010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-02-02 00:00:00 |
010001441 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-10-28 00:00:00 |
1999-11-03 00:00:00 |
No |
2000-02-29 00:00:00 |
None |
B |
None |
1000 |
1100 |
-350 |
750 |
0 |
010010663 |
A99999 |
Y |
None |
None |
SFY1999-00 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-08-21 00:00:00 |
010001769 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-04-13 00:00:00 |
2000-04-16 00:00:00 |
Yes |
2000-09-15 00:00:00 |
2000-08-22 00:00:00 |
A |
A Trebled |
5000 |
15000 |
-7500 |
7500 |
0 |
010012963 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-10-18 00:00:00 |
010001789 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-03-25 00:00:00 |
None |
Yes |
2000-11-08 00:00:00 |
2000-10-25 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
010013309 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-10-19 00:00:00 |
010001791 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-04-01 00:00:00 |
None |
No |
2000-11-09 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
010013311 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-02-27 00:00:00 |
010001831 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-01-06 00:00:00 |
None |
No |
2001-03-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010014015 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-04-07 00:00:00 |
010001839 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-05-27 00:00:00 |
2000-05-27 00:00:00 |
No |
2001-05-07 00:00:00 |
None |
B |
B |
1000 |
1000 |
-800 |
200 |
0 |
010014120 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-06-26 00:00:00 |
010001853 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
PATIENT CARE |
2000-12-30 00:00:00 |
2001-01-04 00:00:00 |
Yes |
2001-07-23 00:00:00 |
2001-07-13 00:00:00 |
B |
B |
1000 |
1000 |
-800 |
200 |
0 |
010014340 |
A99999 |
N |
None |
None |
SFY2000-01 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-07-24 00:00:00 |
010001859 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-13 00:00:00 |
2001-04-13 00:00:00 |
Yes |
2001-08-14 00:00:00 |
2001-07-27 00:00:00 |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
010014421 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-07-25 00:00:00 |
010001860 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-20 00:00:00 |
2001-05-05 00:00:00 |
No |
2001-08-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010014424 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-08-17 00:00:00 |
010001866 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2001-07-26 00:00:00 |
2001-07-27 00:00:00 |
Yes |
2001-09-07 00:00:00 |
2001-08-28 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
010014506 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000089 |
NEW HAVEN - ICF-DD -H, INCORPORATED |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2001-08-29 00:00:00 |
010001875 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-07-05 00:00:00 |
2001-07-05 00:00:00 |
No |
2001-09-24 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010014550 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-02-07 00:00:00 |
010001924 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-17 00:00:00 |
2002-01-15 00:00:00 |
No |
2002-03-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015043 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-02-07 00:00:00 |
010001925 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-16 00:00:00 |
2001-11-16 00:00:00 |
No |
2002-03-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015046 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-05-30 00:00:00 |
010001953 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2002-03-05 00:00:00 |
2002-03-08 00:00:00 |
Yes |
2002-06-25 00:00:00 |
2002-06-14 00:00:00 |
B |
None |
750 |
750 |
0 |
750 |
0 |
010015384 |
A99999 |
N |
None |
None |
SFY2001-02 |
010000089 |
NEW HAVEN - ICF-DD -H, INCORPORATED |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2002-08-30 00:00:00 |
010001975 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-05-14 00:00:00 |
2002-06-07 00:00:00 |
No |
2002-09-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015675 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000089 |
NEW HAVEN - ICF-DD -H, INCORPORATED |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2002-09-24 00:00:00 |
010001985 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-01-01 00:00:00 |
2002-09-04 00:00:00 |
No |
2002-10-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015792 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-10-03 00:00:00 |
010001991 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-05-22 00:00:00 |
2002-08-15 00:00:00 |
Yes |
2002-11-25 00:00:00 |
2002-10-17 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
010015824 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-11-22 00:00:00 |
010001999 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-04-22 00:00:00 |
2002-08-15 00:00:00 |
No |
2002-12-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015968 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-10 00:00:00 |
010002004 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-06-20 00:00:00 |
2002-07-14 00:00:00 |
No |
2003-02-03 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
010016106 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-04-10 00:00:00 |
010002024 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-08 00:00:00 |
2002-07-12 00:00:00 |
Yes |
2003-05-01 00:00:00 |
2003-04-18 00:00:00 |
B |
None |
750 |
750 |
0 |
750 |
0 |
010016431 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-04-17 00:00:00 |
010002026 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-09-04 00:00:00 |
2002-09-05 00:00:00 |
No |
2003-05-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010016474 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-05-14 00:00:00 |
010002028 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-28 00:00:00 |
2003-02-28 00:00:00 |
No |
2003-06-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010016323 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-05-14 00:00:00 |
010002029 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-28 00:00:00 |
2003-02-28 00:00:00 |
No |
2003-06-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010016576 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000059 |
NORTHVINE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-05-29 00:00:00 |
010002031 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-05-03 00:00:00 |
2003-05-06 00:00:00 |
Yes |
2003-06-19 00:00:00 |
2003-06-02 00:00:00 |
B |
B |
750 |
750 |
0 |
750 |
0 |
010016561 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-06-19 00:00:00 |
010002036 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-07 00:00:00 |
2003-02-07 00:00:00 |
Yes |
2003-07-11 00:00:00 |
2003-06-27 00:00:00 |
B |
B |
750 |
750 |
0 |
750 |
0 |
010016724 |
A99999 |
N |
None |
None |
SFY2002-03 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-08-20 00:00:00 |
010002047 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-30 00:00:00 |
2003-01-20 00:00:00 |
No |
2003-09-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010016135 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-10-29 00:00:00 |
010002060 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-11 00:00:00 |
2003-06-11 00:00:00 |
No |
2003-12-09 00:00:00 |
None |
B |
None |
700 |
700 |
0 |
700 |
0 |
010016323 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-06 00:00:00 |
010002063 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-02-06 00:00:00 |
2002-02-06 00:00:00 |
No |
2003-12-02 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010015698 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-07 00:00:00 |
010002065 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-08 00:00:00 |
2003-04-08 00:00:00 |
No |
2003-12-03 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010016736 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-14 00:00:00 |
010002068 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2001-10-12 00:00:00 |
2001-10-12 00:00:00 |
Yes |
2003-12-09 00:00:00 |
2003-11-18 00:00:00 |
AA |
AA |
60000 |
10000 |
0 |
10000 |
0 |
010014689 |
A99999 |
Y |
None |
None |
SFY2003-04 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-19 00:00:00 |
010002071 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-08-04 00:00:00 |
2003-08-04 00:00:00 |
No |
2003-12-12 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
010016929 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-01-20 00:00:00 |
010002079 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-05 00:00:00 |
2003-05-05 00:00:00 |
No |
2004-02-10 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010016323 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-01-21 00:00:00 |
010002080 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-10-13 00:00:00 |
2003-10-13 00:00:00 |
No |
2004-02-17 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
010017100 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-02-05 00:00:00 |
010002081 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2003-11-24 00:00:00 |
2003-12-03 00:00:00 |
No |
2004-03-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010017242 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-02-05 00:00:00 |
010002085 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2003-11-25 00:00:00 |
2003-11-25 00:00:00 |
No |
2004-03-01 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010017242 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-03-04 00:00:00 |
010002091 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-03 00:00:00 |
2004-02-03 00:00:00 |
No |
2004-03-25 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
010017507 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-04-30 00:00:00 |
010002100 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-13 00:00:00 |
2004-02-13 00:00:00 |
No |
2004-05-21 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010017668 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-04-30 00:00:00 |
010002101 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-02-13 00:00:00 |
2004-02-13 00:00:00 |
No |
2004-05-21 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010017669 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-06-04 00:00:00 |
010002103 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-04-10 00:00:00 |
2004-04-10 00:00:00 |
No |
2004-06-25 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
010017725 |
A99999 |
N |
None |
None |
SFY2003-04 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-07-15 00:00:00 |
010002113 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-10 00:00:00 |
2003-02-10 00:00:00 |
Yes |
2004-08-05 00:00:00 |
2004-09-14 00:00:00 |
B |
None |
600 |
600 |
0 |
600 |
0 |
010017856 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-08-02 00:00:00 |
010002114 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-10-08 00:00:00 |
2003-10-08 00:00:00 |
No |
2004-08-23 00:00:00 |
None |
B |
None |
900 |
900 |
-315 |
585 |
0 |
010017231 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-08-26 00:00:00 |
010002118 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-19 00:00:00 |
2004-05-19 00:00:00 |
No |
2004-09-17 00:00:00 |
None |
B |
None |
700 |
2100 |
0 |
2100 |
0 |
010017943 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-09-03 00:00:00 |
010002119 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2004-03-29 00:00:00 |
2004-03-29 00:00:00 |
Yes |
2004-09-27 00:00:00 |
2004-09-08 00:00:00 |
AA |
A |
80000 |
30000 |
0 |
30000 |
0 |
010017695 |
A99999 |
Y |
None |
None |
SFY2004-05 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-12-02 00:00:00 |
010002135 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-05-07 00:00:00 |
2004-05-07 00:00:00 |
No |
2005-01-06 00:00:00 |
None |
B |
None |
700 |
2100 |
-735 |
1365 |
0 |
010018122 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-01-14 00:00:00 |
010002138 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-21 00:00:00 |
2004-12-21 00:00:00 |
No |
2005-02-07 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
010018177 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-03-29 00:00:00 |
010002149 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-12-19 00:00:00 |
2004-12-19 00:00:00 |
Yes |
2005-04-20 00:00:00 |
2005-03-31 00:00:00 |
A |
A |
16000 |
8000 |
0 |
8000 |
0 |
010018276 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-05-05 00:00:00 |
010002153 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-05-09 00:00:00 |
2004-05-09 00:00:00 |
No |
2005-05-27 00:00:00 |
None |
A |
None |
8000 |
8000 |
0 |
8000 |
0 |
010018281 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-05-05 00:00:00 |
010002154 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-12-09 00:00:00 |
2003-12-09 00:00:00 |
No |
2005-05-27 00:00:00 |
None |
B |
None |
900 |
2700 |
0 |
2700 |
0 |
010018282 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-05-05 00:00:00 |
010002155 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-01-13 00:00:00 |
2004-01-13 00:00:00 |
No |
2005-05-27 00:00:00 |
None |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
010018283 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-05-27 00:00:00 |
010002158 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2003-07-20 00:00:00 |
2003-07-20 00:00:00 |
Yes |
2005-06-20 00:00:00 |
2005-05-31 00:00:00 |
AA |
A |
100000 |
30000 |
0 |
30000 |
0 |
010018292 |
A99999 |
Y |
None |
None |
SFY2004-05 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-02-15 00:00:00 |
010002183 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-24 00:00:00 |
2005-08-24 00:00:00 |
No |
2006-03-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
010018345 |
A99999 |
N |
CA00059534 |
A |
SFY2005-06 |
020001289 |
NEAL'S HOME |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2008-04-08 00:00:00 |
020004867 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-01-06 00:00:00 |
2008-01-06 00:00:00 |
No |
2008-05-02 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
None |
Y9J011 |
N |
CA00141961, CA00142153 |
C, B |
SFY2007-08 |
140001314 |
NEW WAY ICF/DD-H #5 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2008-09-25 00:00:00 |
020005463 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-07-06 00:00:00 |
2008-07-06 00:00:00 |
No |
2008-10-17 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
None |
M7XS11 |
N |
CA00156204 |
C |
SFY2008-09 |
140001330 |
NEW WAY ICF/DD-N #N3 |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2009-03-13 00:00:00 |
020005961 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-09-27 00:00:00 |
2008-09-27 00:00:00 |
No |
2009-04-06 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
None |
63XN11 |
N |
CA00164718 |
B |
SFY2008-09 |
140001356 |
NULL DRIVE ICF/DD-H |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2010-08-09 00:00:00 |
020007474 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-29 00:00:00 |
2010-03-29 00:00:00 |
No |
2010-09-01 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
None |
2GM411 |
N |
CA00224375 |
C |
SFY2010-11 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2002-10-18 00:00:00 |
030002111 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-08-16 00:00:00 |
None |
No |
2002-11-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030016871 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000016 |
NORTH STARR POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-11-06 00:00:00 |
030002113 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-07-21 00:00:00 |
None |
No |
2002-12-02 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
030016795 |
A99999 |
N |
None |
None |
SFY2002-03 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2004-03-02 00:00:00 |
030002163 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-07-18 00:00:00 |
None |
Yes |
2004-03-23 00:00:00 |
2008-01-02 00:00:00 |
A |
A |
10000 |
5000 |
0 |
5000 |
0 |
030018106 |
A99999 |
N |
None |
None |
SFY2003-04 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2002-08-01 00:00:00 |
030002254 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-05-12 00:00:00 |
None |
Yes |
2002-11-07 00:00:00 |
2002-08-07 00:00:00 |
B |
B |
1000 |
1000 |
0 |
1000 |
0 |
030019683 |
A99999 |
N |
None |
None |
SFY2002-03 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2003-07-18 00:00:00 |
030002255 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-04-30 00:00:00 |
None |
No |
2003-08-19 00:00:00 |
None |
B |
B |
900 |
502 |
0 |
502 |
0 |
030019725 |
A99999 |
N |
None |
None |
SFY2003-04 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-02-18 00:00:00 |
030002315 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-06-24 00:00:00 |
None |
No |
2005-03-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020415 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-05-11 00:00:00 |
030002322 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-08-03 00:00:00 |
None |
No |
2005-06-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020431 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2005-05-18 00:00:00 |
030002323 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-10 00:00:00 |
None |
No |
2005-06-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020432 |
A99999 |
N |
None |
None |
SFY2004-05 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-01-13 00:00:00 |
030002344 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-16 00:00:00 |
None |
No |
2006-02-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020473 |
A99999 |
N |
None |
None |
SFY2005-06 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-02-03 00:00:00 |
030002345 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-16 00:00:00 |
None |
No |
2006-02-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
030020474 |
A99999 |
N |
None |
None |
SFY2005-06 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-02-03 00:00:00 |
030002346 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
ABUSE SELF REPORTED |
2005-04-24 00:00:00 |
None |
No |
2006-02-28 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
030020475 |
A99999 |
N |
None |
None |
SFY2005-06 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-05-31 00:00:00 |
030003115 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-04-18 00:00:00 |
2005-04-18 00:00:00 |
No |
2006-06-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
J02811 |
N |
CA00045501 |
B |
SFY2005-06 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2006-05-31 00:00:00 |
030003121 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-07-28 00:00:00 |
2005-07-28 00:00:00 |
No |
2006-06-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
DVE911 |
N |
CA00057385 |
C |
SFY2005-06 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2006-12-20 00:00:00 |
030003586 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-10-14 00:00:00 |
2006-10-14 00:00:00 |
Yes |
2007-01-18 00:00:00 |
2006-12-26 00:00:00 |
B |
B |
600 |
300 |
0 |
300 |
0 |
None |
K8KF11 |
N |
CA00095953 |
B |
SFY2006-07 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-03-22 00:00:00 |
030003790 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse-Not Self Reported |
2006-10-09 00:00:00 |
2006-10-09 00:00:00 |
No |
2007-04-30 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
None |
ZWKS11 |
N |
CA00097143 |
B |
SFY2006-07 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-05-10 00:00:00 |
030003933 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-03-15 00:00:00 |
2007-03-15 00:00:00 |
Yes |
2007-06-01 00:00:00 |
2007-05-15 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
QY4211 |
N |
CA00081034 |
B |
SFY2006-07 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2007-07-17 00:00:00 |
030004099 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse Facility Reported |
2007-05-11 00:00:00 |
2007-05-11 00:00:00 |
Yes |
2007-08-07 00:00:00 |
2007-07-25 00:00:00 |
B |
B |
750 |
487.5 |
0 |
487.5 |
0 |
None |
4KC311 |
N |
CA00114502 |
A |
SFY2007-08 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2007-10-30 00:00:00 |
030004400 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-07-21 00:00:00 |
2004-07-21 00:00:00 |
Yes |
2007-11-21 00:00:00 |
2007-11-20 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
TCO311 |
N |
CA00051155 |
B |
SFY2007-08 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-03-17 00:00:00 |
