 00:00:00	Yes	2011-12-06 00:00:00	2011-12-02 00:00:00	B	None	1000	1000	0	1000	0	None	M69311	N	CA00092654	C	SFY2011-12
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-01-04 00:00:00	250008864	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-17 00:00:00	2010-07-17 00:00:00	No	2012-01-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	9DEY11	N	CA00236072	B	SFY2011-12
250000270	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-10-04 00:00:00	250009539	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-11-03 00:00:00	2009-11-03 00:00:00	No	2012-10-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	39U311	N	CA00207062	C	SFY2012-13
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-11-14 00:00:00	250009585	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-24 00:00:00	2009-09-24 00:00:00	Yes	2012-12-07 00:00:00	2012-11-14 00:00:00	B	B	1000	1000	0	1000	0	None	8XZI11	N	CA00202739	B	SFY2012-13
250000985	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2012-12-06 00:00:00	250009660	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-06-19 00:00:00	2007-06-19 00:00:00	No	2012-12-28 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	LRVM11	N	CA00118070, CA00118198, CA00118198, CA00119486	B, B, B, C	SFY2012-13
250001723	MOUNTAIN SHADOWS SPECIAL KIDS HOMES - MAGGIE MARSH HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-05-16 00:00:00	250009902	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-12-04 00:00:00	2008-12-04 00:00:00	No	2013-06-07 00:00:00	None	A	None	5000	5000	0	5000	0	None	1X3O11	N	CA00171262	C	SFY2012-13
630012886	MESA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-08-19 00:00:00	250010035	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-05-11 00:00:00	2012-05-11 00:00:00	No	2013-09-10 00:00:00	None	B	None	200	200	0	200	0	None	XX7Q11	N	CA00310634	C	SFY2013-14
250000850	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-GLEN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2013-08-15 00:00:00	250010053	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-26 00:00:00	2010-11-26 00:00:00	No	2013-09-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	OZNI11	N	CA00250477	C	SFY2013-14
250001332	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-JUNIPER HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2014-02-04 00:00:00	250010418	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-23 00:00:00	2011-10-23 00:00:00	No	2014-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	XZPU11	N	CA00287485	B	SFY2013-14
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-07-09 00:00:00	250010857	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	2014-05-05 00:00:00	2014-05-05 00:00:00	No	2014-07-30 00:00:00	None	FTR BR	None	1800	1800	-450	1350	0	None	MM3411	None	CA00398568	C	SFY2014-15
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2014-07-09 00:00:00	250010861	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-05-05 00:00:00	2014-05-05 00:00:00	No	2014-07-30 00:00:00	None	FTR RES	None	2700	2700	-675	2025	0	None	MM3411	None	CA00398568	C	SFY2014-15
250001615	MOUNTAIN SHADOWS SPECIAL KIDS HOMES - CAMI HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2015-01-22 00:00:00	250011210	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-12-27 00:00:00	2013-12-27 00:00:00	No	2015-02-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	021I11	N	CA00381968	C	SFY2014-15
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-07-14 00:00:00	250011604	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-12 00:00:00	2013-11-12 00:00:00	No	2015-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UGEG11	N	CA00381927, CA00386749	B, C	SFY2015-16
250000869	MARIAN JAMES TRANSITIONAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2016-10-20 00:00:00	250012647	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-12-01 00:00:00	2014-12-01 00:00:00	No	2016-11-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5RJO11	N	CA00422052	C	SFY2016-17
250001700	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-LAUREL PARK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2016-12-21 00:00:00	250012810	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-19 00:00:00	2015-07-19 00:00:00	No	2017-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HUC111	N	CA00452589	B	SFY2016-17
250001700	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-LAUREL PARK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2016-12-21 00:00:00	250012811	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-06-29 00:00:00	2015-06-29 00:00:00	No	2017-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	HUC111	N	CA00452589	B	SFY2016-17
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-02-15 00:00:00	250012937	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-01-05 00:00:00	2016-01-05 00:00:00	No	2017-03-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3HRD11	N	CA00489467	B	SFY2016-17
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-02-22 00:00:00	250012961	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-25 00:00:00	2016-05-25 00:00:00	No	2017-03-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	USM711	N	CA00489430	B	SFY2016-17
250000869	MARIAN JAMES TRANSITIONAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-10-05 00:00:00	250013509	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-02 00:00:00	2016-05-02 00:00:00	No	2017-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1EX411	N	CA00486980	B	SFY2017-18
250000869	MARIAN JAMES TRANSITIONAL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2017-10-05 00:00:00	250013510	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-02 00:00:00	2016-05-02 00:00:00	No	2017-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1EX411	N	CA00486980	B	SFY2017-18
630011652	MARION ASHLEY HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-02-23 00:00:00	250013793	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-29 00:00:00	2016-08-29 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	415E11	N	CA00501620, CA00501950	B, B	SFY2017-18
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-03-13 00:00:00	250013865	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-10 00:00:00	2017-06-10 00:00:00	No	2018-04-03 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	XDT911	Y	CA00539681, CA00539687	B, B	SFY2017-18
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-06-29 00:00:00	250014125	Closed	Citation	Citation A (HSC 1424)	Medication	None	2018-03-26 00:00:00	2018-03-26 00:00:00	Yes	2018-07-23 00:00:00	2018-07-05 00:00:00	A	A	10000	4500	0	4500	0	None	DPWB11	N	CA00579963, CA00580002	B, B	SFY2017-18
250000850	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-GLEN HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2018-07-12 00:00:00	250014152	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-01 00:00:00	2016-08-01 00:00:00	Yes	2018-08-02 00:00:00	2018-08-01 00:00:00	A	B	10000	5000	0	5000	0	None	BEYD11	Y	CA00497371, CA00497406	B, B	SFY2018-19
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-07-10 00:00:00	250014163	Closed	Citation	Citation B (HSC 1424)	Other	Fail to Notify Ombudsman	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-07-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	82IU11	N	CA00586534	B	SFY2018-19
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-08-17 00:00:00	250014196	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-27 00:00:00	2018-01-27 00:00:00	Yes	2018-09-10 00:00:00	2018-09-07 00:00:00	B	B	2000	1600	0	1600	0	None	66ZQ11	N	CA00571238	A	SFY2018-19
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-23 00:00:00	250014710	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-23 00:00:00	2018-09-23 00:00:00	No	2019-02-13 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	V7YY11	N	CA00605651, CA00605671	B, B	SFY2018-19
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-04-15 00:00:00	250014783	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-04-06 00:00:00	2018-04-06 00:00:00	No	2019-05-06 00:00:00	None	B	None	200	200	-70	130	0	None	B8UC11	N	None	None	SFY2018-19
250000985	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2019-07-18 00:00:00	250015211	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-19 00:00:00	2018-12-19 00:00:00	No	2019-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	7YM611	N	CA00618093	A	SFY2019-20
250000985	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-HALBROOK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2019-07-18 00:00:00	250015212	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-19 00:00:00	2018-12-19 00:00:00	No	2019-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	7YM611	N	CA00618093	A	SFY2019-20
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-09-25 00:00:00	250015378	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-02 00:00:00	2018-04-02 00:00:00	Yes	2019-10-16 00:00:00	2019-10-02 00:00:00	A	A	15000	5000	0	5000	0	None	2BUI11	Y	CA00633654	B	SFY2019-20
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2020-01-29 00:00:00	250015558	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-07-11 00:00:00	2019-07-11 00:00:00	No	2020-02-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	CJRO11	N	CA00654151	B	SFY2019-20
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-03-12 00:00:00	250015604	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-07 00:00:00	2019-01-07 00:00:00	No	2020-04-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R4ML11	N	None	None	SFY2019-20
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2020-10-06 00:00:00	250016071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-16 00:00:00	2019-09-16 00:00:00	No	2020-10-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	VKS911	N	CA00655276	B	SFY2020-21
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-05-25 00:00:00	250016370	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-15 00:00:00	2020-02-15 00:00:00	No	2021-06-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	17KG11	N	CA00677370, CA00677998	B, B	SFY2020-21
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2022-10-27 00:00:00	250018098	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	failure to report	2022-06-22 00:00:00	2022-06-22 00:00:00	No	2022-11-18 00:00:00	None	B	None	500	500	0	0	500	None	OLUI11	N	CA00798140	A	SFY2022-23
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-04-06 00:00:00	250018504	Open	Citation	Citation B (HSC 1424)	Other	FTR Ombudsman	2022-11-23 00:00:00	2022-11-23 00:00:00	No	2023-04-27 00:00:00	None	B	None	200	200	-70	130	0	None	DPRX11	N	CA00815481	B	SFY2022-23
250001183	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MIRAMAR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2023-05-25 00:00:00	250018719	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-31 00:00:00	2023-01-31 00:00:00	No	2023-06-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	GUIG11	N	CA00826883, CA00827367	B, B	SFY2022-23
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-06-28 00:00:00	250018845	Open	Citation	Citation B (HSC 1424)	Patient Care	Nursing Services	2023-05-09 00:00:00	2023-05-09 00:00:00	No	2023-07-20 00:00:00	None	B	None	3000	3000	0	0	3000	None	AI8711	N	CA00837889, CA00838280, CA00840406, CA00840510	B, B, B, B	SFY2022-23
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-06-28 00:00:00	250018846	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-09 00:00:00	2023-05-09 00:00:00	No	2023-07-20 00:00:00	None	B	None	3000	3000	0	0	3000	None	AI8711	N	CA00837889, CA00837889, CA00838280, CA00838280, CA00840406, CA00840510, CA00840510	B, B, B, B, B, B, B	SFY2022-23
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-06-28 00:00:00	250018897	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-09 00:00:00	2023-05-09 00:00:00	No	2023-07-20 00:00:00	None	B	None	3000	3000	0	0	3000	None	AI8711	N	CA00837889, CA00838280, CA00840406, CA00840510	B, B, B, B	SFY2022-23
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2024-02-08 00:00:00	250019697	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-03 00:00:00	2023-11-03 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H1ZL11	N	CA00870397	B	SFY2023-24
250001290	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MAVERICK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2024-04-26 00:00:00	250019932	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-15 00:00:00	2024-01-15 00:00:00	No	2024-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	J22211	N	CA00884264, CA00884872	B, B	SFY2023-24
250001290	MOUNTAIN SHADOWS SPECIAL KIDS HOMES-MAVERICK HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2024-04-26 00:00:00	250019933	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-17 00:00:00	2024-01-17 00:00:00	No	2024-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	BSUV11	N	CA00884273, CA00884273, CA00884861, CA00884861	B, B, B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-17 00:00:00	910001350	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-17 00:00:00	None	No	2000-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	910006021	A99999	N	None	None	SFY1999-00
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-07-20 00:00:00	910001454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-04 00:00:00	2001-07-20 00:00:00	No	2001-09-28 00:00:00	None	B	None	900	900	-315	585	0	910006807	A99999	N	None	None	SFY2001-02
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-07 00:00:00	910001460	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-03 00:00:00	2002-01-03 00:00:00	No	2002-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	910007087	A99999	N	None	None	SFY2001-02
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-06-04 00:00:00	910001475	Closed	Citation	Citation B (HSC 1424)	Other	INFECTION CONTROL P/	2002-05-17 00:00:00	2002-05-17 00:00:00	No	2002-07-02 00:00:00	None	B	None	350	350	-122.5	227.5	0	910007219	A99999	N	None	None	SFY2001-02
910000061	MEADOWBROOK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-16 00:00:00	910001488	Closed	Citation	Citation B (HSC 1424)	Other	T-22 POLICY/PROCEDUR	2002-12-09 00:00:00	2002-12-09 00:00:00	No	2003-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	910007520	A99999	N	None	None	SFY2002-03
910000061	MEADOWBROOK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-16 00:00:00	910001489	Closed	Citation	Citation B (HSC 1424)	Other	T-22 POLICY/PROCEDUR	2003-12-09 00:00:00	2003-12-09 00:00:00	No	2003-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	910007520	A99999	N	None	None	SFY2002-03
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-02-23 00:00:00	910003744	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-29 00:00:00	2006-04-29 00:00:00	No	2007-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	8CK512	N	CA00079735	B	SFY2006-07
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-11-25 00:00:00	910006732	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-07 00:00:00	2009-01-07 00:00:00	No	2009-12-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	6VOB11	N	CA00177459	C	SFY2009-10
910000061	MEADOWBROOK BEHAVIORAL HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-12-28 00:00:00	910006747	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-03-19 00:00:00	2008-03-19 00:00:00	Yes	2010-01-21 00:00:00	2011-01-07 00:00:00	AA	A	100000	85000	0	85000	0	None	13PS11	Y	CA00144470, CA00144546	B, B	SFY2009-10
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-25 00:00:00	910007214	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-06 00:00:00	2009-05-06 00:00:00	No	2013-03-18 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	CB2W11	N	None	None	SFY2012-13
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-09-21 00:00:00	910007458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-18 00:00:00	2006-10-18 00:00:00	No	2010-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y6QS11	N	CA00168160	C	SFY2010-11
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-08 00:00:00	910008985	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2012-03-01 00:00:00	None	B	None	1800	1800	-630	1170	0	None	BOLN11	N	None	None	SFY2011-12
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-03-21 00:00:00	910009168	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-29 00:00:00	2008-06-29 00:00:00	No	2012-04-11 00:00:00	None	A	None	19500	19500	-6825	12675	0	None	ZCBV11	N	CA00160036	C	SFY2011-12
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-06-26 00:00:00	910009972	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-20 00:00:00	2010-10-20 00:00:00	No	2013-07-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PW1H11	N	CA00246759	C	SFY2012-13
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-07-05 00:00:00	910009997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-05-04 00:00:00	2013-05-04 00:00:00	No	2013-07-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q2VU11	N	CA00353521	C	SFY2013-14
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-15 00:00:00	910010093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-01-12 00:00:00	2013-01-12 00:00:00	No	2013-09-06 00:00:00	None	A	None	14000	14000	0	14000	0	None	PNWZ11	N	CA00340679	B	SFY2013-14
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-12-10 00:00:00	910010265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-04-17 00:00:00	2012-04-17 00:00:00	No	2014-01-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8TO011	N	CA00307372	B	SFY2013-14
910000060	MARYCREST MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-03-04 00:00:00	910010490	Closed	Citation	Citation A (HSC 1424)	Medication	None	2011-03-12 00:00:00	2011-03-12 00:00:00	No	2014-03-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VD5S11	Y	CA00262355	B	SFY2013-14
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-10-30 00:00:00	910011809	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-05 00:00:00	2015-07-05 00:00:00	No	2015-11-23 00:00:00	None	B	None	1800	1800	-630	1170	0	None	IIHQ11	N	CA00449801	B	SFY2015-16
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-07-18 00:00:00	910012387	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-08-15 00:00:00	2013-08-15 00:00:00	No	2016-08-08 00:00:00	None	A	None	20000	20000	-20000	0	0	None	L1IW11	N	CA00366526	C	SFY2016-17
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-28 00:00:00	910013520	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-17 00:00:00	2017-08-17 00:00:00	Yes	2017-10-19 00:00:00	2017-10-06 00:00:00	B	None	2000	2000	0	2000	0	None	ULTT11	N	CA00547963, CA00548219, CA00549076, CA00550174	B, B, A, B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-20 00:00:00	910013558	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-08-17 00:00:00	2017-08-17 00:00:00	Yes	2017-11-13 00:00:00	2017-11-06 00:00:00	B	None	2000	2000	0	2000	0	None	ULTT11	N	CA00548219, CA00549076	B, A	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-10-20 00:00:00	910013559	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-08-19 00:00:00	2017-08-19 00:00:00	Yes	2017-11-13 00:00:00	2017-11-06 00:00:00	B	None	2000	2000	0	2000	0	None	ULTT11	N	CA00548219, CA00549076	B, A	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-01-11 00:00:00	910013730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-12-21 00:00:00	2017-12-21 00:00:00	Yes	2018-02-01 00:00:00	2018-02-01 00:00:00	B	None	2000	2000	0	2000	0	None	QB7R11	N	CA00567158	A	SFY2017-18
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-02 00:00:00	910013859	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-08 00:00:00	2017-11-08 00:00:00	No	2018-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7L6W11	N	CA00559934, CA00559934	B, B	SFY2017-18
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-22 00:00:00	910014093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-20 00:00:00	2018-01-20 00:00:00	No	2018-06-13 00:00:00	None	A	None	16000	16000	0	16000	0	None	8ACN11	N	CA00570211, CA00570211, CA00570211, CA00570211, CA00570580, CA00570580, CA00570580	B, B, B, B, B, B, B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	910014164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-01 00:00:00	2018-04-01 00:00:00	Yes	2018-07-09 00:00:00	2018-06-22 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	910014165	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-02 00:00:00	2018-05-02 00:00:00	Yes	2018-07-09 00:00:00	2018-06-28 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	910014166	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-01-12 00:00:00	2018-01-12 00:00:00	Yes	2018-07-09 00:00:00	2018-06-28 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-19 00:00:00	910014671	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-10-27 00:00:00	2018-10-27 00:00:00	No	2019-01-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	71E611	N	CA00609451, CA00609636, CA00609929, CA00609941, CA00610039, CA00610271	B, A, A, A, B, B	SFY2018-19
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-19 00:00:00	910014673	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-11-02 00:00:00	2018-11-02 00:00:00	No	2019-01-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	71E611	N	CA00609451, CA00609929, CA00610039, CA00610271	B, A, B, B	SFY2018-19
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-19 00:00:00	910014674	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-11-01 00:00:00	2018-11-01 00:00:00	No	2019-01-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EMLS11	N	CA00610686, CA00610705	A, A	SFY2018-19
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-22 00:00:00	910014827	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-19 00:00:00	2018-08-19 00:00:00	Yes	2019-03-15 00:00:00	2019-03-15 00:00:00	A	A	20000	30000	0	30000	0	None	ZX6D11	Y	CA00605791, CA00605791	B, B	SFY2018-19
910000060	MARYCREST MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-27 00:00:00	910014836	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-07 00:00:00	2018-09-07 00:00:00	Yes	2019-03-20 00:00:00	2019-06-05 00:00:00	A	A	16000	10750	-350	16000	-5600	None	BOXR11	N	CA00603150, CA00603150	A, A	SFY2018-19
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-30 00:00:00	910015118	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-22 00:00:00	2019-02-22 00:00:00	No	2019-06-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	72V111	N	CA00627070	A	SFY2018-19
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-12 00:00:00	910015229	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-04-26 00:00:00	2019-04-26 00:00:00	No	2019-08-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	EDI711	N	CA00635309	A	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-06 00:00:00	910015365	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-02-22 00:00:00	2019-02-22 00:00:00	No	2019-09-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	MQS811	N	CA00641274, CA00641274	B, B	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-23 00:00:00	910015701	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-21 00:00:00	2019-10-21 00:00:00	No	2020-02-13 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	XYKB11	N	CA00661260	A	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-31 00:00:00	910015721	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-29 00:00:00	2019-06-29 00:00:00	No	2020-02-21 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	XVS711	N	CA00653637, CA00653637, CA00653637, CA00653637	B, B, B, B	SFY2019-20
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-14 00:00:00	910015741	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-12 00:00:00	2020-02-12 00:00:00	No	2020-03-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WPZJ11	N	CA00666982	A	SFY2019-20
940000072	MARLORA POST ACUTE REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-24 00:00:00	910015859	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-01-16 00:00:00	2020-01-16 00:00:00	Yes	2020-05-15 00:00:00	2020-05-04 00:00:00	A	A	20000	10150	-150	10000	0	None	RV8311	N	CA00665153	B	SFY2019-20
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-22 00:00:00	910016111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-27 00:00:00	2019-03-27 00:00:00	No	2020-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HY7L11	N	CA00630688	A	SFY2020-21
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-04 00:00:00	910016137	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-05-26 00:00:00	2020-05-26 00:00:00	No	2020-11-30 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	IFXB11	N	CA00690453	B	SFY2020-21
910000060	MARYCREST MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-19 00:00:00	910016161	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-08 00:00:00	2020-03-08 00:00:00	No	2020-12-14 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	S0N711	N	CA00680018	B	SFY2020-21
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-04 00:00:00	910016185	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-10 00:00:00	2020-09-10 00:00:00	No	2020-12-28 00:00:00	None	A	None	20000	20000	0	20000	0	None	L3I311	Y	CA00704763, CA00704763	A, A	SFY2020-21
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-17 00:00:00	910016359	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-12-28 00:00:00	2020-12-28 00:00:00	No	2021-04-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	9DQP11	N	CA00719341	A	SFY2020-21
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-25 00:00:00	910016384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-06 00:00:00	2021-02-06 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	L2O711	N	CA00725312	A	SFY2020-21
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-30 00:00:00	910016457	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-02 00:00:00	2021-01-02 00:00:00	No	2021-05-21 00:00:00	None	A	None	20000	20000	0	20000	0	None	E2IR11	Y	CA00723608, CA00723608	B, B	SFY2020-21
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-30 00:00:00	910016458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-21 00:00:00	2020-12-21 00:00:00	No	2021-05-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	E2IR11	Y	CA00723608, CA00723608, CA00723608	B, B, B	SFY2020-21
940000072	MARLORA POST ACUTE REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-03 00:00:00	910016871	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-09-22 00:00:00	2018-09-22 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DT2T11	N	CA00605358, CA00605358	B, B	SFY2021-22
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-06 00:00:00	910017553	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-04-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	FG7S11	N	None	None	SFY2021-22
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-03 00:00:00	910018138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-19 00:00:00	2022-09-19 00:00:00	No	2022-11-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	0KK711	N	CA00803495, CA00803495	A, A	SFY2022-23
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-23 00:00:00	910018436	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-09 00:00:00	2023-01-09 00:00:00	No	2023-03-16 00:00:00	None	A	None	25000	25000	0	25000	0	None	3LRI11	N	None	None	SFY2022-23
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-04 00:00:00	910018722	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-09 00:00:00	2023-03-09 00:00:00	No	2023-05-25 00:00:00	None	B	None	3000	3000	0	3000	0	None	F1K211	N	CA00834888	A	SFY2022-23
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-28 00:00:00	910018906	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-27 00:00:00	2023-04-27 00:00:00	Yes	2023-07-20 00:00:00	2023-07-21 00:00:00	A	None	25000	25150	0	0	25150	None	2G3111	N	CA00840325	A	SFY2022-23
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-11 00:00:00	910019147	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-08-06 00:00:00	2023-08-06 00:00:00	Yes	2023-10-02 00:00:00	2023-09-18 00:00:00	AA	None	100000	100000	0	0	100000	None	V7GB11	Y	CA00854608, CA00854608	A, A	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-19 00:00:00	910019178	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-02 00:00:00	2023-08-02 00:00:00	No	2023-10-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BI0C11	N	CA00854598	A	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-19 00:00:00	910019179	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-14 00:00:00	2023-08-14 00:00:00	No	2023-10-10 00:00:00	None	B	None	3000	3150	0	0	3150	None	BI0C11	N	CA00855705	A	SFY2023-24
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-22 00:00:00	910019195	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-16 00:00:00	2023-05-16 00:00:00	No	2023-10-13 00:00:00	None	A	None	25000	25000	0	0	25000	None	UDYJ11	N	CA00852627	B	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-12 00:00:00	910019471	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-07 00:00:00	2023-11-07 00:00:00	No	2024-01-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P2D711	N	CA00868097	B	SFY2023-24
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-10 00:00:00	910019586	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-06 00:00:00	2023-12-06 00:00:00	No	2024-01-31 00:00:00	None	B	None	3000	3000	0	0	3000	None	ZZ1411	N	CA00874722	B	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-27 00:00:00	910019791	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2024-01-25 00:00:00	2024-01-25 00:00:00	Yes	2024-03-19 00:00:00	2024-03-18 00:00:00	B	None	3000	9100	0	0	9100	None	CEXJ11	N	CA00881778	A	SFY2023-24
