Table: health_facilities_state_enforcement_actions_1997_2023_data_file , facility_name like P*

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

facid	facility_name	ltc	fac_type_code	fac_fdr	district_office	penalty_issue_date	penalty_number	disposition	penalty_type	penalty_detail	penalty_category	penalty_category_other	violation_from_date	violation_to_date	appealed	appeal_due_date	appeal_received_date	class_assessed_initial	class_assessed_final	total_amount_initial	total_amount_due_final	total_penalty_offset_amount	total_collected_amount	total_balance_due	aclaims_visit_number	eventid	death_related	intakeid_all	priority_all	sfy
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-26 00:00:00	010001435	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-03 00:00:00	1999-12-03 00:00:00	Yes	2000-06-26 00:00:00	2000-01-27 00:00:00	A	A	7000	7000	0	7000	0	010010652	A99999	N	None	None	SFY1999-00
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-26 00:00:00	010001436	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-08-28 00:00:00	1999-08-29 00:00:00	No	2000-02-24 00:00:00	None	B	None	500	1500	0	1500	0	010010654	A99999	N	None	None	SFY1999-00
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-27 00:00:00	010001437	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-15 00:00:00	None	No	2000-02-24 00:00:00	None	B	None	1000	1000	0	1000	0	010010657	A99999	N	None	None	SFY1999-00
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-13 00:00:00	010001724	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-02-17 00:00:00	None	Yes	2000-04-03 00:00:00	2000-03-15 00:00:00	B	B	1000	2000	0	2000	0	010012303	A99999	N	None	None	SFY1999-00
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-22 00:00:00	010001733	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-16 00:00:00	2000-01-03 00:00:00	Yes	2000-06-06 00:00:00	2000-03-23 00:00:00	B	None	600	850	0	850	0	010012348	A99999	N	None	None	SFY1999-00
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-22 00:00:00	010001734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-03 00:00:00	2000-01-12 00:00:00	Yes	2000-06-06 00:00:00	2000-03-23 00:00:00	B	None	1000	1250	0	1250	0	010012348	A99999	N	None	None	SFY1999-00
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-08-29 00:00:00	010001770	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-07 00:00:00	None	No	2000-09-19 00:00:00	None	B	None	1000	1000	0	1000	0	010012969	A99999	N	None	None	SFY2000-01
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001777	Closed	Citation	Citation A (HSC 1424)	Other	PT CARE & PT RIGHTS	2000-03-07 00:00:00	None	Yes	2000-10-17 00:00:00	2000-10-05 00:00:00	A	A	10000	10000	-7300	2700	0	010013125	A99999	N	None	None	SFY2000-01
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001778	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	None	Yes	2000-10-17 00:00:00	2000-10-05 00:00:00	A	A	5000	5000	-3650	1350	0	010013126	A99999	N	None	None	SFY2000-01
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001779	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-06 00:00:00	None	No	2000-10-23 00:00:00	None	B	None	1000	1000	0	1000	0	010013127	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	010001780	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-02 00:00:00	None	No	2000-10-13 00:00:00	None	B	None	1000	3000	-3000	0	0	010013138	A99999	N	None	None	SFY2000-01
010000782	PARADISE HOME DONCASTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-10-19 00:00:00	010001792	Closed	Citation	Citation A (HSC 1424)	Other	STAFFING & PAT. CARE	2000-07-30 00:00:00	2000-08-03 00:00:00	Yes	2001-07-19 00:00:00	2001-07-05 00:00:00	A	A	5000	1750	0	1750	0	010013319	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-27 00:00:00	010001794	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/ADMIN.	2000-01-10 00:00:00	2000-01-11 00:00:00	Yes	2000-11-20 00:00:00	2000-11-14 00:00:00	A	None	7500	7500	-7500	0	0	010013336	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-11-17 00:00:00	010001799	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-02-18 00:00:00	2000-02-18 00:00:00	Yes	2000-12-11 00:00:00	2000-11-27 00:00:00	B	None	750	750	-750	0	0	010013476	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-21 00:00:00	010001834	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/STAFFIN	2000-08-03 00:00:00	2000-08-21 00:00:00	No	2001-04-11 00:00:00	None	B	None	750	750	-750	0	0	010014052	A99999	N	None	None	SFY2000-01