030004786 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-12-01 00:00:00 |
2007-12-01 00:00:00 |
Yes |
2008-04-15 00:00:00 |
2008-03-28 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
LVHQ11 |
N |
CA00133899, CA00134707 |
B, B |
SFY2007-08 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-03-28 00:00:00 |
030004829 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-10-04 00:00:00 |
2006-10-04 00:00:00 |
Yes |
2008-04-21 00:00:00 |
2008-04-03 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
Z1X511 |
N |
CA00081252 |
B |
SFY2007-08 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-03-28 00:00:00 |
030004833 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2006-10-04 00:00:00 |
2006-10-04 00:00:00 |
Yes |
2008-04-21 00:00:00 |
2008-04-03 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
Z1X511 |
N |
CA00081252 |
B |
SFY2007-08 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2008-05-16 00:00:00 |
030005042 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-02-22 00:00:00 |
2008-02-22 00:00:00 |
Yes |
2008-06-13 00:00:00 |
2008-05-21 00:00:00 |
B |
B |
1000 |
800 |
-300 |
500 |
0 |
None |
TTEI11 |
N |
CA00144496 |
B |
SFY2007-08 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-05-30 00:00:00 |
030005078 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-11-02 00:00:00 |
2005-11-02 00:00:00 |
Yes |
2008-06-24 00:00:00 |
2008-06-10 00:00:00 |
A |
A |
18000 |
6000 |
0 |
6000 |
0 |
None |
MT0K11 |
N |
CA00067542 |
B |
SFY2007-08 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-05-30 00:00:00 |
030005079 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse - Facility Reported |
2007-02-14 00:00:00 |
2007-02-14 00:00:00 |
Yes |
2008-06-24 00:00:00 |
2008-06-10 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
0ZZZ11 |
N |
CA00106668 |
E |
SFY2007-08 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-09-08 00:00:00 |
030005394 |
Closed |
Citation |
Citation Willful Material Omission (HSC 1424(f)(1)) |
Patient Record |
None |
2007-05-29 00:00:00 |
2007-05-29 00:00:00 |
Yes |
2008-09-29 00:00:00 |
2008-09-11 00:00:00 |
WO |
B |
1000 |
500 |
0 |
500 |
0 |
None |
OD6Y11 |
None |
CA00116058 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-09-08 00:00:00 |
030005395 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Abuse |
2007-05-29 00:00:00 |
2007-05-29 00:00:00 |
Yes |
2008-09-29 00:00:00 |
2008-09-11 00:00:00 |
A |
A |
20000 |
7600 |
0 |
7600 |
0 |
None |
OD6Y11 |
N |
CA00116058 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-10-20 00:00:00 |
030005532 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-02-20 00:00:00 |
2008-02-20 00:00:00 |
Yes |
2008-11-10 00:00:00 |
2008-10-23 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
74C911 |
N |
CA00141386 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-12-09 00:00:00 |
030005679 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2008-06-18 00:00:00 |
2008-06-18 00:00:00 |
Yes |
2008-12-31 00:00:00 |
2008-12-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
KP6M11 |
N |
CA00154059 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-12-09 00:00:00 |
030005680 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-06-18 00:00:00 |
2008-06-18 00:00:00 |
Yes |
2009-01-12 00:00:00 |
2008-12-12 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
KP6M11 |
N |
CA00154059 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-12-23 00:00:00 |
030005694 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2007-10-13 00:00:00 |
2007-10-13 00:00:00 |
Yes |
2009-01-27 00:00:00 |
2008-12-29 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
L4X611 |
N |
CA00129327 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2008-12-23 00:00:00 |
030005696 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-10-13 00:00:00 |
2007-10-13 00:00:00 |
Yes |
2009-01-15 00:00:00 |
2009-02-09 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
L4X611 |
N |
CA00129327 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-03-03 00:00:00 |
030005912 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-03-25 00:00:00 |
2006-03-25 00:00:00 |
Yes |
2009-04-14 00:00:00 |
2009-03-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
0ND111 |
N |
CA00076355 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-03-03 00:00:00 |
030005914 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-03-25 00:00:00 |
2006-03-25 00:00:00 |
Yes |
2009-03-24 00:00:00 |
2009-03-12 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
0ND111 |
N |
CA00076355 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-04-21 00:00:00 |
030006072 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-10-09 00:00:00 |
2007-10-09 00:00:00 |
Yes |
2009-05-12 00:00:00 |
2009-05-01 00:00:00 |
B |
B |
1000 |
1500 |
0 |
1500 |
0 |
None |
7TJO11 |
N |
CA00128885 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-04-21 00:00:00 |
030006076 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2007-10-21 00:00:00 |
2007-10-21 00:00:00 |
Yes |
2009-05-12 00:00:00 |
2009-05-01 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
4PN011 |
N |
CA00129892 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-04-21 00:00:00 |
030006077 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2007-10-21 00:00:00 |
2007-10-21 00:00:00 |
Yes |
2009-05-12 00:00:00 |
2009-05-04 00:00:00 |
B |
B |
1000 |
1500 |
0 |
1500 |
0 |
None |
4PN011 |
N |
CA00129892 |
B |
SFY2008-09 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-07-16 00:00:00 |
030006387 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2008-01-01 00:00:00 |
2008-01-01 00:00:00 |
Yes |
2009-08-06 00:00:00 |
2009-07-20 00:00:00 |
B |
B |
1000 |
500 |
0 |
500 |
0 |
None |
FCXG11 |
N |
CA00148332 |
B |
SFY2009-10 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2009-08-19 00:00:00 |
030006469 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2008-08-14 00:00:00 |
2008-08-14 00:00:00 |
Yes |
2010-09-02 00:00:00 |
2010-08-23 00:00:00 |
AA |
AA |
100000 |
60000 |
0 |
60000 |
0 |
None |
DWKV11 |
Y |
CA00164153 |
B |
SFY2009-10 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2009-08-27 00:00:00 |
030006510 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-03-25 00:00:00 |
2009-03-25 00:00:00 |
Yes |
2009-09-23 00:00:00 |
2009-09-22 00:00:00 |
A |
A |
18000 |
20000 |
0 |
20000 |
0 |
None |
3FY211 |
N |
CA00180472 |
B |
SFY2009-10 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2010-09-22 00:00:00 |
030007588 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2009-04-13 00:00:00 |
2009-04-13 00:00:00 |
Yes |
2010-10-15 00:00:00 |
2010-10-06 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
None |
YC7O11 |
N |
CA00185318 |
B |
SFY2010-11 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-03-09 00:00:00 |
030008005 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-08-20 00:00:00 |
2007-08-20 00:00:00 |
Yes |
2011-03-30 00:00:00 |
2011-03-17 00:00:00 |
B |
B |
1000 |
1500 |
0 |
1500 |
0 |
None |
S6VM11 |
N |
CA00128516, CA00128716 |
B, B |
SFY2010-11 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-11-01 00:00:00 |
030008666 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-05-29 00:00:00 |
2009-05-29 00:00:00 |
Yes |
2011-11-23 00:00:00 |
2011-11-07 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
1OFD11 |
N |
CA00192029 |
B |
SFY2011-12 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-11-01 00:00:00 |
030008667 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-29 00:00:00 |
2009-05-29 00:00:00 |
Yes |
2011-11-23 00:00:00 |
2011-11-07 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
1OFD11 |
N |
CA00192029 |
B |
SFY2011-12 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2011-11-01 00:00:00 |
030008668 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-05-29 00:00:00 |
2009-05-29 00:00:00 |
Yes |
2011-11-23 00:00:00 |
2011-11-07 00:00:00 |
B |
B |
800 |
520 |
0 |
520 |
0 |
None |
1OFD11 |
N |
CA00192029 |
B |
SFY2011-12 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2012-03-15 00:00:00 |
030009124 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2009-04-13 00:00:00 |
2009-04-13 00:00:00 |
Yes |
2012-04-05 00:00:00 |
2012-03-23 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
SVZE11 |
N |
CA00184760 |
B |
SFY2011-12 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2013-04-25 00:00:00 |
030009836 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-02-26 00:00:00 |
2010-02-26 00:00:00 |
No |
2013-05-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
664S11 |
N |
CA00219754 |
B |
SFY2012-13 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2013-12-13 00:00:00 |
030010296 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-11-23 00:00:00 |
2011-11-23 00:00:00 |
Yes |
2014-01-06 00:00:00 |
2014-01-03 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
MWL411 |
N |
CA00303879 |
B |
SFY2013-14 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-01-29 00:00:00 |
030010372 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-01-19 00:00:00 |
2010-01-19 00:00:00 |
Yes |
2014-02-20 00:00:00 |
2014-02-03 00:00:00 |
A |
None |
5000 |
5000 |
0 |
5000 |
0 |
None |
BRMM11 |
N |
CA00217279 |
B |
SFY2013-14 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2014-02-12 00:00:00 |
030010456 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-09-01 00:00:00 |
2011-09-01 00:00:00 |
Yes |
2014-03-06 00:00:00 |
2014-02-13 00:00:00 |
A |
None |
18000 |
18000 |
0 |
0 |
18000 |
None |
PW1911 |
N |
CA00286939 |
B |
SFY2013-14 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2015-10-30 00:00:00 |
030011816 |
Open |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2015-06-17 00:00:00 |
2015-06-17 00:00:00 |
Yes |
2015-11-23 00:00:00 |
2015-11-09 00:00:00 |
B |
None |
2000 |
13850 |
0 |
0 |
13850 |
None |
UFRL11 |
N |
CA00454986 |
C |
SFY2015-16 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2016-09-20 00:00:00 |
030012577 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure to Report |
2016-07-25 00:00:00 |
2016-07-25 00:00:00 |
No |
2016-10-11 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
TG5V11 |
N |
CA00493992 |
D |
SFY2016-17 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2016-09-30 00:00:00 |
030012599 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Refusal to Readmit |
2016-07-04 00:00:00 |
2016-07-04 00:00:00 |
No |
2016-10-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
1BHH11 |
N |
CA00494290, CA00494348 |
C, A |
SFY2016-17 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2016-09-30 00:00:00 |
030012604 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-07-11 00:00:00 |
2016-07-11 00:00:00 |
No |
2016-10-21 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
OFKR11 |
N |
CA00498778 |
B |
SFY2016-17 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2016-10-07 00:00:00 |
030012611 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Res Care/ResSafety |
2016-04-23 00:00:00 |
2016-04-23 00:00:00 |
No |
2016-10-28 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
34TL11 |
N |
CA00486000 |
B |
SFY2016-17 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2018-04-06 00:00:00 |
030013957 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-01-23 00:00:00 |
2018-01-23 00:00:00 |
No |
2018-04-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
P8UK11 |
N |
CA00570847 |
B |
SFY2017-18 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2019-02-22 00:00:00 |
030014813 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
No notification to Ombuds |
2019-01-16 00:00:00 |
2019-01-16 00:00:00 |
No |
2019-03-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HGZC11 |
N |
None |
None |
SFY2018-19 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-04-17 00:00:00 |
030014943 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Neglect |
2019-01-04 00:00:00 |
2019-01-04 00:00:00 |
No |
2019-05-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QFC711 |
N |
CA00619102 |
B |
SFY2018-19 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-04-17 00:00:00 |
030014944 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Falcification |
2019-01-04 00:00:00 |
2019-01-04 00:00:00 |
No |
2019-05-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QFC711 |
N |
CA00619102, CA00619102 |
B, B |
SFY2018-19 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2019-06-21 00:00:00 |
030015164 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse Traning per DOJ |
2019-05-20 00:00:00 |
2019-05-20 00:00:00 |
No |
2019-07-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GXLC11 |
N |
CA00636527, CA00636527, CA00636527 |
B, B, B |
SFY2018-19 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-06-28 00:00:00 |
030015196 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-01-24 00:00:00 |
2018-01-24 00:00:00 |
No |
2019-07-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
2D3M11 |
N |
CA00570838 |
E |
SFY2018-19 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2019-06-28 00:00:00 |
030015201 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-03-16 00:00:00 |
2018-03-16 00:00:00 |
No |
2019-07-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
2D3M11 |
N |
CA00578897 |
E |
SFY2018-19 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2020-01-06 00:00:00 |
030015616 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-01-01 00:00:00 |
2018-01-01 00:00:00 |
No |
2020-01-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
P3NJ11 |
N |
CA00568401 |
E |
SFY2019-20 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2020-01-06 00:00:00 |
030015617 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2018-06-17 00:00:00 |
2018-06-17 00:00:00 |
No |
2020-01-27 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
5UOF11 |
N |
CA00591400 |
B |
SFY2019-20 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2020-11-19 00:00:00 |
030016155 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-10-01 00:00:00 |
2020-10-01 00:00:00 |
Yes |
2020-12-14 00:00:00 |
2020-12-01 00:00:00 |
B |
None |
2000 |
2500 |
0 |
2500 |
0 |
None |
P24811 |
N |
CA00707200 |
B |
SFY2020-21 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-01-28 00:00:00 |
030016250 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-09-21 00:00:00 |
2020-09-21 00:00:00 |
No |
2021-02-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
QLS011 |
N |
CA00691058, CA00691194, CA00704097 |
B, B, B |
SFY2020-21 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2021-04-16 00:00:00 |
030016422 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-07-20 00:00:00 |
2020-07-20 00:00:00 |
No |
2021-05-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
URDN11 |
N |
CA00697648 |
B |
SFY2020-21 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-03-07 00:00:00 |
030018447 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-02-06 00:00:00 |
2017-02-06 00:00:00 |
No |
2023-03-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
48JM11 |
N |
CA00524209, CA00524209 |
A, A |
SFY2022-23 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-11-21 00:00:00 |
030019376 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-08-22 00:00:00 |
2023-08-22 00:00:00 |
No |
2023-12-14 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
B3EL11 |
N |
CA00857406 |
A |
SFY2023-24 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2000-10-03 00:00:00 |
040001190 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-04-11 00:00:00 |
2000-04-11 00:00:00 |
No |
2000-10-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
040011277 |
A99999 |
N |
None |
None |
SFY2000-01 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-08-12 00:00:00 |
040001264 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2002-04-29 00:00:00 |
2002-05-17 00:00:00 |
No |
2002-09-03 00:00:00 |
None |
A |
None |
5000 |
5000 |
-1750 |
3250 |
0 |
040013314 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2002-10-09 00:00:00 |
040001322 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-07-26 00:00:00 |
2002-07-26 00:00:00 |
No |
2002-11-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
040013556 |
A99999 |
N |
None |
None |
SFY2002-03 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2007-08-28 00:00:00 |
040004212 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2006-05-17 00:00:00 |
2006-05-17 00:00:00 |
Yes |
2007-09-19 00:00:00 |
2007-10-18 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
NBTD11 |
N |
CA00081619 |
C |
SFY2007-08 |
040001259 |
NEW BETHANY |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2011-03-23 00:00:00 |
040008052 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-10-16 00:00:00 |
2010-10-16 00:00:00 |
No |
2011-04-14 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
XW9311 |
N |
CA00246238 |
C |
SFY2010-11 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2015-11-24 00:00:00 |
040011866 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-09-02 00:00:00 |
2015-09-02 00:00:00 |
Yes |
2015-12-17 00:00:00 |
2015-11-24 00:00:00 |
B |
B |
1500 |
975 |
0 |
975 |
0 |
None |
XCN811 |
N |
CA00458057 |
B |
SFY2015-16 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2018-04-12 00:00:00 |
040013991 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-03-02 00:00:00 |
2018-03-02 00:00:00 |
No |
2018-05-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
LO0U11 |
N |
CA00574504, CA00574504 |
D, D |
SFY2017-18 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2018-05-23 00:00:00 |
040014089 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-02-06 00:00:00 |
2018-02-06 00:00:00 |
No |
2018-06-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
LO0U11 |
N |
CA00567224 |
B |
SFY2017-18 |
630011955 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Fresno |
2019-04-19 00:00:00 |
040014979 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-04-17 00:00:00 |
2018-04-17 00:00:00 |
No |
2019-05-10 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
SBNN11 |
N |
CA00586384 |
C |
SFY2018-19 |
050000953 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Ventura |
2005-01-10 00:00:00 |
050001618 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2004-06-02 00:00:00 |
None |
Yes |
2005-02-07 00:00:00 |
2005-01-24 00:00:00 |
AA |
AA |
25000 |
10000 |
0 |
10000 |
0 |
050017742 |
A99999 |
Y |
None |
None |
SFY2004-05 |
050000953 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Ventura |
2005-01-10 00:00:00 |
050001619 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2004-10-20 00:00:00 |
None |
No |
2005-02-07 00:00:00 |
None |
B |
None |
300 |
300 |
0 |
300 |
0 |
050017743 |
A99999 |
N |
None |
None |
SFY2004-05 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
1999-01-06 00:00:00 |
060000978 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
1998-09-24 00:00:00 |
None |
Yes |
1999-02-02 00:00:00 |
1999-01-25 00:00:00 |
A |
A |
10000 |
8000 |
-8000 |
0 |
0 |
060008532 |
A99999 |
N |
None |
None |
SFY1998-99 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-06-18 00:00:00 |
060001062 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-03-05 00:00:00 |
None |
No |
2001-07-12 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
060010760 |
A99999 |
N |
None |
None |
SFY2000-01 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-07-26 00:00:00 |
060001066 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-04-21 00:00:00 |
None |
Yes |
2001-08-16 00:00:00 |
2001-08-02 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
060010892 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2001-11-30 00:00:00 |
060001076 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-07-11 00:00:00 |
2001-08-29 00:00:00 |
No |
2001-12-21 00:00:00 |
None |
B |
B |
800 |
1050 |
-350 |
700 |
0 |
060011254 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-06-19 00:00:00 |
060001105 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-12-19 00:00:00 |
None |
No |
2002-07-11 00:00:00 |
None |
B |
None |
500 |
500 |
0 |
500 |
0 |
060012061 |
A99999 |
N |
None |
None |
SFY2001-02 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-07-25 00:00:00 |
060001107 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-02-05 00:00:00 |
None |
No |
2002-08-15 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
060012210 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-08-13 00:00:00 |
060001108 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-04-11 00:00:00 |
None |
No |
2002-09-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060012241 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-08-19 00:00:00 |