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-19 00:00:00	910019884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-03 00:00:00	2024-02-03 00:00:00	No	2024-04-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	EUXK11	N	None	None	SFY2023-24
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-27 00:00:00	910019924	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-09 00:00:00	2024-02-09 00:00:00	No	2024-04-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	602Q11	N	None	None	SFY2023-24
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-23 00:00:00	910020231	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-19 00:00:00	2024-04-19 00:00:00	No	2024-06-14 00:00:00	None	B	None	3000	3000	0	3000	0	None	QJ8T11	N	CA00896286	A	SFY2023-24
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-10 00:00:00	920001063	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-02 00:00:00	2000-02-02 00:00:00	No	2000-03-03 00:00:00	None	B	None	600	600	0	600	0	920005508	A99999	N	None	None	SFY1999-00
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-29 00:00:00	920001066	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-02-23 00:00:00	2000-02-23 00:00:00	No	2000-03-21 00:00:00	None	B	None	500	500	0	500	0	920005524	A99999	N	None	None	SFY1999-00
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-30 00:00:00	920001071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-29 00:00:00	2000-01-29 00:00:00	Yes	2000-04-28 00:00:00	2000-04-10 00:00:00	B	None	800	800	0	800	0	920005552	A99999	N	None	None	SFY1999-00
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-10-06 00:00:00	920001087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-28 00:00:00	2000-09-28 00:00:00	Yes	2000-11-07 00:00:00	2000-10-23 00:00:00	B	Drop>Deficiency	700	0	0	0	0	920005827	A99999	N	None	None	SFY2000-01
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-29 00:00:00	920001146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-20 00:00:00	2002-03-20 00:00:00	No	2002-05-02 00:00:00	None	B	None	500	500	-175	325	0	920006494	A99999	N	None	None	SFY2001-02
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-11-14 00:00:00	920001167	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-15 00:00:00	2002-05-15 00:00:00	Yes	2002-12-13 00:00:00	2002-11-25 00:00:00	A	B	8000	10000	0	10000	0	920006843	A99999	N	None	None	SFY2002-03
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-12-04 00:00:00	920001168	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	None	No	2003-01-06 00:00:00	None	B	None	800	800	-280	520	0	920006759	A99999	N	None	None	SFY2002-03
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-09 00:00:00	920001173	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-05 00:00:00	None	No	2003-02-10 00:00:00	None	B	None	1000	3000	-1050	1950	0	920006926	A99999	N	None	None	SFY2002-03
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-02-27 00:00:00	920001176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-28 00:00:00	2003-01-28 00:00:00	No	2003-04-02 00:00:00	None	B	None	950	950	-332.5	617.5	0	920006980	A99999	N	None	None	SFY2002-03
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-12-21 00:00:00	920001209	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-10 00:00:00	2004-11-10 00:00:00	Yes	2005-01-18 00:00:00	2004-12-23 00:00:00	B	B	1000	500	0	500	0	920007937	A99999	N	None	None	SFY2004-05
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-12-27 00:00:00	920001210	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-02 00:00:00	2004-07-16 00:00:00	Yes	2005-01-18 00:00:00	2004-12-30 00:00:00	A	B	17000	17000	0	17000	0	920007985	A99999	N	None	None	SFY2004-05
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-08-21 00:00:00	920003300	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-02 00:00:00	2006-08-02 00:00:00	No	2006-09-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q8YI11	N	None	None	SFY2006-07
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-11-19 00:00:00	920005630	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-11-17 00:00:00	2008-11-17 00:00:00	No	2008-12-12 00:00:00	None	B	None	600	1600	-210	1390	0	None	0QRJ11	N	CA00165941	C	SFY2008-09
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-11-19 00:00:00	920005631	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2008-10-20 00:00:00	2008-10-20 00:00:00	No	2008-12-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	XYI511	N	CA00165805	B	SFY2008-09
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-03-04 00:00:00	920005928	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-14 00:00:00	2009-01-14 00:00:00	No	2009-03-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	MCG511	N	CA00174770, CA00174778	B, B	SFY2008-09
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-05 00:00:00	920005935	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-22 00:00:00	2009-01-22 00:00:00	No	2009-03-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	3EWO11	N	CA00175467	A	SFY2008-09
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-12 00:00:00	920005964	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-02-11 00:00:00	2009-02-11 00:00:00	No	2009-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	4CNW11	N	CA00179625	A	SFY2008-09
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-09-15 00:00:00	920006157	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-29 00:00:00	2008-11-29 00:00:00	Yes	2012-08-31 00:00:00	2009-09-29 00:00:00	A	A	12000	0	0	0	0	None	JB3B11	N	CA00171642	B	SFY2009-10
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-09-15 00:00:00	920006158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-11-29 00:00:00	2008-11-29 00:00:00	Yes	2011-10-18 00:00:00	2011-09-27 00:00:00	A	A	12000	12000	0	12000	0	None	JB3B11	N	CA00171642	B	SFY2009-10
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-06-11 00:00:00	920006159	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-02-28 00:00:00	2009-02-28 00:00:00	Yes	2009-07-02 00:00:00	2009-06-30 00:00:00	AA	AA	100000	45000	0	45000	0	None	4CNW11	Y	CA00179625	A	SFY2008-09
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-10-20 00:00:00	920008647	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2011-04-28 00:00:00	2011-04-28 00:00:00	No	2011-11-10 00:00:00	None	B	None	1000	1750	0	1750	0	None	BNHT11	N	CA00267662	B	SFY2011-12
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-11-10 00:00:00	920008737	Open	Citation	Citation B (HSC 1424)	Medication	None	2011-01-28 00:00:00	2011-01-28 00:00:00	Yes	2011-12-06 00:00:00	2011-11-14 00:00:00	B	None	750	750	0	0	750	None	KMMZ11	N	CA00261987	B	SFY2011-12
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-09-19 00:00:00	920009239	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-07-20 00:00:00	2010-07-20 00:00:00	No	2012-10-10 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	OE3411	N	CA00237803, CA00237803	B, B	SFY2012-13
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-12-10 00:00:00	920009667	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-20 00:00:00	2012-01-20 00:00:00	No	2013-01-02 00:00:00	None	B	None	2000	2050	-700	1350	0	None	QLS611	N	CA00296935, CA00297521	C, C	SFY2012-13
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-04 00:00:00	920009726	Closed	Citation	Citation B (HSC 1424)	Physical Environment	Physical Environment	2012-03-03 00:00:00	2012-03-03 00:00:00	No	2013-02-26 00:00:00	None	B	None	700	700	-245	455	0	None	ZQIJ11	N	None	None	SFY2012-13
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-10-02 00:00:00	920010177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-16 00:00:00	2011-04-16 00:00:00	No	2013-10-23 00:00:00	None	B	None	1200	1200	-420	780	0	None	NTP511	N	CA00266658, CA00267632	B, B	SFY2013-14
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-03-02 00:00:00	920010224	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-15 00:00:00	2011-08-15 00:00:00	Yes	2017-03-23 00:00:00	2017-03-02 00:00:00	A	None	20000	20000	0	0	20000	None	KQ3I11	N	CA00281111	B	SFY2016-17
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-06-18 00:00:00	920010821	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-06 00:00:00	2012-03-06 00:00:00	No	2014-07-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	1YY811	N	CA00303005	B	SFY2013-14
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-08-15 00:00:00	920010936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-19 00:00:00	2011-10-19 00:00:00	No	2014-09-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	TMQZ11	N	CA00287036	A	SFY2014-15
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-12-29 00:00:00	920011080	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-06-18 00:00:00	2014-06-18 00:00:00	No	2015-01-19 00:00:00	None	AA	None	75000	75000	-26250	48750	0	None	YU7X11	Y	CA00403130	B	SFY2014-15
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-02-05 00:00:00	920011265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-15 00:00:00	2014-11-15 00:00:00	No	2015-02-27 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	BS4U11	N	CA00421023	B	SFY2014-15
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-04-09 00:00:00	920011270	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-01-21 00:00:00	2012-01-21 00:00:00	Yes	2015-04-30 00:00:00	2015-04-16 00:00:00	AA	A	60000	12400	0	12400	0	None	X5RS11	Y	CA00304071	B	SFY2014-15
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-03-18 00:00:00	920011285	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-11-29 00:00:00	2012-11-29 00:00:00	No	2015-04-09 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	6SLP11	N	CA00335660	B	SFY2014-15
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-21 00:00:00	920011517	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-12 00:00:00	2014-02-12 00:00:00	No	2016-11-14 00:00:00	None	A	None	20000	20000	0	0	20000	None	WS6F11	N	CA00390420	C	SFY2016-17
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-08-19 00:00:00	920011675	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-02 00:00:00	2015-06-02 00:00:00	No	2015-09-10 00:00:00	None	A	None	20000	20000	0	20000	0	None	I09Z11	N	CA00444164, CA00444322	A, B	SFY2015-16
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-10-16 00:00:00	920011785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-07 00:00:00	2015-07-07 00:00:00	No	2015-11-06 00:00:00	None	B	None	2000	6000	0	6000	0	None	3ND711	N	CA00449815, CA00449822	B, B	SFY2015-16
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-02-29 00:00:00	920011832	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-08-24 00:00:00	2014-08-24 00:00:00	Yes	2016-03-21 00:00:00	2016-03-21 00:00:00	AA	A	100000	75000	0	75000	0	None	52BA11	Y	CA00412160, CA00412160, CA00412160	B, B, B	SFY2015-16
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-11-12 00:00:00	920011837	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-07-03 00:00:00	2015-07-03 00:00:00	No	2015-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BGZF11	N	CA00450948	B	SFY2015-16
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-12-14 00:00:00	920011838	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2014-08-24 00:00:00	2014-08-24 00:00:00	Yes	2016-01-06 00:00:00	2015-12-28 00:00:00	WF	WMF>$1000	10000	10000	0	10000	0	None	52BA11	None	CA00412160, CA00412160, CA00412160	B, B, B	SFY2015-16
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-05-06 00:00:00	920012006	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-11 00:00:00	2010-01-11 00:00:00	Yes	2016-05-27 00:00:00	2016-05-25 00:00:00	A	None	20000	20000	0	0	20000	None	2UI511	N	CA00259372, CA00259372	B, B	SFY2015-16
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-04-21 00:00:00	920012129	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-05-10 00:00:00	2013-05-10 00:00:00	No	2016-05-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VLTT11	N	CA00354779	A	SFY2015-16
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-07-29 00:00:00	920012329	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2012-01-06 00:00:00	2012-01-06 00:00:00	No	2016-08-19 00:00:00	None	A	None	20000	20000	0	0	20000	None	SE2Q11	N	CA00295281	B	SFY2016-17
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-07-15 00:00:00	920012335	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-21 00:00:00	2016-02-21 00:00:00	Yes	2016-08-05 00:00:00	2016-08-03 00:00:00	A	None	20000	20100	0	0	20100	None	3P4011	N	CA00478456, CA00478456	B, B	SFY2016-17
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-03-14 00:00:00	920012982	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-07 00:00:00	2016-12-07 00:00:00	Yes	2017-04-05 00:00:00	2017-04-05 00:00:00	A	B	20000	20000	0	20000	0	None	1JXC11	N	CA00514253	B	SFY2016-17
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-03-10 00:00:00	920013029	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-19 00:00:00	2016-08-19 00:00:00	No	2017-04-03 00:00:00	None	A	None	20000	20000	0	20000	0	None	HD1R11	N	CA00501197, CA00501197	B, B	SFY2016-17
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-05 00:00:00	920013064	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-22 00:00:00	2011-09-22 00:00:00	No	2017-05-26 00:00:00	None	A	None	20000	20000	0	0	20000	None	I55D11	Y	CA00285086, CA00285086	B, B	SFY2016-17
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-24 00:00:00	920013224	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2016-10-28 00:00:00	2016-10-28 00:00:00	No	2017-06-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	3ULR11	N	CA00333657	C	SFY2016-17
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-08 00:00:00	920013324	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-21 00:00:00	2016-07-21 00:00:00	No	2017-07-28 00:00:00	None	A	None	20000	60000	0	60000	0	None	MTWY11	N	CA00496815	B	SFY2017-18
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-20 00:00:00	920013362	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-06 00:00:00	2017-02-06 00:00:00	No	2017-08-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8SNY11	N	CA00519475	B	SFY2017-18
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-07 00:00:00	920013479	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Care	None	2017-08-09 00:00:00	2017-08-09 00:00:00	No	2017-09-28 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	8SNY11	None	CA00519475	B	SFY2017-18
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-10 00:00:00	920013485	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2017-07-24 00:00:00	2017-07-24 00:00:00	No	2017-09-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	BFR311	N	None	None	SFY2017-18
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-10 00:00:00	920013486	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-07-25 00:00:00	2017-07-25 00:00:00	No	2017-09-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	BFR311	N	None	None	SFY2017-18
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-22 00:00:00	920013516	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-25 00:00:00	2017-07-25 00:00:00	No	2017-10-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	GDN111	N	CA00547161	B	SFY2017-18
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-17 00:00:00	920013626	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-25 00:00:00	2017-09-25 00:00:00	No	2017-12-12 00:00:00	None	A	None	20000	20000	0	20000	0	None	GDN112	N	None	None	SFY2017-18
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-26 00:00:00	920013851	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-03-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	VNCW11	N	CA00552070, CA00552070, CA00552070	B, B, B	SFY2017-18
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-10 00:00:00	920014481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-21 00:00:00	2018-08-21 00:00:00	No	2018-10-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FTBG11	N	None	None	SFY2018-19
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-10-12 00:00:00	920014493	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2018-11-02 00:00:00	None	B	None	1800	1800	-630	1170	0	None	FTBG11	N	CA00599405	B	SFY2018-19
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-11-26 00:00:00	920014607	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-29 00:00:00	2018-08-29 00:00:00	No	2018-12-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	VY1711	N	CA00602008, CA00602008	B, B	SFY2018-19
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-12-14 00:00:00	920014659	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-12 00:00:00	2018-09-12 00:00:00	No	2019-01-07 00:00:00	None	A	None	20000	60000	0	60000	0	None	FM8Y11	N	CA00604539, CA00604539, CA00604607, CA00604607	B, B, B, B	SFY2018-19
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-01-10 00:00:00	920014716	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-09-29 00:00:00	2018-09-29 00:00:00	Yes	2019-01-31 00:00:00	2019-01-10 00:00:00	A	A	20000	33032.94	0	33032.94	0	None	OF4M11	Y	CA00607209	B	SFY2018-19
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-02-13 00:00:00	920014814	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-11 00:00:00	2018-11-11 00:00:00	No	2019-03-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	YBST11	N	CA00612384, CA00612384, CA00612384	B, B, B	SFY2018-19
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-10 00:00:00	920015066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-22 00:00:00	2018-12-22 00:00:00	Yes	2019-05-31 00:00:00	2019-09-11 00:00:00	A	B	20000	40000	0	40000	0	None	7QQ111	Y	CA00623707, CA00624608	B, A	SFY2018-19
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-08-23 00:00:00	920015352	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-07-09 00:00:00	2019-07-09 00:00:00	No	2019-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z74611	N	None	None	SFY2019-20
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-08-23 00:00:00	920015353	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-05-05 00:00:00	2019-05-05 00:00:00	No	2019-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z74611	N	CA00645737	B	SFY2019-20
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-05 00:00:00	920015373	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-08 00:00:00	2019-06-08 00:00:00	Yes	2019-09-26 00:00:00	2019-09-12 00:00:00	B	None	2000	2000	0	0	2000	None	BE3X11	N	CA00641213	B	SFY2019-20
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-11-07 00:00:00	920015515	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-26 00:00:00	2019-08-26 00:00:00	No	2019-11-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8MNW11	N	CA00650560, CA00650560	B, B	SFY2019-20
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-01-02 00:00:00	920015648	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-18 00:00:00	2019-05-18 00:00:00	No	2020-01-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	35OM11	N	CA00639817	B	SFY2019-20
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-03-06 00:00:00	920015786	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-07-27 00:00:00	2019-07-27 00:00:00	No	2020-03-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	LLQ511	N	CA00666456, CA00666456, CA00666844, CA00666844	B, B, B, B	SFY2019-20
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-15 00:00:00	920015847	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-31 00:00:00	2019-08-31 00:00:00	No	2020-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EHPJ11	N	CA00653007	B	SFY2019-20
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-07-07 00:00:00	920015921	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-14 00:00:00	2019-10-14 00:00:00	No	2020-07-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HDUY11	N	CA00660093	B	SFY2020-21
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-08-13 00:00:00	920015973	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-07-23 00:00:00	2020-07-23 00:00:00	No	2020-09-03 00:00:00	None	B	None	2000	2500	0	2500	0	None	JHSJ21	N	CA00697974	A	SFY2020-21
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-08-27 00:00:00	920015999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-26 00:00:00	2020-05-26 00:00:00	No	2020-09-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UC6111	Y	CA00690619, CA00690619	A, A	SFY2020-21
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-10-16 00:00:00	920016102	Open	Citation	Citation B (HSC 1424)	Patient Care	infection control	2020-05-21 00:00:00	2020-05-21 00:00:00	Yes	2020-11-06 00:00:00	2020-10-19 00:00:00	B	None	2000	2200	0	0	2200	None	L6ME11	N	None	None	SFY2020-21
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-10-21 00:00:00	920016109	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-08-14 00:00:00	2020-08-14 00:00:00	Yes	2020-11-12 00:00:00	2020-10-30 00:00:00	B	None	2000	2000	0	0	2000	None	45EL11	N	CA00699564	B	SFY2020-21
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-11-13 00:00:00	920016148	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-02 00:00:00	2020-07-02 00:00:00	Yes	2020-12-08 00:00:00	2020-12-07 00:00:00	A	A	20000	14000	0	14000	0	None	BI6X11	N	CA00695531	B	SFY2020-21
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-05-06 00:00:00	920016480	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-02-17 00:00:00	2021-02-17 00:00:00	No	2021-05-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8NBE11	N	CA00726089, CA00726196	B, B	SFY2020-21
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-16 00:00:00	920016610	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-05-01 00:00:00	2020-05-01 00:00:00	No	2021-07-07 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	VUZC11	None	CA00732592	B	SFY2020-21
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-02 00:00:00	920016688	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-19 00:00:00	2017-06-19 00:00:00	Yes	2021-07-23 00:00:00	2021-07-12 00:00:00	A	None	20000	20000	0	0	20000	None	RLMB11	N	CA00539525	B	SFY2021-22
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-29 00:00:00	920016768	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-13 00:00:00	2021-01-13 00:00:00	No	2021-08-19 00:00:00	None	A	None	20000	20000	0	20000	0	None	1GZT11	N	CA00721233, CA00721233	B, B	SFY2021-22
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-12 00:00:00	920016803	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-28 00:00:00	2021-04-28 00:00:00	No	2021-09-02 00:00:00	None	A	None	20000	20000	0	20000	0	None	FFDY11	N	CA00736824, CA00736824	B, B	SFY2021-22
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-26 00:00:00	920016842	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-19 00:00:00	2021-06-19 00:00:00	Yes	2021-09-17 00:00:00	2021-09-16 00:00:00	A	A	20000	41150	-150	41000	0	None	9FTH11	N	CA00742819	B	SFY2021-22
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-04 00:00:00	920017065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-06 00:00:00	2021-04-06 00:00:00	No	2021-11-30 00:00:00	None	B	None	2000	6000	0	6000	0	None	2P0I11	N	None	None	SFY2021-22
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-18 00:00:00	920017101	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-30 00:00:00	2021-08-30 00:00:00	No	2021-12-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	022511	N	CA00750919, CA00751001	A, A	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-02 00:00:00	920017139	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-11-10 00:00:00	2021-11-10 00:00:00	No	2021-12-23 00:00:00	None	B	None	2000	3050	-700	1300	1050	None	NGDB21	N	None	None	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-23 00:00:00	920017215	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Posting	2021-11-06 00:00:00	2021-11-06 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NGDB11	N	None	None	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-23 00:00:00	920017216	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-07 00:00:00	2021-11-07 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NGDB11	N	None	None	SFY2021-22
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-22 00:00:00	920017217	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-03 00:00:00	2021-11-03 00:00:00	No	2022-01-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	6TMY11	N	None	None	SFY2021-22
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-23 00:00:00	920017220	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-22 00:00:00	2019-06-22 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WT4K11	N	CA00643277, CA00643277	B, B	SFY2021-22
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-23 00:00:00	920017221	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-01 00:00:00	2021-11-01 00:00:00	No	2022-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NGDB11	N	None	None	SFY2021-22
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-24 00:00:00	920017520	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-15 00:00:00	2022-02-15 00:00:00	No	2022-04-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	0UX311	N	CA00772283	B	SFY2021-22
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-21 00:00:00	920017588	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-26 00:00:00	2022-02-26 00:00:00	No	2022-05-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3Z6J11	Y	CA00775565	A	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-04 00:00:00	920017614	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-03-18 00:00:00	2022-03-18 00:00:00	No	2022-05-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JK7911	N	CA00777101, CA00777101	A, A	SFY2021-22
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-18 00:00:00	920017645	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-02-26 00:00:00	2022-02-26 00:00:00	Yes	2022-06-09 00:00:00	2022-06-02 00:00:00	AA	None	100000	100000	0	0	100000	None	3Z6J11	Y	CA00775565	A	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-26 00:00:00	920017668	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-03-02 00:00:00	2022-03-02 00:00:00	Yes	2022-06-17 00:00:00	2022-06-09 00:00:00	B	B	3000	2400	0	2400	0	None	1MLB11	N	CA00775130, CA00775350	A, A	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-10 00:00:00	920017701	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-13 00:00:00	2022-02-13 00:00:00	No	2022-07-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	F63211	N	CA00782191	A	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-10 00:00:00	920017703	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-13 00:00:00	2022-02-13 00:00:00	No	2022-07-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	F63211	N	CA00782191	A	SFY2021-22
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-30 00:00:00	920017755	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-05-07 00:00:00	2022-05-07 00:00:00	Yes	2022-07-22 00:00:00	2022-07-13 00:00:00	A	None	25000	75000	0	0	75000	None	OITF11	N	CA00784196, CA00784196, CA00784196	B, B, B	SFY2021-22
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-14 00:00:00	920017786	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-10 00:00:00	2022-03-10 00:00:00	No	2022-08-04 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	MX4611	N	CA00776342, CA00776342, CA00776342	B, B, B	SFY2022-23
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-11 00:00:00	920017883	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-01 00:00:00	2022-06-01 00:00:00	Yes	2022-09-01 00:00:00	2022-08-30 00:00:00	A	None	15000	15000	0	0	15000	None	SU2D11	N	CA00785564, CA00785564, CA00785564	B, B, B	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-18 00:00:00	920017907	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-29 00:00:00	2022-06-29 00:00:00	No	2022-09-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	MCM511	N	CA00791282, CA00791420	A, A	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-18 00:00:00	920017909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-29 00:00:00	2022-06-29 00:00:00	No	2022-09-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MCM511	N	CA00791282, CA00791420	A, A	SFY2022-23
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-19 00:00:00	920017913	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-01 00:00:00	2021-04-01 00:00:00	Yes	2022-09-12 00:00:00	2022-08-22 00:00:00	A	None	20000	20000	0	0	20000	None	0MMT11	N	CA00731444	B	SFY2022-23
920000048	MIRAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-25 00:00:00	920017932	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-22 00:00:00	2022-03-22 00:00:00	No	2022-09-16 00:00:00	None	B	None	3000	3200	0	3200	0	None	1UJE11	N	CA00779974	B	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-26 00:00:00	920017936	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-25 00:00:00	2022-05-25 00:00:00	No	2022-09-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	WWOR11	N	CA00787038, CA00788255	B, B	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-26 00:00:00	920017938	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2022-05-25 00:00:00	2022-05-25 00:00:00	No	2022-09-19 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	WWOR11	None	CA00787038, CA00787038, CA00787038, CA00787038, CA00788255, CA00788255, CA00788255	B, B, B, B, B, B, B	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-09 00:00:00	920017982	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-17 00:00:00	2022-07-17 00:00:00	No	2022-09-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NYBF11	Y	CA00789231, CA00789231, CA00789231	B, B, B	SFY2022-23
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-20 00:00:00	920018005	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-30 00:00:00	2022-06-30 00:00:00	No	2022-10-11 00:00:00	None	B	None	3000	9000	0	9000	0	None	EQ0L11	N	CA00792932	B	SFY2022-23