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-31 00:00:00	010001846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-23 00:00:00	2000-04-23 00:00:00	No	2001-08-06 00:00:00	None	B	None	1000	1000	-1000	0	0	010014276	A99999	N	None	None	SFY2000-01
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-12 00:00:00	010001856	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-28 00:00:00	2001-03-28 00:00:00	Yes	2001-08-06 00:00:00	2001-07-18 00:00:00	B	B	1000	1000	-800	200	0	010014393	A99999	N	None	None	SFY2001-02
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-12 00:00:00	010001857	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-09 00:00:00	2001-03-23 00:00:00	Yes	2001-08-07 00:00:00	2001-07-18 00:00:00	B	B	1000	1000	-900	100	0	010014394	A99999	N	None	None	SFY2001-02
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-26 00:00:00	010001861	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-11 00:00:00	2000-06-19 00:00:00	Yes	2001-08-20 00:00:00	2001-07-31 00:00:00	A	A	7500	7500	-5625	1875	0	010014429	A99999	N	None	None	SFY2001-02
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-28 00:00:00	010001874	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-26 00:00:00	2000-08-09 00:00:00	No	2001-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	010014549	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-09-18 00:00:00	010001878	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-01-05 00:00:00	2001-05-12 00:00:00	No	2001-10-16 00:00:00	None	A	A Trebled	5000	15000	-10950	4050	0	010014575	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-09-20 00:00:00	010001879	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-05 00:00:00	2000-10-05 00:00:00	No	2001-10-23 00:00:00	None	B	B	1000	1000	-900	100	0	010014599	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-09-27 00:00:00	010001883	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-24 00:00:00	2001-08-31 00:00:00	No	2001-10-29 00:00:00	None	B	B	1000	1000	-900	100	0	010014623	A99999	N	None	None	SFY2001-02
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-11 00:00:00	010001892	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-21 00:00:00	2001-03-21 00:00:00	Yes	2001-11-13 00:00:00	2001-10-18 00:00:00	B	B	1000	1000	0	1000	0	010014681	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-16 00:00:00	010001893	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-05 00:00:00	2001-07-19 00:00:00	No	2001-11-06 00:00:00	None	B	None	1000	1000	0	1000	0	010014707	A99999	N	None	None	SFY2001-02
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-09 00:00:00	010001904	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-09 00:00:00	2001-04-20 00:00:00	No	2001-12-06 00:00:00	None	B	None	1000	1000	-1000	0	0	010014819	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-13 00:00:00	010001905	Closed	Citation	Citation B (HSC 1424)	Medication	None	1998-09-07 00:00:00	1998-09-08 00:00:00	Yes	2001-12-04 00:00:00	2001-11-14 00:00:00	B	B	800	400	0	400	0	010014824	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-19 00:00:00	010001916	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-01 00:00:00	2001-11-01 00:00:00	Yes	2002-01-17 00:00:00	2002-01-02 00:00:00	B	B	1000	1000	-900	100	0	010014949	A99999	N	None	None	SFY2001-02
010000793	PATHWAYS 2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-04-03 00:00:00	010001935	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-08-10 00:00:00	2002-03-26 00:00:00	No	2002-05-01 00:00:00	None	B	None	750	750	0	750	0	010015169	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-04 00:00:00	010001936	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-27 00:00:00	2001-11-27 00:00:00	Yes	2002-04-29 00:00:00	2002-04-04 00:00:00	B	B	750	750	0	750	0	010015181	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-04-04 00:00:00	010001937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-23 00:00:00	2001-11-05 00:00:00	Yes	2002-04-29 00:00:00	2002-04-04 00:00:00	B	B	750	500	0	500	0	010015182	A99999	N	None	None	SFY2001-02