060001110 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-10-30 00:00:00 |
None |
No |
2002-09-16 00:00:00 |
None |
B |
None |
1000 |
1200 |
0 |
1200 |
0 |
060012342 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2002-10-15 00:00:00 |
060001119 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-01-15 00:00:00 |
None |
No |
2002-11-05 00:00:00 |
None |
A |
None |
10000 |
10000 |
-10000 |
0 |
0 |
060012540 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-03-13 00:00:00 |
060001132 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-01-11 00:00:00 |
None |
No |
2003-04-04 00:00:00 |
None |
B |
B |
500 |
500 |
0 |
500 |
0 |
060012952 |
A99999 |
N |
None |
None |
SFY2002-03 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-07-14 00:00:00 |
060001140 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-15 00:00:00 |
None |
No |
2003-08-04 00:00:00 |
None |
B |
B |
1000 |
574 |
0 |
574 |
0 |
060013566 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-08-25 00:00:00 |
060001144 |
Closed |
Citation |
Citation B (HSC 1424) |
Staffing |
None |
2003-08-11 00:00:00 |
None |
No |
2003-09-18 00:00:00 |
None |
B |
B |
1000 |
574 |
0 |
574 |
0 |
060013724 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-09-11 00:00:00 |
060001147 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-02 00:00:00 |
None |
No |
2003-10-03 00:00:00 |
None |
B |
B |
1000 |
574 |
0 |
574 |
0 |
060013769 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2003-12-17 00:00:00 |
060001159 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-10-24 00:00:00 |
None |
No |
2004-01-09 00:00:00 |
None |
A |
A |
15000 |
8607 |
0 |
8607 |
0 |
060014100 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-03-02 00:00:00 |
060001164 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-12 00:00:00 |
None |
No |
2004-03-23 00:00:00 |
None |
B |
None |
750 |
1050 |
-262.5 |
787.5 |
0 |
060014312 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-03-19 00:00:00 |
060001165 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-12-22 00:00:00 |
None |
No |
2004-04-12 00:00:00 |
None |
B |
None |
1000 |
1050 |
-350 |
700 |
0 |
060014385 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2004-05-25 00:00:00 |
060001170 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2004-04-06 00:00:00 |
None |
No |
2004-06-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
060014590 |
A99999 |
N |
None |
None |
SFY2003-04 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2005-10-26 00:00:00 |
060001263 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-10-07 00:00:00 |
None |
No |
2005-11-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
060015965 |
A99999 |
N |
None |
None |
SFY2005-06 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2006-02-06 00:00:00 |
060001267 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-01-05 00:00:00 |
2006-01-05 00:00:00 |
No |
2006-03-01 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
1050 |
0 |
060015969 |
A99999 |
N |
None |
None |
SFY2005-06 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2006-03-09 00:00:00 |
060002913 |
Closed |
Citation |
Citation A (HSC 1424) |
Other |
Abuse |
2005-10-11 00:00:00 |
2005-10-11 00:00:00 |
No |
2006-04-05 00:00:00 |
None |
A |
None |
5000 |
5000 |
0 |
5000 |
0 |
None |
HFE711 |
N |
CA00066664 |
B |
SFY2005-06 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2007-04-10 00:00:00 |
060003842 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-12-27 00:00:00 |
2006-12-27 00:00:00 |
No |
2007-05-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
F51711 |
N |
CA00102698 |
C |
SFY2006-07 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2007-10-11 00:00:00 |
060004348 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-09-19 00:00:00 |
2007-09-19 00:00:00 |
No |
2007-11-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
FMG311 |
N |
None |
None |
SFY2007-08 |
060002145 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Orange |
2008-01-17 00:00:00 |
060004588 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2007-02-16 00:00:00 |
2007-02-16 00:00:00 |
Yes |
2008-02-08 00:00:00 |
2008-02-05 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
VDNP11 |
N |
CA00130368 |
C |
SFY2007-08 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2008-02-06 00:00:00 |
060004637 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-01-02 00:00:00 |
2008-01-02 00:00:00 |
Yes |
2008-03-05 00:00:00 |
2008-02-07 00:00:00 |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
NHFS11 |
N |
CA00136615, CA00136615 |
B, B |
SFY2007-08 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2008-03-18 00:00:00 |
060004710 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-11-27 00:00:00 |
2007-11-27 00:00:00 |
No |
2008-04-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
V5Z511 |
N |
CA00134854 |
C |
SFY2007-08 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2008-04-16 00:00:00 |
060004922 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-08-10 00:00:00 |
2007-08-10 00:00:00 |
No |
2008-05-08 00:00:00 |
None |
B |
None |
1000 |
3000 |
-1050 |
1950 |
0 |
None |
VL0011 |
N |
CA00138088 |
C |
SFY2007-08 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-05-11 00:00:00 |
060006162 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-11-01 00:00:00 |
2008-11-01 00:00:00 |
No |
2009-06-03 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
V38L11 |
N |
CA00182032 |
C |
SFY2008-09 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2009-09-15 00:00:00 |
060006549 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2009-02-05 00:00:00 |
2009-02-05 00:00:00 |
No |
2009-10-07 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
5X8E11 |
N |
CA00177843 |
C |
SFY2009-10 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2011-01-11 00:00:00 |
060007833 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-05-02 00:00:00 |
2010-05-02 00:00:00 |
No |
2011-02-02 00:00:00 |
None |
A |
None |
7500 |
7500 |
-2625 |
4875 |
0 |
None |
NTJN11 |
N |
CA00230468 |
C |
SFY2010-11 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2011-01-25 00:00:00 |
060007858 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-10-21 00:00:00 |
2010-10-21 00:00:00 |
No |
2011-02-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
H0Z511 |
N |
CA00246596 |
B |
SFY2010-11 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2011-03-22 00:00:00 |
060008039 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-02-01 00:00:00 |
2011-02-01 00:00:00 |
Yes |
2011-04-13 00:00:00 |
2011-03-23 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
XM3111 |
N |
CA00258491 |
C |
SFY2010-11 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2011-11-30 00:00:00 |
060008776 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2011-10-13 00:00:00 |
2011-10-13 00:00:00 |
Yes |
2012-11-06 00:00:00 |
2012-07-02 00:00:00 |
AA |
A |
100000 |
70000 |
0 |
70000 |
0 |
None |
5TYP11 |
Y |
CA00283981 |
B |
SFY2011-12 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2012-01-09 00:00:00 |
060008887 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-10-28 00:00:00 |
2011-10-28 00:00:00 |
Yes |
2012-01-31 00:00:00 |
2012-01-18 00:00:00 |
B |
None |
2000 |
6000 |
0 |
6000 |
0 |
None |
6H9511 |
N |
CA00288388 |
B |
SFY2011-12 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2012-06-11 00:00:00 |
060009361 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2012-05-14 00:00:00 |
2012-05-14 00:00:00 |
No |
2012-07-02 00:00:00 |
None |
B |
None |
2000 |
2300 |
0 |
2300 |
0 |
None |
00U811 |
N |
CA00310281 |
B |
SFY2011-12 |
060001558 |
NEW HORIZON INTEGRATED CARE - TROJAN |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Orange |
2012-11-16 00:00:00 |
060009599 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-09-14 00:00:00 |
2012-09-14 00:00:00 |
No |
2012-12-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
DI5U11 |
N |
None |
None |
SFY2012-13 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2017-07-17 00:00:00 |
060013348 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2017-03-01 00:00:00 |
2017-03-01 00:00:00 |
No |
2017-08-07 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
1J0P11 |
N |
CA00533304 |
B |
SFY2017-18 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2019-03-19 00:00:00 |
060014887 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-12-14 00:00:00 |
2018-12-14 00:00:00 |
No |
2019-04-09 00:00:00 |
None |
B |
None |
2000 |
2350 |
-700 |
1650 |
0 |
None |
CT4611 |
N |
CA00620666, CA00623923, CA00623923 |
B, B, B |
SFY2018-19 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2019-08-20 00:00:00 |
060015323 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-06-12 00:00:00 |
2019-06-12 00:00:00 |
No |
2019-09-10 00:00:00 |
None |
B |
None |
1500 |
1500 |
-525 |
975 |
0 |
None |
O69U11 |
N |
None |
None |
SFY2019-20 |
060000123 |
NEWPORT NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2019-10-07 00:00:00 |
060015429 |
Closed |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2019-06-08 00:00:00 |
2019-06-08 00:00:00 |
No |
2019-10-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
ZJ6Y11 |
Y |
CA00648176 |
B |
SFY2019-20 |
060000131 |
NEWPORT SUBACUTE HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2019-11-21 00:00:00 |
060015546 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2019-10-02 00:00:00 |
2019-10-02 00:00:00 |
No |
2019-12-12 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
None |
X7JW11 |
N |
CA00658358 |
B |
SFY2019-20 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2020-08-19 00:00:00 |
060015971 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-03-10 00:00:00 |
2020-03-10 00:00:00 |
No |
2020-09-10 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
0CZ811 |
Y |
CA00672846 |
B |
SFY2020-21 |
630012596 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Orange |
2021-10-01 00:00:00 |
060016973 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-07-31 00:00:00 |
2021-07-31 00:00:00 |
No |
2021-10-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5TS711 |
N |
CA00746767 |
A |
SFY2021-22 |
070000307 |
NATIVIDAD MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2000-08-16 00:00:00 |
070002347 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-05-07 00:00:00 |
None |
No |
2000-09-06 00:00:00 |
None |
A |
None |
7000 |
7000 |
-2450 |
4550 |
0 |
070015103 |
A99999 |
N |
None |
None |
SFY2000-01 |
070000307 |
NATIVIDAD MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-11-19 00:00:00 |
070002410 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-05-24 00:00:00 |
None |
No |
2001-12-12 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
070016241 |
A99999 |
Y |
None |
None |
SFY2001-02 |
070000307 |
NATIVIDAD MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2001-11-19 00:00:00 |
070002411 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2001-05-24 00:00:00 |
None |
No |
2001-12-12 00:00:00 |
None |
AA |
None |
90000 |
90000 |
-31500 |
58500 |
0 |
070016241 |
A99999 |
Y |
None |
None |
SFY2001-02 |
070000307 |
NATIVIDAD MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2002-07-24 00:00:00 |
070002466 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2002-07-10 00:00:00 |
None |
No |
2002-08-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070017585 |
A99999 |
N |
None |
None |
SFY2002-03 |
070000307 |
NATIVIDAD MEDICAL CENTER D/P SNF |
LTC |
SNF |
Skilled Nursing Facility |
San Jose |
2003-05-22 00:00:00 |
070002510 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2003-05-09 00:00:00 |
None |
No |
2003-06-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
070019025 |
A99999 |
N |
None |
None |
SFY2002-03 |
070001279 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
San Jose |
2009-04-17 00:00:00 |
070006088 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-02 00:00:00 |
2009-04-02 00:00:00 |
Yes |
2009-05-13 00:00:00 |
2009-05-18 00:00:00 |
B |
B |
800 |
520 |
0 |
520 |
0 |
None |
24W511 |
N |
CA00183488, CA00183604 |
C, B |
SFY2008-09 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2001-06-05 00:00:00 |
100002076 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-04-04 00:00:00 |
2001-04-04 00:00:00 |
Yes |
2001-07-06 00:00:00 |
2001-06-13 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
100015450 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2001-06-05 00:00:00 |
100002077 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-19 00:00:00 |
None |
Yes |
2001-07-09 00:00:00 |
2001-06-13 00:00:00 |
B |
B |
900 |
800 |
0 |
800 |
0 |
100015322 |
A99999 |
N |
None |
None |
SFY2000-01 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2001-09-11 00:00:00 |
100002105 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-15 00:00:00 |
None |
Yes |
2001-10-02 00:00:00 |
2001-09-17 00:00:00 |
B |
B Trebled |
1000 |
1500 |
0 |
1500 |
0 |
100015669 |
A99999 |
N |
None |
None |
SFY2001-02 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2003-10-23 00:00:00 |
100002241 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-19 00:00:00 |
None |
Yes |
2003-12-11 00:00:00 |
2003-10-28 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
100018166 |
A99999 |
N |
None |
None |
SFY2003-04 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2005-05-11 00:00:00 |
100002291 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-02-21 00:00:00 |
None |
Yes |
2005-06-14 00:00:00 |
2005-05-18 00:00:00 |
B |
B |
800 |
400 |
0 |
400 |
0 |
100019949 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-01-20 00:00:00 |
110001434 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
1999-11-29 00:00:00 |
1999-12-29 00:00:00 |
No |
2000-02-17 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
110010646 |
A99999 |
N |
None |
None |
SFY1999-00 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2000-12-08 00:00:00 |
110001807 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-01 00:00:00 |
2000-03-01 00:00:00 |
No |
2001-01-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110013585 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-03-22 00:00:00 |
110001833 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-31 00:00:00 |
2001-01-01 00:00:00 |
No |
2001-04-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
110014097 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-03-27 00:00:00 |
110001834 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2000-09-13 00:00:00 |
2000-09-13 00:00:00 |
No |
2001-04-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110014107 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-05-30 00:00:00 |
110001841 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2000-10-05 00:00:00 |
2000-10-05 00:00:00 |
No |
2001-06-20 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
110014593 |
A99999 |
N |
None |
None |
SFY2000-01 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-07-06 00:00:00 |
110001848 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-18 00:00:00 |
2000-12-19 00:00:00 |
No |
2001-07-27 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
110014689 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-07-31 00:00:00 |
110001851 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-07-20 00:00:00 |
2000-07-20 00:00:00 |
No |
2001-08-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
110014811 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-10-05 00:00:00 |
110001865 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
MEDICATION |
2001-04-10 00:00:00 |
2001-05-07 00:00:00 |
No |
2001-10-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110014522 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2001-12-21 00:00:00 |
110001963 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-02-25 00:00:00 |
2001-02-25 00:00:00 |
No |
2002-01-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110014531 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-04-25 00:00:00 |
110001970 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-03 00:00:00 |
2001-11-03 00:00:00 |
No |
2002-05-20 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015512 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-06-12 00:00:00 |
110001975 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1999-07-13 00:00:00 |
1999-07-13 00:00:00 |
No |
2002-07-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015291 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-06-20 00:00:00 |
110001979 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-12-11 00:00:00 |
2001-12-11 00:00:00 |
No |
2002-07-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015981 |
A99999 |
N |
None |
None |
SFY2001-02 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-07-12 00:00:00 |
110001982 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-03-18 00:00:00 |
2000-05-08 00:00:00 |
No |
2002-08-05 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110014716 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-07-17 00:00:00 |
110001983 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-12-04 00:00:00 |
2002-07-17 00:00:00 |
No |
2002-08-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110015601 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-07-19 00:00:00 |
110001985 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-10 00:00:00 |
2002-03-10 00:00:00 |
No |
2002-08-12 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110015773 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-07-30 00:00:00 |
110001988 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2001-02-03 00:00:00 |
2001-09-19 00:00:00 |
No |
2002-08-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015374 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-09-05 00:00:00 |
110001999 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-02-14 00:00:00 |
2001-02-14 00:00:00 |
No |
2002-09-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110014058 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-09-05 00:00:00 |
110002001 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-15 00:00:00 |
2001-11-15 00:00:00 |
No |
2002-09-26 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110015412 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2002-10-28 00:00:00 |
110002009 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2002-06-27 00:00:00 |
2002-06-27 00:00:00 |
No |
2002-11-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110016070 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-09 00:00:00 |
110002013 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-11 00:00:00 |
2002-07-11 00:00:00 |
No |
2003-02-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110016275 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-15 00:00:00 |
110002016 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-08-14 00:00:00 |
2001-08-14 00:00:00 |
Yes |
2003-02-11 00:00:00 |
2003-02-03 00:00:00 |
B |
B |
1000 |
557 |
0 |
557 |
0 |
110015290 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-16 00:00:00 |
110002017 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-05-02 00:00:00 |
2002-05-02 00:00:00 |
No |
2003-02-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015886 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-16 00:00:00 |
110002018 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-07-17 00:00:00 |
2002-07-17 00:00:00 |
No |
2003-02-11 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
110016143 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-16 00:00:00 |
110002019 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-03-27 00:00:00 |
2001-03-27 00:00:00 |
No |
2003-02-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015196 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-16 00:00:00 |
110002020 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-11-01 00:00:00 |
2001-11-01 00:00:00 |
No |
2003-02-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110015429 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-01-24 00:00:00 |
110002023 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-03-29 00:00:00 |
2002-03-29 00:00:00 |
Yes |
2003-02-21 00:00:00 |
2003-01-30 00:00:00 |
B |
B |
1000 |
557 |
0 |
557 |
0 |
110015867 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-02-05 00:00:00 |
110002028 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-06-30 00:00:00 |
2002-06-30 00:00:00 |
No |