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-23 00:00:00	920018013	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-09-01 00:00:00	2022-09-01 00:00:00	No	2022-10-14 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	KYZY11	N	CA00800182	A	SFY2022-23
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-21 00:00:00	920018105	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-09-01 00:00:00	2022-09-01 00:00:00	No	2022-11-14 00:00:00	None	B	None	3000	3000	0	3000	0	None	4V0B11	N	CA00801218, CA00803275	B, B	SFY2022-23
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-14 00:00:00	920018243	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-23 00:00:00	2022-06-23 00:00:00	Yes	2023-01-05 00:00:00	2022-12-21 00:00:00	A	None	20000	20000	0	0	20000	None	OE2D11	N	CA00807110, CA00808300, CA00809042	B, B, B	SFY2022-23
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-14 00:00:00	920018244	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-09 00:00:00	2022-09-09 00:00:00	Yes	2023-01-05 00:00:00	2022-12-21 00:00:00	A	None	20000	20000	0	0	20000	None	OE2D11	N	CA00807110, CA00808300, CA00809042	B, B, B	SFY2022-23
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-02 00:00:00	920018460	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-11 00:00:00	2022-12-11 00:00:00	No	2023-03-23 00:00:00	None	B	None	3000	9000	0	9000	0	None	BIO111	N	CA00816111, CA00821037, CA00821037, CA00821037	B, B, B, B	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-10 00:00:00	920018487	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-02 00:00:00	2023-02-02 00:00:00	No	2023-04-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	OD5K11	N	CA00825306, CA00825809	A, B	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-10 00:00:00	920018488	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-02 00:00:00	2023-02-02 00:00:00	No	2023-04-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	OD5K11	N	None	None	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-25 00:00:00	920018683	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-23 00:00:00	2023-01-23 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	XR5H11	N	CA00824554, CA00824554	B, B	SFY2022-23
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-25 00:00:00	920018684	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-23 00:00:00	2023-01-23 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	XR5H11	N	CA00824554, CA00824554	B, B	SFY2022-23
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-26 00:00:00	920018898	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-16 00:00:00	2023-05-16 00:00:00	No	2023-07-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	QITT11	N	None	None	SFY2022-23
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-04 00:00:00	920019030	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-17 00:00:00	2023-06-17 00:00:00	No	2023-08-25 00:00:00	None	A	None	20000	20000	0	0	20000	None	2VXH11	N	CA00846533, CA00846533, CA00846533	A, A, A	SFY2023-24
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-08-14 00:00:00	920019044	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-13 00:00:00	2023-07-13 00:00:00	Yes	2023-09-05 00:00:00	2023-08-29 00:00:00	A	None	20000	20650	0	0	20650	None	HJ8311	N	CA00850219, CA00850219, CA00850219	A, A, A	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-28 00:00:00	920019210	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-13 00:00:00	2023-08-13 00:00:00	Yes	2023-10-19 00:00:00	2023-10-13 00:00:00	A	None	25000	25000	0	0	25000	None	LQ1P11	N	CA00855844, CA00855844	A, A	SFY2023-24
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-13 00:00:00	920019258	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-20 00:00:00	2023-08-20 00:00:00	No	2023-11-03 00:00:00	None	B	None	3000	4050	0	3000	1050	None	Y8JI11	N	CA00857869	A	SFY2023-24
920000087	MAGNOLIA GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-16 00:00:00	920019264	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-08-22 00:00:00	2023-08-23 00:00:00	No	2023-11-06 00:00:00	None	B	None	3000	3050	-1050	1982.5	17.5	None	TFGG11	N	CA00857104	A	SFY2023-24
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-27 00:00:00	920019316	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-05-20 00:00:00	2023-05-20 00:00:00	Yes	2023-11-20 00:00:00	2023-11-02 00:00:00	A	None	25000	25000	0	0	25000	None	L8WX11	N	CA00859648, CA00859916, CA00859916, CA00860041, CA00860041	B, A, A, A, A	SFY2023-24
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-14 00:00:00	920019493	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-05-06 00:00:00	2023-05-06 00:00:00	Yes	2024-01-05 00:00:00	2023-12-27 00:00:00	AA	None	120000	120000	0	0	120000	None	FIV611	Y	CA00869481, CA00869481, CA00869481, CA00869481, CA00869481, CA00869481, CA00869481	A, A, A, A, A, A, A	SFY2023-24
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-29 00:00:00	920019549	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-24 00:00:00	2023-06-24 00:00:00	No	2024-01-19 00:00:00	None	A	None	20000	60000	0	0	60000	None	KJT511	N	CA00869683, CA00869683, CA00869683, CA00869683, CA00869809, CA00869809, CA00869809	B, B, B, B, A, A, A	SFY2023-24
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-12 00:00:00	920019594	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-13 00:00:00	2023-11-13 00:00:00	No	2024-02-02 00:00:00	None	A	None	25000	25000	0	0	25000	None	OW2E11	N	CA00870076, CA00870267, CA00870534	B, B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-08 00:00:00	920019711	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-25 00:00:00	2023-12-25 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	9000	0	9000	0	None	SWB311	N	CA00876662, CA00876662	B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-08 00:00:00	920019712	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-25 00:00:00	2023-12-25 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	9000	0	9000	0	None	SWB311	N	CA00876662, CA00876662	B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-15 00:00:00	920019875	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-02-04 00:00:00	2024-02-04 00:00:00	No	2024-04-05 00:00:00	None	B	None	3000	3050	-1050	1950	50	None	UCQT11	N	CA00883645	A	SFY2023-24
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-15 00:00:00	920019876	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-19 00:00:00	2024-01-19 00:00:00	Yes	2024-04-05 00:00:00	2024-04-04 00:00:00	A	None	25000	75000	0	0	75000	None	JDG211	N	CA00881140, CA00881140, CA00881140	B, B, B	SFY2023-24
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-10 00:00:00	920019986	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	2024-05-01 00:00:00	None	B	None	3000	3100	-1050	1950	100	None	EI5I11	N	CA00882095, CA00882095	B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-15 00:00:00	920020008	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-21 00:00:00	2024-03-21 00:00:00	No	2024-05-06 00:00:00	None	B	None	3000	9000	0	0	9000	None	B7IM11	N	CA00891219, CA00891219	B, B	SFY2023-24
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-09 00:00:00	920020147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-23 00:00:00	2024-03-23 00:00:00	No	2024-05-31 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	T7X611	N	CA00891576	A	SFY2023-24
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-23 00:00:00	920020225	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-17 00:00:00	2024-04-17 00:00:00	No	2024-06-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6NFE11	N	CA00895558, CA00895558	B, B	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-04 00:00:00	920020257	Open	Citation	Citation B (HSC 1424)	Staffing	None	2024-04-21 00:00:00	2024-04-21 00:00:00	No	2024-06-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H44P11	N	CA00896421, CA00896421, CA00896421	A, A, A	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-06 00:00:00	920020271	Open	Citation	Citation B (HSC 1424)	Administration	None	2023-09-07 00:00:00	2023-09-07 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VIOT11	N	CA00894329, CA00894329	A, A	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-06 00:00:00	920020273	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-10 00:00:00	2024-04-10 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VIOT11	Y	CA00894329	A	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-13 00:00:00	920020309	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2024-04-26 00:00:00	2024-04-26 00:00:00	No	2024-07-05 00:00:00	None	WF	None	3500	3500	-1225	2275	0	None	H44P11	None	CA00896178, CA00896178	B, B	SFY2023-24
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-05-31 00:00:00	930000326	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-28 00:00:00	None	No	2001-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	930011993	A99999	N	None	None	SFY2000-01
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-27 00:00:00	930000330	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-23 00:00:00	None	No	2002-03-20 00:00:00	None	B	None	1000	1050	0	1050	0	930012555	A99999	N	None	None	SFY2001-02
930001544	MIDWAY HOSPITAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-06-23 00:00:00	930000338	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-17 00:00:00	None	No	2003-07-21 00:00:00	None	B	None	1000	1000	-350	650	0	930014325	A99999	N	None	None	SFY2002-03
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-11-23 00:00:00	930000345	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-06-27 00:00:00	2004-06-27 00:00:00	Yes	2004-12-28 00:00:00	2004-11-24 00:00:00	B	B	1000	500	0	500	0	930015363	A99999	N	None	None	SFY2004-05
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-04-29 00:00:00	930007177	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-28 00:00:00	2009-05-28 00:00:00	No	2010-05-20 00:00:00	None	A	None	7500	7500	-2625	4875	0	None	EGNK11	N	CA00191435	C	SFY2009-10
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-02-01 00:00:00	930007848	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-06-04 00:00:00	2010-06-04 00:00:00	Yes	2011-02-23 00:00:00	2011-02-22 00:00:00	A	None	10000	10600	0	10600	0	None	XO4W11	N	CA00229837	B	SFY2010-11
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2011-12-29 00:00:00	930008531	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-10-17 00:00:00	2010-10-17 00:00:00	No	2012-01-23 00:00:00	None	AA	None	80000	80000	-28000	52000	0	None	06KL11	Y	CA00246798	C	SFY2011-12
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-02 00:00:00	930011139	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2014-10-14 00:00:00	2014-10-14 00:00:00	No	2014-12-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	L0LZ21	N	None	None	SFY2014-15
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-02-05 00:00:00	930011151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-02 00:00:00	2014-06-02 00:00:00	Yes	2015-02-27 00:00:00	2015-02-17 00:00:00	A	A	15000	9750	0	9750	0	None	L0LZ11	N	None	None	SFY2014-15
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-09-24 00:00:00	930011723	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-11-16 00:00:00	2010-11-16 00:00:00	No	2015-10-15 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BD0Y11	N	CA00257469	B	SFY2015-16
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-05-05 00:00:00	930012207	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-01-23 00:00:00	2016-01-23 00:00:00	No	2016-05-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NLBU11	N	None	None	SFY2015-16
930000744	MOTION PICTURE & TELEVISION HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-22 00:00:00	930014342	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-27 00:00:00	2017-10-27 00:00:00	No	2018-09-13 00:00:00	None	A	None	15000	15000	0	15000	0	None	8OYU11	N	CA00558736	B	SFY2018-19
930000904	MEMORIAL HOSPITAL OF GARDENA D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-11 00:00:00	930015855	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-21 00:00:00	2019-09-21 00:00:00	No	2020-06-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TF4V11	N	CA00677556, CA00677556, CA00677556	B, B, B	SFY2019-20
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-07-21 00:00:00	940001400	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-16 00:00:00	None	No	2000-08-11 00:00:00	None	B	None	1000	1000	0	1000	0	940005208	A99999	N	None	None	SFY2000-01
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-11-17 00:00:00	940001405	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-11-17 00:00:00	None	No	2000-12-12 00:00:00	None	WF	None	1000	1000	-350	650	0	940005375	A99999	None	None	None	SFY2000-01
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-03-28 00:00:00	940001413	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-21 00:00:00	None	No	2001-04-18 00:00:00	None	B	Drop>Deficiency	800	800	0	800	0	940005515	A99999	N	None	None	SFY2000-01
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-23 00:00:00	940001424	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-22 00:00:00	None	No	2001-08-13 00:00:00	None	B	None	1000	1000	-350	650	0	940005708	A99999	N	None	None	SFY2001-02
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-09-19 00:00:00	940001434	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-11 00:00:00	None	No	2001-10-11 00:00:00	None	B	None	800	800	-280	520	0	940005725	A99999	N	None	None	SFY2001-02
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-10-11 00:00:00	940001471	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-07 00:00:00	None	No	2002-11-12 00:00:00	None	B	None	750	750	-262.5	487.5	0	940006175	A99999	N	None	None	SFY2002-03
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-11-16 00:00:00	940001512	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-12 00:00:00	None	No	2006-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	940007678	A99999	N	None	None	SFY2005-06
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-11-16 00:00:00	940001513	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-12 00:00:00	None	No	2006-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	940007679	A99999	N	None	None	SFY2005-06
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-19 00:00:00	940003585	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2006-05-04 00:00:00	2006-05-04 00:00:00	Yes	2007-01-11 00:00:00	2006-12-28 00:00:00	B	B	1000	1000	-869	131	0	None	ENEC11	N	CA00080607	C	SFY2006-07
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-01-20 00:00:00	940005808	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-25 00:00:00	2008-03-25 00:00:00	No	2009-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	HUMW11	N	CA00145216	B	SFY2008-09
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-03-02 00:00:00	940007985	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-10 00:00:00	2009-05-10 00:00:00	No	2011-03-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	Q5PQ11	N	CA00188082	C	SFY2010-11
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-04-19 00:00:00	940008102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-05 00:00:00	2009-09-05 00:00:00	No	2011-05-10 00:00:00	None	B	None	1000	3000	0	3000	0	None	34BV11	N	None	None	SFY2010-11
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-09-13 00:00:00	940008565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-10 00:00:00	2009-04-10 00:00:00	No	2011-10-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	H7G411	N	CA00185377	C	SFY2011-12
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-10 00:00:00	940008692	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-31 00:00:00	2009-10-31 00:00:00	Yes	2012-03-05 00:00:00	2012-03-12 00:00:00	A	B	15000	15000	0	15000	0	None	PFNX11	N	CA00223359	C	SFY2011-12
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-10 00:00:00	940008992	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2012-03-05 00:00:00	None	B	None	500	500	-175	325	0	None	9IPW11	N	None	None	SFY2011-12
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-08-07 00:00:00	940009065	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-11-08 00:00:00	2011-11-08 00:00:00	Yes	2012-08-28 00:00:00	2012-08-28 00:00:00	A	A	20000	10000	0	10000	0	None	VO3E11	Y	CA00289153	A	SFY2012-13
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-03-27 00:00:00	940009192	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-10-03 00:00:00	2011-10-03 00:00:00	Yes	2012-04-17 00:00:00	2012-03-30 00:00:00	B	None	1000	1000	0	0	1000	None	J73H11	N	CA00285647	B	SFY2011-12
940000072	MARLORA POST ACUTE REHABILITATION HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-12 00:00:00	940009485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-09 00:00:00	2012-03-09 00:00:00	No	2012-10-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	CV2311	N	CA00304236	B	SFY2012-13
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-03-06 00:00:00	940010523	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2013-10-21 00:00:00	2013-10-21 00:00:00	No	2014-03-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K1BV11	N	CA00374667	A	SFY2013-14
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-08-21 00:00:00	940010945	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-07-11 00:00:00	2014-07-11 00:00:00	No	2014-09-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OQ6311	N	None	None	SFY2014-15
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-23 00:00:00	940010998	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2014-01-17 00:00:00	2014-01-17 00:00:00	Yes	2015-01-15 00:00:00	2014-12-30 00:00:00	AA	A	75000	52500	0	52500	0	None	2XYV11	Y	CA00392280, CA00393859	B, C	SFY2014-15
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-23 00:00:00	940010999	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-07 00:00:00	2014-03-07 00:00:00	Yes	2015-01-15 00:00:00	2014-12-30 00:00:00	A	A	20000	14000	0	14000	0	None	2XYV11	N	None	None	SFY2014-15
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-02-12 00:00:00	940012009	Closed	Citation	Citation A (HSC 1424)	Medication	None	2015-04-17 00:00:00	2015-04-17 00:00:00	Yes	2016-03-07 00:00:00	2016-02-25 00:00:00	A	A	20000	12500	0	12500	0	None	NTFO11	N	CA00443994	B	SFY2015-16
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-02-12 00:00:00	940012011	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2015-07-05 00:00:00	2015-07-05 00:00:00	Yes	2016-03-07 00:00:00	2016-02-25 00:00:00	WF	WMF>$1000	2000	2000	0	2000	0	None	NTFO11	None	CA00443994	B	SFY2015-16
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	940012353	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-04-04 00:00:00	2014-04-04 00:00:00	Yes	2016-07-20 00:00:00	2016-07-18 00:00:00	A	A	20000	15000	0	15000	0	None	SONT11	N	CA00396680	A	SFY2015-16
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	940012357	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-01 00:00:00	2016-01-01 00:00:00	No	2016-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UZ5O11	N	CA00471098	B	SFY2015-16
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-08-22 00:00:00	940012523	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-02-15 00:00:00	2016-02-15 00:00:00	No	2016-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JCP311	N	CA00481746	B	SFY2016-17
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-10-28 00:00:00	940012671	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-01-17 00:00:00	2016-01-17 00:00:00	No	2016-11-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	E9IR11	N	None	None	SFY2016-17
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-10-25 00:00:00	940012686	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2015-10-15 00:00:00	2015-10-15 00:00:00	No	2016-11-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O6K411	N	CA00462207	B	SFY2016-17
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-11-22 00:00:00	940012768	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-05-09 00:00:00	2016-05-09 00:00:00	No	2016-12-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	OILJ11	N	CA00500863	A	SFY2016-17
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-06 00:00:00	940013017	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2017-03-27 00:00:00	None	B	None	1800	1800	-630	1170	0	None	LPQO11	N	CA00519091	B	SFY2016-17
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-29 00:00:00	940013088	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-28 00:00:00	2017-02-28 00:00:00	No	2017-04-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Z5R411	N	CA00516797	B	SFY2016-17
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-12-01 00:00:00	940013664	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-11-28 00:00:00	2016-11-28 00:00:00	Yes	2017-12-22 00:00:00	2017-12-11 00:00:00	A	A	20000	40000	0	40000	0	None	IS8011	N	CA00515924	B	SFY2017-18
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-01-04 00:00:00	940013711	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-05 00:00:00	2017-11-05 00:00:00	No	2018-01-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BYXQ11	N	None	None	SFY2017-18
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-20 00:00:00	940013975	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-12-26 00:00:00	2017-12-26 00:00:00	Yes	2018-05-11 00:00:00	2018-04-26 00:00:00	AA	A	100000	60000	0	60000	0	None	56VB11	Y	CA00566768, CA00566768	A, A	SFY2017-18
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-07-05 00:00:00	940014220	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2018-07-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EGFJ11	N	CA00525648	B	SFY2018-19
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-02 00:00:00	940014308	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-21 00:00:00	2018-03-21 00:00:00	No	2018-08-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q9WH11	Y	CA00581053	A	SFY2018-19
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-10 00:00:00	940014328	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-04-08 00:00:00	2018-04-08 00:00:00	Yes	2018-08-31 00:00:00	2018-08-14 00:00:00	AA	A	100000	20000	0	20000	0	None	DG6W11	Y	CA00582724, CA00582724	A, A	SFY2018-19
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-23 00:00:00	940014358	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-17 00:00:00	2017-11-17 00:00:00	Yes	2018-09-14 00:00:00	2018-08-28 00:00:00	B	None	2000	6000	0	0	6000	None	2I2D11	N	CA00561620, CA00561620	A, A	SFY2018-19
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-02 00:00:00	940014442	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-28 00:00:00	2017-02-28 00:00:00	Yes	2018-10-23 00:00:00	2018-10-11 00:00:00	A	A	20000	16000	0	16000	0	None	QHC511	Y	CA00519343, CA00519343	B, B	SFY2018-19
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-02 00:00:00	940014453	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2017-01-03 00:00:00	2017-01-03 00:00:00	Yes	2018-10-23 00:00:00	2018-10-12 00:00:00	WF	WMF>$1000	2000	2000	0	2000	0	None	QHC511	N	CA00519343, CA00519343	B, B	SFY2018-19
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-02-13 00:00:00	940014812	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-31 00:00:00	2018-03-31 00:00:00	No	2019-03-06 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	D2IV11	N	CA00580830	B	SFY2018-19
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-01 00:00:00	950001324	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-20 00:00:00	2000-01-20 00:00:00	No	2000-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	950006227	A99999	N	None	None	SFY1999-00
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-08 00:00:00	950001325	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-18 00:00:00	None	No	2000-03-01 00:00:00	None	B	None	500	500	-175	325	0	950006254	A99999	N	None	None	SFY1999-00
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-08 00:00:00	950001326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-20 00:00:00	None	No	2000-03-01 00:00:00	None	A	None	4000	4000	-1400	2600	0	950006254	A99999	N	None	None	SFY1999-00
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-07-12 00:00:00	950001347	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-19 00:00:00	None	No	2000-08-02 00:00:00	None	B	None	300	300	-105	195	0	950006436	A99999	N	None	None	SFY2000-01
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-09 00:00:00	950001349	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2000-05-05 00:00:00	None	No	2000-08-30 00:00:00	None	WF	None	400	400	0	400	0	950006481	A99999	None	None	None	SFY2000-01
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-07 00:00:00	950001368	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-22 00:00:00	None	No	2000-11-28 00:00:00	None	B	None	1000	1000	-350	650	0	950006640	A99999	N	None	None	SFY2000-01
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-15 00:00:00	950001369	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-20 00:00:00	None	No	2000-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	950006654	A99999	N	None	None	SFY2000-01
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-01-22 00:00:00	950001380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-30 00:00:00	None	No	2001-02-13 00:00:00	None	B	None	1000	1000	0	1000	0	950006755	A99999	N	None	None	SFY2000-01
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-03-15 00:00:00	950001384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-02 00:00:00	None	No	2001-03-30 00:00:00	None	B	None	600	600	0	600	0	950006813	A99999	N	None	None	SFY2000-01
950000051	MARGUERITE GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-06-07 00:00:00	950001397	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-18 00:00:00	None	Yes	2001-06-28 00:00:00	2001-07-20 00:00:00	B	B	800	800	0	800	0	950006937	A99999	N	None	None	SFY2000-01
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-10-16 00:00:00	950001405	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-28 00:00:00	None	Yes	2002-02-19 00:00:00	2001-10-31 00:00:00	B	B	900	2700	0	2700	0	950007120	A99999	N	None	None	SFY2001-02
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-10-19 00:00:00	950001406	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-20 00:00:00	None	Yes	2002-02-21 00:00:00	2001-10-25 00:00:00	B	B	1000	1000	0	1000	0	950007103	A99999	N	None	None	SFY2001-02
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2001-11-02 00:00:00	950001407	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-12 00:00:00	None	No	2001-11-28 00:00:00	None	B	None	500	1500	-525	975	0	950007125	A99999	N	None	None	SFY2001-02
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-27 00:00:00	950001410	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-04 00:00:00	None	No	2002-05-17 00:00:00	None	B	None	1000	1000	-350	650	0	950007312	A99999	N	None	None	SFY2001-02
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-12-31 00:00:00	950001422	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-03 00:00:00	None	No	2003-01-30 00:00:00	None	B	None	600	600	-210	390	0	950007683	A99999	N	None	None	SFY2002-03
950000072	MISSION LODGE SANITARIUM	LTC	SNF	Skilled Nursing Facility	LA Region 1	2004-02-27 00:00:00	950001435	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-27 00:00:00	2004-01-27 00:00:00	Yes	2004-04-02 00:00:00	2004-03-03 00:00:00	B	B	600	300	0	300	0	950008231	A99999	N	None	None	SFY2003-04
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-10-14 00:00:00	950001441	Closed	Citation	Citation B (HSC 1424)	Other	VERBAL ABUSE	2005-08-11 00:00:00	None	No	2005-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	950008548	A99999	N	None	None	SFY2005-06
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-10-14 00:00:00	950001442	Closed	Citation	Citation B (HSC 1424)	Other	VERBAL ABUSE	2005-08-11 00:00:00	None	No	2005-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	950008548	A99999	N	None	None	SFY2005-06
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-11-10 00:00:00	950001443	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-10-28 00:00:00	None	Yes	2005-12-06 00:00:00	2005-11-23 00:00:00	B	None	1000	1000	-1000	0	0	950008581	A99999	N	None	None	SFY2005-06
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-01-13 00:00:00	950001445	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-10-27 00:00:00	None	Yes	2006-02-21 00:00:00	2006-02-13 00:00:00	B	B	1000	500	0	500	0	950008615	A99999	N	None	None	SFY2005-06
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-09-25 00:00:00	950004293	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-09-05 00:00:00	2007-09-05 00:00:00	No	2007-10-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	999999	N	None	None	SFY2007-08
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-10-12 00:00:00	950004352	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-12 00:00:00	2007-09-12 00:00:00	No	2007-11-02 00:00:00	None	B	None	600	750	-210	540	0	None	999999	N	None	None	SFY2007-08
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-05-27 00:00:00	950008158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-08 00:00:00	2010-08-08 00:00:00	Yes	2011-06-20 00:00:00	2011-06-14 00:00:00	A	A	10000	6750	-250	6500	0	None	W0Q411	N	CA00239502	B	SFY2010-11
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-26 00:00:00	950012598	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-29 00:00:00	2015-12-29 00:00:00	Yes	2016-10-17 00:00:00	2016-09-27 00:00:00	A	A	16000	5000	0	5000	0	None	TFYZ11	N	CA00470176	A	SFY2016-17
950000078	MOUNT SAN ANTONIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-10-04 00:00:00	950012615	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-07-28 00:00:00	2016-07-28 00:00:00	No	2016-10-25 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	SM2111	N	CA00496923	A	SFY2016-17