010000643	PATHWAYS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2002-04-17 00:00:00	010001941	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-29 00:00:00	2002-03-01 00:00:00	No	2002-05-15 00:00:00	None	B	None	750	750	0	750	0	010015248	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-21 00:00:00	010001949	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-05-08 00:00:00	2002-05-10 00:00:00	No	2002-06-17 00:00:00	None	B	None	1000	1000	0	1000	0	010015344	A99999	N	None	None	SFY2001-02
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-22 00:00:00	010001951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-05 00:00:00	2002-04-05 00:00:00	No	2002-06-18 00:00:00	None	B	None	750	750	-262.5	487.5	0	010015352	A99999	N	None	None	SFY2001-02
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-06-28 00:00:00	010001959	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-03 00:00:00	2002-05-08 00:00:00	Yes	2002-07-29 00:00:00	2002-07-25 00:00:00	B	B	1000	1000	0	1000	0	010015476	A99999	N	None	None	SFY2001-02
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-04 00:00:00	010001993	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-21 00:00:00	2001-03-05 00:00:00	Yes	2002-10-28 00:00:00	2002-10-04 00:00:00	A	B	16000	14000	0	14000	0	010015845	A99999	N	None	None	SFY2002-03
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-12-03 00:00:00	010002001	Closed	Citation	Citation B (HSC 1424)	Other	PR C	2002-05-31 00:00:00	2002-05-31 00:00:00	Yes	2002-12-24 00:00:00	2002-12-04 00:00:00	B	B	1000	600	0	600	0	010015978	A99999	N	None	None	SFY2002-03
010000431	PETALUMA ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-01-07 00:00:00	010002003	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-13 00:00:00	2002-09-13 00:00:00	No	2003-01-29 00:00:00	None	B	None	900	900	-315	585	0	010016047	A99999	N	None	None	SFY2002-03
010000793	PATHWAYS 2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-02-21 00:00:00	010002011	Closed	Citation	Citation B (HSC 1424)	Other	PR,A,C,S	2002-11-04 00:00:00	2002-11-04 00:00:00	No	2003-03-14 00:00:00	None	B	None	500	500	0	500	0	010016104	A99999	N	None	None	SFY2002-03
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-17 00:00:00	010002016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-04 00:00:00	2003-01-04 00:00:00	No	2003-04-08 00:00:00	None	B	None	1000	1000	0	1000	0	010016211	A99999	N	None	None	SFY2002-03
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	010002022	Closed	Citation	Citation B (HSC 1424)	Other	C,PR	2003-02-01 00:00:00	2003-02-01 00:00:00	Yes	2003-04-24 00:00:00	2003-04-03 00:00:00	B	B	1000	600	0	600	0	010016200	A99999	N	None	None	SFY2002-03
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-03 00:00:00	010002023	Closed	Citation	Citation B (HSC 1424)	Other	C,PR	2003-02-01 00:00:00	2003-02-01 00:00:00	Yes	2003-04-24 00:00:00	2003-04-03 00:00:00	B	B	1000	600	0	600	0	010016198	A99999	N	None	None	SFY2002-03
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-22 00:00:00	010002049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-20 00:00:00	2003-07-20 00:00:00	Yes	2003-09-15 00:00:00	2003-08-22 00:00:00	B	B	500	250	0	250	0	010016861	A99999	N	None	None	SFY2003-04
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-14 00:00:00	010002067	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-17 00:00:00	2001-12-18 00:00:00	Yes	2003-12-09 00:00:00	2003-11-18 00:00:00	B	B	800	480	0	480	0	010014973	A99999	N	None	None	SFY2003-04
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-09 00:00:00	010002075	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-14 00:00:00	2003-11-14 00:00:00	No	2003-12-09 00:00:00	None	B	None	700	700	0	700	0	010017218	A99999	N	None	None	SFY2003-04
010000793	PATHWAYS 2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-12-15 00:00:00	010002076	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-30 00:00:00	2003-10-30 00:00:00	Yes	2004-01-07 00:00:00	2003-01-26 00:00:00	B	B	750	0	0	0	0	010017178	A99999	N	None	None	SFY2003-04