2003-03-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110016205 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-04-08 00:00:00 |
110002042 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-11-28 00:00:00 |
2002-11-28 00:00:00 |
No |
2003-05-01 00:00:00 |
None |
A |
None |
15000 |
15000 |
-5250 |
9750 |
0 |
110016788 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-04-16 00:00:00 |
110002045 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2002-10-29 00:00:00 |
2002-10-29 00:00:00 |
Yes |
2003-05-19 00:00:00 |
2003-04-24 00:00:00 |
B |
Drop>Deficiency |
1000 |
557 |
0 |
557 |
0 |
110016843 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-06-09 00:00:00 |
110002057 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-02-18 00:00:00 |
2003-02-18 00:00:00 |
No |
2003-06-30 00:00:00 |
None |
B |
None |
750 |
750 |
-262.5 |
487.5 |
0 |
110016839 |
A99999 |
N |
None |
None |
SFY2002-03 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-07-22 00:00:00 |
110002060 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-01-07 00:00:00 |
2003-01-07 00:00:00 |
No |
2003-08-14 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
110016742 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-08-20 00:00:00 |
110002066 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2002-01-17 00:00:00 |
2002-01-17 00:00:00 |
Yes |
2003-09-15 00:00:00 |
2003-09-11 00:00:00 |
A |
A |
16000 |
10000 |
0 |
10000 |
0 |
110016356 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-08-28 00:00:00 |
110002068 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-03-27 00:00:00 |
2003-03-27 00:00:00 |
No |
2003-09-23 00:00:00 |
None |
B |
B |
1000 |
557 |
0 |
557 |
0 |
110016963 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-06 00:00:00 |
110002133 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-02-05 00:00:00 |
2003-02-05 00:00:00 |
Yes |
2003-12-04 00:00:00 |
2003-12-01 00:00:00 |
A |
A |
20000 |
7800 |
0 |
7800 |
0 |
110016799 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2003-11-06 00:00:00 |
110002135 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2003-03-21 00:00:00 |
2003-03-21 00:00:00 |
Yes |
2003-12-04 00:00:00 |
2003-12-01 00:00:00 |
A |
A |
20000 |
7800 |
0 |
7800 |
0 |
110016898 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-02-19 00:00:00 |
110002183 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-09-03 00:00:00 |
2003-09-03 00:00:00 |
No |
2004-03-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110017303 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-03-04 00:00:00 |
110002185 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-06-22 00:00:00 |
2003-06-22 00:00:00 |
No |
2004-03-29 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110017263 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-03-19 00:00:00 |
110002187 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-11-14 00:00:00 |
2003-11-14 00:00:00 |
No |
2004-04-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
110017835 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-05-24 00:00:00 |
110002193 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-06-05 00:00:00 |
2003-06-05 00:00:00 |
Yes |
2004-06-15 00:00:00 |
2004-06-08 00:00:00 |
A |
A |
15000 |
6000 |
0 |
6000 |
0 |
110017130 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-05-24 00:00:00 |
110002194 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2003-06-05 00:00:00 |
2003-06-05 00:00:00 |
Yes |
2004-06-15 00:00:00 |
2004-06-08 00:00:00 |
B |
B |
1000 |
1000 |
-869 |
131 |
0 |
110017131 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-05-24 00:00:00 |
110002195 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2003-06-28 00:00:00 |
2003-06-28 00:00:00 |
Yes |
2004-06-15 00:00:00 |
2004-06-08 00:00:00 |
A |
A |
20000 |
6000 |
0 |
6000 |
0 |
110017179 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-05-28 00:00:00 |
110002198 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-08-13 00:00:00 |
2003-08-13 00:00:00 |
No |
2004-06-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110017761 |
A99999 |
N |
None |
None |
SFY2003-04 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-08-12 00:00:00 |
110002200 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-01-03 00:00:00 |
2004-01-03 00:00:00 |
Yes |
2004-09-07 00:00:00 |
2004-08-26 00:00:00 |
A |
A |
20000 |
24550 |
-50 |
24500 |
0 |
110017957 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-08-12 00:00:00 |
110002201 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-22 00:00:00 |
2004-02-22 00:00:00 |
No |
2004-09-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110018517 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-08-12 00:00:00 |
110002202 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2004-02-22 00:00:00 |
2004-02-22 00:00:00 |
No |
2004-09-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110017957 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-08-24 00:00:00 |
110002205 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
1996-02-24 00:00:00 |
1996-02-24 00:00:00 |
No |
2004-09-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-1000 |
0 |
0 |
110016525 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-09-17 00:00:00 |
110002210 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-04-08 00:00:00 |
2004-04-08 00:00:00 |
No |
2004-10-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110018572 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-09-17 00:00:00 |
110002212 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-30 00:00:00 |
2003-05-30 00:00:00 |
No |
2004-10-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110018577 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-09-30 00:00:00 |
110002213 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-05-27 00:00:00 |
2004-05-27 00:00:00 |
No |
2004-10-22 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110018599 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-12-03 00:00:00 |
110002222 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-07-12 00:00:00 |
2004-07-12 00:00:00 |
No |
2004-12-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
110018484 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2004-12-20 00:00:00 |
110002224 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-07 00:00:00 |
2004-02-07 00:00:00 |
No |
2005-01-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
110018173 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-01-14 00:00:00 |
110002227 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-07-06 00:00:00 |
2004-07-06 00:00:00 |
No |
2005-02-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
110018467 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-01-14 00:00:00 |
110002228 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2004-06-17 00:00:00 |
2004-06-17 00:00:00 |
Yes |
2005-02-10 00:00:00 |
2005-02-03 00:00:00 |
A |
A |
18000 |
6600 |
0 |
6600 |
0 |
110018449 |
A99999 |
N |
None |
None |
SFY2004-05 |
110000054 |
NAZARETH SKILLED NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2005-01-14 00:00:00 |
110002229 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-09-23 00:00:00 |
2004-09-23 00:00:00 |
Yes |
2005-02-10 00:00:00 |
2005-02-01 00:00:00 |
B |
B |
1000 |
2000 |
0 |
2000 |
0 |
110018595 |
A99999 |
N |
None |
None |
SFY2004-05 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-03-07 00:00:00 |
110002895 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-05-08 00:00:00 |
2005-05-08 00:00:00 |
Yes |
2006-03-28 00:00:00 |
2006-03-09 00:00:00 |
A |
A |
12000 |
12000 |
0 |
12000 |
0 |
None |
SRDX11 |
N |
CA00047621 |
A |
SFY2005-06 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-03-13 00:00:00 |
110002897 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2006-01-17 00:00:00 |
2006-01-17 00:00:00 |
No |
2006-04-04 00:00:00 |
None |
B |
None |
600 |
600 |
-210 |
390 |
0 |
None |
U2DB11 |
N |
CA00070836 |
A |
SFY2005-06 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-03-09 00:00:00 |
110002910 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-08-11 00:00:00 |
2005-08-11 00:00:00 |
Yes |
2011-04-28 00:00:00 |
2011-05-05 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
DCHU11 |
N |
CA00058332 |
B |
SFY2005-06 |
010000059 |
NORTHVINE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-06-16 00:00:00 |
110002912 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-06-07 00:00:00 |
2005-06-07 00:00:00 |
No |
2006-07-10 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
Q0VO11 |
N |
CA00051283 |
A |
SFY2005-06 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-03-16 00:00:00 |
110002933 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-04-19 00:00:00 |
2005-04-19 00:00:00 |
No |
2006-04-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
01XU11 |
N |
CA00050369 |
A |
SFY2005-06 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-05-02 00:00:00 |
110003009 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-01-07 00:00:00 |
2005-01-07 00:00:00 |
No |
2006-05-23 00:00:00 |
None |
B |
None |
800 |
2400 |
-840 |
1560 |
0 |
None |
FUG311 |
N |
CA00056115 |
B |
SFY2005-06 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-05-05 00:00:00 |
110003057 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-03-30 00:00:00 |
2005-03-30 00:00:00 |
No |
2006-05-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
A8BP11 |
N |
CA00044135 |
A |
SFY2005-06 |
010000059 |
NORTHVINE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-08-30 00:00:00 |
110003066 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2006-04-01 00:00:00 |
2006-04-01 00:00:00 |
No |
2006-09-21 00:00:00 |
None |
A |
None |
16000 |
16000 |
-5600 |
10400 |
0 |
None |
34KD11 |
N |
CA00076603, CA00077283 |
B, B |
SFY2006-07 |
010000059 |
NORTHVINE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-06-16 00:00:00 |
110003169 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-06-07 00:00:00 |
2005-06-07 00:00:00 |
No |
2006-07-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
8ZHJ11 |
N |
CA00051283 |
A |
SFY2005-06 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-10-13 00:00:00 |
110003208 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-07 00:00:00 |
2006-06-07 00:00:00 |
No |
2006-11-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2SSE11 |
N |
CA00083764 |
A |
SFY2006-07 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-07-26 00:00:00 |
110003226 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-08-12 00:00:00 |
2005-08-12 00:00:00 |
No |
2006-08-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HCJX11 |
N |
CA00058921 |
B |
SFY2006-07 |
010000089 |
NEW HAVEN - ICF-DD -H, INCORPORATED |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2006-11-28 00:00:00 |
110003229 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
c,ab,pr |
2005-11-24 00:00:00 |
2005-11-24 00:00:00 |
No |
2006-12-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9SHU11 |
N |
CA00066833 |
A |
SFY2006-07 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-08-03 00:00:00 |
110003251 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-06-08 00:00:00 |
2006-06-08 00:00:00 |
No |
2006-08-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
D8E211 |
N |
CA00083397 |
A |
SFY2006-07 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-10-13 00:00:00 |
110003417 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-06-07 00:00:00 |
2006-06-07 00:00:00 |
No |
2006-11-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
2SSE11 |
N |
CA00083764 |
A |
SFY2006-07 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-06-20 00:00:00 |
110003504 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-10-21 00:00:00 |
2006-10-21 00:00:00 |
No |
2007-07-16 00:00:00 |
None |
A |
A |
18000 |
18350 |
-15984 |
2366 |
0 |
None |
YX7X11 |
N |
CA00097129 |
B |
SFY2006-07 |
010000089 |
NEW HAVEN - ICF-DD -H, INCORPORATED |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Santa Rosa |
2006-11-28 00:00:00 |
110003520 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2005-11-24 00:00:00 |
2005-11-24 00:00:00 |
No |
2006-12-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9SHU11 |
N |
CA00066833 |
A |
SFY2006-07 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-01-31 00:00:00 |
110003534 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-06-11 00:00:00 |
2005-06-11 00:00:00 |
Yes |
2011-08-17 00:00:00 |
2011-11-10 00:00:00 |
A |
A |
20000 |
8000 |
0 |
8000 |
0 |
None |
QFJ411 |
N |
CA00062351, CA00064241 |
B, B |
SFY2006-07 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2006-12-12 00:00:00 |
110003569 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-07-31 00:00:00 |
2006-07-31 00:00:00 |
No |
2007-01-04 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
JQTF11 |
N |
CA00058240 |
B |
SFY2006-07 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-07-06 00:00:00 |
110003575 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-11-02 00:00:00 |
2006-11-02 00:00:00 |
No |
2007-07-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
67NK11 |
N |
CA00097756 |
A |
SFY2007-08 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-05-11 00:00:00 |
110003914 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2006-06-14 00:00:00 |
2006-06-14 00:00:00 |
Yes |
2007-06-04 00:00:00 |
2007-05-15 00:00:00 |
A |
A |
15000 |
6000 |
0 |
6000 |
0 |
None |
TE5211 |
N |
CA00087934 |
B |
SFY2006-07 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-08-24 00:00:00 |
110004131 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2007-05-16 00:00:00 |
2007-05-16 00:00:00 |
No |
2007-09-17 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
HV0611 |
N |
CA00114787 |
A |
SFY2007-08 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-03-05 00:00:00 |
110004168 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-05-12 00:00:00 |
2007-05-12 00:00:00 |
No |
2008-03-26 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
0D5911 |
N |
CA00114795, CA00114795 |
B, B |
SFY2007-08 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-08-31 00:00:00 |
110004194 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-08-10 00:00:00 |
2006-08-10 00:00:00 |
No |
2007-09-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ECK011 |
N |
CA00089824 |
A |
SFY2007-08 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-08-24 00:00:00 |
110004204 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-08-10 00:00:00 |
2006-08-10 00:00:00 |
No |
2007-09-17 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
SXDJ11 |
N |
CA00093740 |
B |
SFY2007-08 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-08-31 00:00:00 |
110004222 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2006-08-16 00:00:00 |
2006-08-16 00:00:00 |
Yes |
2007-09-24 00:00:00 |
2007-09-17 00:00:00 |
AA |
A |
100000 |
75000 |
0 |
75000 |
0 |
None |
TRO311 |
Y |
CA00090407 |
A |
SFY2007-08 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-02-13 00:00:00 |
110004284 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-07-21 00:00:00 |
2007-07-21 00:00:00 |
Yes |
2011-08-31 00:00:00 |
2011-08-08 00:00:00 |
A |
B |
18000 |
9000 |
0 |
9000 |
0 |
None |
ZWVC11 |
N |
None |
None |
SFY2007-08 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2007-11-09 00:00:00 |
110004434 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2006-10-26 00:00:00 |
2006-10-26 00:00:00 |
No |
2007-12-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LX5I11 |
N |
CA00104413 |
B |
SFY2007-08 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-01-29 00:00:00 |
110004610 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-08-24 00:00:00 |
2007-08-24 00:00:00 |
No |
2008-02-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LXDD11 |
N |
CA00124331, CA00124335 |
A, A |
SFY2007-08 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-05-07 00:00:00 |
110004650 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-12-29 00:00:00 |
2007-12-29 00:00:00 |
Yes |
2011-09-19 00:00:00 |
2011-08-30 00:00:00 |
A |
A |
18000 |
11700 |
0 |
11700 |
0 |
None |
CZC811 |
N |
CA00138295 |
B |
SFY2007-08 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-10-02 00:00:00 |
110004693 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-12-11 00:00:00 |
2007-12-11 00:00:00 |
No |
2008-10-28 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
PL3P11 |
N |
CA00133392 |
B |
SFY2008-09 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-10-21 00:00:00 |
110004804 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-03-01 00:00:00 |
2007-03-01 00:00:00 |
No |
2008-11-17 00:00:00 |
None |
A |
None |
18000 |
18000 |
0 |
18000 |
0 |
None |
LXYJ11 |
N |
CA00127471 |
B |
SFY2008-09 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-01-20 00:00:00 |
110004883 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-12-22 00:00:00 |
2007-12-22 00:00:00 |
Yes |
2009-02-12 00:00:00 |
2009-01-26 00:00:00 |
A |
A |
18000 |
9000 |
0 |
9000 |
0 |
None |
DSO211 |
N |
CA00136645 |
B |
SFY2008-09 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-07 00:00:00 |
110005243 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-07-01 00:00:00 |
2008-07-01 00:00:00 |
No |
2009-04-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
VU2L11 |
N |
CA00156160 |
B |
SFY2008-09 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-10-15 00:00:00 |
110005406 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2007-01-20 00:00:00 |
2007-01-20 00:00:00 |
Yes |
2008-11-07 00:00:00 |
2008-10-16 00:00:00 |
A |
A |
18000 |
10000 |
0 |
10000 |
0 |
None |
Y4R911 |
N |
CA00105232 |
A |
SFY2008-09 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-11-21 00:00:00 |
110005424 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-05-23 00:00:00 |
2008-05-23 00:00:00 |
No |
2008-12-19 00:00:00 |
None |
A |
None |
10000 |
10000 |
0 |
10000 |
0 |
None |
9NIT11 |
N |
CA00151713 |
B |
SFY2008-09 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-10-01 00:00:00 |
110005427 |
Closed |
Citation |
Citation B (HSC 1424) |
Dietary |
None |
2008-04-24 00:00:00 |
2008-04-24 00:00:00 |
No |
2008-10-27 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
0L9B11 |
N |
CA00146764 |
B |
SFY2008-09 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2008-12-17 00:00:00 |
110005617 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-05-28 00:00:00 |
2008-05-28 00:00:00 |
No |
2009-01-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
WYF811 |
N |
CA00151998 |
A |
SFY2008-09 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-02-05 00:00:00 |
110005765 |
Open |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2008-12-25 00:00:00 |
2008-12-25 00:00:00 |
Yes |
2009-03-05 00:00:00 |
2009-02-25 00:00:00 |
B |
None |
1000 |
1000 |
0 |
0 |
1000 |
None |
9Z3111 |
N |
CA00173671 |
A |
SFY2008-09 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-10-13 00:00:00 |
110005862 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-12-15 00:00:00 |
2008-12-15 00:00:00 |
Yes |
2009-11-03 00:00:00 |
2009-10-26 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
G0LS11 |
N |
None |
None |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-01-26 00:00:00 |
110005929 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-12-16 00:00:00 |
2008-12-16 00:00:00 |
Yes |
2012-07-16 00:00:00 |
2012-07-03 00:00:00 |
A |
B |
18000 |
9000 |
0 |
9000 |
0 |
None |
CK6L11 |
N |
CA00177646 |
B |
SFY2009-10 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-02 00:00:00 |
110006028 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-08-21 00:00:00 |
2008-08-21 00:00:00 |
Yes |
2009-04-27 00:00:00 |
2009-04-08 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
6HVX11 |
N |
CA00161017 |
A |
SFY2008-09 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-04-16 00:00:00 |
110006037 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-11-02 00:00:00 |
2008-11-02 00:00:00 |
No |
2009-05-07 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LL6Y11 |
N |
CA00168300 |
B |
SFY2008-09 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-16 00:00:00 |
110006310 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-06-04 00:00:00 |
2009-06-04 00:00:00 |
Yes |
2010-01-08 00:00:00 |
2009-12-31 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
9S9M11 |
N |
CA00191988 |
B |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-16 00:00:00 |
110006326 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-04-29 00:00:00 |
2009-04-29 00:00:00 |
Yes |
2010-01-13 00:00:00 |
2009-12-31 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