950000078	MOUNT SAN ANTONIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-10-04 00:00:00	950012621	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-28 00:00:00	2016-07-28 00:00:00	No	2016-10-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SM2111	N	CA00496923	A	SFY2016-17
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-12-21 00:00:00	950012829	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-31 00:00:00	2016-08-31 00:00:00	Yes	2017-01-12 00:00:00	2017-01-19 00:00:00	A	A	16000	12000	0	12000	0	None	2SUI11	N	CA00501426	B	SFY2016-17
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-02-24 00:00:00	950012992	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-26 00:00:00	2016-10-26 00:00:00	No	2017-03-17 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	MCGE11	N	CA00507206	B	SFY2016-17
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-21 00:00:00	950013067	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-10 00:00:00	2017-02-10 00:00:00	No	2017-04-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9BZP11	N	CA00516360	C	SFY2016-17
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-21 00:00:00	950013068	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-10 00:00:00	2017-02-10 00:00:00	No	2017-04-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9BZP11	N	CA00516360	C	SFY2016-17
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-04 00:00:00	950013176	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-22 00:00:00	2017-02-22 00:00:00	No	2017-05-25 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	XI2D11	N	CA00523027	B	SFY2016-17
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-05 00:00:00	950013327	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Fin Occur/Fin Abuse Misap	2017-05-17 00:00:00	2017-05-17 00:00:00	No	2017-07-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	CGXI11	N	CA00536117, CA00536117	A, A	SFY2017-18
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-27 00:00:00	950013388	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-30 00:00:00	2017-06-30 00:00:00	Yes	2017-08-17 00:00:00	2017-08-17 00:00:00	A	B	10000	7500	0	7500	0	None	JNWW11	N	CA00533461, CA00533461, CA00533461	A, A, A	SFY2017-18
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-10-24 00:00:00	950013566	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-14 00:00:00	2017-07-14 00:00:00	No	2017-11-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	QHWG11	N	None	None	SFY2017-18
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-17 00:00:00	950013631	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2017-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R7MN11	N	CA00553383	C	SFY2017-18
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-17 00:00:00	950013632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2017-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R7MN11	N	CA00553387	C	SFY2017-18
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-11-17 00:00:00	950013633	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2017-12-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	R7MN11	N	None	None	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	950014155	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-04-01 00:00:00	2018-04-01 00:00:00	Yes	2018-07-09 00:00:00	2018-06-28 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-15 00:00:00	950014157	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-01 00:00:00	2018-04-01 00:00:00	Yes	2018-07-09 00:00:00	2018-06-28 00:00:00	B	None	2000	2000	0	2000	0	None	TYZC11	N	CA00583908	B	SFY2017-18
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-14 00:00:00	950014413	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-05-19 00:00:00	2018-05-19 00:00:00	No	2018-10-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	ERLH11	N	CA00587731, CA00588158	A, A	SFY2018-19
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-04 00:00:00	950014626	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-08-29 00:00:00	2018-08-29 00:00:00	No	2018-12-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	F3W911	N	CA00602886, CA00602886	A, A	SFY2018-19
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-07 00:00:00	950014638	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-13 00:00:00	2018-10-13 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0YH311	N	CA00608062	A	SFY2018-19
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-12-21 00:00:00	950014678	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-07-07 00:00:00	2018-07-07 00:00:00	No	2019-01-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	I21111	N	CA00605484	A	SFY2018-19
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-01-23 00:00:00	950014755	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-01-22 00:00:00	2019-01-22 00:00:00	No	2019-02-13 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NU9X11	N	CA00615083	B	SFY2018-19
950000078	MOUNT SAN ANTONIO GARDENS	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-03-14 00:00:00	950014885	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-21 00:00:00	2018-10-21 00:00:00	Yes	2019-04-04 00:00:00	2019-04-02 00:00:00	B	None	2000	2000	-700	1300	0	None	448V11	N	None	None	SFY2018-19
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-20 00:00:00	950015335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-02 00:00:00	2019-07-02 00:00:00	No	2019-10-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q9UC11	N	CA00643073, CA00643073, CA00643073, CA00643073, CA00643309, CA00643309, CA00643309, CA00643309, CA00645226, CA00645226, CA00645226, CA00645226, CA00645226	B, B, B, B, A, A, A, A, B, B, B, B, B	SFY2019-20
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-20 00:00:00	950015336	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-07-02 00:00:00	2019-07-02 00:00:00	No	2019-10-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	Q9UC11	N	CA00643073, CA00643073, CA00643073, CA00643073, CA00643309, CA00643309, CA00643309, CA00643309, CA00645226, CA00645226, CA00645226, CA00645226, CA00645226	B, B, B, B, A, A, A, A, B, B, B, B, B	SFY2019-20
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-18 00:00:00	950015466	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-06 00:00:00	2019-08-06 00:00:00	No	2019-11-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	K6JL11	N	CA00647268	B	SFY2019-20
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-25 00:00:00	950015482	Closed	Citation	Citation B (HSC 1424)	Administration	None	2019-03-22 00:00:00	2019-03-22 00:00:00	No	2019-11-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BB2711	N	CA00647988	A	SFY2019-20
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-11-01 00:00:00	950015505	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-05-09 00:00:00	2019-05-09 00:00:00	No	2019-11-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	WQN511	N	CA00649160, CA00649160	A, A	SFY2019-20
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-18 00:00:00	950016040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-09 00:00:00	2020-07-09 00:00:00	No	2020-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	J1V311	N	CA00696216, CA00696216	A, A	SFY2020-21
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-04 00:00:00	950016135	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-24 00:00:00	2020-07-24 00:00:00	No	2020-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HBMP11	N	CA00700915	A	SFY2020-21
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-04 00:00:00	950016136	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-24 00:00:00	2020-07-24 00:00:00	No	2020-11-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HBMP11	N	CA00700915, CA00700915	A, A	SFY2020-21
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-06 00:00:00	950016143	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-09-20 00:00:00	2020-09-20 00:00:00	Yes	2020-12-02 00:00:00	2020-11-06 00:00:00	A	None	20000	20000	0	20000	0	None	YFDC11	N	CA00655775	B	SFY2020-21
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-17 00:00:00	950016157	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-04 00:00:00	2020-11-04 00:00:00	No	2020-12-10 00:00:00	None	B	None	2000	2350	-700	1650	0	None	IKXN11	N	CA00711346	A	SFY2020-21
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-04 00:00:00	950016181	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-04-12 00:00:00	2020-04-12 00:00:00	Yes	2020-12-28 00:00:00	2020-12-09 00:00:00	A	A	20000	13000	0	13000	0	None	QLOX11	Y	CA00687029, CA00687029, CA00687029	B, B, B	SFY2020-21
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-17 00:00:00	950016309	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-18 00:00:00	2018-12-18 00:00:00	No	2021-04-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	TVL811	N	CA00616542	B	SFY2020-21
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-04-23 00:00:00	950016441	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-01-07 00:00:00	2021-01-07 00:00:00	Yes	2021-05-14 00:00:00	2021-04-26 00:00:00	AA	None	100000	100000	0	0	100000	None	WDT711	Y	CA00722820, CA00722820	A, A	SFY2020-21
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-29 00:00:00	950016778	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-05-27 00:00:00	2021-05-27 00:00:00	No	2021-08-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	EYWR11	N	CA00738571	B	SFY2021-22
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-08-20 00:00:00	950016838	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-23 00:00:00	2021-05-23 00:00:00	No	2021-09-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	YGI111	N	None	None	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-12 00:00:00	950017091	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-10 00:00:00	2021-06-10 00:00:00	No	2021-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M08Z11	N	CA00739938, CA00739938	A, A	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-12 00:00:00	950017092	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-10 00:00:00	2021-06-10 00:00:00	No	2021-12-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M08Z11	N	CA00739938, CA00739938, CA00739938	A, A, A	SFY2021-22
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-02 00:00:00	950017148	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-21 00:00:00	2021-10-21 00:00:00	No	2021-12-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	CDKP11	N	CA00758060, CA00758060	A, A	SFY2021-22
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-16 00:00:00	950017198	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-09-24 00:00:00	2021-09-24 00:00:00	No	2022-01-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	7P6X11	N	CA00754233	A	SFY2021-22
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-29 00:00:00	950017232	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-11-09 00:00:00	2021-11-09 00:00:00	No	2022-01-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0KBZ11	N	None	None	SFY2021-22
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-04 00:00:00	950017248	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-06-12 00:00:00	2021-06-12 00:00:00	No	2022-01-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	92Y511	N	CA00741365	B	SFY2021-22
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-21 00:00:00	950017283	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-07 00:00:00	2021-09-07 00:00:00	No	2022-02-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	OD2D11	N	CA00758692, CA00758692	A, A	SFY2021-22
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-11 00:00:00	950017485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-04-04 00:00:00	None	B	None	3000	3000	0	3000	0	None	VBKT11	N	CA00771079	A	SFY2021-22
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-30 00:00:00	950017535	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-01-19 00:00:00	2022-01-19 00:00:00	Yes	2022-04-21 00:00:00	2022-04-07 00:00:00	AA	A	120000	50000	0	50000	0	None	8EOE11	N	CA00770038, CA00770038	A, A	SFY2021-22
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-29 00:00:00	950017607	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-05-20 00:00:00	None	B	None	1500	4500	-1575	2925	0	None	A2L211	N	CA00771165, CA00771165, CA00771165	A, A, A	SFY2021-22
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-08 00:00:00	950017698	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-06-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	EIOT11	N	CA00782721, CA00782721, CA00782764, CA00782764	A, A, A, A	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-17 00:00:00	950017713	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-11 00:00:00	2022-03-11 00:00:00	No	2022-07-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4CVC11	N	CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830	A, A, A, A, A, A, A, A, A	SFY2021-22
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-17 00:00:00	950017714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-11 00:00:00	2022-03-11 00:00:00	No	2022-07-11 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	4CVC11	N	CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830, CA00777830	A, A, A, A, A, A, A, A, A, A	SFY2021-22
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-22 00:00:00	950017763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-21 00:00:00	2022-05-21 00:00:00	No	2022-08-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7S9411	N	CA00785876	B	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-07 00:00:00	950017764	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-07-28 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	QSWV11	N	CA00783557	B	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-15 00:00:00	950017994	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-07-07 00:00:00	2022-07-07 00:00:00	No	2022-10-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HWOM11	N	CA00792497	A	SFY2022-23
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-27 00:00:00	950018016	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-01-22 00:00:00	2021-01-22 00:00:00	No	2022-10-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	YI7Z11	N	CA00722622	A	SFY2022-23
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018058	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-09-06 00:00:00	2022-09-06 00:00:00	No	2022-10-27 00:00:00	None	B	None	2500	2500	-875	1625	0	None	YK2C11	N	CA00801405, CA00801405	A, A	SFY2022-23
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-06 00:00:00	950018059	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-09-18 00:00:00	2022-09-18 00:00:00	No	2022-10-27 00:00:00	None	B	None	2500	2500	0	0	2500	None	YK2C11	N	CA00801405, CA00801405	A, A	SFY2022-23
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-17 00:00:00	950018159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-11 00:00:00	2022-01-11 00:00:00	No	2022-12-12 00:00:00	None	B	None	2000	6000	0	6000	0	None	2IKD11	N	CA00768733	A	SFY2022-23
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-21 00:00:00	950018256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-25 00:00:00	2022-09-25 00:00:00	No	2023-01-12 00:00:00	None	B	None	3000	3000	0	3000	0	None	MKPS11	N	CA00804791	B	SFY2022-23
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-29 00:00:00	950018268	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-01-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	RFHI11	N	None	None	SFY2022-23
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-29 00:00:00	950018270	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-01-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	RFHI11	N	None	None	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-24 00:00:00	950018441	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-20 00:00:00	2022-01-20 00:00:00	No	2023-03-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	BZDH11	N	CA00770297	B	SFY2022-23
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-28 00:00:00	950018454	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-12 00:00:00	2023-02-12 00:00:00	No	2023-03-21 00:00:00	None	B	None	2500	2500	-875	1625	0	None	HL9L11	N	CA00828402	A	SFY2022-23
950000249	MAYFLOWER CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-22 00:00:00	950018551	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-22 00:00:00	2023-01-22 00:00:00	Yes	2023-04-13 00:00:00	2023-04-12 00:00:00	A	None	25000	25000	0	0	25000	None	0DKX11	N	CA00822871	B	SFY2022-23
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-18 00:00:00	950018643	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-26 00:00:00	2023-02-26 00:00:00	No	2023-05-09 00:00:00	None	B	None	3000	3000	0	3000	0	None	KB4B11	N	CA00828864, CA00828864	A, A	SFY2022-23
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-05 00:00:00	950018723	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	9MJ611	N	CA00831069	B	SFY2022-23
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-05 00:00:00	950018724	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-08 00:00:00	2023-04-08 00:00:00	No	2023-05-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	2UYV11	N	CA00835339, CA00835339, CA00835339	A, A, A	SFY2022-23
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-05 00:00:00	950018725	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-04-08 00:00:00	2023-04-08 00:00:00	No	2023-05-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	2UYV11	N	CA00835339, CA00835339, CA00835339, CA00835339	A, A, A, A	SFY2022-23
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-12 00:00:00	950018749	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-24 00:00:00	2023-03-24 00:00:00	No	2023-06-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	JRQE11	N	CA00833018, CA00833503	B, B	SFY2022-23
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-10 00:00:00	950018932	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-23 00:00:00	2023-05-23 00:00:00	No	2023-07-31 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	U9MT11	N	CA00842392, CA00842392, CA00842507, CA00842507, CA00842507, CA00842507, CA00842507	B, B, A, A, A, A, A	SFY2023-24
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-11 00:00:00	950018935	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-06-23 00:00:00	2023-06-23 00:00:00	No	2023-08-01 00:00:00	None	B	None	3000	3000	0	0	3000	None	QFSK11	N	CA00848545	A	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-28 00:00:00	950019206	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-12 00:00:00	2023-08-12 00:00:00	No	2023-10-19 00:00:00	None	B	None	3000	9000	0	0	9000	None	Z10H11	N	CA00855882	A	SFY2023-24
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-14 00:00:00	950019261	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2023-08-30 00:00:00	2023-08-30 00:00:00	No	2023-11-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	7P2B11	N	CA00856903, CA00856903, CA00856903, CA00856903	B, B, B, B	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-26 00:00:00	950019296	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-27 00:00:00	2023-08-27 00:00:00	No	2023-11-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	DVM211	N	CA00857901, CA00857901, CA00858191, CA00858191	B, B, B, B	SFY2023-24
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-22 00:00:00	950019397	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-07 00:00:00	2023-10-07 00:00:00	No	2023-12-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	4IO611	N	CA00864314	A	SFY2023-24
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-22 00:00:00	950019398	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-07 00:00:00	2023-10-07 00:00:00	No	2023-12-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4IO611	N	CA00864314	A	SFY2023-24
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-01 00:00:00	950019434	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-04 00:00:00	2023-10-04 00:00:00	No	2023-12-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	X1II11	N	None	None	SFY2023-24
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-05 00:00:00	950019440	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-08-28 00:00:00	2023-08-28 00:00:00	No	2023-12-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VMBG11	N	CA00866692	A	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-12 00:00:00	950019470	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-05-11 00:00:00	2023-05-11 00:00:00	No	2024-01-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	FVY011	N	CA00868350	A	SFY2023-24
950000050	MISSION CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-11 00:00:00	950019848	Closed	Citation	Citation B (HSC 1424)	Administration	None	2024-01-14 00:00:00	2024-01-14 00:00:00	No	2024-04-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P2H211	N	CA00880665	B	SFY2023-24
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-18 00:00:00	950020037	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-25 00:00:00	2024-02-25 00:00:00	No	2024-05-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ET5A11	N	None	None	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-25 00:00:00	950020062	Open	Citation	Citation B (HSC 1424)	Administration	None	2024-03-12 00:00:00	2024-03-12 00:00:00	No	2024-05-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XDIZ11	N	None	None	SFY2023-24
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-17 00:00:00	950020199	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-30 00:00:00	2024-03-30 00:00:00	No	2024-06-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6TG511	N	CA00892444	B	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-05 00:00:00	950020268	Open	Citation	Citation B (HSC 1424)	Other	Nursing Services	2024-04-30 00:00:00	2024-04-30 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	K9II11	N	CA00898079	B	SFY2023-24
950000076	MONTEREY HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-05 00:00:00	950020269	Open	Citation	Citation B (HSC 1424)	Administration	None	2024-04-30 00:00:00	2024-04-30 00:00:00	No	2024-06-26 00:00:00	None	B	None	3000	3000	0	0	3000	None	K9II11	N	CA00898079, CA00898079	B, B	SFY2023-24
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-07 00:00:00	950020289	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-24 00:00:00	2024-04-24 00:00:00	No	2024-06-28 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	9A1E11	N	CA00896832, CA00896832	B, B	SFY2023-24
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-21 00:00:00	950020340	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-04-12 00:00:00	2024-04-12 00:00:00	Yes	2024-07-15 00:00:00	2024-06-27 00:00:00	AA	None	100000	100000	0	0	100000	None	ORRL11	Y	CA00895969	B	SFY2023-24
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-28 00:00:00	960000829	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-27 00:00:00	None	No	2000-02-28 00:00:00	None	B	None	800	800	-280	520	0	960006839	A99999	N	None	None	SFY1999-00
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-31 00:00:00	960000830	Closed	Citation	Citation B (HSC 1424)	Other	ACTIVE TREATMENT	2000-01-12 00:00:00	None	No	2000-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	960006844	A99999	N	None	None	SFY1999-00
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-15 00:00:00	960000836	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/NEGLECT	2000-02-15 00:00:00	None	Yes	2000-04-05 00:00:00	2000-03-30 00:00:00	B	Dismissed by Court	1000	0	0	0	0	960006930	A99999	N	None	None	SFY1999-00
960001071	MINUET DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-17 00:00:00	960000838	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-24 00:00:00	None	Yes	2001-04-04 00:00:00	2000-03-21 00:00:00	B	B	600	600	0	600	0	960006946	A99999	N	None	None	SFY1999-00
960002352	MATHARU ASSISTED LIVING #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-22 00:00:00	960000839	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-14 00:00:00	None	No	2000-04-12 00:00:00	None	B	None	500	500	-175	325	0	960006951	A99999	N	None	None	SFY1999-00
960002142	MATHARU ASSISTED LIVING #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-08-09 00:00:00	960000867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-07 00:00:00	None	No	2000-08-30 00:00:00	None	B	None	800	800	-280	520	0	960007230	A99999	N	None	None	SFY2000-01
960000897	MOMENTUM AGENCIES ICF/DD-N NEWPORT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-24 00:00:00	960000878	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-16 00:00:00	None	No	2000-11-15 00:00:00	None	B	None	700	700	-245	455	0	960007359	A99999	N	None	None	SFY2000-01
960002352	MATHARU ASSISTED LIVING #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-09 00:00:00	960000896	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-30 00:00:00	None	No	2001-06-22 00:00:00	None	B	None	1000	1000	-350	650	0	960007688	A99999	N	None	None	SFY2000-01
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-14 00:00:00	960000897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-16 00:00:00	None	Yes	2001-12-24 00:00:00	2001-05-31 00:00:00	B	B	1000	1000	0	1000	0	960007715	A99999	N	None	None	SFY2000-01
960002276	MORRIS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-24 00:00:00	960000902	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-18 00:00:00	None	No	2001-07-24 00:00:00	None	B	None	700	700	-245	455	0	960007760	A99999	N	None	None	SFY2000-01
960002276	MORRIS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-24 00:00:00	960000903	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-18 00:00:00	None	No	2001-07-24 00:00:00	None	B	None	800	800	-280	520	0	960007761	A99999	N	None	None	SFY2000-01
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-18 00:00:00	960000913	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-06-11 00:00:00	None	No	2001-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	960007848	A99999	N	None	None	SFY2000-01
960000887	MOMENTUM AGENCIES ICF/DD-N WESTLAKE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-03 00:00:00	960000916	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-06-14 00:00:00	None	No	2001-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	960007871	A99999	N	None	None	SFY2001-02
960002205	MIMIS HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-17 00:00:00	960000933	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-27 00:00:00	None	No	2001-10-05 00:00:00	None	B	None	800	800	0	800	0	960007926	A99999	N	None	None	SFY2001-02
960000869	MOMENTUM AGENCIES ICF/DD-N WENDT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-12-20 00:00:00	960000949	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-10-25 00:00:00	None	No	2002-01-30 00:00:00	None	A	None	9000	9000	-3150	5850	0	960008149	A99999	N	None	None	SFY2001-02
960000897	MOMENTUM AGENCIES ICF/DD-N NEWPORT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-18 00:00:00	960000955	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-02 00:00:00	None	No	2002-02-11 00:00:00	None	B	None	800	800	-280	520	0	960008288	A99999	N	None	None	SFY2001-02
960000904	MOMENTUM AGENCIES ICF/DD-H BLEDSOE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-02-11 00:00:00	960000958	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-18 00:00:00	None	No	2002-03-12 00:00:00	None	A	None	5000	5000	-1750	3250	0	960008185	A99999	N	CA00096726	H	SFY2001-02
960000997	MOMENTUM AGENCIES ICF/DD-H HARBOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-03-20 00:00:00	960000962	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-19 00:00:00	None	No	2002-04-17 00:00:00	None	B	None	1000	1000	-350	650	0	960008388	A99999	N	None	None	SFY2001-02
960000914	MOMENTUM AGENCIES ICF/DD-N BRADLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-05-10 00:00:00	960000970	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-04-15 00:00:00	None	No	2002-06-18 00:00:00	None	B	None	600	600	-210	390	0	960008514	A99999	N	None	None	SFY2001-02
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-05-30 00:00:00	960000974	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-15 00:00:00	None	No	2002-06-26 00:00:00	None	B	None	1000	1000	-350	650	0	960008567	A99999	N	None	None	SFY2001-02
960002027	MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-14 00:00:00	960000976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-30 00:00:00	None	No	2002-07-08 00:00:00	None	B	None	800	800	-280	520	0	960008571	A99999	N	None	None	SFY2001-02
960002024	MOMENTUM AGENCIES ICF/DD-H AMESTOY SOUTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-14 00:00:00	960000977	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-30 00:00:00	None	No	2002-07-15 00:00:00	None	B	None	700	700	-245	455	0	960008572	A99999	N	None	None	SFY2001-02
960002352	MATHARU ASSISTED LIVING #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-25 00:00:00	960000980	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-13 00:00:00	None	No	2002-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	960008599	A99999	N	None	None	SFY2001-02
960000900	MOMENTUM AGENCIES ICF/DD-N MAX FACTOR HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-07-09 00:00:00	960000983	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-06-21 00:00:00	None	No	2002-08-08 00:00:00	None	B	None	700	700	-245	455	0	960008623	A99999	N	None	None	SFY2002-03
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-07-19 00:00:00	960000985	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-29 00:00:00	None	No	2002-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	960008673	A99999	N	None	None	SFY2002-03