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-04 00:00:00	010002090	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-22 00:00:00	2004-01-22 00:00:00	Yes	2004-03-25 00:00:00	2004-03-05 00:00:00	B	B	1000	500	0	500	0	010017503	A99999	N	None	None	SFY2003-04
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-24 00:00:00	010002097	Closed	Citation	Citation B (HSC 1424)	Other	A, S	2004-01-31 00:00:00	2004-01-31 00:00:00	No	2004-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	010017491	A99999	N	None	None	SFY2003-04
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-05-06 00:00:00	010002102	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-17 00:00:00	2004-03-17 00:00:00	No	2004-05-27 00:00:00	None	B	None	500	500	0	500	0	010017688	A99999	N	None	None	SFY2003-04
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-06-04 00:00:00	010002105	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-24 00:00:00	2004-01-24 00:00:00	Yes	2004-06-25 00:00:00	2004-06-14 00:00:00	B	B	600	360	0	360	0	010017430	A99999	N	None	None	SFY2003-04
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-09 00:00:00	010002115	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-17 00:00:00	2004-07-17 00:00:00	No	2004-08-30 00:00:00	None	B	None	750	750	-262.5	487.5	0	010017905	A99999	N	None	None	SFY2004-05
010000643	PATHWAYS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-09-30 00:00:00	010002122	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2003-10-27 00:00:00	2004-06-29 00:00:00	No	2004-10-22 00:00:00	None	WF	None	1000	1000	-350	650	0	010017818	A99999	None	None	None	SFY2004-05
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-09 00:00:00	010002130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-02 00:00:00	2003-10-02 00:00:00	Yes	2004-12-03 00:00:00	2004-12-02 00:00:00	B	None	750	750	-262.5	487.5	0	010017389	A99999	N	None	None	SFY2004-05
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-11-24 00:00:00	010002134	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-03-15 00:00:00	2004-03-15 00:00:00	Yes	2004-12-15 00:00:00	2004-12-07 00:00:00	A	A	16000	16450	0	16450	0	010018117	A99999	Y	None	None	SFY2004-05
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-02-14 00:00:00	010002140	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-11-12 00:00:00	2004-11-12 00:00:00	Yes	2005-03-08 00:00:00	2005-02-18 00:00:00	B	B	1000	500	0	500	0	010018264	A99999	N	None	None	SFY2004-05
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-07-07 00:00:00	010002161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-28 00:00:00	2005-02-28 00:00:00	Yes	2005-08-01 00:00:00	2005-07-11 00:00:00	B	B	750	450	0	450	0	010018303	A99999	N	None	None	SFY2005-06
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-10-05 00:00:00	010002171	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-06-29 00:00:00	2005-06-29 00:00:00	Yes	2005-10-27 00:00:00	2005-10-05 00:00:00	B	None	900	900	0	900	0	010018324	A99999	N	None	None	SFY2005-06
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-10-05 00:00:00	010002172	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-06-29 00:00:00	2005-06-29 00:00:00	Yes	2005-10-27 00:00:00	2005-10-05 00:00:00	B	None	1000	1000	0	1000	0	010018325	A99999	N	None	None	SFY2005-06
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-10-20 00:00:00	010002174	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-10 00:00:00	2005-01-10 00:00:00	No	2005-11-10 00:00:00	None	B	None	1000	1000	-350	650	0	010018327	A99999	N	None	None	SFY2005-06
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-29 00:00:00	010002176	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-10 00:00:00	2004-06-10 00:00:00	Yes	2010-07-28 00:00:00	2010-07-07 00:00:00	A	A	16000	0	0	0	0	010018335	A99999	N	None	None	SFY2005-06
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-11-29 00:00:00	010002177	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-06-19 00:00:00	2004-06-19 00:00:00	Yes	2010-08-30 00:00:00	2010-07-07 00:00:00	A	A	14000	15000	0	15000	0	010018336	A99999	N	None	None	SFY2005-06
010000793	PATHWAYS 2	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-01-31 00:00:00	010002179	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-01 00:00:00	2005-04-01 00:00:00	Yes	2008-05-28 00:00:00	2006-02-03 00:00:00	B	B	800	400	0	400	0	010018341	A99999	N	CA00044503	B	SFY2005-06