GLL011 |
N |
CA00192885 |
B |
SFY2009-10 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-01-19 00:00:00 |
110006350 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-11-24 00:00:00 |
2008-11-24 00:00:00 |
Yes |
2011-12-05 00:00:00 |
2011-11-10 00:00:00 |
A |
A |
18000 |
12000 |
0 |
12000 |
0 |
None |
87RD11 |
N |
CA00170313 |
B |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-01-26 00:00:00 |
110006471 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-08-07 00:00:00 |
2009-08-07 00:00:00 |
Yes |
2010-02-16 00:00:00 |
2010-02-16 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
CM5611 |
N |
CA00197832 |
B |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-02-11 00:00:00 |
110006472 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-07-22 00:00:00 |
2009-07-22 00:00:00 |
Yes |
2011-11-18 00:00:00 |
2011-11-03 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
5QPI11 |
N |
CA00196133, CA00197834, CA00197834, CA00200206 |
B, B, B, B |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-02-11 00:00:00 |
110006497 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-08-22 00:00:00 |
2009-08-22 00:00:00 |
Yes |
2011-12-01 00:00:00 |
2011-11-09 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
Y9YO11 |
N |
CA00199417 |
A |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-16 00:00:00 |
110006614 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-10-08 00:00:00 |
2009-10-08 00:00:00 |
Yes |
2010-01-12 00:00:00 |
2009-12-30 00:00:00 |
A |
A |
18000 |
0 |
0 |
0 |
0 |
None |
J5IE11 |
N |
CA00204254 |
A |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-16 00:00:00 |
110006760 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-04-29 00:00:00 |
2009-04-29 00:00:00 |
Yes |
2010-01-08 00:00:00 |
2009-12-31 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
GLL011 |
N |
CA00192885 |
B |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2009-12-16 00:00:00 |
110006763 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-01-02 00:00:00 |
2009-01-02 00:00:00 |
Yes |
2010-01-12 00:00:00 |
2009-12-30 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
FK7S11 |
N |
CA00200051 |
B |
SFY2009-10 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-01-29 00:00:00 |
110006851 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2009-10-12 00:00:00 |
2009-10-12 00:00:00 |
No |
2010-02-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
72MX11 |
N |
None |
None |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-04-15 00:00:00 |
110006877 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-11-10 00:00:00 |
2009-11-10 00:00:00 |
Yes |
2010-05-06 00:00:00 |
2010-04-29 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
0ZFU11 |
N |
CA00207953 |
B |
SFY2009-10 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-07-16 00:00:00 |
110006879 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-08-04 00:00:00 |
2009-08-04 00:00:00 |
No |
2010-08-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TD7011 |
N |
CA00198047 |
C |
SFY2010-11 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-07-16 00:00:00 |
110006880 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2009-08-04 00:00:00 |
2009-08-04 00:00:00 |
No |
2010-08-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
TD7011 |
N |
CA00198047 |
C |
SFY2010-11 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-01-25 00:00:00 |
110006929 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-09-17 00:00:00 |
2009-09-17 00:00:00 |
Yes |
2010-02-18 00:00:00 |
2010-02-05 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
6KVQ11 |
N |
CA00201985 |
A |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-03-23 00:00:00 |
110006991 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2009-11-18 00:00:00 |
2009-11-18 00:00:00 |
Yes |
2010-04-16 00:00:00 |
2010-04-09 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
9NM911 |
N |
CA00209479 |
A |
SFY2009-10 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-09-08 00:00:00 |
110007054 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2010-02-11 00:00:00 |
2010-02-11 00:00:00 |
Yes |
2010-10-06 00:00:00 |
2010-09-29 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
VPFO11 |
N |
CA00220623 |
B |
SFY2010-11 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-11-30 00:00:00 |
110007112 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-03-24 00:00:00 |
2010-03-24 00:00:00 |
Yes |
2013-06-05 00:00:00 |
2011-01-06 00:00:00 |
A |
A |
18000 |
18000 |
0 |
18000 |
0 |
None |
EFTG11 |
N |
CA00223232 |
B |
SFY2010-11 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-07-15 00:00:00 |
110007114 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-03-13 00:00:00 |
2010-03-13 00:00:00 |
No |
2010-08-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
OWIK11 |
N |
CA00222235 |
A |
SFY2010-11 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-08-24 00:00:00 |
110007146 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-29 00:00:00 |
2010-03-29 00:00:00 |
Yes |
2010-09-20 00:00:00 |
2010-09-17 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
HDLQ11 |
N |
CA00223569 |
B |
SFY2010-11 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-07-29 00:00:00 |
110007167 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-04-16 00:00:00 |
2010-04-16 00:00:00 |
Yes |
2013-08-19 00:00:00 |
2013-07-29 00:00:00 |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
5PHQ11 |
N |
CA00224167, CA00225709, CA00228718 |
A, C, B |
SFY2013-14 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-06-15 00:00:00 |
110007301 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-01-12 00:00:00 |
2010-01-12 00:00:00 |
No |
2010-07-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
J4BG11 |
N |
CA00214798 |
A |
SFY2009-10 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-06-15 00:00:00 |
110007302 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-01-12 00:00:00 |
2010-01-12 00:00:00 |
No |
2010-07-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
J4BG11 |
N |
CA00214798 |
A |
SFY2009-10 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-07-15 00:00:00 |
110007362 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-20 00:00:00 |
2010-03-20 00:00:00 |
No |
2010-08-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
OWIK11 |
N |
CA00222235 |
A |
SFY2010-11 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-08-31 00:00:00 |
110007504 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-05-16 00:00:00 |
2010-05-16 00:00:00 |
No |
2010-09-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S44311 |
N |
CA00228958, CA00231751 |
B, B |
SFY2010-11 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-08-31 00:00:00 |
110007505 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-05-25 00:00:00 |
2010-05-25 00:00:00 |
No |
2010-09-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
R0U311 |
N |
CA00230072 |
B |
SFY2010-11 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-09-22 00:00:00 |
110007583 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-04-10 00:00:00 |
2010-04-10 00:00:00 |
Yes |
2010-10-13 00:00:00 |
2010-10-05 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
EPI811 |
N |
CA00225083 |
A |
SFY2010-11 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-09-22 00:00:00 |
110007584 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-04-10 00:00:00 |
2010-04-10 00:00:00 |
Yes |
2010-10-13 00:00:00 |
2010-10-05 00:00:00 |
B |
None |
1000 |
3000 |
0 |
3000 |
0 |
None |
EPI811 |
N |
CA00225083 |
A |
SFY2010-11 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-12-17 00:00:00 |
110007660 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-05-13 00:00:00 |
2010-05-13 00:00:00 |
Yes |
2011-01-07 00:00:00 |
2010-12-23 00:00:00 |
A |
A |
20000 |
13000 |
0 |
13000 |
0 |
None |
DCKY11 |
N |
CA00230264 |
B |
SFY2010-11 |
010001128 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Santa Rosa |
2011-05-10 00:00:00 |
110007672 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-01-10 00:00:00 |
2010-01-10 00:00:00 |
Yes |
2011-06-01 00:00:00 |
2011-05-19 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
P27V11 |
N |
CA00214147 |
C |
SFY2010-11 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-12-23 00:00:00 |
110007707 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2010-07-27 00:00:00 |
2010-07-27 00:00:00 |
Yes |
2011-01-13 00:00:00 |
2010-12-29 00:00:00 |
B |
B |
1000 |
1950 |
0 |
1950 |
0 |
None |
7UM611 |
N |
CA00238258 |
A |
SFY2010-11 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2010-12-23 00:00:00 |
110007708 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-07-27 00:00:00 |
2010-07-27 00:00:00 |
Yes |
2011-01-13 00:00:00 |
2010-12-29 00:00:00 |
B |
B |
1000 |
650 |
0 |
650 |
0 |
None |
7UM611 |
N |
CA00238258 |
A |
SFY2010-11 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-12-07 00:00:00 |
110007964 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-17 00:00:00 |
2010-03-17 00:00:00 |
No |
2012-12-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I5HC11 |
N |
CA00257346 |
B |
SFY2012-13 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2011-12-19 00:00:00 |
110008661 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2011-03-23 00:00:00 |
2011-03-23 00:00:00 |
Yes |
2012-01-11 00:00:00 |
2012-01-10 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
D4YV11 |
N |
CA00263381 |
B |
SFY2011-12 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-03-01 00:00:00 |
110008780 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-10-19 00:00:00 |
2011-10-19 00:00:00 |
Yes |
2012-03-22 00:00:00 |
2012-03-20 00:00:00 |
B |
None |
1000 |
1000 |
0 |
0 |
1000 |
None |
LRK411 |
N |
CA00288693 |
A |
SFY2011-12 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2012-12-07 00:00:00 |
110009322 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-03-19 00:00:00 |
2010-03-19 00:00:00 |
No |
2012-12-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I5HC11 |
N |
CA00257346 |
B |
SFY2012-13 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-02-21 00:00:00 |
110009717 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-02-09 00:00:00 |
2011-02-09 00:00:00 |
No |
2013-03-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LSZ011 |
N |
CA00259561 |
A |
SFY2012-13 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-02-21 00:00:00 |
110009718 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2011-10-09 00:00:00 |
2011-10-09 00:00:00 |
No |
2013-03-14 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
LSZ011 |
N |
CA00259561 |
A |
SFY2012-13 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-04-25 00:00:00 |
110009855 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-08-04 00:00:00 |
2010-08-04 00:00:00 |
Yes |
2013-05-16 00:00:00 |
2013-04-29 00:00:00 |
A |
A |
20000 |
18000 |
0 |
18000 |
0 |
None |
D5FU11 |
N |
CA00264590 |
B |
SFY2012-13 |
010001128 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Santa Rosa |
2014-09-05 00:00:00 |
110009925 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-04-05 00:00:00 |
2013-04-05 00:00:00 |
No |
2014-09-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
1TDM11 |
N |
None |
None |
SFY2014-15 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2013-07-16 00:00:00 |
110009981 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2013-06-08 00:00:00 |
2013-06-08 00:00:00 |
No |
2013-08-06 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
NO5Z11 |
N |
CA00357817 |
A |
SFY2013-14 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-07-03 00:00:00 |
110010226 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-07-28 00:00:00 |
2013-07-28 00:00:00 |
Yes |
2014-07-25 00:00:00 |
2014-07-08 00:00:00 |
A |
A |
20000 |
10000 |
0 |
10000 |
0 |
None |
DF9111 |
N |
CA00366311 |
A |
SFY2014-15 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-09-16 00:00:00 |
110010655 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-07-02 00:00:00 |
2012-07-02 00:00:00 |
No |
2014-10-07 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
P3QU11 |
N |
CA00322798 |
B |
SFY2014-15 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-10-09 00:00:00 |
110011054 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2012-08-20 00:00:00 |
2012-08-20 00:00:00 |
No |
2014-10-30 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
J5B111 |
N |
CA00322737, CA00322742 |
A, A |
SFY2014-15 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-11-18 00:00:00 |
110011120 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2011-05-03 00:00:00 |
2011-05-03 00:00:00 |
No |
2014-12-11 00:00:00 |
None |
A |
None |
18000 |
18000 |
-6300 |
11700 |
0 |
None |
7QKK11 |
N |
CA00269632 |
B |
SFY2014-15 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2015-05-15 00:00:00 |
110011216 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2012-08-26 00:00:00 |
2012-08-26 00:00:00 |
No |
2015-06-08 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
030I11 |
N |
CA00323422 |
B |
SFY2014-15 |
010001128 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Santa Rosa |
2015-07-02 00:00:00 |
110011284 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-02-01 00:00:00 |
2015-02-01 00:00:00 |
Yes |
2015-07-23 00:00:00 |
2015-07-21 00:00:00 |
A |
A |
10000 |
6500 |
0 |
6500 |
0 |
None |
M9BT11 |
N |
CA00430701 |
B |
SFY2015-16 |
010001128 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Santa Rosa |
2015-07-02 00:00:00 |
110011436 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-03-06 00:00:00 |
2015-03-06 00:00:00 |
No |
2015-07-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JC4T11 |
N |
CA00434137 |
C |
SFY2015-16 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2015-09-18 00:00:00 |
110011524 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2015-05-13 00:00:00 |
2015-05-13 00:00:00 |
No |
2015-10-09 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
CPD211 |
N |
None |
None |
SFY2015-16 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2015-10-27 00:00:00 |
110011771 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-05-15 00:00:00 |
2015-05-15 00:00:00 |
No |
2015-11-18 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
CPD211 |
N |
None |
None |
SFY2015-16 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2015-11-24 00:00:00 |
110011830 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2013-04-09 00:00:00 |
2013-04-09 00:00:00 |
No |
2015-12-17 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
LX0B11 |
N |
CA00350419 |
A |
SFY2015-16 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-06-16 00:00:00 |
110011981 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-11-19 00:00:00 |
2013-11-19 00:00:00 |
No |
2016-07-08 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
6S5Q11 |
Y |
CA00377713 |
B |
SFY2015-16 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2016-03-09 00:00:00 |
110012047 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2013-12-14 00:00:00 |
2013-12-14 00:00:00 |
No |
2016-03-30 00:00:00 |
None |
A |
None |
20000 |
20400 |
-7000 |
13400 |
0 |
None |
H4AB11 |
N |
CA00380547, CA00382184 |
B, B |
SFY2015-16 |
010001128 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
Santa Rosa |
2016-06-16 00:00:00 |
110012228 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-04-15 00:00:00 |
2016-04-15 00:00:00 |
No |
2016-07-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ZBSF11 |
N |
CA00486193 |
A |
SFY2015-16 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-02-07 00:00:00 |
110012906 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2016-08-12 00:00:00 |
2016-08-12 00:00:00 |
No |
2017-03-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
FJ8X11 |
N |
None |
None |
SFY2016-17 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2024-02-21 00:00:00 |
110013023 |
Open |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2016-10-21 00:00:00 |
2016-10-21 00:00:00 |
Yes |
2024-03-13 00:00:00 |
2024-02-27 00:00:00 |
AA |
None |
100000 |
100000 |
0 |
0 |
100000 |
None |
SURI11 |
Y |
CA00511845 |
B |
SFY2023-24 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-09-14 00:00:00 |
110013194 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-01-02 00:00:00 |
2017-01-02 00:00:00 |
No |
2018-10-05 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
YIV511 |
N |
CA00518676 |
B |
SFY2018-19 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-09-14 00:00:00 |
110013195 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-01-05 00:00:00 |
2017-01-05 00:00:00 |
No |
2018-10-05 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
P2H811 |
Y |
CA00518672 |
B |
SFY2018-19 |
010000047 |
NORTHBROOK HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-08-28 00:00:00 |
110013413 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2016-09-27 00:00:00 |
2016-09-27 00:00:00 |
No |
2017-09-19 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
NRPS11 |
N |
None |
None |
SFY2017-18 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2017-08-29 00:00:00 |
110013447 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2015-11-13 00:00:00 |
2015-11-13 00:00:00 |
No |
2017-09-20 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
FHER11 |
N |
CA00458007 |
B |
SFY2017-18 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2018-12-07 00:00:00 |
110014524 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
Post-Ombudsman Info |
2018-07-25 00:00:00 |
2018-07-25 00:00:00 |
No |
2018-12-31 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
YDHM11 |
N |
CA00594499, CA00594499 |
B, B |
SFY2018-19 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015142 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-12-12 00:00:00 |
2018-12-12 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015143 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015144 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015145 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015146 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015147 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015148 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015149 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015150 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2019-08-07 00:00:00 |
110015151 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2018-12-20 00:00:00 |
2018-12-20 00:00:00 |
No |
2019-08-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
Z25911 |
N |
CA00586915, CA00609895 |
C, C |
SFY2019-20 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-05-05 00:00:00 |
110016180 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2020-10-06 00:00:00 |
2020-10-06 00:00:00 |
No |
2021-05-26 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
ZJ9W11 |
N |
CA00702089 |
B |
SFY2020-21 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-04-21 00:00:00 |
110016331 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2018-08-15 00:00:00 |
2018-08-15 00:00:00 |
No |
2021-05-12 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
Z1HB11 |
N |
CA00603417, CA00607058 |
E, B |
SFY2020-21 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-05-28 00:00:00 |
110016512 |
Closed |
Citation |
Citation A (HSC 1424) |
Medication |
None |
2019-01-22 00:00:00 |
2019-01-22 00:00:00 |
No |
2021-06-21 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
8PMH11 |
N |
CA00622285, CA00622285, CA00622752 |
E, E, B |
SFY2020-21 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-03-11 00:00:00 |
110017484 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2020-05-20 00:00:00 |
2020-05-20 00:00:00 |
No |
2022-04-04 00:00:00 |
None |
B |
None |
2000 |
2000 |
-700 |
1300 |
0 |
None |
JGWU11 |
N |
CA00689647 |
A |
SFY2021-22 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-03-23 00:00:00 |
110017508 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2021-10-25 00:00:00 |
2021-10-25 00:00:00 |
No |
2022-04-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
A0R511 |
N |
CA00758738, CA00759035 |
B, B |
SFY2021-22 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-03-23 00:00:00 |
110017509 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2021-10-25 00:00:00 |
2021-10-25 00:00:00 |
No |
2022-04-14 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
A0R511 |
N |
CA00758738, CA00759035 |
B, B |
SFY2021-22 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2024-05-03 00:00:00 |
110019467 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2022-01-20 00:00:00 |
2022-01-20 00:00:00 |