960002027	MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-11-07 00:00:00	960000993	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-28 00:00:00	None	No	2002-12-10 00:00:00	None	B	None	1000	1000	-350	650	0	960008855	A99999	N	None	None	SFY2002-03
960002142	MATHARU ASSISTED LIVING #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-11-21 00:00:00	960000995	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-08 00:00:00	None	No	2002-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	960008838	A99999	N	None	None	SFY2002-03
960000882	MOMENTUM AGENCIES ICF/DD-H HUBBARD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-12-02 00:00:00	960000996	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-05 00:00:00	None	No	2002-12-23 00:00:00	None	B	None	800	800	-280	520	0	960008879	A99999	N	None	None	SFY2002-03
960000997	MOMENTUM AGENCIES ICF/DD-H HARBOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-04-30 00:00:00	960001016	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-04-09 00:00:00	None	Yes	2003-09-15 00:00:00	2003-09-12 00:00:00	B	B	800	400	0	400	0	960009106	A99999	N	None	None	SFY2002-03
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-05-30 00:00:00	960001021	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-16 00:00:00	None	No	2003-06-20 00:00:00	None	B	None	800	800	-280	520	0	960009176	A99999	N	None	None	SFY2002-03
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-21 00:00:00	960001026	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-06-06 00:00:00	None	No	2003-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	960009273	A99999	N	None	None	SFY2003-04
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-21 00:00:00	960001027	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-06-18 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	800	800	-280	520	0	960009275	A99999	N	None	None	SFY2003-04
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-21 00:00:00	960001028	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-06-17 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	960009276	A99999	N	None	None	SFY2003-04
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-22 00:00:00	960001029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-06-18 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	960009277	A99999	N	None	None	SFY2003-04
960000869	MOMENTUM AGENCIES ICF/DD-N WENDT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-10-31 00:00:00	960001037	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-30 00:00:00	None	No	2003-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	960009447	A99999	N	None	None	SFY2003-04
960002205	MIMIS HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-12-18 00:00:00	960001044	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-12-03 00:00:00	None	No	2004-01-21 00:00:00	None	B	None	1000	1000	-350	650	0	960009499	A99999	N	None	None	SFY2003-04
960001833	MARIE'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-12-18 00:00:00	960001045	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-12-04 00:00:00	None	No	2004-01-20 00:00:00	None	B	None	1000	1000	-350	650	0	960009518	A99999	N	None	None	SFY2003-04
960001833	MARIE'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-12-18 00:00:00	960001046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-03 00:00:00	None	No	2004-01-20 00:00:00	None	B	None	900	900	-315	585	0	960009518	A99999	N	None	None	SFY2003-04
960002836	MOMENTUM AGENCIES ICF/DD-H MISSION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-05-27 00:00:00	960001073	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-01 00:00:00	None	No	2004-07-13 00:00:00	None	B	None	1000	1000	-350	650	0	960009677	A99999	N	None	None	SFY2003-04
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-06-25 00:00:00	960001078	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-08 00:00:00	None	No	2004-08-04 00:00:00	None	B	None	1000	1000	-350	650	0	960009774	A99999	N	None	None	SFY2003-04
960001172	MOUNTAINGATE HOUSE - PROJECT SIX	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-08-23 00:00:00	960001091	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-23 00:00:00	None	No	2004-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	960009878	A99999	N	None	None	SFY2004-05
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-10-26 00:00:00	960001094	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-23 00:00:00	None	No	2004-12-14 00:00:00	None	B	None	1000	1000	-350	650	0	960009941	A99999	N	None	None	SFY2004-05
960001172	MOUNTAINGATE HOUSE - PROJECT SIX	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-12-03 00:00:00	960001096	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-08-29 00:00:00	None	No	2005-01-11 00:00:00	None	B	None	1000	1000	-350	650	0	960009982	A99999	N	None	None	SFY2004-05
960001924	MATHARU ASSISTED LIVING	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-02-11 00:00:00	960001101	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-25 00:00:00	None	No	2005-07-12 00:00:00	None	B	None	500	500	-175	325	0	960010048	A99999	N	None	None	SFY2004-05
960000997	MOMENTUM AGENCIES ICF/DD-H HARBOR	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-02-25 00:00:00	960001105	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-08 00:00:00	None	No	2005-07-08 00:00:00	None	B	None	800	800	-280	520	0	960010039	A99999	N	None	None	SFY2004-05
960002027	MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-04-01 00:00:00	960001106	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-03-21 00:00:00	None	No	2005-07-08 00:00:00	None	B	None	800	800	-280	520	0	960010122	A99999	N	None	None	SFY2004-05
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-05-24 00:00:00	960001114	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-25 00:00:00	None	No	2005-06-15 00:00:00	None	B	None	700	700	-245	455	0	960010159	A99999	N	None	None	SFY2004-05
960001754	MARIE'S PRIVATE QUARTERS #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-05-25 00:00:00	960001116	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-12 00:00:00	None	No	2005-07-19 00:00:00	None	B	None	800	800	-280	520	0	960010144	A99999	N	None	None	SFY2004-05
960001754	MARIE'S PRIVATE QUARTERS #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-05-25 00:00:00	960001117	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-04-12 00:00:00	None	No	2005-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	960010144	A99999	N	None	None	SFY2004-05
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-09 00:00:00	960001123	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-05-23 00:00:00	None	No	2005-07-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	960010188	A99999	N	None	None	SFY2004-05
960001789	MARKWAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-06-10 00:00:00	960001124	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-18 00:00:00	2005-05-20 00:00:00	No	2005-07-12 00:00:00	None	B	None	1000	1000	-350	650	0	960010187	A99999	N	None	None	SFY2004-05
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-07-21 00:00:00	960001129	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-21 00:00:00	None	Yes	2005-08-11 00:00:00	2005-09-15 00:00:00	B	None	1000	1200	0	1200	0	960010226	A99999	N	None	None	SFY2005-06
960001833	MARIE'S HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-12-17 00:00:00	960001163	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-11 00:00:00	None	No	2006-01-26 00:00:00	None	B	None	1000	1000	-350	650	0	960010415	A99999	N	None	None	SFY2005-06
960002142	MATHARU ASSISTED LIVING #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-03-02 00:00:00	960003764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-14 00:00:00	2007-02-14 00:00:00	No	2007-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	LR2C11	N	None	None	SFY2006-07
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-06-29 00:00:00	960004055	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-06-01 00:00:00	2007-06-01 00:00:00	No	2007-07-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	580711	N	None	None	SFY2006-07
960001607	MATHARU ASSISTED LIVING #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-08-09 00:00:00	960004167	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-07-27 00:00:00	2007-07-27 00:00:00	No	2007-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	LR2C11	N	None	None	SFY2007-08
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-01-29 00:00:00	960004621	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-11 00:00:00	2007-06-11 00:00:00	No	2008-02-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	T6LI11	N	CA00118208	B	SFY2007-08
960001607	MATHARU ASSISTED LIVING #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-02-14 00:00:00	960004687	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-24 00:00:00	2008-01-24 00:00:00	No	2008-03-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	999999	N	None	None	SFY2007-08
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-20 00:00:00	960004770	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-19 00:00:00	2008-02-19 00:00:00	Yes	2008-04-11 00:00:00	2008-04-22 00:00:00	B	None	1000	1000	0	1000	0	None	KU5711	N	CA00142183	A	SFY2007-08
960002276	MORRIS HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-04-11 00:00:00	960004850	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-03-28 00:00:00	2008-03-28 00:00:00	No	2008-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	L4H011	N	None	None	SFY2007-08
960001910	MIRAJOY HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-04-18 00:00:00	960004939	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-03-26 00:00:00	2008-03-26 00:00:00	No	2008-05-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	HI2511	N	None	None	SFY2007-08
960001743	MIDOMAR HOMES I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-10-14 00:00:00	960005512	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-19 00:00:00	2008-09-19 00:00:00	No	2008-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q24T11	N	None	None	SFY2008-09
960002158	MVM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-02 00:00:00	960005921	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-01-07 00:00:00	2009-01-07 00:00:00	No	2009-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	EWLW11	N	CA00174027	A	SFY2008-09
960000889	MOMENTUM AGENCIES ICF/DD-N LONGO	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-18 00:00:00	960005975	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-27 00:00:00	2008-10-27 00:00:00	No	2009-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	S01U11	N	None	None	SFY2008-09
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-08-20 00:00:00	960006474	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-25 00:00:00	2009-07-25 00:00:00	No	2009-09-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	U6MB11	N	None	None	SFY2009-10
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-08-20 00:00:00	960006477	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-23 00:00:00	2009-07-23 00:00:00	No	2009-09-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	U6MB11	N	None	None	SFY2009-10
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-08-31 00:00:00	960007532	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-12 00:00:00	2010-08-12 00:00:00	No	2010-09-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	7QWP11	N	None	None	SFY2010-11
960000914	MOMENTUM AGENCIES ICF/DD-N BRADLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-06-24 00:00:00	960008323	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-25 00:00:00	2011-02-25 00:00:00	No	2011-07-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	SMTK11	N	None	None	SFY2010-11
960002142	MATHARU ASSISTED LIVING #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-07-08 00:00:00	960008365	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-05-04 00:00:00	2011-05-04 00:00:00	No	2011-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	G5HE11	N	CA00267379	C	SFY2011-12
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-09-02 00:00:00	960008532	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-03-26 00:00:00	2009-03-26 00:00:00	No	2011-09-26 00:00:00	None	B	None	1000	1000	-1000	0	0	None	CDVZ11	N	None	None	SFY2011-12
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-09-10 00:00:00	960008538	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-31 00:00:00	2011-03-31 00:00:00	No	2011-10-03 00:00:00	None	A	None	10000	10000	-10000	0	0	None	CDVZ11	N	None	None	SFY2011-12
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-09-12 00:00:00	960008539	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-31 00:00:00	2011-08-31 00:00:00	No	2011-10-04 00:00:00	None	A	None	10000	10000	-10000	0	0	None	CDVZ11	N	None	None	SFY2011-12
960001587	MT MITCHELL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-09-12 00:00:00	960008540	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-31 00:00:00	2011-08-31 00:00:00	No	2011-10-04 00:00:00	None	A	None	10000	10000	-10000	0	0	None	CDVZ11	N	None	None	SFY2011-12
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-10-14 00:00:00	960008627	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-08-31 00:00:00	2011-08-31 00:00:00	No	2011-11-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	85P811	N	None	None	SFY2011-12
960001612	MADISON HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-10-12 00:00:00	960008636	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2011-08-24 00:00:00	2011-08-24 00:00:00	No	2011-11-02 00:00:00	None	B	None	700	700	-245	455	0	None	U7KJ11	N	None	None	SFY2011-12
960002077	MARY'S HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-02-08 00:00:00	960008983	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-01-26 00:00:00	2012-01-26 00:00:00	No	2012-03-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	L0VJ11	N	CA00297673	B	SFY2011-12
960001001	MARLINDA WEST NURSING HOME	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-03-06 00:00:00	960009019	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2011-06-25 00:00:00	2011-06-25 00:00:00	Yes	2012-03-27 00:00:00	2012-03-22 00:00:00	A	None	3000	3000	-3000	0	0	None	XD3V11	N	CA00274679	C	SFY2011-12
960001997	MOMENTUM AGENCIES ICF/DD-H DRONFIELD NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-02-08 00:00:00	960009734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-07-22 00:00:00	2012-07-22 00:00:00	No	2013-03-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	KTF311	N	CA00321878	B	SFY2012-13
960002158	MVM HOME, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2013-04-19 00:00:00	960009847	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-03-15 00:00:00	2013-03-15 00:00:00	No	2013-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	DZDJ11	N	None	None	SFY2012-13
960002867	MAPLE SPRINGS ICF/DDN HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-02-05 00:00:00	960010443	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Other	Willful Falsification	2013-12-17 00:00:00	2013-12-17 00:00:00	No	2014-02-27 00:00:00	None	WF	None	1000	1000	-350	650	0	None	F0GN11	None	None	None	SFY2013-14
960000882	MOMENTUM AGENCIES ICF/DD-H HUBBARD	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2014-03-07 00:00:00	960010474	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-11-28 00:00:00	2013-11-28 00:00:00	No	2014-03-28 00:00:00	None	A	None	3000	3000	-1050	1950	0	None	Y8RW11	N	None	None	SFY2013-14
960002205	MIMIS HOMES	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2015-03-10 00:00:00	960010497	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-01-26 00:00:00	2013-01-26 00:00:00	Yes	2015-04-01 00:00:00	2015-03-17 00:00:00	A	None	5000	5000	-5000	0	0	None	GJSO11	N	None	None	SFY2014-15
960000869	MOMENTUM AGENCIES ICF/DD-N WENDT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2015-10-09 00:00:00	960011773	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-11-19 00:00:00	2004-11-19 00:00:00	No	2015-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	8BC611	N	None	None	SFY2015-16
960001607	MATHARU ASSISTED LIVING #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-21 00:00:00	960013302	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-20 00:00:00	2016-07-20 00:00:00	No	2017-07-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	GEEQ11	N	CA00496253	B	SFY2016-17
960000914	MOMENTUM AGENCIES ICF/DD-N BRADLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2018-08-24 00:00:00	960014335	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-16 00:00:00	2018-05-16 00:00:00	No	2018-09-17 00:00:00	None	A	None	4000	4000	0	4000	0	None	PBDL11	N	CA00585484	B	SFY2018-19
960000897	MOMENTUM AGENCIES ICF/DD-N NEWPORT	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2020-11-18 00:00:00	960016159	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2020-07-10 00:00:00	2020-07-10 00:00:00	No	2020-12-11 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	CM9V11	N	CA00702971, CA00702976	A, A	SFY2020-21
630012473	MINUET HOMES, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2022-01-31 00:00:00	960017302	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-09 00:00:00	2021-12-09 00:00:00	No	2022-02-22 00:00:00	None	B	None	1000	1700	-350	1350	0	None	4BVT11	N	CA00763927	A	SFY2021-22
960000914	MOMENTUM AGENCIES ICF/DD-N BRADLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-09-27 00:00:00	960019205	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-19 00:00:00	2023-08-19 00:00:00	No	2023-10-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	649U11	N	CA00857043	C	SFY2023-24
960001172	MOUNTAINGATE HOUSE - PROJECT SIX	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-02-07 00:00:00	960019704	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-15 00:00:00	2023-11-15 00:00:00	No	2024-02-28 00:00:00	None	B	None	1000	1000	0	1000	0	None	GGVS11	N	CA00870431	A	SFY2023-24
960002027	MOMENTUM AGENCIES ICF/DD-H AMESTOY NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-03-08 00:00:00	960019844	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-12 00:00:00	2024-01-12 00:00:00	No	2024-03-29 00:00:00	None	B	None	1500	1500	-525	975	0	None	OCBO11	N	CA00878506	B	SFY2023-24
960002836	MOMENTUM AGENCIES ICF/DD-H MISSION	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-26 00:00:00	960020067	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-17 00:00:00	2024-01-17 00:00:00	No	2024-05-17 00:00:00	None	B	None	1500	1500	-525	975	0	None	94N511	N	CA00880478	A	SFY2023-24
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-01 00:00:00	970000998	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-29 00:00:00	1999-11-29 00:00:00	Yes	2001-05-29 00:00:00	2000-02-14 00:00:00	A	A	5000	5000	0	5000	0	970005021	A99999	N	None	None	SFY1999-00
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-11-28 00:00:00	970001060	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-10-27 00:00:00	None	Yes	2000-12-29 00:00:00	2000-12-13 00:00:00	B	Dismissed by Court	600	0	0	0	0	970005406	A99999	N	None	None	SFY2000-01
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-12-26 00:00:00	970001064	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-12-07 00:00:00	None	Yes	2001-01-16 00:00:00	2001-01-09 00:00:00	B	B	1000	1600	0	1600	0	970005440	A99999	N	None	None	SFY2000-01
970000141	MAPLE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-12-21 00:00:00	970001369	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-11-21 00:00:00	None	Yes	2002-03-22 00:00:00	2001-12-27 00:00:00	B	B	1000	500	0	500	0	970007009	A99999	N	None	None	SFY2001-02
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-01-08 00:00:00	970001371	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-26 00:00:00	None	Yes	2002-02-19 00:00:00	2002-01-28 00:00:00	B	B	1000	500	0	500	0	970006785	A99999	N	None	None	SFY2001-02
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-07-21 00:00:00	970001453	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-01 00:00:00	None	No	2004-09-01 00:00:00	None	B	None	1000	1050	-350	700	0	970008017	A99999	N	None	None	SFY2004-05
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-02-02 00:00:00	970005846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-22 00:00:00	2009-01-22 00:00:00	No	2009-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	S9HW11	N	CA00174185	C	SFY2008-09
970000143	MID-WILSHIRE HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-02-02 00:00:00	970005847	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-26 00:00:00	2008-12-26 00:00:00	No	2009-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	S9HW11	N	CA00174185	C	SFY2008-09
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-08-19 00:00:00	980016813	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-20 00:00:00	2021-05-20 00:00:00	Yes	2021-09-10 00:00:00	2021-08-31 00:00:00	A	None	10000	10200	0	0	10200	None	Y4F311	Y	None	None	SFY2021-22
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-09-16 00:00:00	980016928	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2021-07-19 00:00:00	2021-07-19 00:00:00	No	2021-10-07 00:00:00	None	B	None	1000	1150	0	1150	0	None	EGXZ11	N	CA00744538, CA00744538, CA00744538	A, A, A	SFY2021-22
630015648	MSB, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-01-18 00:00:00	980017270	Open	Citation	Citation B (HSC 1424)	Staffing	None	2021-11-19 00:00:00	2021-11-19 00:00:00	No	2022-02-08 00:00:00	None	B	B	1000	2812.51	0	2182.51	630	None	LSVH11	N	CA00761784, CA00761784	A, A	SFY2021-22
630015648	MSB, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-18 00:00:00	980017511	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-04 00:00:00	2022-03-04 00:00:00	No	2022-04-11 00:00:00	None	A	A	10000	7607.5	0	0	7607.5	None	V29611	N	CA00775581	A	SFY2021-22
630015648	MSB, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-25 00:00:00	980017528	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-08 00:00:00	2022-03-08 00:00:00	No	2022-04-18 00:00:00	None	A	A	10000	7501	0	0	7501	None	LE0L11	N	CA00776672, CA00776672, CA00776672	A, A, A	SFY2021-22
630015648	MSB, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-01 00:00:00	980017687	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-11 00:00:00	2022-03-11 00:00:00	No	2022-06-22 00:00:00	None	A	A	10000	7501	0	0	7501	None	LE0L11	N	CA00776672, CA00776672, CA00776672, CA00776672	A, A, A, A	SFY2021-22
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018877	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-02 00:00:00	2023-06-02 00:00:00	Yes	2023-07-10 00:00:00	2023-06-23 00:00:00	B	None	1000	1300	0	0	1300	None	JL4411	N	CA00843401, CA00843401, CA00843401, CA00843401	A, A, A, A	SFY2022-23
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018878	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-02 00:00:00	2023-06-02 00:00:00	No	2023-07-10 00:00:00	None	B	None	1000	1000	0	0	1000	None	JL4411	N	CA00843401, CA00843401, CA00843401, CA00843401	A, A, A, A	SFY2022-23
630016716	MIH PROJECT A, LLC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-10 00:00:00	980019242	Open	Citation	Citation B (HSC 1424)	Dietary	None	2023-09-15 00:00:00	2023-09-15 00:00:00	No	2023-10-31 00:00:00	None	B	None	1000	3650	0	0	3650	None	1VM411	N	CA00860762, CA00860762, CA00860762	A, A, A	SFY2023-24
630016392	MAGNIFIQUE CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-12 00:00:00	980019855	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	Yes	2024-04-02 00:00:00	2024-03-12 00:00:00	B	None	1000	1000	0	0	1000	None	GXQN11	N	CA00882686, CA00882686	B, B	SFY2023-24
630018118	MOUNTAIN VIEW CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-29 00:00:00	980020078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-12 00:00:00	2024-03-12 00:00:00	No	2024-05-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZOKU11	N	CA00887715, CA00887715	B, B	SFY2023-24
140000106	MARTINEZ CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2014-09-26 00:00:00	020011018	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	2014-10-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	L8X111	None	None	None	SFY2014-15
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2019-03-05 00:00:00	020014841	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-10-01 00:00:00	2017-12-31 00:00:00	Yes	2019-03-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	GKZS11	None	None	None	SFY2018-19
020000079	MEDICAL HILL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2020-08-04 00:00:00	020015954	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	2020-08-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	GZQK11	None	None	None	SFY2020-21
020000100	MERCY RETIREMENT & CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-02-01 00:00:00	020017277	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	2022-02-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OBBP11	None	None	None	SFY2021-22
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-01-07 00:00:00	030011903	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-01-04 00:00:00	2015-04-05 00:00:00	Yes	2016-01-22 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	VDFW11	None	CA00437231, CA00437231, CA00437231, CA00437231, CA00437530	B, B, B, B, B	SFY2015-16
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-06-28 00:00:00	030013305	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	2017-07-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	J7RZ11	None	None	None	SFY2016-17
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-02-14 00:00:00	030017323	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	2022-03-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	EVLG11	None	None	None	SFY2021-22
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2013-01-23 00:00:00	040009525	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-11-16 00:00:00	2012-01-31 00:00:00	Yes	2013-02-07 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	CHFU11	None	None	None	SFY2012-13
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2014-04-25 00:00:00	040010340	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-10-03 00:00:00	2012-12-18 00:00:00	No	2014-05-10 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1EOD11	None	None	None	SFY2013-14
090000003	MAGNOLIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2021-09-15 00:00:00	100016899	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	2021-12-31 00:00:00	No	2021-09-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	HNTD11	None	None	None	SFY2021-22
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-07-30 00:00:00	220015242	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	2019-08-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	M7JN11	None	None	None	SFY2019-20
230000278	MARYSVILLE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2017-05-17 00:00:00	230013190	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-12-15 00:00:00	2016-03-15 00:00:00	No	2017-06-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	C0YX11	None	None	None	SFY2016-17
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-08-13 00:00:00	240010911	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	No	2014-08-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3PD211	None	None	None	SFY2014-15
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-06-28 00:00:00	240012344	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-08-26 00:00:00	2015-11-25 00:00:00	No	2016-07-13 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CYI511	None	None	None	SFY2015-16
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-10-15 00:00:00	240014469	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	2018-10-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WGNC11	None	None	None	SFY2018-19
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-11-15 00:00:00	250017073	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	2021-11-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	89DH11	None	None	None	SFY2021-22
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-30 00:00:00	810015406	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	2019-10-15 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QDGI11	None	None	None	SFY2019-20
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-11-04 00:00:00	810015488	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-11-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WUQS11	None	None	None	SFY2019-20
090000006	MOUNT MIGUEL COVENANT VILLAGE HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	San Diego	2020-07-27 00:00:00	810015928	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	2020-08-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5GMO11	None	None	None	SFY2020-21
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-09-15 00:00:00	810015955	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	Yes	2020-09-30 00:00:00	2020-10-01 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	HGP911	None	None	None	SFY2020-21
090000003	MAGNOLIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2020-06-18 00:00:00	810016007	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Y61Y11	None	None	None	SFY2019-20
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-09-17 00:00:00	810016022	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2020-10-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9JTP11	None	None	None	SFY2020-21
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-10-06 00:00:00	810016067	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-25 00:00:00	2018-10-24 00:00:00	No	2020-10-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QZL611	None	None	None	SFY2020-21