010000643	PATHWAYS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-03-02 00:00:00	010002187	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-06 00:00:00	2005-06-06 00:00:00	No	2006-03-23 00:00:00	None	B	None	1000	1000	-350	650	0	010018350	A99999	N	CA00050856	B	SFY2005-06
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-08-18 00:00:00	020002540	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-01-01 00:00:00	2000-05-31 00:00:00	No	2000-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	020012078	A99999	N	None	None	SFY2000-01
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-17 00:00:00	020002569	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-05-01 00:00:00	2000-05-04 00:00:00	No	2000-11-14 00:00:00	None	B	None	900	2250	-315	1935	0	020012422	A99999	N	None	None	SFY2000-01
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-09 00:00:00	020002597	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-23 00:00:00	None	Yes	2001-09-21 00:00:00	2001-09-06 00:00:00	B	Drop>Deficiency	600	600	0	600	0	020012951	A99999	N	None	None	SFY2000-01
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-07 00:00:00	020002598	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-13 00:00:00	None	No	2001-04-02 00:00:00	None	B	None	1000	1000	0	1000	0	020013154	A99999	N	None	None	SFY2000-01
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2001-07-25 00:00:00	020002649	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-20 00:00:00	None	No	2001-08-31 00:00:00	None	B	None	600	600	-210	390	0	020013510	A99999	N	None	None	SFY2001-02
020000647	PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-11-01 00:00:00	020002671	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-04 00:00:00	None	No	2001-12-05 00:00:00	None	B	None	600	600	-210	390	0	020013822	A99999	N	None	None	SFY2001-02
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2002-01-03 00:00:00	020002677	Closed	Citation	Citation B (HSC 1424)	Family/Council Requirement	None	2001-11-14 00:00:00	None	No	2002-01-25 00:00:00	None	B	None	700	700	-245	455	0	020013969	A99999	N	None	None	SFY2001-02
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-06-24 00:00:00	020002703	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-26 00:00:00	None	No	2002-07-23 00:00:00	None	B	None	800	800	-280	520	0	020014278	A99999	N	None	None	SFY2001-02
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-26 00:00:00	020002745	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-15 00:00:00	None	Yes	2003-04-21 00:00:00	2003-04-02 00:00:00	A	A	15000	8607	0	8607	0	020014934	A99999	N	None	None	SFY2002-03
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-16 00:00:00	020002751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-09 00:00:00	None	Yes	2003-06-17 00:00:00	2003-06-02 00:00:00	B	B	800	459	0	459	0	020015176	A99999	N	None	None	SFY2002-03
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-28 00:00:00	020002753	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-27 00:00:00	None	No	2003-06-23 00:00:00	None	B	None	600	600	0	600	0	020015363	A99999	N	None	None	SFY2002-03
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-28 00:00:00	020002754	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-04-30 00:00:00	None	No	2003-06-18 00:00:00	None	B	None	600	600	0	600	0	020015363	A99999	N	None	None	SFY2002-03
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-09-02 00:00:00	020002769	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-18 00:00:00	None	No	2003-09-26 00:00:00	None	B	None	700	700	-245	455	0	020015674	A99999	N	None	None	SFY2003-04
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2003-10-22 00:00:00	020002777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-16 00:00:00	None	No	2003-11-19 00:00:00	None	B	None	800	800	-280	520	0	020015796	A99999	N	None	None	SFY2003-04
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-12-16 00:00:00	020002784	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-11-19 00:00:00	None	No	2004-01-14 00:00:00	None	B	None	800	800	-280	520	0	020015919	A99999	N	None	None	SFY2003-04