No |
2024-05-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
D4XT11 |
N |
CA00772661, CA00772661 |
A, A |
SFY2023-24 |
120001534 |
NEW HORIZONS - LEILA |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Bakersfield |
2009-06-10 00:00:00 |
120006250 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-12-22 00:00:00 |
2008-12-22 00:00:00 |
No |
2009-07-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
R1OM11 |
N |
CA00173081 |
C |
SFY2008-09 |
120001534 |
NEW HORIZONS - LEILA |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Bakersfield |
2009-06-10 00:00:00 |
120006251 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2008-12-22 00:00:00 |
2008-12-22 00:00:00 |
No |
2009-07-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
R1OM11 |
N |
CA00173081 |
C |
SFY2008-09 |
120001511 |
NEW HORIZONS 'B' |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Bakersfield |
2012-03-07 00:00:00 |
120007951 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2010-11-03 00:00:00 |
2010-11-03 00:00:00 |
No |
2012-03-28 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
GUVM11 |
N |
CA00248028 |
B |
SFY2011-12 |
140001314 |
NEW WAY ICF/DD-H #5 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2001-08-21 00:00:00 |
140002698 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2001-06-03 00:00:00 |
2001-06-06 00:00:00 |
Yes |
2002-01-30 00:00:00 |
2002-01-14 00:00:00 |
A |
B |
10000 |
7500 |
0 |
7500 |
0 |
140016374 |
A99999 |
N |
None |
None |
SFY2001-02 |
140001314 |
NEW WAY ICF/DD-H #5 |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
East Bay |
2003-09-12 00:00:00 |
140002699 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-07-24 00:00:00 |
None |
No |
2003-10-08 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
140016385 |
A99999 |
N |
None |
None |
SFY2003-04 |
150001226 |
NAPA STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2000-10-20 00:00:00 |
150001898 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2000-09-28 00:00:00 |
None |
No |
2000-11-14 00:00:00 |
None |
A |
None |
10000 |
30000 |
-10500 |
19500 |
0 |
150015920 |
A99999 |
N |
None |
None |
SFY2000-01 |
150001226 |
NAPA STATE HOSPITAL D/P ICFDD |
LTC |
ICFDD |
Intermediate Care Facility-DD/H/N/CN/IID |
State Facilities Section |
2000-12-22 00:00:00 |
150001899 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-16 00:00:00 |
None |
No |
2001-01-18 00:00:00 |
None |
B |
None |
650 |
1950 |
-682.5 |
1267.5 |
0 |
150015927 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000719 |
NVDS, INC - WALKER HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2000-05-17 00:00:00 |
230000897 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-04-20 00:00:00 |
None |
No |
2000-06-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
230006424 |
A99999 |
N |
None |
None |
SFY1999-00 |
230000686 |
NVDS - SHOWBOAT |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2000-11-08 00:00:00 |
230000915 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2000-08-10 00:00:00 |
None |
No |
2000-12-05 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
230006657 |
A99999 |
N |
None |
None |
SFY2000-01 |
230000719 |
NVDS, INC - WALKER HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2002-06-21 00:00:00 |
230000988 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2002-06-11 00:00:00 |
None |
No |
2002-07-16 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
230008190 |
A99999 |
N |
None |
None |
SFY2001-02 |
230000763 |
NVDS, INC - VALENTINE HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2002-12-19 00:00:00 |
230001008 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2002-10-23 00:00:00 |
2002-10-23 00:00:00 |
No |
2003-01-23 00:00:00 |
None |
B |
None |
700 |
700 |
-245 |
455 |
0 |
230008762 |
A99999 |
N |
None |
None |
SFY2002-03 |
230000467 |
NVDS INC - CHRISTIAN HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2003-08-12 00:00:00 |
230001037 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2003-05-10 00:00:00 |
2003-05-10 00:00:00 |
No |
2003-09-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230009360 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000763 |
NVDS, INC - VALENTINE HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2003-08-12 00:00:00 |
230001041 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2003-05-22 00:00:00 |
2003-05-22 00:00:00 |
No |
2003-09-10 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230009500 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000763 |
NVDS, INC - VALENTINE HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2004-02-18 00:00:00 |
230001066 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-11-12 00:00:00 |
2003-11-12 00:00:00 |
No |
2004-03-15 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230010224 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000719 |
NVDS, INC - WALKER HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2004-03-30 00:00:00 |
230001074 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-12-23 00:00:00 |
2003-12-23 00:00:00 |
No |
2004-04-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230010389 |
A99999 |
N |
None |
None |
SFY2003-04 |
230000763 |
NVDS, INC - VALENTINE HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2004-08-12 00:00:00 |
230001089 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-01-01 00:00:00 |
2004-01-01 00:00:00 |
No |
2004-09-07 00:00:00 |
None |
B |
None |
1000 |
1100 |
-350 |
750 |
0 |
230010874 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000763 |
NVDS, INC - VALENTINE HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2005-04-14 00:00:00 |
230001131 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-01-07 00:00:00 |
2005-01-07 00:00:00 |
No |
2005-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230011598 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000763 |
NVDS, INC - VALENTINE HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2005-06-29 00:00:00 |
230001142 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2005-04-16 00:00:00 |
2005-04-16 00:00:00 |
No |
2005-08-01 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
230011614 |
A99999 |
N |
None |
None |
SFY2004-05 |
230000719 |
NVDS, INC - WALKER HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2011-03-22 00:00:00 |
230008049 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2010-12-08 00:00:00 |
2010-12-08 00:00:00 |
No |
2011-04-13 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
None |
D24L11 |
N |
CA00251765 |
B |
SFY2010-11 |
230000719 |
NVDS, INC - WALKER HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Chico |
2018-08-31 00:00:00 |
230014332 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2018-03-18 00:00:00 |
2018-03-18 00:00:00 |
No |
2018-09-24 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
4FE511 |
N |
CA00579432 |
B |
SFY2018-19 |
240001538 |
NEXT GUEST HOME |
LTC |
CLHF |
Congregate Living Health Facility |
San Bernardino |
2000-11-30 00:00:00 |
240001657 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-07-18 00:00:00 |
2000-07-18 00:00:00 |
No |
2000-12-21 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
240013483 |
A99999 |
N |
None |
None |
SFY2000-01 |
240000121 |
NEWBURY HOUSE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
San Bernardino |
2010-02-23 00:00:00 |
240007010 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-08 00:00:00 |
2005-11-08 00:00:00 |
No |
2010-03-16 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
FXBP11 |
N |
CA00065453 |
A |
SFY2009-10 |
250000592 |
NEW IDEALS/OTIS HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2005-12-21 00:00:00 |
250001568 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2005-09-02 00:00:00 |
None |
No |
2006-01-13 00:00:00 |
None |
B |
None |
500 |
500 |
-175 |
325 |
0 |
250016842 |
A99999 |
N |
None |
None |
SFY2005-06 |
250000592 |
NEW IDEALS/OTIS HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2013-12-09 00:00:00 |
250010298 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-05-23 00:00:00 |
2013-05-23 00:00:00 |
No |
2013-12-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
GQWX11 |
N |
CA00355791, CA00355875 |
C, C |
SFY2013-14 |
250000835 |
NEW IDEALS/NOGAL HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2014-04-04 00:00:00 |
250010592 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Abuse |
2012-04-30 00:00:00 |
2012-04-30 00:00:00 |
No |
2014-04-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
KRMG11 |
N |
CA00309034 |
C |
SFY2013-14 |
250000835 |
NEW IDEALS/NOGAL HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2014-04-04 00:00:00 |
250010594 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Failure To Report |
2012-04-30 00:00:00 |
2012-04-30 00:00:00 |
No |
2014-04-25 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
KRMG11 |
N |
CA00309034 |
C |
SFY2013-14 |
250000592 |
NEW IDEALS/OTIS HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2014-06-12 00:00:00 |
250010752 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2013-10-08 00:00:00 |
2013-10-08 00:00:00 |
No |
2014-07-03 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
1WKQ11 |
N |
CA00372503, CA00372791 |
B, B |
SFY2013-14 |
250000592 |
NEW IDEALS/OTIS HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
Riverside |
2020-12-21 00:00:00 |
250016188 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2020-07-07 00:00:00 |
2020-07-07 00:00:00 |
No |
2021-01-13 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
XDG711 |
N |
CA00696024 |
B |
SFY2020-21 |
910000019 |
NEW VISTA POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2009-12-23 00:00:00 |
910006664 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2008-07-10 00:00:00 |
2008-07-10 00:00:00 |
No |
2010-01-14 00:00:00 |
None |
A |
None |
17000 |
17000 |
0 |
17000 |
0 |
None |
YJID11 |
N |
CA00159496 |
C |
SFY2009-10 |
940000024 |
NORWALK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2021-05-20 00:00:00 |
910016528 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-03-20 00:00:00 |
2021-03-20 00:00:00 |
No |
2021-06-11 00:00:00 |
None |
A |
None |
20000 |
20000 |
0 |
20000 |
0 |
None |
1INL11 |
N |
CA00729943, CA00730109, CA00730109, CA00730109 |
B, A, A, A |
SFY2020-21 |
940000024 |
NORWALK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-05-24 00:00:00 |
910018792 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
Refusal to Readmit |
2023-04-14 00:00:00 |
2023-04-14 00:00:00 |
No |
2023-06-15 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
7LCA11 |
N |
CA00836144 |
A |
SFY2022-23 |
940000024 |
NORWALK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-06-23 00:00:00 |
910018894 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-03-21 00:00:00 |
2023-03-21 00:00:00 |
Yes |
2023-07-17 00:00:00 |
2023-07-17 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
B3EQ11 |
N |
CA00839440, CA00839440, CA00839440 |
B, B, B |
SFY2022-23 |
940000024 |
NORWALK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-10-27 00:00:00 |
910019314 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-09-12 00:00:00 |
2023-09-12 00:00:00 |
No |
2023-11-20 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
X8EL11 |
N |
CA00860609 |
B |
SFY2023-24 |
940000024 |
NORWALK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2023-11-28 00:00:00 |
910019412 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-07-12 00:00:00 |
2023-07-12 00:00:00 |
No |
2023-12-19 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
0 |
3000 |
None |
MUUJ11 |
N |
CA00866252 |
B |
SFY2023-24 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2001-07-17 00:00:00 |
920001130 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2001-06-24 00:00:00 |
2001-06-24 00:00:00 |
No |
2001-08-23 00:00:00 |
None |
B |
None |
800 |
800 |
0 |
800 |
0 |
920006225 |
A99999 |
N |
None |
None |
SFY2001-02 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2003-09-08 00:00:00 |
920001184 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2003-06-24 00:00:00 |
2003-09-05 00:00:00 |
Yes |
2004-01-16 00:00:00 |
2003-09-19 00:00:00 |
B |
B |
400 |
400 |
0 |
400 |
0 |
920007316 |
A99999 |
N |
None |
None |
SFY2003-04 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-03-02 00:00:00 |
920002888 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-15 00:00:00 |
2005-11-15 00:00:00 |
Yes |
2006-03-23 00:00:00 |
2006-03-10 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
43EA11 |
N |
CA00070741 |
B |
SFY2005-06 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-03-02 00:00:00 |
920002889 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-16 00:00:00 |
2005-11-16 00:00:00 |
Yes |
2006-03-23 00:00:00 |
2006-03-10 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
43EA11 |
N |
CA00070741 |
B |
SFY2005-06 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-03-02 00:00:00 |
920002890 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-14 00:00:00 |
2005-11-14 00:00:00 |
Yes |
2006-03-28 00:00:00 |
2006-03-10 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
43EA11 |
N |
CA00070741 |
B |
SFY2005-06 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-03-02 00:00:00 |
920002891 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-14 00:00:00 |
2005-11-14 00:00:00 |
Yes |
2006-03-28 00:00:00 |
2006-03-10 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
43EA11 |
N |
CA00070741 |
B |
SFY2005-06 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-03-02 00:00:00 |
920002892 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-16 00:00:00 |
2005-11-16 00:00:00 |
Yes |
2006-03-28 00:00:00 |
2006-03-10 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
43EA11 |
N |
CA00070741 |
B |
SFY2005-06 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-03-02 00:00:00 |
920002893 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-14 00:00:00 |
2005-11-14 00:00:00 |
Yes |
2006-03-28 00:00:00 |
2006-03-10 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
43EA11 |
N |
CA00070741 |
B |
SFY2005-06 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2006-03-02 00:00:00 |
920002894 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2005-11-14 00:00:00 |
2005-11-14 00:00:00 |
Yes |
2006-03-28 00:00:00 |
2006-03-10 00:00:00 |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
43EA11 |
N |
CA00070741 |
B |
SFY2005-06 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2007-04-23 00:00:00 |
920003917 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2007-01-12 00:00:00 |
2007-01-12 00:00:00 |
Yes |
2007-05-21 00:00:00 |
2007-05-08 00:00:00 |
B |
B |
1000 |
750 |
0 |
750 |
0 |
None |
PBXW11 |
N |
CA00104923 |
B |
SFY2006-07 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2010-04-16 00:00:00 |
920007128 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2009-12-04 00:00:00 |
2009-12-04 00:00:00 |
Yes |
2010-05-07 00:00:00 |
2010-05-20 00:00:00 |
A |
A |
16000 |
10400 |
0 |
10400 |
0 |
None |
FNTM11 |
N |
CA00214827 |
B |
SFY2009-10 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2012-02-01 00:00:00 |
920008940 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2011-05-14 00:00:00 |
2011-05-14 00:00:00 |
No |
2012-02-23 00:00:00 |
None |
B |
None |
900 |
900 |
0 |
900 |
0 |
None |
GRWP11 |
N |
CA00269449 |
B |
SFY2011-12 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2016-08-03 00:00:00 |
920012446 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2015-05-26 00:00:00 |
2015-05-26 00:00:00 |
No |
2016-08-24 00:00:00 |
None |
A |
None |
20000 |
20000 |
-7000 |
13000 |
0 |
None |
8L4D11 |
N |
CA00444312 |
A |
SFY2016-17 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-06-12 00:00:00 |
920014145 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2018-03-06 00:00:00 |
2018-03-06 00:00:00 |
No |
2018-07-03 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
B5TW11 |
N |
CA00574938 |
B |
SFY2017-18 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2018-06-12 00:00:00 |
920014146 |
Open |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2018-03-06 00:00:00 |
2018-03-06 00:00:00 |
No |
2018-07-03 00:00:00 |
None |
WF |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
B5TW11 |
None |
CA00574938, CA00574938 |
B, B |
SFY2017-18 |
910000019 |
NEW VISTA POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-10-17 00:00:00 |
920015464 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-07-20 00:00:00 |
2019-07-20 00:00:00 |
Yes |
2019-11-07 00:00:00 |
2019-11-01 00:00:00 |
B |
Drop>Deficiency |
2000 |
2000 |
0 |
2000 |
0 |
None |
TGXS11 |
Y |
CA00646893, CA00646893 |
A, A |
SFY2019-20 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2019-11-21 00:00:00 |
920015549 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2019-08-18 00:00:00 |
2019-08-18 00:00:00 |
No |
2019-12-12 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
O4WR11 |
N |
CA00651751, CA00651940 |
B, B |
SFY2019-20 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-05-27 00:00:00 |
920016547 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-04-08 00:00:00 |
2021-04-08 00:00:00 |
Yes |
2021-06-18 00:00:00 |
2021-06-18 00:00:00 |
B |
B |
2000 |
1800 |
0 |
1800 |
0 |
None |
0Q3I11 |
N |
None |
None |
SFY2020-21 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-05-27 00:00:00 |
920016548 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-04-08 00:00:00 |
2021-04-08 00:00:00 |
Yes |
2021-06-18 00:00:00 |
2021-06-18 00:00:00 |
B |
B |
2000 |
1800 |
0 |
1800 |
0 |
None |
0Q3I11 |
N |
None |
None |
SFY2020-21 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-08-18 00:00:00 |
920016827 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2021-06-24 00:00:00 |
2021-06-24 00:00:00 |
Yes |
2021-09-09 00:00:00 |
2021-09-07 00:00:00 |
B |
B |
2000 |
1800 |
0 |
1800 |
0 |
None |
FIVH11 |
N |
CA00741594 |
A |
SFY2021-22 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-09-17 00:00:00 |
920016939 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-08-10 00:00:00 |
2021-08-10 00:00:00 |
Yes |
2021-10-08 00:00:00 |
2021-09-22 00:00:00 |
A |
A |
15000 |
10500 |
0 |
10500 |
0 |
None |
5SNW11 |
N |
CA00741440, CA00741949 |
B, B |
SFY2021-22 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-12-01 00:00:00 |
920017142 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2021-10-15 00:00:00 |
2021-10-15 00:00:00 |
No |
2021-12-22 00:00:00 |
None |
B |
None |
1500 |
1500 |
0 |
1500 |
0 |
None |
8NQ511 |
N |
CA00751768 |
B |
SFY2021-22 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-12-16 00:00:00 |
920017197 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2021-09-22 00:00:00 |
2021-09-22 00:00:00 |
No |
2022-01-06 00:00:00 |
None |
B |
None |
2000 |
2000 |
0 |
2000 |
0 |
None |
H3MB11 |
N |
CA00753289, CA00753289, CA00753289, CA00753289, CA00753289 |
B, B, B, B, B |
SFY2021-22 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-02-24 00:00:00 |
920017422 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2021-08-23 00:00:00 |
2021-08-23 00:00:00 |
Yes |
2022-03-17 00:00:00 |
2022-03-14 00:00:00 |
A |
A |
20000 |
15000 |
0 |
20000 |
-5000 |
None |
EZTJ11 |
N |
CA00759381 |
B |
SFY2021-22 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-07-27 00:00:00 |
920017808 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2022-06-14 00:00:00 |
2022-06-14 00:00:00 |
No |
2022-08-17 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
JUFV11 |
N |
CA00788797 |
A |
SFY2022-23 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-10-25 00:00:00 |
920018114 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2022-08-17 00:00:00 |
2022-08-17 00:00:00 |
No |
2022-11-16 00:00:00 |
None |
WF |
None |
3500 |
3500 |
0 |
3500 |
0 |
None |
RK8P11 |
N |
CA00798739 |
A |
SFY2022-23 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-10-25 00:00:00 |
920018115 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2022-09-09 00:00:00 |
2022-09-09 00:00:00 |
Yes |
2022-11-16 00:00:00 |
2022-11-08 00:00:00 |
A |
B |
20000 |
20000 |
0 |
20000 |
0 |
None |
6UZR11 |
N |
CA00802633, CA00803307 |
B, A |
SFY2022-23 |
910000019 |
NEW VISTA POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-04-03 00:00:00 |
920018579 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2023-02-27 00:00:00 |
2023-02-27 00:00:00 |
No |
2023-04-24 00:00:00 |
None |
WF |
None |
3500 |
3500 |
0 |
3500 |
0 |
None |
JJ5411 |
N |
CA00827951, CA00827951, CA00827951 |
B, B, B |
SFY2022-23 |
910000019 |
NEW VISTA POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-04-21 00:00:00 |