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-12 00:00:00	810016080	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-03-17 00:00:00	2019-06-16 00:00:00	No	2020-10-27 00:00:00	None	AP NHPPD	None	30000	30000	0	0	30000	None	G05D11	None	None	None	SFY2020-21
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2020-12-28 00:00:00	810016202	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	2021-01-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	9JGB11	None	None	None	SFY2020-21
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-01-14 00:00:00	810016223	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-04-01 00:00:00	2019-06-30 00:00:00	No	2021-01-29 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	GXF511	None	None	None	SFY2020-21
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-02-24 00:00:00	810016291	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	H2K011	None	None	None	SFY2020-21
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2021-03-02 00:00:00	810016297	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-05 00:00:00	2019-09-30 00:00:00	No	2021-03-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6TX011	None	None	None	SFY2020-21
240000085	MONTCLAIR MANOR CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-06-01 00:00:00	810016516	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	2021-06-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	F5D111	None	None	None	SFY2020-21
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2021-06-30 00:00:00	810016667	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	L5C011	None	None	None	SFY2020-21
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-15 00:00:00	810016736	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	AN1R11	None	None	None	SFY2021-22
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-08-06 00:00:00	810016779	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	2021-08-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	OVTC11	None	None	None	SFY2021-22
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-08-19 00:00:00	810016806	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-09-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2I7H11	None	None	None	SFY2021-22
240000286	MOUNTAIN VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-09-17 00:00:00	810016885	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	2021-10-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	X8NX11	None	None	None	SFY2021-22
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-09-10 00:00:00	810016888	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	2021-09-25 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	967311	None	None	None	SFY2021-22
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-10-21 00:00:00	810017011	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	2021-11-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3CIF11	None	None	None	SFY2021-22
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-10-28 00:00:00	810017029	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	2021-11-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MTXJ11	None	None	None	SFY2021-22
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-04 00:00:00	810017036	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	2021-11-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7Z8V11	None	None	None	SFY2021-22
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-11-10 00:00:00	810017067	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	2021-11-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	KJAK11	None	None	None	SFY2021-22
240000650	MADISON GROVE POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-11-24 00:00:00	810017098	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-09 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	IRFF11	None	None	None	SFY2021-22
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-15 00:00:00	810017153	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	2021-12-30 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	P8WO11	None	None	None	SFY2021-22
250000078	MEADOWBROOK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-12-22 00:00:00	810017191	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-06 00:00:00	None	AP NHPPD	None	30000	30000	0	5000	25000	None	W4UD11	None	None	None	SFY2021-22
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-05 00:00:00	810017230	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	2022-01-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YZP411	None	None	None	SFY2021-22
140000081	MORAGA POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-02-10 00:00:00	810017310	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-25 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	8USF11	None	None	None	SFY2021-22
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-04-14 00:00:00	810017557	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-29 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	6KYW11	None	None	None	SFY2021-22
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-13 00:00:00	810017605	Open	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	2022-05-28 00:00:00	None	AP NHPPD	None	30000	30000	0	0	30000	None	QW3911	None	None	None	SFY2021-22
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-24 00:00:00	810017643	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	2022-06-08 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	HX1J11	None	None	None	SFY2021-22
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-06-02 00:00:00	810017659	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	WFV811	None	None	None	SFY2021-22
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-06-02 00:00:00	810017660	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	2022-06-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2KVP11	None	None	None	SFY2021-22
920000007	MOUNTAIN VIEW CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-06 00:00:00	810017752	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-07-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WPBE11	None	None	None	SFY2022-23
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-24 00:00:00	810018075	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-11-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	O6N111	None	None	None	SFY2022-23
240000080	MEDICAL CENTER CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-11-15 00:00:00	810018135	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-08 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	1DMX11	None	None	None	SFY2022-23
090000003	MAGNOLIA POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-11-15 00:00:00	810018147	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	2022-12-08 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	992211	None	None	None	SFY2022-23
060000055	MISSION PALMS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-12-13 00:00:00	810018214	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	2023-01-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	E8FY11	None	None	None	SFY2022-23
950000048	MONROVIA GARDENS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-27 00:00:00	810018250	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	2023-01-19 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	5YPL11	None	None	None	SFY2022-23
910000058	MAR VISTA COUNTRY VILLA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-20 00:00:00	810018293	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	NKBF11	None	None	None	SFY2022-23
040000036	MANNING GARDENS CARE CENTER, INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-11 00:00:00	810018333	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	588611	None	None	None	SFY2022-23
040000019	MORNING STAR POST ACUTE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-18 00:00:00	810018337	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	TYLH11	None	None	None	SFY2022-23
240000089	MEADOWS RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-02-15 00:00:00	810018389	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-03-09 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	L95T11	None	None	None	SFY2022-23
250000723	MONTEREY PALMS HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-22 00:00:00	810018395	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	S4ZS11	None	None	None	SFY2022-23
100000107	MODESTO POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-03-09 00:00:00	810018463	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	2023-03-30 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	5ZGH11	None	None	None	SFY2022-23
030000028	MISSION CARMICHAEL HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-03-28 00:00:00	810018533	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	2023-04-19 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	V2MZ11	None	None	None	SFY2022-23
950000011	MONTE VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-13 00:00:00	810018541	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	WX6111	None	None	None	SFY2022-23
970000180	MONTE VISTA GROVE HOMES	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-08 00:00:00	810018840	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	PDXE11	None	None	None	SFY2022-23
040000058	MAJESTIC MOUNTAIN CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-06-22 00:00:00	810018862	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	2023-07-14 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	MZY811	None	None	None	SFY2022-23
030000050	MAIN WEST POSTACUTE CARE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-08-15 00:00:00	810019027	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-09-06 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	B76Y11	None	None	None	SFY2023-24
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-15 00:00:00	810019038	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	WKDX11	None	None	None	SFY2023-24
250001724	MURRIETA HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-08-24 00:00:00	810019067	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	2023-09-15 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	VNRT11	None	None	None	SFY2023-24
030001168	MID-TOWN OAKS POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-08-24 00:00:00	810019070	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-09-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	P9YW11	None	None	None	SFY2023-24
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-07 00:00:00	810019113	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	E0OX11	None	None	None	SFY2023-24
910000322	MIRACLE MILE HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-13 00:00:00	810019263	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	1YEM11	None	None	None	SFY2023-24
230000038	MARQUIS CARE AT SHASTA	LTC	SNF	Skilled Nursing Facility	Chico	2023-11-22 00:00:00	810019369	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-30 00:00:00	2020-12-31 00:00:00	No	2023-12-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FFWY11	None	None	None	SFY2023-24
250000098	MENIFEE LAKES POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-12-20 00:00:00	810019464	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-11 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	CIR011	None	None	None	SFY2023-24
920000028	MONTROSE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-04 00:00:00	810019538	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-25 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	HYAW11	None	None	None	SFY2023-24
090000039	MISSION HILLS POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-01-04 00:00:00	810019539	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-25 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	O9EO11	None	None	None	SFY2023-24
940000092	MAYWOOD SKILLED NURSING & WELLNESS CENTRE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-11 00:00:00	810019567	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-02-01 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	W16511	None	None	None	SFY2023-24
940000049	MEADOW CREEK POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-13 00:00:00	810019826	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-04-03 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	0QPT11	None	None	None	SFY2023-24
010000959	MARIN POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-21 00:00:00	810019863	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	2024-04-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	WIC211	None	None	None	SFY2023-24
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-17 00:00:00	810019983	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-08 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	595K11	None	None	None	SFY2023-24
220000087	MILLBRAE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2024-05-15 00:00:00	810020156	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	2024-06-06 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	BZJH11	None	None	None	SFY2023-24
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-26 00:00:00	810020347	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-07-18 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	XVHM11	None	None	None	SFY2023-24
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-28 00:00:00	910017804	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-12 00:00:00	None	AP NHPPD	None	30000	30000	0	0	30000	None	D7EO11	None	None	None	SFY2022-23
910000059	MARINA POINTE HEALTHCARE & SUBACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-03 00:00:00	910017829	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-18 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	UN5411	None	None	None	SFY2022-23
920000009	MACLAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-06-20 00:00:00	920009840	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-09 00:00:00	2012-04-25 00:00:00	Yes	2013-07-05 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	LLUQ11	None	None	None	SFY2012-13
920000052	MAYFLOWER GARDENS CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-07-01 00:00:00	920010376	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-12-25 00:00:00	2013-03-11 00:00:00	Yes	2014-07-16 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	PQOY11	None	None	None	SFY2014-15
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-20 00:00:00	940014408	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-04-02 00:00:00	2017-06-30 00:00:00	No	2018-10-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ODQY11	None	None	None	SFY2018-19
970000064	MANCHESTER MANOR CVLT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-11-05 00:00:00	940014537	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-12-12 00:00:00	2017-03-13 00:00:00	Yes	2018-11-20 00:00:00	None	AP NHPPD	APPEAL WITHDRAWN BY	15000	15000	0	15000	0	None	YTGR11	None	None	None	SFY2018-19
970000109	MONTECITO HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-04-11 00:00:00	940014941	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-07-01 00:00:00	2017-09-30 00:00:00	No	2019-04-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	85I211	None	None	None	SFY2018-19
950000032	MESA GLEN CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-02-05 00:00:00	950011243	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2014-02-26 00:00:00	2014-05-28 00:00:00	No	2015-02-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	R73S11	None	None	None	SFY2014-15
950000073	MONROVIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-15 00:00:00	950014321	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-12-20 00:00:00	2017-03-21 00:00:00	No	2018-08-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4XQR11	None	None	None	SFY2018-19
940000109	MONTEBELLO CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-07 00:00:00	950016971	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	2021-10-22 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	7KKX11	None	None	None	SFY2021-22
920000027	MONTROSE SPRINGS SKILLED NURSING & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-11 00:00:00	950017245	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	2022-01-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VMQP11	None	None	None	SFY2021-22
630011339	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	East Bay	2012-07-26 00:00:00	020009410	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	2011-08-15 12:00:00	2011-08-15 12:00:00	No	2012-08-16 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	XERO11	None	CA00300681	C	SFY2012-13
020000924	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	East Bay	2012-09-19 00:00:00	020009416	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-07-18 12:00:00	2011-07-18 12:00:00	No	2012-10-10 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	RI2911	None	CA00279795	C	SFY2012-13
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-03-26 00:00:00	030004823	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	2007-10-11 00:00:00	2007-10-11 00:00:00	No	2008-04-18 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	ZCKU11	N	CA00130385	C	SFY2007-08
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-12-11 00:00:00	030005687	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2007-10-08 00:00:00	2007-10-08 00:00:00	No	2009-01-12 00:00:00	None	FTR AE	None	11400	11400	0	11400	0	None	MD3L11	N	CA00139917	B	SFY2008-09
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-03-09 00:00:00	030005941	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE05 - Death during or up to 24 hours after surgery	None	2008-12-03 00:00:00	2008-12-03 00:00:00	No	2009-04-01 00:00:00	None	FTR AE	None	300	300	0	300	0	None	F1K911	Y	CA00171971	B	SFY2008-09
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-03-09 00:00:00	030005943	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	2008-11-27 00:00:00	2008-11-27 00:00:00	No	2009-04-01 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	NI4E11	N	CA00174934	B	SFY2008-09
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-03-17 00:00:00	030005969	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-08-02 00:00:00	2008-08-02 00:00:00	Yes	2009-04-08 00:00:00	2009-03-26 00:00:00	FTR AE	None	14100	14100	0	0	14100	None	7W6111	N	CA00159502	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-03-17 00:00:00	030005976	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	2008-03-20 00:00:00	2008-03-20 00:00:00	No	2009-04-13 00:00:00	None	FTR AE	None	7100	7100	0	7100	0	None	P5BT11	N	CA00145302	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-03-18 00:00:00	030005982	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	2008-01-12 00:00:00	2008-01-12 00:00:00	No	2009-04-13 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	NKVU11	N	CA00140083	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-03-18 00:00:00	030005986	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	2007-08-31 00:00:00	2007-08-31 00:00:00	No	2009-04-13 00:00:00	None	FTR AE	None	12800	12800	0	12800	0	None	V7QP11	N	CA00137755, CA00138649, CA00139421	B, B, B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-03-20 00:00:00	030006002	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-06 00:00:00	2008-10-06 00:00:00	No	2009-04-14 00:00:00	None	FTR AE	None	300	300	0	300	0	None	DBYM11	N	CA00166152	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-05-13 00:00:00	030006181	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-08 00:00:00	2008-10-08 00:00:00	No	2009-06-05 00:00:00	None	FTR AE	None	100	100	0	100	0	None	M73V11	N	CA00166256	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-05-13 00:00:00	030006182	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-27 00:00:00	2008-05-27 00:00:00	No	2009-06-05 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	9IK711	N	CA00154463	B	SFY2008-09
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2009-06-12 00:00:00	030006289	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	2008-07-16 00:00:00	2008-07-16 00:00:00	No	2009-07-06 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	XHYX11	N	CA00160228	B	SFY2008-09
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-06-26 00:00:00	030006325	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE23 - Death/disab assoc with use of restraints/bedrails	None	2008-02-17 00:00:00	2008-02-17 00:00:00	Yes	2009-07-17 00:00:00	2009-09-21 00:00:00	AP IJ	AP IJ	25000	12500	0	12500	0	None	B2U611	N	CA00169749	B	SFY2008-09
030000120	MARK TWAIN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-06-30 00:00:00	030006334	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2008-01-20 00:00:00	2008-01-20 00:00:00	Yes	2009-07-21 00:00:00	2009-09-14 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	1HE211	Y	CA00139414	B	SFY2008-09
030000120	MARK TWAIN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-06-23 00:00:00	030007329	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	2009-11-06 00:00:00	2009-11-06 00:00:00	No	2010-07-16 00:00:00	None	FTR BR	None	600	600	0	600	0	None	7JJJ11	None	CA00208749	B	SFY2009-10
030000120	MARK TWAIN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-03-24 00:00:00	030010564	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2013-06-13 00:00:00	2013-06-13 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	SJO311	N	CA00359050, CA00359061	D, D	SFY2013-14
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-04-08 00:00:00	030010585	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-01-12 00:00:00	2009-01-12 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	158I11	N	CA00180867, CA00180956	B, B	SFY2013-14
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-08 00:00:00	030010633	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	2010-08-27 00:00:00	2010-08-27 00:00:00	No	2015-06-01 00:00:00	None	FTR AE	None	600	600	0	600	0	None	GPET11	N	CA00242228	B	SFY2014-15
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-01 00:00:00	030010677	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	2011-02-08 00:00:00	2011-02-08 00:00:00	No	2014-08-22 00:00:00	None	FTR AE	None	5400	5400	0	5400	0	None	HZ6E11	N	CA00265502	B	SFY2014-15
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-05-13 00:00:00	030010725	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	2011-08-23 00:00:00	2011-08-23 00:00:00	No	2014-06-04 00:00:00	None	FTR AE	None	400	400	0	400	0	None	0WYP11	N	CA00282034	B	SFY2013-14
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-05-20 00:00:00	030010734	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	2012-06-16 00:00:00	2012-06-16 00:00:00	No	2014-06-11 00:00:00	None	FTR AE	None	800	800	0	800	0	None	LRP611	N	CA00316232	E	SFY2013-14
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-21 00:00:00	030010952	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-01-07 00:00:00	2010-01-07 00:00:00	No	2014-09-12 00:00:00	None	FTR AE	None	500	500	0	500	0	None	ZF8Y11	N	CA00215627	B	SFY2014-15
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-08 00:00:00	030011021	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	2011-08-17 00:00:00	2011-08-17 00:00:00	No	2015-06-01 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	H4UX11	N	CA00285216	B	SFY2014-15
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-08 00:00:00	030011530	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	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2015-06-29 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	85RK11	N	CA00278112	C	SFY2014-15
030000120	MARK TWAIN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-08-17 00:00:00	030011672	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	2009-01-27 00:00:00	2009-01-27 00:00:00	No	2015-09-08 00:00:00	None	FTR AE	None	4500	4500	0	4500	0	None	WEZA11	N	CA00181884	B	SFY2015-16
100001207	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Sacramento	2015-08-25 00:00:00	030011689	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	2012-06-18 00:00:00	2012-06-18 00:00:00	No	2015-09-16 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	ECZO11	None	CA00315781	C	SFY2015-16
100001207	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Sacramento	2015-09-28 00:00:00	030011751	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	2011-10-18 00:00:00	2011-10-18 00:00:00	No	2015-10-19 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	9OB411	None	CA00287925	B	SFY2015-16
100001207	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Sacramento	2015-09-28 00:00:00	030011752	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-10-18 00:00:00	2011-10-18 00:00:00	No	2015-10-19 00:00:00	None	FTR RES	None	100	100	-25	75	0	None	9OB411	None	CA00287925	B	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-04-04 00:00:00	030012160	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-08-05 00:00:00	2013-08-05 00:00:00	No	2016-04-25 00:00:00	None	FTR AE	None	100	100	0	100	0	None	1IUK11	N	CA00400829	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-05-31 00:00:00	030012301	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	2010-05-19 00:00:00	2010-05-19 00:00:00	No	2016-06-21 00:00:00	None	FTR BR	None	200	200	0	200	0	None	OEFV11	None	CA00230624	B	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-01 00:00:00	030012303	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	2014-04-22 00:00:00	2014-04-22 00:00:00	No	2016-06-22 00:00:00	None	FTR BR	None	100	100	0	100	0	None	3QFH11	None	CA00397030	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-01 00:00:00	030012304	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-04-22 00:00:00	2014-04-22 00:00:00	No	2016-06-22 00:00:00	None	FTR RES	None	100	100	0	100	0	None	3QFH11	None	CA00397030	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-09 00:00:00	030012319	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	2014-07-28 00:00:00	2014-07-28 00:00:00	No	2016-06-30 00:00:00	None	FTR BR	None	900	900	0	900	0	None	COME11	None	CA00409281	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-09 00:00:00	030012320	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-07-28 00:00:00	2014-07-28 00:00:00	No	2016-06-30 00:00:00	None	FTR RES	None	1000	1000	0	1000	0	None	COME11	None	CA00409281	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-28 00:00:00	030012363	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	2014-08-31 00:00:00	2014-08-31 00:00:00	No	2016-07-20 00:00:00	None	FTR BR	None	200	200	0	200	0	None	YWUH11	None	CA00412729	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-28 00:00:00	030012364	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-08-31 00:00:00	2014-08-31 00:00:00	No	2016-07-20 00:00:00	None	FTR RES	None	200	200	0	200	0	None	YWUH11	None	CA00412729	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-29 00:00:00	030012370	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	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2016-07-21 00:00:00	None	FTR BR	None	100	100	0	100	0	None	V6H211	None	CA00417148	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-06-29 00:00:00	030012371	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2016-07-21 00:00:00	None	FTR RES	None	100	100	0	100	0	None	V6H211	None	CA00417148	D	SFY2015-16
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-23 00:00:00	030012520	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	2014-10-28 00:00:00	2014-10-28 00:00:00	No	2016-09-14 00:00:00	None	FTR BR	None	500	500	0	500	0	None	5K6D11	None	CA00419942	D	SFY2016-17
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-23 00:00:00	030012521	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-04-04 00:00:00	2014-04-04 00:00:00	No	2016-09-14 00:00:00	None	FTR AE	None	100	100	0	100	0	None	H6YM11	N	CA00394546	D	SFY2016-17
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-27 00:00:00	030012690	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-10-18 00:00:00	2013-10-18 00:00:00	No	2016-11-18 00:00:00	None	FTR AE	None	800	800	0	800	0	None	TB2111	N	CA00375545	D	SFY2016-17
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-27 00:00:00	030012693	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-10-23 00:00:00	2013-10-23 00:00:00	No	2016-11-18 00:00:00	None	FTR AE	None	700	700	0	700	0	None	79LV11	N	CA00375687	D	SFY2016-17
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-28 00:00:00	030012697	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-08-17 00:00:00	2013-08-17 00:00:00	No	2016-11-21 00:00:00	None	FTR AE	None	500	500	0	500	0	None	3H9Q11	N	CA00367703	D	SFY2016-17
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-28 00:00:00	030012698	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	2013-07-02 00:00:00	2013-07-02 00:00:00	No	2016-11-21 00:00:00	None	FTR AE	None	300	300	0	300	0	None	VMTC11	N	CA00361527	D	SFY2016-17
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-01-24 00:00:00	030012901	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	2009-04-01 00:00:00	2009-04-01 00:00:00	No	2017-02-14 00:00:00	None	FTR BR	None	800	800	0	800	0	None	VVQO11	None	CA00184879	B	SFY2016-17
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-02-14 00:00:00	030012974	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	2013-02-12 00:00:00	2013-02-12 00:00:00	No	2017-03-08 00:00:00	None	FTR AE	None	500	500	0	500	0	None	M70I11	N	CA00344749	E	SFY2016-17
030000121	MARSHALL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-03-24 00:00:00	030013084	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	2009-04-08 00:00:00	2009-04-08 00:00:00	No	2017-04-17 00:00:00	None	FTR BR	None	100	100	0	100	0	None	VVQO11	None	CA00184879	B	SFY2016-17