920018658 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-02-20 00:00:00 |
2023-02-20 00:00:00 |
No |
2023-05-12 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
FJ3S11 |
Y |
CA00828184, CA00828184, CA00828184, CA00828860, CA00828860, CA00829199, CA00829199, CA00829199, CA00829199 |
A, A, A, A, A, A, A, A, A |
SFY2022-23 |
910000019 |
NEW VISTA POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-07-21 00:00:00 |
920018990 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2023-02-18 00:00:00 |
2023-02-18 00:00:00 |
No |
2023-08-11 00:00:00 |
None |
WF |
None |
3500 |
3500 |
0 |
3500 |
0 |
None |
ZJB911 |
None |
CA00843575 |
B |
SFY2023-24 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-10-11 00:00:00 |
920019249 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-08-20 00:00:00 |
2023-08-20 00:00:00 |
No |
2023-11-01 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
4QQ711 |
N |
CA00856712 |
A |
SFY2023-24 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-10-27 00:00:00 |
920019307 |
Closed |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2023-09-01 00:00:00 |
2023-09-01 00:00:00 |
No |
2023-11-20 00:00:00 |
None |
WF |
None |
3500 |
3500 |
0 |
3500 |
0 |
None |
G0O511 |
None |
CA00859647 |
A |
SFY2023-24 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-10-27 00:00:00 |
920019308 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-09-06 00:00:00 |
2023-09-06 00:00:00 |
No |
2023-11-20 00:00:00 |
None |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
G0O511 |
N |
CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647, CA00859647 |
A, A, A, A, A, A, A, A, A |
SFY2023-24 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-11-27 00:00:00 |
920019402 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-09-26 00:00:00 |
2023-09-26 00:00:00 |
No |
2023-12-18 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
66YP11 |
N |
CA00863269 |
A |
SFY2023-24 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-11-27 00:00:00 |
920019403 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-10-01 00:00:00 |
2023-10-01 00:00:00 |
No |
2023-12-18 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
G2WR11 |
N |
CA00863336 |
B |
SFY2023-24 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-01 00:00:00 |
920019427 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2023-10-04 00:00:00 |
2023-10-04 00:00:00 |
Yes |
2023-12-22 00:00:00 |
2023-12-06 00:00:00 |
A |
None |
25000 |
43250 |
0 |
0 |
43250 |
None |
YT1T11 |
N |
None |
None |
SFY2023-24 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2023-12-01 00:00:00 |
920019428 |
Open |
Citation |
Citation Willful Material Falsification (HSC 1424(f)(1)) |
Willful Material Falsification |
None |
2023-10-18 00:00:00 |
2023-10-18 00:00:00 |
Yes |
2023-12-22 00:00:00 |
2023-12-06 00:00:00 |
WF |
None |
3500 |
3500 |
0 |
0 |
3500 |
None |
YT1T11 |
None |
None |
None |
SFY2023-24 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-02-07 00:00:00 |
920019702 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2023-12-21 00:00:00 |
2023-12-21 00:00:00 |
No |
2024-02-28 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
EUXN11 |
N |
CA00876096 |
B |
SFY2023-24 |
910000019 |
NEW VISTA POST-ACUTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-02-23 00:00:00 |
920019767 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2022-03-10 00:00:00 |
2022-03-10 00:00:00 |
No |
2024-03-15 00:00:00 |
None |
B |
None |
3000 |
3000 |
0 |
3000 |
0 |
None |
GCQO11 |
Y |
CA00883344 |
A |
SFY2023-24 |
920000025 |
NEW VISTA NURSING AND REHABILITATION CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2024-05-02 00:00:00 |
920020100 |
Open |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2024-02-08 00:00:00 |
2024-02-08 00:00:00 |
Yes |
2024-05-23 00:00:00 |
2024-05-21 00:00:00 |
A |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
F4FW11 |
N |
CA00884043, CA00884978 |
B, A |
SFY2023-24 |
940000024 |
NORWALK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2007-06-08 00:00:00 |
940003154 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2005-08-15 00:00:00 |
2005-08-15 00:00:00 |
Yes |
2007-06-29 00:00:00 |
2007-06-12 00:00:00 |
AA |
AA |
80000 |
80000 |
-69484 |
10516 |
0 |
None |
VIFF11 |
Y |
CA00059797 |
C |
SFY2006-07 |
940000024 |
NORWALK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2009-05-06 00:00:00 |
940006164 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2008-05-13 00:00:00 |
2008-05-13 00:00:00 |
No |
2009-05-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
JO9I11 |
N |
CA00152176 |
B |
SFY2008-09 |
940000024 |
NORWALK SKILLED NURSING & WELLNESS CENTRE |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 3 |
2018-07-20 00:00:00 |
940014257 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2018-03-14 00:00:00 |
2018-03-14 00:00:00 |
Yes |
2018-08-10 00:00:00 |
2018-08-08 00:00:00 |
A |
B |
20000 |
2000 |
0 |
2000 |
0 |
None |
CJTH11 |
N |
CA00580497 |
A |
SFY2018-19 |
960001718 |
NEW HORIZONS C |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-01-04 00:00:00 |
960000821 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
1999-12-01 00:00:00 |
None |
Yes |
2000-01-26 00:00:00 |
2001-02-20 00:00:00 |
A |
A |
5000 |
3500 |
0 |
3500 |
0 |
960006784 |
A99999 |
N |
None |
None |
SFY1999-00 |
960001601 |
NORMANDIE PLACE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2000-10-19 00:00:00 |
960000877 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Rights |
None |
2000-10-03 00:00:00 |
None |
No |
2000-11-09 00:00:00 |
None |
A |
None |
6000 |
6000 |
-2100 |
3900 |
0 |
960007352 |
A99999 |
N |
None |
None |
SFY2000-01 |
960001718 |
NEW HORIZONS C |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-03-30 00:00:00 |
960001062 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2004-02-23 00:00:00 |
None |
No |
2004-04-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009643 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001718 |
NEW HORIZONS C |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-03-30 00:00:00 |
960001063 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-02-23 00:00:00 |
None |
No |
2004-04-30 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009643 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001412 |
NEW HORIZONS B |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-04-20 00:00:00 |
960001066 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-02-27 00:00:00 |
None |
No |
2004-05-11 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009627 |
A99999 |
N |
None |
None |
SFY2003-04 |
960002403 |
NORRIS DIVISION |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-06-04 00:00:00 |
960001074 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2004-01-05 00:00:00 |
None |
Yes |
2004-07-13 00:00:00 |
2004-06-09 00:00:00 |
B |
Dismissed by Court |
1000 |
0 |
0 |
0 |
0 |
960009676 |
A99999 |
N |
None |
None |
SFY2003-04 |
960001413 |
NEW HORIZONS A |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2004-07-21 00:00:00 |
960001081 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-06-18 00:00:00 |
None |
No |
2004-08-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960009782 |
A99999 |
N |
None |
None |
SFY2004-05 |
960001922 |
NORTH HILLS HOME |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-01-14 00:00:00 |
960001099 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2004-12-14 00:00:00 |
None |
No |
2005-02-07 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
960010028 |
A99999 |
N |
None |
None |
SFY2004-05 |
960001412 |
NEW HORIZONS B |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-04-15 00:00:00 |
960001110 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-02-17 00:00:00 |
None |
No |
2005-07-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010099 |
A99999 |
N |
None |
None |
SFY2004-05 |
960001412 |
NEW HORIZONS B |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-08-03 00:00:00 |
960001133 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-06-17 00:00:00 |
None |
No |
2005-09-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010242 |
A99999 |
N |
None |
None |
SFY2005-06 |
960001412 |
NEW HORIZONS B |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-08-03 00:00:00 |
960001134 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2005-06-17 00:00:00 |
None |
No |
2005-09-19 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
960010242 |
A99999 |
N |
None |
None |
SFY2005-06 |
960001906 |
NEARGROVE HOUSE |
LTC |
ICFDDH |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2005-10-20 00:00:00 |
960001151 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2005-01-30 00:00:00 |
None |
No |
2005-11-10 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
960010362 |
A99999 |
Y |
None |
None |
SFY2005-06 |
960001718 |
NEW HORIZONS C |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2006-03-22 00:00:00 |
960002976 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2006-02-25 00:00:00 |
2006-02-25 00:00:00 |
No |
2006-05-09 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
3K3V11 |
N |
None |
None |
SFY2005-06 |
960001601 |
NORMANDIE PLACE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2008-07-18 00:00:00 |
960005244 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2008-07-03 00:00:00 |
2008-07-03 00:00:00 |
No |
2008-08-08 00:00:00 |
None |
B |
None |
800 |
800 |
-280 |
520 |
0 |
None |
9GK911 |
N |
None |
None |
SFY2008-09 |
960001601 |
NORMANDIE PLACE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2008-07-18 00:00:00 |
960005245 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2008-07-01 00:00:00 |
2008-07-01 00:00:00 |
No |
2008-08-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
9GK911 |
N |
None |
None |
SFY2008-09 |
960001601 |
NORMANDIE PLACE |
LTC |
ICFDDN |
Intermediate Care Facility-DD/H/N/CN/IID |
LA ICF/DD/Clinics |
2010-07-13 00:00:00 |
960007378 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2010-06-24 00:00:00 |
2010-06-24 00:00:00 |
No |
2010-08-05 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
IRK611 |
N |
None |
None |
SFY2010-11 |
980000764 |
NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2000-12-29 00:00:00 |
980000238 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-18 00:00:00 |
None |
No |
2001-01-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
980009262 |
A99999 |
N |
None |
None |
SFY2000-01 |
980000764 |
NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2000-12-29 00:00:00 |
980000239 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2000-12-18 00:00:00 |
None |
No |
2001-01-23 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
980009262 |
A99999 |
N |
None |
None |
SFY2000-01 |
980000764 |
NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2001-01-04 00:00:00 |
980000240 |
Closed |
Citation |
Citation B (HSC 1424) |
Physical Environment |
None |
2000-12-18 00:00:00 |
None |
No |
2001-01-26 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
980009262 |
A99999 |
N |
None |
None |
SFY2000-01 |
980000764 |
NEW START CLHF'S INDEPENDENT TRAINING CENTERS - BERMUDA HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2001-01-09 00:00:00 |
980000241 |
Closed |
Citation |
Citation B (HSC 1424) |
Other |
NURSING SERVICE |
2000-12-18 00:00:00 |
None |
No |
2001-01-31 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
980009262 |
A99999 |
N |
None |
None |
SFY2000-01 |
980002279 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2014-02-06 00:00:00 |
980010431 |
Closed |
Citation |
Citation B (HSC 1424) |
Administration |
None |
2014-01-04 00:00:00 |
2014-01-04 00:00:00 |
No |
2014-02-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
S7NG11 |
N |
CA00382918 |
A |
SFY2013-14 |
630013603 |
NAPOLI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2016-04-07 00:00:00 |
980012054 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2015-06-03 00:00:00 |
2015-06-03 00:00:00 |
Yes |
2016-04-28 00:00:00 |
2016-04-17 00:00:00 |
A |
A |
10000 |
6000 |
0 |
6000 |
0 |
None |
DYUL11 |
N |
CA00451680 |
C |
SFY2015-16 |
630014924 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2016-09-08 00:00:00 |
980012547 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2016-06-15 00:00:00 |
2016-06-15 00:00:00 |
No |
2016-09-29 00:00:00 |
None |
A |
None |
10000 |
10000 |
-3500 |
6500 |
0 |
None |
MQMQ11 |
N |
CA00492876 |
B |
SFY2016-17 |
630013603 |
NAPOLI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2017-04-18 00:00:00 |
980013128 |
Closed |
Citation |
Citation A (HSC 1424) |
Patient Care |
None |
2017-01-01 00:00:00 |
2017-01-01 00:00:00 |
Yes |
2017-05-09 00:00:00 |
2017-05-03 00:00:00 |
A |
A |
10000 |
6300 |
-300 |
6000 |
0 |
None |
UURE11 |
N |
CA00518652, CA00519287 |
A, B |
SFY2016-17 |
630013603 |
NAPOLI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2020-11-16 00:00:00 |
980016154 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2020-09-19 00:00:00 |
2020-09-19 00:00:00 |
No |
2020-12-09 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
I9K211 |
N |
CA00705786, CA00705786 |
A, A |
SFY2020-21 |
630013603 |
NAPOLI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2021-01-15 00:00:00 |
980016237 |
Closed |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2020-11-19 00:00:00 |
2020-11-19 00:00:00 |
No |
2021-02-08 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
4FD011 |
N |
CA00713154 |
A |
SFY2020-21 |
630015609 |
NEW HAVEN CONGREGATE LIVING, INC. |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2022-06-07 00:00:00 |
980017694 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2022-04-02 00:00:00 |
2022-04-02 00:00:00 |
No |
2022-06-28 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
3NYL11 |
N |
CA00780053, CA00780053 |
A, A |
SFY2021-22 |
630013603 |
NAPOLI IN THE DESERT |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-05-03 00:00:00 |
980018718 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-03-23 00:00:00 |
2023-03-23 00:00:00 |
No |
2023-05-24 00:00:00 |
None |
B |
None |
1000 |
1000 |
-350 |
650 |
0 |
None |
ESGW11 |
N |
CA00831359, CA00831359, CA00831359 |
B, B, B |
SFY2022-23 |
630015109 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-06-14 00:00:00 |
980018857 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-05-31 00:00:00 |
2023-05-31 00:00:00 |
No |
2023-07-06 00:00:00 |
None |
B |
None |
1000 |
1050 |
0 |
0 |
1050 |
None |
MBWB11 |
N |
CA00843340 |
A |
SFY2022-23 |
980000944 |
NEW START CLHF'S INDEPENDENT TRAINING CENTERS - LARAMIE HOUSE |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-10-03 00:00:00 |
980019225 |
Open |
Citation |
Citation B (HSC 1424) |
Patient Rights |
None |
2023-08-22 00:00:00 |
2023-08-22 00:00:00 |
Yes |
2023-10-24 00:00:00 |
2023-01-05 00:00:00 |
B |
None |
1000 |
1150 |
0 |
0 |
1150 |
None |
UUH611 |
N |
CA00859702, CA00859702, CA00859702, CA00859702, CA00859702, CA00859702, CA00859702 |
A, A, A, A, A, A, A |
SFY2023-24 |
630017573 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2023-11-08 00:00:00 |
980019346 |
Closed |
Citation |
Citation B (HSC 1424) |
Patient Care |
None |
2023-07-10 00:00:00 |
2023-07-10 00:00:00 |
No |
2023-12-04 00:00:00 |
None |
B |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
852811 |
N |
CA00862698, CA00863139, CA00863139 |
B, B, B |
SFY2023-24 |
630017573 |
NEURORESTORATIVE CALIFORNIA |
LTC |
CLHF |
Congregate Living Health Facility |
LA HHA/Hospice |
2024-04-05 00:00:00 |
980019967 |
Open |
Citation |
Citation B (HSC 1424) |
Medication |
None |
2024-01-20 00:00:00 |
2024-01-20 00:00:00 |
No |
2024-04-26 00:00:00 |
None |
B |
None |
1000 |
2800 |
0 |
1000 |
1800 |
None |
KDOA11 |
N |
CA00883482, CA00883482, CA00883482 |
A, A, A |
SFY2023-24 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2022-10-19 00:00:00 |
990018080 |
Closed |
Citation |
Citation AA (HSC 1424) |
Patient Care |
None |
2022-05-18 00:00:00 |
2022-05-18 00:00:00 |
No |
2022-11-09 00:00:00 |
None |
AA |
None |
50000 |
50000 |
-17500 |
32500 |
0 |
None |
LH9D11 |
Y |
CA00785630, CA00785630 |
B, B |
SFY2022-23 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2024-03-29 00:00:00 |
990019820 |
Closed |
Citation |
Citation B (HSC 1424) |
Problem Transfer |
None |
2023-11-11 00:00:00 |
2023-11-11 00:00:00 |
No |
2024-04-22 00:00:00 |
None |
B |
None |
3000 |
3000 |
-1050 |
1950 |
0 |
None |
DH0M11 |
N |
CA00878114 |
A |
SFY2023-24 |
030001823 |
NOBLE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2024-05-03 00:00:00 |
990019864 |
Open |
Citation |
Citation B (HSC 1424) |
Abuse/Facility Not Self Reported |
None |
2024-02-18 00:00:00 |
2024-02-18 00:00:00 |
No |
2024-05-24 00:00:00 |
None |
B |
None |
3000 |
3050 |
-1050 |
1950 |
50 |
None |
BWH311 |
N |
CA00886144 |
B |
SFY2023-24 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2018-09-24 00:00:00 |
040014416 |
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 |
2018-10-09 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
MOWV11 |
None |
None |
None |
SFY2018-19 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-04-25 00:00:00 |
110010373 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2012-09-26 00:00:00 |
2012-12-11 00:00:00 |
No |
2014-05-10 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
DNYH11 |
None |
None |
None |
SFY2013-14 |
010000980 |
NORTHGATE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2014-12-30 00:00:00 |
110011188 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 12 - 24 Days |
None |
2014-02-26 00:00:00 |
2014-05-28 00:00:00 |
No |
2015-01-14 00:00:00 |
None |
AP NHPPD |
UNCOLLECTABLE |
30000 |
30000 |
-30000 |
0 |
0 |
None |
5SGO11 |
None |
None |
None |
SFY2014-15 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2023-01-19 00:00:00 |
110018247 |
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 |
2023-02-09 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
0 |
25000 |
None |
XJZF11 |
None |
None |
None |
SFY2022-23 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2020-10-13 00:00:00 |
810016081 |
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 |
No |
2020-10-28 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
ESDJ11 |
None |
None |
None |
SFY2020-21 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-04-20 00:00:00 |
810016401 |
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 |
2021-05-05 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
C50C11 |
None |
None |
None |
SFY2020-21 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2021-06-24 00:00:00 |
810016646 |
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 |
ROY111 |
None |
None |
None |
SFY2020-21 |
920000063 |
NORTHRIDGE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2021-07-06 00:00:00 |
810016694 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
5SYJ11 |
None |
None |
None |
SFY2021-22 |
010000059 |
NORTHVINE POSTACUTE CARE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-08-09 00:00:00 |
810016783 |
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 |
2021-08-24 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
H8LO11 |
None |
None |
None |
SFY2021-22 |
110000063 |
NAPA POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2021-08-27 00:00:00 |
810016818 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2019-10-01 00:00:00 |
2019-12-31 00:00:00 |
No |
2021-09-11 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
84YH11 |
None |
None |
None |
SFY2021-22 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2021-11-10 00:00:00 |
810017060 |
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 |
IO2Y11 |
None |
None |
None |
SFY2021-22 |
010000028 |
NORTH BAY POST ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2022-01-06 00:00:00 |
810017236 |
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 |
2022-01-21 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
0UDM11 |
None |
None |
None |
SFY2021-22 |
920000024 |
NORTH VALLEY NURSING CENTER |
LTC |
SNF |
Skilled Nursing Facility |
LA Region 2 |
2022-02-16 00:00:00 |
810017273 |
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 |
2022-03-03 00:00:00 |
None |
AP NHPPD |
None |
15000 |
15000 |
0 |
15000 |
0 |
None |
2TT911 |
None |
None |
None |
SFY2021-22 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2022-05-24 00:00:00 |
810017642 |
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 |
OQ3R11 |
None |
None |
None |
SFY2021-22 |
100000324 |
NORTH PARK POST-ACUTE |
LTC |
SNF |
Skilled Nursing Facility |
Stockton |