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-04-20 00:00:00	030013138	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2015-08-18 00:00:00	2015-08-18 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	47452	47452	0	47452	0	None	CCIW11	N	CA00455078, CA00462656	B, B	SFY2016-17
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-23 00:00:00	030013222	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	2016-08-16 00:00:00	2016-08-16 00:00:00	No	2017-06-14 00:00:00	None	FTR AE	None	100	100	0	100	0	None	MZ8X11	N	CA00499951	D	SFY2016-17
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-24 00:00:00	030013226	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	2013-09-10 00:00:00	2013-09-10 00:00:00	No	2017-06-15 00:00:00	None	FTR BR	None	300	300	0	300	0	None	NFRJ11	None	CA00370566	D	SFY2016-17
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-24 00:00:00	030013227	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	2013-09-10 00:00:00	2013-09-10 00:00:00	No	2017-06-15 00:00:00	None	FTR RES	None	300	300	0	300	0	None	NFRJ11	None	CA00370566	D	SFY2016-17
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-05-25 00:00:00	030013230	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-16 00:00:00	2014-06-16 00:00:00	No	2017-06-16 00:00:00	None	FTR AE	None	100	100	0	100	0	None	ZP6H11	N	CA00402982	D	SFY2016-17
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-03-28 00:00:00	030013945	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-09-28 00:00:00	2016-09-28 00:00:00	No	2018-04-18 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	681V11	Y	CA00505471, CA00505471	A, A	SFY2017-18
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-05-07 00:00:00	030014056	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	2015-07-23 00:00:00	2015-07-23 00:00:00	No	2018-05-28 00:00:00	None	FTR AE	None	200	200	0	200	0	None	VF5D11	N	CA00452535	E	SFY2017-18
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-06-15 00:00:00	030014162	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-02-02 00:00:00	2015-02-02 00:00:00	No	2018-07-09 00:00:00	None	FTR AE	None	3200	3200	0	3200	0	None	KDY311	N	CA00434635	C	SFY2017-18
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-06-27 00:00:00	030014191	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-05-11 00:00:00	2014-05-11 00:00:00	No	2018-07-19 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	4N8X11	N	CA00400894	D	SFY2017-18
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-06-28 00:00:00	030014198	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	2017-02-16 00:00:00	2017-02-16 00:00:00	No	2018-07-20 00:00:00	None	FTR AE	None	600	600	0	600	0	None	MN1U11	N	CA00524201	E	SFY2017-18
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-12-14 00:00:00	030014651	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2017-11-30 00:00:00	2017-11-30 00:00:00	No	2019-01-07 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	G3F711	N	CA00573734	B	SFY2018-19
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2019-09-19 00:00:00	030015394	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-04-04 00:00:00	2018-04-04 00:00:00	No	2019-10-10 00:00:00	None	FTR AE	None	3900	3900	0	3900	0	None	QXM311	N	CA00587425	C	SFY2019-20
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-08-12 00:00:00	030017890	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2020-09-28 00:00:00	2020-09-28 00:00:00	No	2022-09-02 00:00:00	None	FTR AE	None	800	800	0	800	0	None	OSSX11	N	CA00709710	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-06 00:00:00	030018050	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	2020-12-23 00:00:00	2020-12-23 00:00:00	No	2022-10-27 00:00:00	None	FTR AE	None	200	200	0	200	0	None	BZE411	N	CA00719268	C	SFY2022-23
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-18 00:00:00	030018086	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE08 - Death/disability due to intravascular air embolism	None	2019-08-27 00:00:00	2019-08-27 00:00:00	Yes	2022-11-08 00:00:00	2022-11-01 00:00:00	FTR AE	FTR AE	113700	10000	0	10000	0	None	NBEP11	Y	CA00652480	C	SFY2022-23
030000127	MERCY SAN JUAN MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-18 00:00:00	030018095	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	2020-07-16 00:00:00	2020-07-16 00:00:00	No	2022-11-08 00:00:00	None	FTR AE	None	700	700	0	700	0	None	89ON11	N	CA00698795	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018669	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	2020-01-15 00:00:00	2020-01-15 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	48700	48700	0	48700	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018670	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	2020-12-23 00:00:00	2020-12-23 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	14400	14400	0	14400	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018671	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-03-04 00:00:00	2021-03-04 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	7300	7300	0	7300	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018672	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	2020-11-13 00:00:00	2020-11-13 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	18400	18400	0	18400	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018673	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	2020-12-28 00:00:00	2020-12-28 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	13900	13900	0	13900	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018674	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	2020-11-03 00:00:00	2020-11-03 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	19400	19400	0	19400	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-05-17 00:00:00	030018675	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	2020-05-14 00:00:00	2020-05-14 00:00:00	No	2023-06-08 00:00:00	None	FTR AE	None	36700	36700	0	36700	0	None	EU1O11	N	CA00737609	B	SFY2022-23
030000124	MERCY GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-04-26 00:00:00	030018697	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	2019-11-13 00:00:00	2019-11-13 00:00:00	No	2023-05-17 00:00:00	None	FTR AE	None	200	200	0	200	0	None	NHXH11	Y	CA00664476	C	SFY2022-23
030000037	METHODIST HOSPITAL OF SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-06-07 00:00:00	030018835	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE02 - Wrong patient surgery	None	2021-11-18 00:00:00	2021-11-18 00:00:00	No	2023-06-28 00:00:00	None	FTR AE	None	700	700	0	700	0	None	0NY411	N	CA00763079	B	SFY2022-23
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-07-14 00:00:00	030018871	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-03-28 00:00:00	2019-03-28 00:00:00	No	2023-08-07 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	46SI11	Y	CA00632576	C	SFY2023-24
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-07-14 00:00:00	030018930	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2020-12-13 00:00:00	2020-12-13 00:00:00	No	2023-08-07 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	G1N911	Y	CA00716818	B	SFY2023-24
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-11-03 00:00:00	030019122	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	2022-03-22 00:00:00	2022-03-22 00:00:00	No	2023-11-29 00:00:00	None	FTR AE	None	13700	13700	0	13700	0	None	6NW711	N	CA00798120	C	SFY2023-24
030000901	MERCY HOSPITAL OF FOLSOM	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-05-31 00:00:00	030020080	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2023-08-15 00:00:00	2023-08-15 00:00:00	No	2024-06-21 00:00:00	None	FTR AE	None	15100	15100	0	15100	0	None	B3UU11	N	CA00877832	B	SFY2023-24
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2010-10-14 00:00:00	040007630	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	2010-06-18 04:00:00	2010-06-18 04:00:00	No	2010-11-05 00:00:00	None	FTR AE	None	900	900	0	900	0	None	PNN511	N	CA00233458	D	SFY2010-11
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-05-03 00:00:00	040008215	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Record	None	2011-01-04 17:00:00	2011-01-04 17:00:00	No	2011-05-24 00:00:00	None	FTR BR	None	2200	2200	-550	1650	0	None	J8CF11	None	CA00257805	D	SFY2010-11
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-01-18 00:00:00	040008925	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-10-11 00:00:00	2011-10-11 00:00:00	No	2012-11-02 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	ZMBQ11	Y	CA00286708	B	SFY2011-12
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-07-25 00:00:00	040009417	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-12-19 00:00:00	2011-12-19 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	181311	Y	CA00293942	D	SFY2012-13
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-10-09 00:00:00	040009542	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2012-03-28 00:00:00	2012-03-28 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	OCUO11	N	CA00305275	D	SFY2012-13
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-10-07 00:00:00	040009592	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE02 - Wrong patient surgery	None	2011-05-22 00:00:00	2011-05-22 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	B3Z211	N	CA00312640	C	SFY2012-13
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-02-05 00:00:00	040009732	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE15 - Death/disability directly related to hypoglycemia	None	2011-12-03 00:00:00	2011-12-03 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	ZF5T11	N	CA00295285	C	SFY2012-13
040000110	MEMORIAL HOSPITAL LOS BANOS	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-05-17 00:00:00	040009892	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2013-01-30 00:00:00	2013-01-30 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	20000	20000	0	20000	0	None	RSEW11	N	CA00342228	B	SFY2012-13
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2013-11-15 00:00:00	040010267	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-02-08 00:00:00	2012-02-08 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	KHN011	N	CA00318087	D	SFY2013-14
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2014-09-12 00:00:00	040010992	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2014-08-14 00:00:00	2014-08-14 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	VI3O11	Y	CA00394996	B	SFY2014-15
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2016-10-14 00:00:00	040012620	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-01-13 00:00:00	2016-01-13 00:00:00	No	2016-11-04 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	XWI811	N	CA00472682	A	SFY2016-17
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2017-08-10 00:00:00	040013351	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-11-22 00:00:00	2016-11-22 00:00:00	No	2017-08-31 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	5RCH11	Y	CA00512428	A	SFY2017-18
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2018-03-09 00:00:00	040013887	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-04-26 00:00:00	2016-04-26 00:00:00	No	2018-03-30 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	626Z11	N	CA00501908	A	SFY2017-18
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2018-04-10 00:00:00	040013974	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2017-01-06 00:00:00	2017-01-06 00:00:00	No	2018-05-01 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	8LYS11	N	CA00517366	C	SFY2017-18
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2020-07-03 00:00:00	040015920	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2019-10-01 00:00:00	2019-10-01 00:00:00	No	2020-07-24 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	0PD811	N	CA00657521	B	SFY2020-21
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2021-09-30 00:00:00	040016965	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2020-05-01 00:00:00	2020-05-01 00:00:00	No	2021-10-21 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	27LF11	N	CA00687558	A	SFY2021-22
040000113	MERCY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2021-11-02 00:00:00	040017059	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-12-24 00:00:00	2020-12-24 00:00:00	No	2021-11-24 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	VR6M11	Y	CA00718664	A	SFY2021-22
030000123	MEMORIAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2021-03-19 00:00:00	040018546	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-12 00:00:00	2016-07-12 00:00:00	No	2021-04-12 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	HXDT11	None	CA00513160	D	SFY2020-21
040000111	MADERA COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2023-11-03 00:00:00	040019329	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-12-18 00:00:00	2019-12-18 00:00:00	No	2023-11-29 00:00:00	None	AP NON-IJ	None	12375	12375	0	0	12375	None	RR3L11	N	CA00669450	B	SFY2023-24
050000021	MARIAN REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-12-16 00:00:00	050006802	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	2009-03-26 00:00:00	2009-03-26 00:00:00	No	2010-01-11 00:00:00	None	FTR BR	None	700	700	0	700	0	None	X07G11	None	CA00184283	C	SFY2009-10
050000021	MARIAN REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2016-01-13 00:00:00	050011277	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-04-22 00:00:00	2014-04-22 00:00:00	No	2016-02-04 00:00:00	None	AP IJ	None	28500	28500	0	28500	0	None	EGCF11	N	CA00405547	B	SFY2015-16
050000021	MARIAN REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-08-11 00:00:00	050012515	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-07-07 00:00:00	2015-07-07 00:00:00	No	2017-09-01 00:00:00	None	AP IJ	None	44400	44400	0	44400	0	None	4QW011	N	CA00479796	B	SFY2017-18
050000021	MARIAN REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-08-28 00:00:00	050012784	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-01-18 00:00:00	2012-01-18 00:00:00	No	2017-09-19 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	UW3R11	N	CA00501103	B	SFY2017-18
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2007-10-22 00:00:00	060004255	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-02-28 00:00:00	2007-02-28 00:00:00	No	2007-11-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	RZNI11	N	CA00118694	A	SFY2007-08
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2007-10-22 00:00:00	060004256	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-11-13 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	7NNQ11	N	None	None	SFY2007-08
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-07-22 00:00:00	060005247	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	2008-06-12 08:00:00	2008-06-12 08:00:00	No	2008-08-18 00:00:00	None	FTR AE	None	300	300	0	300	0	None	3VMM11	N	CA00154469	B	SFY2008-09
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-08-18 00:00:00	060005340	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 08:00:00	2008-06-06 08:00:00	No	2008-09-12 00:00:00	None	FTR AE	None	600	600	0	600	0	None	R3ZV11	N	CA00154066	B	SFY2008-09
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-10-20 00:00:00	060006638	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	2009-02-02 08:00:00	2009-02-02 08:00:00	No	2009-11-17 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LGC111	N	CA00177582	B	SFY2009-10
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-12-15 00:00:00	060006784	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2009-03-30 08:00:00	2009-03-30 08:00:00	No	2010-01-07 00:00:00	None	FTR BR	None	1300	1300	0	1300	0	None	2NUL11	None	CA00185947	C	SFY2009-10
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-08-03 00:00:00	060007457	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Deliberate breach of PHI by health care worker	None	2009-04-07 08:00:00	2009-04-07 08:00:00	No	2010-08-24 00:00:00	None	FTR RES	None	1500	1500	0	1500	0	None	V8S911	N	CA00187057	B	SFY2010-11
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-09-28 00:00:00	060008584	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-07-11 08:00:00	2010-07-11 08:00:00	No	2011-10-19 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	KHFM11	N	CA00237767	B	SFY2011-12
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-08 00:00:00	060008691	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	2011-06-22 08:00:00	2011-06-22 08:00:00	No	2011-12-02 00:00:00	None	FTR BR	None	200	200	0	200	0	None	WT4Z11	None	CA00235244	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-23 00:00:00	060008858	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	2009-12-09 08:00:00	2009-12-09 08:00:00	No	2012-02-13 00:00:00	None	FTR BR	None	400	400	0	400	0	None	YX9B11	None	CA00213007	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-30 00:00:00	060008927	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-10-11 08:00:00	2010-10-11 08:00:00	No	2012-02-21 00:00:00	None	FTR BR	None	100	100	0	100	0	None	GDDR11	None	CA00246652	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-25 00:00:00	060008943	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-29 08:00:00	2010-12-29 08:00:00	No	2012-02-15 00:00:00	None	FTR BR	None	100	100	0	100	0	None	4MP811	None	CA00255368	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-25 00:00:00	060008951	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-12-29 08:00:00	2010-12-29 08:00:00	No	2012-02-15 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	4MP811	None	CA00255368	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-30 00:00:00	060008958	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	2010-09-19 08:00:00	2010-09-19 08:00:00	No	2012-02-21 00:00:00	None	FTR BR	None	300	300	0	300	0	None	2E2O11	None	CA00244396	C	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-24 00:00:00	060008959	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-10-22 08:00:00	2010-10-22 08:00:00	No	2012-03-16 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	RH2911	None	CA00252976	E	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-02-14 00:00:00	060008975	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	2010-06-24 08:00:00	2010-06-24 08:00:00	No	2012-03-07 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	ET3Z11	None	CA00235269	D	SFY2011-12
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-03-21 00:00:00	060009079	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	2010-11-05 08:00:00	2010-11-05 08:00:00	No	2012-04-11 00:00:00	None	FTR BR	None	300	300	-225	75	0	None	QW2O11	None	CA00253118	E	SFY2011-12
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-06-14 00:00:00	060009249	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-07-13 00:00:00	2010-07-13 00:00:00	No	2012-07-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	DLGF11	N	CA00242591	B	SFY2011-12
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-23 00:00:00	060010154	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-17 00:00:00	2011-08-17 00:00:00	No	2013-10-14 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	LRVV11	None	CA00283752	D	SFY2013-14
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-24 00:00:00	060010157	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-17 00:00:00	2011-08-17 00:00:00	No	2013-10-15 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	LRVV11	None	CA00283752	D	SFY2013-14
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-24 00:00:00	060010158	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-24 00:00:00	2011-08-24 00:00:00	No	2013-10-15 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	VU5Z11	None	CA00283910	E	SFY2013-14
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-24 00:00:00	060010159	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-08-24 00:00:00	2011-08-24 00:00:00	No	2013-10-15 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	VU5Z11	None	CA00283910	E	SFY2013-14
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-07-30 00:00:00	060010898	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	2012-05-22 00:00:00	2012-05-22 00:00:00	No	2014-08-20 00:00:00	None	FTR AE	None	9600	9600	0	9600	0	None	HPDH11	N	CA00324733	B	SFY2014-15
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-10-30 00:00:00	060011097	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	2012-02-06 00:00:00	2012-02-06 00:00:00	No	2014-11-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	72X311	N	CA00301485	B	SFY2014-15
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-12-23 00:00:00	060011199	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-08-29 00:00:00	2012-08-29 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	DDWG11	N	CA00325325	B	SFY2014-15
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-02-04 00:00:00	060011253	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	2012-10-30 00:00:00	2012-10-30 00:00:00	No	2015-02-26 00:00:00	None	FTR AE	None	400	400	0	400	0	None	ONS511	N	CA00336999	B	SFY2014-15
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-09-27 00:00:00	060012594	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2016-10-18 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	GS2D11	N	CA00470648	B	SFY2016-17
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-03 00:00:00	060013359	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	2016-11-29 00:00:00	2016-11-29 00:00:00	No	2017-08-24 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	ZPBD11	N	CA00515390	D	SFY2017-18
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013437	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	2015-09-11 00:00:00	2015-09-11 00:00:00	No	2017-09-13 00:00:00	None	FTR RES	None	2100	2100	0	2100	0	None	RZMI11	None	CA00543705	D	SFY2017-18
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013439	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	2015-09-11 00:00:00	2015-09-11 00:00:00	No	2017-09-13 00:00:00	None	FTR BR	None	2100	2100	0	2100	0	None	RZMI11	None	CA00543705	D	SFY2017-18
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-01-04 00:00:00	060013710	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-06-20 00:00:00	2017-06-20 00:00:00	No	2018-01-25 00:00:00	None	FTR AE	None	500	500	0	500	0	None	SKCI11	N	CA00541956	B	SFY2017-18
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-10-03 00:00:00	060014452	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-07-23 00:00:00	2017-07-23 00:00:00	No	2019-02-28 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	4UMY11	Y	CA00545275	B	SFY2018-19
060000063	MEMORIALCARE SADDLEBACK MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-05-19 00:00:00	060017646	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2022-01-04 00:00:00	2022-01-04 00:00:00	No	2022-06-10 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	B2NO11	Y	CA00775227	B	SFY2021-22
060000208	MEMORIALCARE ORANGE COAST MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-06-28 00:00:00	060017719	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2022-02-03 00:00:00	2022-02-03 00:00:00	No	2022-07-20 00:00:00	None	AP NON-IJ	None	11812.5	11812.5	0	11812.5	0	None	303H11	N	CA00772482	B	SFY2021-22
060000035	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-06-27 00:00:00	060017741	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	2022-04-16 00:00:00	2022-04-16 00:00:00	No	2022-07-19 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	L62B11	N	CA00785389	B	SFY2021-22
070000700	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	San Jose	2011-07-11 00:00:00	070008372	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	2011-05-28 08:00:00	2011-05-28 08:00:00	No	2011-08-01 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	6JGO11	None	CA00272037	C	SFY2011-12
070000700	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	San Jose	2011-07-11 00:00:00	070008373	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-05-28 08:00:00	2011-05-28 08:00:00	No	2011-08-01 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	6JGO11	None	CA00272037	C	SFY2011-12
070000700	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	San Jose	2014-10-03 00:00:00	070011045	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	2014-07-22 00:00:00	2014-07-22 00:00:00	No	2014-10-24 00:00:00	None	FTR BR	None	100	100	0	100	0	None	1X8E11	None	CA00407704	C	SFY2014-15
080000873	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	San Diego	2012-02-09 00:00:00	080008987	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	2011-10-29 17:00:00	2011-10-29 17:00:00	No	2012-03-02 00:00:00	None	FTR BR	None	2000	2000	-500	1500	0	None	3OZK11	None	CA00291761	E	SFY2011-12
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-01-30 00:00:00	110004629	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-09-04 18:44:00	2007-09-04 18:44:00	No	2008-02-22 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	DQQ711	N	CA00128424	A	SFY2007-08
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-01 00:00:00	110005582	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-12-20 00:00:00	2007-12-20 00:00:00	No	2008-12-22 00:00:00	None	FTR AE	None	700	700	0	700	0	None	61GR11	N	CA00136269	A	SFY2008-09
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-04 00:00:00	110005585	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	2008-05-22 00:00:00	2008-05-22 00:00:00	No	2008-12-26 00:00:00	None	FTR AE	None	200	200	0	200	0	None	PO5B11	N	CA00152010, CA00152010	A, A	SFY2008-09
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-03 00:00:00	110005641	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-12-09 00:00:00	2007-12-09 00:00:00	No	2008-12-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	61GR11	N	CA00136269	A	SFY2008-09
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-01-20 00:00:00	110006656	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-07-13 01:30:00	2009-07-13 01:30:00	No	2010-02-10 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	KK2C11	Y	CA00196641	B	SFY2009-10
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-02-11 00:00:00	110006927	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2010-03-04 00:00:00	None	FTR BR	None	200	200	0	200	0	None	28KT11	None	CA00180922	C	SFY2009-10
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-01-28 00:00:00	110006928	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-09-18 00:00:00	2009-09-18 00:00:00	No	2010-02-19 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	V1HU11	N	CA00202782	B	SFY2009-10
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-02-11 00:00:00	110006946	Open	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-13 00:00:00	2009-03-13 00:00:00	Yes	2010-03-04 00:00:00	2010-03-01 00:00:00	FTR BR	None	700	700	0	0	700	None	28KT11	None	CA00182614	C	SFY2009-10
110001223	MENDOCINO COMMUNITY HEALTH CLINIC-LITTLE LAKE CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2010-03-26 00:00:00	110007052	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2009-04-06 00:00:00	2009-04-06 00:00:00	No	2010-04-19 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	69HS11	None	CA00185251	C	SFY2009-10
110000608	MENDOCINO COMMUNITY HEALTH CLINIC, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2010-03-26 00:00:00	110007053	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Rights	None	2009-03-06 00:00:00	2009-03-06 00:00:00	No	2010-04-19 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	1UWW11	None	CA00184027	C	SFY2009-10
110000021	MAD RIVER COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-12-07 00:00:00	110008764	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-09-27 00:00:00	2010-09-27 00:00:00	Yes	2012-06-22 00:00:00	2012-06-11 00:00:00	AP IJ	AP IJ	50000	20000	0	20000	0	None	SDPK11	N	CA00245459	B	SFY2011-12
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-01-11 00:00:00	110008897	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-20 00:00:00	2011-01-20 00:00:00	No	2012-02-02 00:00:00	None	FTR BR	None	300	300	0	300	0	None	GQ6V11	None	CA00257121	C	SFY2011-12
110001203	MARIN COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2012-02-17 00:00:00	110008935	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-10-12 00:00:00	2010-10-12 00:00:00	No	2012-03-12 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	TY9I11	None	CA00250264	C	SFY2011-12
110001203	MARIN COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2012-02-17 00:00:00	110008937	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-10-12 00:00:00	2010-10-12 00:00:00	No	2012-03-12 00:00:00	None	FTR RES	None	900	900	-225	675	0	None	TY9I11	None	CA00250264	C	SFY2011-12
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-04-12 00:00:00	110009180	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-05 00:00:00	2011-12-05 00:00:00	No	2012-05-03 00:00:00	None	FTR RES	None	100	100	0	100	0	None	5TE811	None	CA00292562	C	SFY2011-12
110000608	MENDOCINO COMMUNITY HEALTH CLINIC, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-02-23 00:00:00	110009375	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	2011-10-11 00:00:00	2011-10-11 00:00:00	No	2013-03-15 00:00:00	None	FTR BR	None	700	700	0	700	0	None	E3FO11	None	CA00287583	C	SFY2012-13
110000608	MENDOCINO COMMUNITY HEALTH CLINIC, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-02-23 00:00:00	110009376	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-10-11 00:00:00	2011-10-11 00:00:00	No	2013-03-15 00:00:00	None	FTR RES	None	600	600	0	600	0	None	E3FO11	None	CA00287583	C	SFY2012-13
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-08-21 00:00:00	110009435	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-06 00:00:00	2011-12-06 00:00:00	No	2012-09-12 00:00:00	None	FTR BR	None	400	400	0	400	0	None	C5OO11	None	CA00293099, CA00293108	C, C	SFY2012-13
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-08-21 00:00:00	110009438	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-06 00:00:00	2011-12-06 00:00:00	No	2012-09-12 00:00:00	None	FTR RES	None	400	400	0	400	0	None	C5OO11	None	CA00293099, CA00293108	C, C	SFY2012-13
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2013-01-30 00:00:00	110009707	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2011-02-16 00:00:00	2011-02-16 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	2HZX11	N	CA00275191	A	SFY2012-13
110000608	MENDOCINO COMMUNITY HEALTH CLINIC, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-07-16 00:00:00	110009856	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-13 17:00:00	2011-12-13 17:00:00	No	2013-08-06 00:00:00	None	FTR RES	None	100	100	0	100	0	None	Z7GM11	None	CA00293584	C	SFY2013-14
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2013-05-20 00:00:00	110009905	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-10-29 00:00:00	2010-10-29 00:00:00	No	2013-06-11 00:00:00	None	FTR RES	None	1400	1400	0	1400	0	None	Q2JB11	None	CA00247716	C	SFY2012-13
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2013-08-22 00:00:00	110009906	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-12 00:00:00	2010-11-12 00:00:00	No	2013-09-13 00:00:00	None	FTR RES	None	7400	7400	0	7400	0	None	C42L11	None	CA00249438	C	SFY2013-14
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2013-05-31 00:00:00	110009908	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-05-05 00:00:00	2011-05-05 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	LHIM11	N	CA00269065, CA00274284, CA00276079	B, A, A	SFY2012-13
110000381	MENDOCINO COAST CLINICS, INC.	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-11-22 00:00:00	110010119	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	2012-08-14 00:00:00	2012-08-14 00:00:00	Yes	2013-12-17 00:00:00	2013-12-05 00:00:00	FTR RES	FTR RES	18800	10000	0	10000	0	None	EQ3811	None	CA00322024	C	SFY2013-14
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-09-13 00:00:00	110010856	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-02-07 09:13:00	2014-02-07 09:13:00	No	2014-10-03 00:00:00	None	FTR AE	None	500	500	0	500	0	None	5LSM11	N	CA00388219	B	SFY2014-15
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-14 00:00:00	110011046	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2013-08-12 00:00:00	2013-08-12 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	6BL111	N	CA00367325	C	SFY2014-15
010001142	MAXIM HEALTHCARE SERVICES	Non-LTC	HHA	Home Health Agency	Santa Rosa	2016-01-14 00:00:00	110011952	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	2011-10-26 00:00:00	2011-10-26 00:00:00	No	2016-02-05 00:00:00	None	FTR BR	None	200	200	0	200	0	None	ZCGD11	None	CA00288855	C	SFY2015-16
010001142	MAXIM HEALTHCARE SERVICES	Non-LTC	HHA	Home Health Agency	Santa Rosa	2016-01-14 00:00:00	110011953	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	2011-10-28 00:00:00	2011-10-28 00:00:00	No	2016-02-05 00:00:00	None	FTR BR	None	300	300	0	300	0	None	JYOG11	None	CA00289010	D	SFY2015-16
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2016-05-12 00:00:00	110011964	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-11-14 00:00:00	2010-11-14 00:00:00	No	2016-06-03 00:00:00	None	FTR RES	None	800	800	0	800	0	None	K24P11	None	CA00250935	C	SFY2015-16
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2016-05-12 00:00:00	110011965	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	2010-11-14 00:00:00	2010-11-14 00:00:00	No	2016-06-03 00:00:00	None	FTR BR	None	700	700	0	700	0	None	K24P11	None	CA00250935	C	SFY2015-16
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-06 00:00:00	110013842	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Abuse - Nursing P & P	2015-04-20 00:00:00	2015-04-20 00:00:00	No	2018-03-27 00:00:00	None	AP NON-IJ	None	17600	17600	0	17600	0	None	TD7911	N	CA00441302	A	SFY2017-18
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-24 00:00:00	110013885	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Physical care - retained	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-06-15 00:00:00	None	AP NON-IJ	None	5000	5000	0	5000	0	None	X98711	N	CA00536093	C	SFY2017-18
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-15 00:00:00	110013886	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	Physical care - retained	2017-04-14 00:00:00	2017-04-14 00:00:00	No	2018-04-05 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	X98711	N	CA00536093	C	SFY2017-18
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-10-05 00:00:00	110014462	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-02-01 00:00:00	2018-02-01 00:00:00	No	2018-10-26 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	DLKZ11	N	CA00588811	B	SFY2018-19
110000953	MARINHEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2022-01-14 00:00:00	110015339	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2015-01-31 00:00:00	2015-01-31 00:00:00	No	2022-02-22 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	7XE411	None	CA00433228, CA00478450	D, C	SFY2021-22
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2009-04-07 00:00:00	120006009	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-12 00:00:00	2008-10-12 00:00:00	No	2009-05-11 00:00:00	None	FTR AE	None	500	500	0	500	0	None	GBEF11	N	CA00167106	B	SFY2008-09
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-01-21 00:00:00	120006810	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	2008-12-21 09:10:00	2008-12-21 09:10:00	No	2010-02-17 00:00:00	None	FTR AE	None	18200	18200	0	18200	0	None	6CWG11	N	CA00193142	B	SFY2009-10
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-01-21 00:00:00	120006811	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	2009-01-19 08:15:00	2009-01-19 08:15:00	No	2010-02-17 00:00:00	None	FTR AE	None	15300	15300	0	15300	0	None	6CWG11	N	CA00193143	C	SFY2009-10
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-01-11 00:00:00	120011852	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-04-08 00:00:00	2015-04-08 00:00:00	No	2016-02-02 00:00:00	None	AP BR	None	12750	12750	-3187.5	9562.5	0	None	LRT811	None	CA00438945, CA00440954	B, B	SFY2015-16
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2016-06-02 00:00:00	120012306	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-02-01 00:00:00	2016-02-01 00:00:00	No	2016-06-23 00:00:00	None	AP NON-IJ	None	17250	17250	0	17250	0	None	1UZN11	N	CA00478148	B	SFY2015-16
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2018-08-03 00:00:00	120014314	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-12-02 00:00:00	2017-12-02 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	31350	31350	0	31350	0	None	Z6DS11	N	CA00565272	B	SFY2018-19
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2018-12-06 00:00:00	120014635	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-07-26 00:00:00	2018-07-26 00:00:00	No	2018-12-28 00:00:00	None	AP NON-IJ	None	12120	12120	0	12120	0	None	QVFV11	N	CA00597776, CA00597776	B, B	SFY2018-19
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-05-03 00:00:00	120015039	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-08-16 00:00:00	2018-08-16 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	83250	83250	0	83250	0	None	NL2W11	N	CA00600791	B	SFY2018-19
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-05-10 00:00:00	120015062	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-11-13 00:00:00	2018-11-13 00:00:00	No	2019-05-31 00:00:00	None	AP NON-IJ	None	5250	5250	0	5250	0	None	DQDU11	N	CA00612431	B	SFY2018-19
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2020-12-10 00:00:00	120016191	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2020-01-09 00:00:00	2020-01-09 00:00:00	No	2021-01-04 00:00:00	None	AP IJ	None	86650	86650	0	86650	0	None	IPCB11	N	CA00671664	B	SFY2020-21
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2021-07-21 00:00:00	120016738	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2020-07-01 00:00:00	2020-07-01 00:00:00	No	2021-08-11 00:00:00	None	FTR AE	None	13000	13000	0	13000	0	None	0LTJ11	Y	CA00712358	B	SFY2021-22
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2022-10-10 00:00:00	120018068	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2022-01-25 00:00:00	2022-01-25 00:00:00	No	2022-10-31 00:00:00	None	AP NON-IJ	None	12000	12000	0	0	12000	None	ETF011	N	CA00771379	B	SFY2022-23
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2022-10-19 00:00:00	120018097	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-11-09 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	ZWWM11	N	CA00771956	B	SFY2022-23
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2023-07-03 00:00:00	120018880	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-02-27 00:00:00	2023-02-27 00:00:00	No	2023-07-25 00:00:00	None	AP NON-IJ	None	15000	15000	0	0	15000	None	O4Q711	N	CA00828942	B	SFY2023-24
120000404	MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2024-05-10 00:00:00	120020159	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-08-29 00:00:00	2023-08-29 00:00:00	No	2024-06-03 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	MDEH11	N	CA00859013	B	SFY2023-24
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-04-28 00:00:00	220005032	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	2008-01-17 00:00:00	2008-01-17 00:00:00	No	2008-05-19 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	NZPR11	N	CA00140785	B	SFY2007-08
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-07-28 00:00:00	220005267	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-19 00:00:00	2008-05-19 00:00:00	No	2008-08-18 00:00:00	None	FTR AE	None	3500	3500	0	3500	0	None	I2EV11	N	CA00155114	B	SFY2008-09
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-07-23 00:00:00	220006416	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	2008-12-20 12:00:00	2008-12-20 12:00:00	No	2009-08-14 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LTNL11	N	CA00136169	B	SFY2009-10
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-04-07 00:00:00	220007107	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-12-14 00:00:00	2009-12-14 00:00:00	Yes	2011-06-24 00:00:00	2011-06-06 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	IVRX11	N	CA00213018	C	SFY2009-10
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-01-27 00:00:00	220007881	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	2010-09-03 08:00:00	2010-09-03 08:00:00	No	2011-02-17 00:00:00	None	FTR BR	None	1400	1400	0	1400	0	None	XMUU11	None	CA00244587	C	SFY2010-11
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2007-10-19 00:00:00	220008035	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-08-04 08:00:00	2007-08-04 08:00:00	No	2007-11-09 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	9C1I11	N	CA00140785	B	SFY2007-08
220000716	MENLO PARK SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-06-23 00:00:00	220008327	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-07-02 08:00:00	2009-07-02 08:00:00	No	2011-07-15 00:00:00	None	FTR AE	None	800	800	0	800	0	None	XOIW11	N	CA00195291	C	SFY2010-11
220000716	MENLO PARK SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-12-01 00:00:00	220008409	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-07-02 00:00:00	2009-07-02 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	XOIW11	N	CA00195291	C	SFY2011-12
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-02-06 00:00:00	220012878	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-06-24 00:00:00	2015-06-24 00:00:00	No	2017-02-28 00:00:00	None	FTR AE	None	7100	7100	0	7100	0	None	16LQ11	N	CA00458532	C	SFY2016-17
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2018-10-22 00:00:00	220014102	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-04-28 00:00:00	2016-04-28 00:00:00	No	2018-11-13 00:00:00	None	AP NON-IJ	None	15817.5	15817.5	0	15817.5	0	None	24TS11	N	CA00536665	B	SFY2018-19
220000017	MILLS-PENINSULA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2018-10-22 00:00:00	220014520	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2016-04-28 00:00:00	2016-04-28 00:00:00	No	2018-11-13 00:00:00	None	FTR AE	None	35500	35500	0	35500	0	None	24TS11	N	CA00536665	B	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230006891	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2012-09-28 00:00:00	None	AP BR	None	100000	100000	-25000	75000	0	None	IXB911	None	CA00181586	C	SFY2010-11
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-01-04 00:00:00	230007479	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2009-06-12 19:00:00	2009-06-12 19:00:00	No	2011-01-26 00:00:00	None	FTR AE	None	18300	18300	0	18300	0	None	7UFF11	N	CA00212059	B	SFY2010-11
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-13 00:00:00	230007688	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-03-08 00:00:00	2010-03-08 00:00:00	No	2012-09-28 00:00:00	None	AP BR	None	60000	60000	-15000	45000	0	None	6X4611	None	CA00221420	B	SFY2010-11
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-11-28 00:00:00	230008717	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-04-04 14:12:00	2011-04-04 14:12:00	No	2011-12-19 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	IURP11	N	CA00267110	B	SFY2011-12
630012204	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Chico	2012-03-22 00:00:00	230008797	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Care	None	2011-07-08 11:20:00	2011-07-08 11:20:00	No	2012-04-12 00:00:00	None	FTR BR	None	3200	3200	-800	2400	0	None	H8T811	None	CA00279565	E	SFY2011-12
630012204	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Chico	2012-03-22 00:00:00	230008799	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Patient Care	None	2011-07-08 11:20:00	2011-07-08 11:20:00	No	2012-04-12 00:00:00	None	FTR RES	None	2900	2900	-725	2175	0	None	H8T811	None	CA00279565	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-11-16 00:00:00	230008906	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-01-01 00:00:00	2009-01-01 00:00:00	No	2013-07-26 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	IYSR11	None	CA00239471, CA00242628	C, B	SFY2012-13
630012204	MAXIM HEALTHCARE SERVICES, INC.	Non-LTC	HHA	Home Health Agency	Chico	2012-03-02 00:00:00	230009005	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Patient Care	None	2011-10-25 07:35:00	2011-10-25 07:35:00	No	2012-03-23 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	FF3E11	None	CA00288930	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-23 00:00:00	230009013	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-12-17 00:00:00	2011-12-17 00:00:00	No	2012-05-14 00:00:00	None	FTR BR	None	300	300	0	300	0	None	M21F11	None	CA00294178	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-23 00:00:00	230009014	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-12-17 16:58:00	2011-12-17 16:58:00	No	2012-05-14 00:00:00	None	FTR RES	None	300	300	0	300	0	None	M21F11	None	CA00294178	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-30 00:00:00	230009023	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	2011-11-01 10:00:00	2011-11-01 10:00:00	No	2012-05-21 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	ID4L11	None	CA00290214	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-30 00:00:00	230009025	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-11-01 10:00:00	2011-11-01 10:00:00	No	2012-05-21 00:00:00	None	FTR RES	None	900	900	0	900	0	None	ID4L11	None	CA00290214	E	SFY2011-12
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-11-06 00:00:00	230009238	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	2011-09-22 17:10:00	2011-09-22 17:10:00	No	2012-11-30 00:00:00	None	FTR AE	None	700	700	0	700	0	None	F9HP11	N	CA00285932	B	SFY2012-13
230000012	MERCY MEDICAL CENTER MT. SHASTA	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-01-10 00:00:00	230009865	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-02-05 00:00:00	2013-02-05 00:00:00	No	2015-11-09 00:00:00	None	AP BR	None	2500	2500	-625	1875	0	None	94OM11	None	CA00343448	D	SFY2013-14
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-03-30 00:00:00	230012141	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-12-02 00:00:00	2013-12-02 00:00:00	No	2016-04-21 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	67F811	N	CA00380910	B	SFY2015-16
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-09-16 00:00:00	230012582	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-06-04 00:00:00	2012-06-04 00:00:00	No	2016-10-07 00:00:00	None	FTR AE	None	300	300	0	300	0	None	7QPI11	Y	CA00313985	B	SFY2016-17
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-09-22 00:00:00	230012593	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-11-21 00:00:00	2012-11-21 00:00:00	No	2016-10-13 00:00:00	None	FTR AE	None	7700	7700	0	7700	0	None	O13C11	N	CA00396805	B	SFY2016-17
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-04-28 00:00:00	230013156	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-11-24 00:00:00	2015-11-24 00:00:00	No	2017-05-19 00:00:00	None	FTR AE	None	200	200	0	200	0	None	1EML11	N	CA00467460	B	SFY2016-17
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-06-20 00:00:00	230013295	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-03-13 00:00:00	2013-03-13 00:00:00	No	2017-07-12 00:00:00	None	FTR AE	None	7200	7200	0	7200	0	None	O6D611	N	CA00356497	B	SFY2016-17
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-11-28 00:00:00	230013621	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2017-01-06 00:00:00	2017-01-06 00:00:00	No	2017-12-19 00:00:00	None	FTR AE	None	700	700	0	700	0	None	JC5D11	N	CA00518695	C	SFY2017-18
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-07-18 00:00:00	230013715	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-11-29 00:00:00	2017-11-29 00:00:00	No	2018-08-08 00:00:00	None	AP IJ	None	30000	30000	0	30000	0	None	GBJ511	N	CA00563555	B	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-03-15 00:00:00	230013716	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2017-11-11 00:00:00	2017-11-11 00:00:00	No	2018-04-05 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	GBJ511	N	CA00561708	B	SFY2017-18
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-06-19 00:00:00	230013906	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-09-29 00:00:00	2017-09-29 00:00:00	No	2019-02-28 00:00:00	None	AP IJ	None	47500	47500	0	47500	0	None	UC3E11	Y	CA00555480	B	SFY2017-18
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-03-15 00:00:00	230014946	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-02-28 00:00:00	2014-02-28 00:00:00	No	2019-04-05 00:00:00	None	AP BR	None	0	0	0	0	0	None	5VGR11	None	CA00406466	D	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-04-18 00:00:00	230014967	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	R8ZM11	Y	CA00495562	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-05-07 00:00:00	230014969	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	2016-10-17 00:00:00	2016-10-17 00:00:00	No	2019-05-28 00:00:00	None	FTR AE	None	5900	5900	0	5900	0	None	4OS611	N	CA00515240	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-05-06 00:00:00	230015013	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-05-16 00:00:00	2018-05-16 00:00:00	No	2019-05-27 00:00:00	None	FTR AE	None	900	900	0	900	0	None	7BQO11	N	CA00589213	B	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-04-30 00:00:00	230015021	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-12-05 00:00:00	2016-12-05 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	300	300	0	300	0	None	5C7Q11	N	CA00514182	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-05-06 00:00:00	230015030	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2018-04-03 00:00:00	2018-04-03 00:00:00	No	2019-05-27 00:00:00	None	FTR AE	None	300	300	0	300	0	None	JJIU11	N	CA00582356	C	SFY2018-19
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-08-08 00:00:00	230015101	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2016-05-24 00:00:00	2016-05-24 00:00:00	No	2019-08-30 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	KVSI11	Y	CA00489884	B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-10-29 00:00:00	230015294	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE08 - Death/disability due to intravascular air embolism	None	2017-10-06 00:00:00	2017-10-06 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	52250	52250	0	52250	0	None	SMTB11	Y	CA00556323	B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-01-03 00:00:00	230015296	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-01-15 00:00:00	2018-01-15 00:00:00	No	2022-01-25 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	I69B11	N	CA00570164	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-10-29 00:00:00	230015375	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-05-09 00:00:00	2018-05-09 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	118750	118750	0	118750	0	None	R75X11	Y	CA00589555	B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-12-06 00:00:00	230015385	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-01-01 00:00:00	2017-01-01 00:00:00	No	2019-12-27 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	1FJY11	N	CA00518155, CA00520860	B, B	SFY2019-20
230000012	MERCY MEDICAL CENTER MT. SHASTA	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-12-06 00:00:00	230015562	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2017-08-25 00:00:00	2017-08-25 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	30000	30000	0	30000	0	None	8R9H11	Y	CA00550356	B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2020-05-08 00:00:00	230015730	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-07-02 00:00:00	2018-07-02 00:00:00	No	2020-06-01 00:00:00	None	AP NON-IJ	None	15000	15000	0	15000	0	None	J1QB11	Y	CA00621865, CA00621865	B, B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-02 00:00:00	230015779	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2021-12-23 00:00:00	None	AP NON-IJ	None	12120	12120	0	12120	0	None	IUWI11	N	CA00466442, CA00466442	B, B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2020-04-30 00:00:00	230015861	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	2019-01-12 00:00:00	2019-01-12 00:00:00	No	2020-05-21 00:00:00	None	FTR AE	None	800	800	0	800	0	None	J1QB11	N	CA00621865	B	SFY2019-20
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-22 00:00:00	230017112	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	2019-11-13 00:00:00	2019-11-13 00:00:00	No	2021-12-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	3CBF11	N	CA00664613	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-22 00:00:00	230017113	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	2019-11-20 00:00:00	2019-11-20 00:00:00	No	2021-12-15 00:00:00	None	FTR AE	None	700	700	0	700	0	None	M0NP11	N	CA00665908	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-23 00:00:00	230017123	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE21 - Death/disability due to a burn	None	2017-01-02 00:00:00	2017-01-02 00:00:00	No	2021-12-16 00:00:00	None	FTR AE	None	2600	2600	0	2600	0	None	1FJY11	N	CA00518155, CA00520860	B, B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-30 00:00:00	230017172	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2020-10-04 00:00:00	2020-10-04 00:00:00	No	2022-01-21 00:00:00	None	AP NON-IJ	None	4250	4250	0	4250	0	None	UZQC11	N	CA00708505	B	SFY2021-22
230000010	MERCY MEDICAL CENTER REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-30 00:00:00	230017218	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2021-01-26 00:00:00	2021-01-26 00:00:00	No	2022-01-21 00:00:00	None	AP NON-IJ	None	12877.5	12877.5	0	12877.5	0	None	3KFI11	N	CA00723735	C	SFY2021-22
240000052	MOUNTAINS COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-04-14 00:00:00	240011379	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	2012-10-11 00:00:00	2012-10-11 00:00:00	No	2015-05-05 00:00:00	None	FTR BR	None	400	400	0	400	0	None	TN1V11	None	CA00331092	C	SFY2014-15
250000727	MENIFEE GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-01-23 00:00:00	250010384	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	2012-01-23 00:00:00	2012-01-23 00:00:00	No	2014-02-13 00:00:00	None	FTR BR	None	400	400	0	400	0	None	3VH211	None	CA00298137	C	SFY2013-14
250000727	MENIFEE GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-08-07 00:00:00	250010630	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	2012-01-23 00:00:00	2012-01-23 00:00:00	No	2014-08-28 00:00:00	None	FTR RES	None	400	400	-100	300	0	None	3VH211	None	CA00298137	C	SFY2014-15
250000727	MENIFEE GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011450	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-05-02 00:00:00	2014-05-02 00:00:00	No	2015-05-28 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	N7NS11	N	CA00396417	C	SFY2014-15
630010561	MAGNOLIA WEST DIALYSIS	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Riverside	2015-05-20 00:00:00	250011499	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	2014-05-16 00:00:00	2014-05-16 00:00:00	No	2015-06-11 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	EXAW11	None	CA00400177	D	SFY2014-15
250000727	MENIFEE GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-11-13 00:00:00	250013614	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2017-01-24 00:00:00	2017-01-24 00:00:00	No	2017-12-06 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	QXS511	N	CA00519549, CA00519594	A, A	SFY2017-18
930000109	MOTION PICTURE & TELEVISION HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2011-04-04 00:00:00	930008108	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-03-10 00:00:00	2010-03-10 00:00:00	Yes	2013-03-08 00:00:00	2013-02-22 00:00:00	AP BR	AP BR	112500	56250	0	56250	0	None	S8PM11	None	CA00223532	B	SFY2010-11
930000109	MOTION PICTURE & TELEVISION HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2011-05-27 00:00:00	930008275	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-01-29 00:00:00	2010-01-29 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	QCRU11	N	CA00228605	C	SFY2010-11
930000095	MEMORIALCARE LONG BEACH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-10-12 00:00:00	930012645	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-05-03 00:00:00	2016-05-03 00:00:00	No	2016-11-02 00:00:00	None	FTR AE	None	400	400	0	400	0	None	VGOF11	N	CA00487948	C	SFY2016-17
930000027	MISSION COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-12-22 00:00:00	930012837	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2014-02-09 00:00:00	2014-02-09 00:00:00	No	2017-01-17 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	FDMQ11	N	CA00387972, CA00474816	C, B	SFY2016-17
930000108	MONTEREY PARK HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-25 00:00:00	930014986	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE15 - Death/disability directly related to hypoglycemia	None	2016-09-24 00:00:00	2016-09-24 00:00:00	No	2019-05-16 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	R8NS11	Y	CA00504650	B	SFY2018-19
930000108	MONTEREY PARK HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-06 00:00:00	930015666	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-01-21 00:00:00	2018-01-21 00:00:00	No	2020-01-28 00:00:00	None	FTR AE	None	8200	8200	0	8200	0	None	XEOO11	N	CA00582008	B	SFY2019-20
930000092	MEMORIAL HOSPITAL OF GARDENA	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-03-10 00:00:00	930015796	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	2019-09-05 00:00:00	2019-09-05 00:00:00	No	2020-03-31 00:00:00	None	FTR AE	None	7600	7600	0	7600	0	None	73I311	N	CA00662534	B	SFY2019-20
930000095	MEMORIALCARE LONG BEACH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-04-07 00:00:00	930016397	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-04-13 00:00:00	2019-04-13 00:00:00	No	2021-04-28 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	JUBG11	N	CA00633641	B	SFY2020-21
930001709	MEMORIALCARE MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-05-10 00:00:00	930016478	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	2019-01-05 00:00:00	2019-01-05 00:00:00	No	2021-06-01 00:00:00	None	FTR AE	None	13900	13900	0	13900	0	None	LK3811	N	CA00639562	B	SFY2020-21
930000109	MOTION PICTURE & TELEVISION HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	LA Acute/Ancillary	2021-06-29 00:00:00	930016655	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	2019-12-03 00:00:00	2019-12-03 00:00:00	No	2021-07-20 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	KGKK11	N	CA00668242	B	SFY2020-21
930000095	MEMORIALCARE LONG BEACH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2022-10-13 00:00:00	930018045	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2022-02-04 00:00:00	2022-02-04 00:00:00	No	2022-11-03 00:00:00	None	AP NON-IJ	None	4400	4400	0	4400	0	None	03EH11	Y	CA00777824, CA00777824, CA00777824, CA00777824, CA00777824, CA00777824	A, A, A, A, A, A	SFY2022-23
930000095	MEMORIALCARE LONG BEACH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-08-15 00:00:00	930019771	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2022-09-02 00:00:00	2022-09-02 00:00:00	Yes	2024-04-10 00:00:00	2024-03-27 00:00:00	AP BR	None	20000	20000	0	0	20000	None	K5TO11	None	CA00810014	D	SFY2023-24