2023-01-17 00:00:00 |
810018434 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 1 Day (No Penalty) |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
None |
None |
AP NHPPD |
None |
0 |
0 |
0 |
0 |
0 |
None |
QVX411 |
None |
None |
None |
SFY2022-23 |
040000059 |
NORTH POINT HEALTHCARE & WELLNESS CENTRE, LP |
LTC |
SNF |
Skilled Nursing Facility |
Fresno |
2023-03-22 00:00:00 |
810018513 |
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 |
2023-04-13 00:00:00 |
None |
AP NHPPD |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
WWVX11 |
None |
None |
None |
SFY2022-23 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-08-15 00:00:00 |
810019061 |
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 |
58ML11 |
None |
None |
None |
SFY2023-24 |
030000019 |
NORTH POINTE CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Sacramento |
2023-08-15 00:00:00 |
810019062 |
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 |
58ML11 |
None |
None |
None |
SFY2023-24 |
060000765 |
NEW ORANGE HILLS |
LTC |
SNF |
Skilled Nursing Facility |
Orange |
2023-12-12 00:00:00 |
810019415 |
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 |
2024-01-03 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
J19J11 |
None |
None |
None |
SFY2023-24 |
010000940 |
NOVATO HEALTHCARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2024-03-28 00:00:00 |
810019890 |
Closed |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2020-11-29 00:00:00 |
2021-02-28 00:00:00 |
No |
2024-04-19 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
LPRG11 |
None |
None |
None |
SFY2023-24 |
110000046 |
NAPA VALLEY CARE CENTER |
LTC |
SNF |
Skilled Nursing Facility |
Santa Rosa |
2024-06-12 00:00:00 |
810020298 |
Open |
Administrative Penalty |
AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5) |
DHPPD: 2 - 11 Days |
None |
2021-07-01 00:00:00 |
2021-09-30 00:00:00 |
No |
2024-07-03 00:00:00 |
None |
AP NHPPD |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
NS3O11 |
None |
None |
None |
SFY2023-24 |
070000145 |
NATIVIDAD MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2007-11-27 00:00:00 |
070004423 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
Other Immediate Jeopardy (not an AE) |
None |
2007-09-07 00:00:00 |
2007-09-07 00:00:00 |
No |
2007-12-18 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
NBDP11 |
N |
CA00126268 |
C |
SFY2007-08 |
070000145 |
NATIVIDAD MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2010-01-13 00:00:00 |
070006911 |
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 |
2009-06-16 08:00:00 |
2009-06-16 08:00:00 |
No |
2010-02-05 00:00:00 |
None |
FTR AE |
None |
8200 |
8200 |
0 |
8200 |
0 |
None |
SK6V11 |
N |
None |
None |
SFY2009-10 |
070000145 |
NATIVIDAD MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2010-05-25 00:00:00 |
070007254 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE04 - Retention of a foreign object in a patient |
None |
2010-04-11 08:00:00 |
2010-04-11 08:00:00 |
No |
2010-06-16 00:00:00 |
None |
FTR AE |
None |
700 |
700 |
0 |
700 |
0 |
None |
XYI711 |
N |
CA00226528 |
B |
SFY2009-10 |
070000145 |
NATIVIDAD MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2012-01-05 00:00:00 |
070008892 |
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 |
2011-03-15 08:00:00 |
2011-03-15 08:00:00 |
No |
2012-01-27 00:00:00 |
None |
FTR BR |
None |
21300 |
21300 |
-5325 |
15975 |
0 |
None |
2RSW11 |
None |
CA00287668 |
C |
SFY2011-12 |
070000145 |
NATIVIDAD MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2012-09-12 00:00:00 |
070009494 |
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 |
2012-06-14 08:00:00 |
2012-06-14 08:00:00 |
No |
2012-10-03 00:00:00 |
None |
FTR BR |
None |
3300 |
3300 |
-825 |
2475 |
0 |
None |
SOXY11 |
None |
CA00319075 |
C |
SFY2012-13 |
070000145 |
NATIVIDAD MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
San Jose |
2012-09-12 00:00:00 |
070009496 |
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 |
2012-06-14 08:00:00 |
2012-06-14 08:00:00 |
No |
2012-10-03 00:00:00 |
None |
FTR BR |
None |
5700 |
5700 |
-1425 |
4275 |
0 |
None |
SOXY11 |
None |
CA00319075 |
C |
SFY2012-13 |
110000378 |
NORTHBAY VACAVALLEY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2008-11-24 00:00:00 |
110005579 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
Fall with hip fracture |
2007-12-24 02:45:00 |
2007-12-24 02:45:00 |
No |
2008-12-17 00:00:00 |
None |
FTR AE |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
LY4G11 |
N |
None |
None |
SFY2008-09 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2008-11-24 00:00:00 |
110005580 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-02-23 00:00:00 |
2008-02-23 00:00:00 |
No |
2008-12-17 00:00:00 |
None |
FTR AE |
None |
500 |
500 |
0 |
500 |
0 |
None |
DTMH11 |
N |
None |
None |
SFY2008-09 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2008-12-03 00:00:00 |
110005584 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-02-09 00:00:00 |
2008-02-09 00:00:00 |
No |
2008-12-24 00:00:00 |
None |
FTR AE |
None |
800 |
800 |
0 |
800 |
0 |
None |
1X2211 |
N |
CA00141440 |
B |
SFY2008-09 |
110000378 |
NORTHBAY VACAVALLEY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2008-12-04 00:00:00 |
110005589 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2008-01-03 00:00:00 |
2008-01-03 00:00:00 |
No |
2008-12-26 00:00:00 |
None |
FTR AE |
None |
3200 |
3200 |
0 |
3200 |
0 |
None |
D4YO11 |
N |
CA00140307 |
B |
SFY2008-09 |
110000378 |
NORTHBAY VACAVALLEY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2008-12-04 00:00:00 |
110005667 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE22 - Death associated with a fall |
None |
2008-01-03 00:00:00 |
2008-01-03 00:00:00 |
No |
2008-12-26 00:00:00 |
None |
AP IJ |
None |
25000 |
25000 |
0 |
25000 |
0 |
None |
D4YO11 |
N |
CA00140307 |
B |
SFY2008-09 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2009-02-11 00:00:00 |
110005874 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2008-05-31 12:00:00 |
2008-05-31 12:00:00 |
No |
2009-03-10 00:00:00 |
None |
FTR AE |
None |
800 |
800 |
0 |
800 |
0 |
None |
5KPC11 |
N |
None |
None |
SFY2008-09 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2009-07-27 00:00:00 |
110006405 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE17 - Stage 3 or 4 ulcer acquired after admission |
None |
2008-04-16 10:35:00 |
2008-04-16 10:35:00 |
No |
2009-08-17 00:00:00 |
None |
FTR AE |
None |
400 |
400 |
0 |
400 |
0 |
None |
F4JO11 |
N |
CA00147871 |
B |
SFY2009-10 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2010-02-18 00:00:00 |
110006947 |
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 |
2009-02-19 11:45:00 |
2009-02-19 11:45:00 |
No |
2010-03-11 00:00:00 |
None |
FTR AE |
None |
1700 |
1700 |
0 |
1700 |
0 |
None |
FC8Y11 |
N |
CA00180931 |
C |
SFY2009-10 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2010-09-10 00:00:00 |
110007431 |
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 |
2009-06-10 13:51:00 |
2009-06-10 13:51:00 |
No |
2010-10-01 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
0 |
300 |
0 |
None |
B7A411 |
None |
CA00191721, CA00193099, CA00193459 |
B, C, C |
SFY2010-11 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-05-12 00:00:00 |
110007886 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2009-01-14 00:00:00 |
2009-01-14 00:00:00 |
No |
2013-03-08 00:00:00 |
None |
AP BR |
None |
42500 |
42500 |
0 |
42500 |
0 |
None |
VDX511 |
None |
CA00217965 |
C |
SFY2010-11 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-03-07 00:00:00 |
110007899 |
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 |
2010-03-15 00:00:00 |
2010-03-15 00:00:00 |
No |
2011-03-28 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
0 |
100 |
0 |
None |
28CZ11 |
None |
CA00222542 |
B |
SFY2010-11 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-04-27 00:00:00 |
110008091 |
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 |
2010-05-25 00:00:00 |
2010-05-25 00:00:00 |
No |
2011-05-18 00:00:00 |
None |
FTR BR |
None |
14700 |
14700 |
0 |
14700 |
0 |
None |
BOO211 |
None |
CA00244004, CA00244254, CA00244542, CA00247302, CA00247569 |
C, C, C, E, C |
SFY2010-11 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-04-27 00:00:00 |
110008093 |
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 |
2010-05-25 00:00:00 |
2010-05-25 00:00:00 |
No |
2011-05-18 00:00:00 |
None |
FTR RES |
None |
14700 |
14700 |
0 |
14700 |
0 |
None |
BOO211 |
None |
CA00244004, CA00244254, CA00244542, CA00247302, CA00247569 |
C, C, C, E, C |
SFY2010-11 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-05-02 00:00:00 |
110008148 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2011-02-03 00:00:00 |
2011-02-03 00:00:00 |
No |
2011-05-23 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
0 |
100 |
0 |
None |
WDJ111 |
None |
CA00258741 |
C |
SFY2010-11 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-05-02 00:00:00 |
110008183 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Deliberate breach of PHI by health care worker |
None |
2010-11-15 00:00:00 |
2010-11-15 00:00:00 |
No |
2011-05-23 00:00:00 |
None |
FTR BR |
None |
2300 |
2300 |
0 |
2300 |
0 |
None |
S90J11 |
None |
CA00252262 |
C |
SFY2010-11 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-05-02 00:00:00 |
110008188 |
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 |
2011-02-03 00:00:00 |
2011-02-03 00:00:00 |
No |
2011-05-23 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
0 |
100 |
0 |
None |
WDJ111 |
None |
CA00258741 |
C |
SFY2010-11 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-05-02 00:00:00 |
110008204 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Deliberate breach of PHI by health care worker |
None |
2010-11-15 00:00:00 |
2010-11-15 00:00:00 |
No |
2011-05-23 00:00:00 |
None |
FTR BR |
None |
2300 |
2300 |
0 |
2300 |
0 |
None |
S90J11 |
None |
CA00252262 |
C |
SFY2010-11 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2011-12-07 00:00:00 |
110008767 |
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 |
2011-08-11 00:00:00 |
2011-08-11 00:00:00 |
No |
2011-12-29 00:00:00 |
None |
FTR BR |
None |
100 |
100 |
0 |
100 |
0 |
None |
IZ1U11 |
None |
CA00280281 |
C |
SFY2011-12 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2012-12-12 00:00:00 |
110009669 |
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 |
2010-08-27 00:00:00 |
2010-08-27 00:00:00 |
No |
2013-01-04 00:00:00 |
None |
FTR RES |
None |
700 |
700 |
0 |
700 |
0 |
None |
DUBO11 |
None |
CA00241860 |
C |
SFY2012-13 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2012-12-12 00:00:00 |
110009671 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2010-08-27 00:00:00 |
2010-08-27 00:00:00 |
No |
2014-06-20 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
DUBO11 |
None |
CA00241860 |
C |
SFY2012-13 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2012-12-12 00:00:00 |
110009672 |
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 |
2010-08-31 00:00:00 |
2010-08-31 00:00:00 |
No |
2013-01-04 00:00:00 |
None |
FTR RES |
None |
700 |
700 |
0 |
700 |
0 |
None |
DUBO11 |
None |
CA00241863 |
C |
SFY2012-13 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2014-09-15 00:00:00 |
110010937 |
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 |
2013-06-03 00:00:00 |
2013-06-03 00:00:00 |
No |
2014-10-06 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
0RYZ11 |
N |
CA00358416 |
B |
SFY2014-15 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2015-01-20 00:00:00 |
110011074 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Deliberate breach of PHI by health care worker |
None |
2011-11-13 00:00:00 |
2011-11-13 00:00:00 |
No |
2015-02-10 00:00:00 |
None |
FTR BR |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
K8DP11 |
None |
CA00292169 |
C |
SFY2014-15 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2015-01-20 00:00:00 |
110011075 |
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 |
2011-11-13 00:00:00 |
2011-11-13 00:00:00 |
No |
2015-02-10 00:00:00 |
None |
FTR RES |
None |
1000 |
1000 |
0 |
1000 |
0 |
None |
K8DP11 |
None |
CA00292169 |
C |
SFY2014-15 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2015-06-17 00:00:00 |
110011552 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach by person other than a h/c worker |
None |
2013-10-30 00:00:00 |
2013-10-30 00:00:00 |
No |
2015-07-10 00:00:00 |
None |
AP BR |
None |
7500 |
7500 |
0 |
7500 |
0 |
None |
X0UO11 |
None |
CA00380234 |
C |
SFY2014-15 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2017-03-14 00:00:00 |
110011976 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2015-03-01 00:00:00 |
2015-03-01 00:00:00 |
No |
2017-04-05 00:00:00 |
None |
AP NON-IJ |
None |
4000 |
4000 |
0 |
4000 |
0 |
None |
3CLQ11 |
N |
CA00434106 |
B |
SFY2016-17 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2017-03-14 00:00:00 |
110012063 |
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 |
2014-12-01 00:00:00 |
2014-12-01 00:00:00 |
No |
2017-04-05 00:00:00 |
None |
FTR AE |
None |
300 |
300 |
0 |
300 |
0 |
None |
I5UH11 |
N |
CA00423277 |
B |
SFY2016-17 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2017-03-14 00:00:00 |
110012067 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
Other Non-Immediate Jeopardy (not an AE) |
None |
2015-01-17 00:00:00 |
2015-01-17 00:00:00 |
No |
2017-04-05 00:00:00 |
None |
AP NON-IJ |
None |
4000 |
4000 |
0 |
4000 |
0 |
None |
UT2M11 |
N |
CA00438648 |
B |
SFY2016-17 |
110000378 |
NORTHBAY VACAVALLEY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2018-04-24 00:00:00 |
110013826 |
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 |
2013-11-13 00:00:00 |
2013-11-13 00:00:00 |
No |
2018-05-15 00:00:00 |
None |
FTR BR |
None |
500 |
500 |
0 |
500 |
0 |
None |
9IPR11 |
None |
CA00378347 |
E |
SFY2017-18 |
110000378 |
NORTHBAY VACAVALLEY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2018-04-24 00:00:00 |
110013827 |
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 |
2013-11-13 00:00:00 |
2013-11-13 00:00:00 |
No |
2018-05-15 00:00:00 |
None |
FTR BR |
None |
200 |
200 |
0 |
200 |
0 |
None |
9IPR11 |
None |
CA00378347 |
E |
SFY2017-18 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2018-03-07 00:00:00 |
110013839 |
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 |
2014-08-22 00:00:00 |
2014-08-22 00:00:00 |
No |
2018-03-28 00:00:00 |
None |
FTR AE |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
MXGF11 |
N |
CA00412527 |
B |
SFY2017-18 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2018-03-21 00:00:00 |
110013918 |
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 |
2014-10-03 00:00:00 |
2014-10-03 00:00:00 |
No |
2018-04-11 00:00:00 |
None |
FTR AE |
None |
1300 |
1300 |
0 |
1300 |
0 |
None |
TQ8L11 |
N |
CA00417689 |
B |
SFY2017-18 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2019-04-10 00:00:00 |
110014913 |
Closed |
Failure to Report Penalty |
Failure to Report Adverse Events to CDPH (HSC 1280.4) |
AE28 - Adverse event or series of adverse events |
None |
2011-07-26 00:00:00 |
2011-07-26 00:00:00 |
No |
2019-05-01 00:00:00 |
None |
FTR AE |
None |
900 |
900 |
0 |
900 |
0 |
None |
WXR011 |
Y |
CA00278833, CA00278833 |
A, A |
SFY2018-19 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2020-02-21 00:00:00 |
110015751 |
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 |
2014-10-24 00:00:00 |
2014-10-24 00:00:00 |
No |
2020-03-13 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
0 |
300 |
0 |
None |
7NK711 |
None |
CA00421579 |
D |
SFY2019-20 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2020-02-21 00:00:00 |
110015752 |
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 |
2014-10-24 00:00:00 |
2014-10-24 00:00:00 |
No |
2020-03-13 00:00:00 |
None |
FTR RES |
None |
300 |
300 |
0 |
300 |
0 |
None |
7NK711 |
None |
CA00421579 |
D |
SFY2019-20 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2020-09-08 00:00:00 |
110015932 |
Closed |
Failure to Report Penalty |
Failure to Report Breach to CDPH (HSC 1280.15(b)(1)) |
Breach to person/entity outside facility/hc system |
None |
2014-03-05 00:00:00 |
2014-03-05 00:00:00 |
No |
2020-09-29 00:00:00 |
None |
FTR BR |
None |
800 |
800 |
-200 |
600 |
0 |
None |
621711 |
None |
CA00392171 |
E |
SFY2020-21 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2020-09-08 00:00:00 |
110015933 |
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 |
2014-03-05 00:00:00 |
2014-03-05 00:00:00 |
No |
2020-09-29 00:00:00 |
None |
FTR RES |
None |
800 |
800 |
-200 |
600 |
0 |
None |
621711 |
None |
CA00392171, CA00392171 |
E, E |
SFY2020-21 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2020-09-21 00:00:00 |
110015936 |
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 |
2014-04-06 00:00:00 |
2014-04-06 00:00:00 |
No |
2020-10-12 00:00:00 |
None |
FTR RES |
None |
400 |
400 |
0 |
400 |
0 |
None |
Z54211 |
None |
CA00395036 |
E |
SFY2020-21 |
110000982 |
NOVATO COMMUNITY HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2020-09-21 00:00:00 |
110015937 |
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 |
2014-04-06 00:00:00 |
2014-04-06 00:00:00 |
No |
2020-10-12 00:00:00 |
None |
FTR BR |
None |
400 |
400 |
0 |
400 |
0 |
None |
Z54211 |
None |
CA00395036 |
E |
SFY2020-21 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2020-10-28 00:00:00 |
110016098 |
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 |
2016-09-01 00:00:00 |
2016-09-01 00:00:00 |
No |
2020-11-19 00:00:00 |
None |
FTR AE |
None |
2400 |
2400 |
0 |
2400 |
0 |
None |
3NYQ11 |
N |
CA00505170 |
B |
SFY2020-21 |
110000010 |
NORTHBAY MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
Santa Rosa |
2021-11-29 00:00:00 |
110017135 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE04 - Retention of a foreign object in a patient |
None |
2018-06-24 00:00:00 |
2018-06-24 00:00:00 |
No |
2021-12-20 00:00:00 |
None |
AP NON-IJ |
None |
3750 |
3750 |
0 |
3750 |
0 |
None |
TDW411 |
N |
CA00593583, CA00593583 |
C, C |
SFY2021-22 |
630013450 |
NORTH EAST MEDICAL SERVICES - EASTMOOR |
Non-LTC |
COMTYC |
Primary Care Clinic |
San Francisco |
2015-07-03 00:00:00 |
220011596 |
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 |
2013-12-19 00:00:00 |
2013-12-19 00:00:00 |
No |
2015-07-24 00:00:00 |
None |
FTR BR |
None |
300 |
300 |
-75 |
225 |
0 |
None |
CZC111 |
None |
CA00382442 |
C |
SFY2015-16 |
240000037 |
NORTHERN INYO HOSPITAL |
Non-LTC |
GACH |
General Acute Care Hospital |
San Bernardino |
2015-08-25 00:00:00 |
240011692 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Deliberate breach of PHI by health care worker |
None |
2010-08-05 00:00:00 |
2010-08-05 00:00:00 |
No |
2016-08-01 00:00:00 |
None |
AP BR |
None |
6750 |
6750 |
-1687.5 |
5062.5 |
0 |
None |
YHYI11 |
None |
CA00371852 |
E |
SFY2015-16 |
930000111 |
NORTHRIDGE HOSPITAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2014-04-17 00:00:00 |
930010399 |
Closed |
Administrative Penalty |
AP - Immediate Jeopardy (HSC 1280.3) |
AE11 - Suicide/attempted suicide |
None |
2010-08-18 00:00:00 |
2010-08-18 00:00:00 |
No |
2014-08-15 00:00:00 |
None |
AP IJ |
None |
50000 |
50000 |
0 |
50000 |
0 |
None |
XNEF11 |
N |
CA00243994 |
C |
SFY2013-14 |
930000111 |
NORTHRIDGE HOSPITAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2016-01-21 00:00:00 |
930011987 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2010-08-29 00:00:00 |
2010-08-29 00:00:00 |
No |
2016-08-01 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
Q4SL11 |
None |
CA00246430 |
C |
SFY2015-16 |
930000111 |
NORTHRIDGE HOSPITAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2016-01-21 00:00:00 |
930011988 |
Closed |
Administrative Penalty |
AP - Breach (HSC 1280.15) |
Breach by h/c worker within facility/hc system |
None |
2010-08-22 00:00:00 |
2010-08-22 00:00:00 |
No |
2016-08-01 00:00:00 |
None |
AP BR |
None |
25000 |
25000 |
-6250 |
18750 |
0 |
None |
WRY811 |
None |
CA00243986 |
C |
SFY2015-16 |
930000111 |
NORTHRIDGE HOSPITAL MEDICAL CENTER |
Non-LTC |
GACH |
General Acute Care Hospital |
LA Acute/Ancillary |
2021-06-30 00:00:00 |
930016665 |
Closed |
Administrative Penalty |
AP - Non-Immediate Jeopardy (HSC 1280.3) |
AE12 - Medication error |
None |
2019-11-26 00:00:00 |
2019-11-26 00:00:00 |
No |
2021-07-21 00:00:00 |
None |
AP NON-IJ |
None |
16500 |
16500 |
0 |
16500 |
0 |
None |
LCZJ11 |
Y |
CA00665411, CA00665411 |
B, B |
SFY2020-21 |