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-09 00:00:00	020002789	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-12 00:00:00	None	No	2004-02-04 00:00:00	None	B	None	600	600	-210	390	0	020015942	A99999	N	None	None	SFY2003-04
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-08 00:00:00	020002790	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-12-22 00:00:00	None	No	2004-02-10 00:00:00	None	B	None	800	800	0	800	0	020015994	A99999	N	None	None	SFY2003-04
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-26 00:00:00	020002792	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-28 00:00:00	2003-09-04 00:00:00	No	2004-02-24 00:00:00	None	B	None	600	600	-210	390	0	020015815	A99999	N	None	None	SFY2003-04
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-08-13 00:00:00	020002811	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-07-07 00:00:00	None	No	2004-09-03 00:00:00	None	B	None	600	600	-210	390	0	020016465	A99999	N	None	None	SFY2004-05
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-10-27 00:00:00	020002818	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-06 00:00:00	None	No	2004-11-30 00:00:00	None	B	None	600	600	-210	390	0	020016595	A99999	N	None	None	SFY2004-05
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2004-12-02 00:00:00	020002823	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-18 00:00:00	2004-11-18 00:00:00	No	2004-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	020016672	A99999	N	None	None	SFY2004-05
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2005-02-15 00:00:00	020002827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-15 00:00:00	None	No	2005-03-11 00:00:00	None	B	None	1000	1000	-350	650	0	020016784	A99999	N	None	None	SFY2004-05
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2009-09-30 00:00:00	020006582	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-12 00:00:00	2009-09-12 00:00:00	No	2009-10-26 00:00:00	None	B	None	600	600	0	600	0	None	GC3X11	N	CA00201758	C	SFY2009-10
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2011-11-10 00:00:00	020008733	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-08-20 00:00:00	2010-08-20 00:00:00	No	2011-12-06 00:00:00	None	B	None	700	700	0	700	0	None	NJQ511	N	CA00244260	B	SFY2011-12
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2011-12-19 00:00:00	020008828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-09-23 00:00:00	2011-09-23 00:00:00	No	2012-01-11 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	3RSR11	N	CA00284560	B	SFY2011-12
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2012-03-02 00:00:00	020009068	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-13 00:00:00	2011-01-13 00:00:00	No	2012-03-23 00:00:00	None	B	None	750	750	0	750	0	None	K04O11	N	CA00258287	B	SFY2011-12
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-07-22 00:00:00	020010021	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2013-01-22 00:00:00	2013-01-22 00:00:00	Yes	2013-08-12 00:00:00	2013-07-26 00:00:00	B	None	2000	2000	0	0	2000	None	55LZ11	N	CA00354369	B	SFY2013-14
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-07-09 00:00:00	020010852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-04-21 00:00:00	2013-04-21 00:00:00	No	2014-07-30 00:00:00	None	B	None	1350	1350	-472.5	877.5	0	None	LF0Q11	N	CA00390298	B	SFY2014-15
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2015-03-23 00:00:00	020011347	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-01-01 00:00:00	2015-01-01 00:00:00	No	2015-04-14 00:00:00	None	B	None	1500	1500	-525	975	0	None	15UI11	N	CA00425743	B	SFY2014-15
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2015-03-23 00:00:00	020011348	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-01-01 00:00:00	2015-01-01 00:00:00	No	2015-04-14 00:00:00	None	B	None	1500	1500	-525	975	0	None	15UI11	N	CA00425743	B	SFY2014-15
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2015-10-21 00:00:00	020011787	Closed	Citation	Citation B (HSC 1424)	Immediate Jeopardy	None	2015-08-07 00:00:00	2015-08-07 00:00:00	Yes	2015-11-12 00:00:00	2015-11-09 00:00:00	B	B	1500	1125	0	1125	0	None	312111	N	CA00454254, CA00454254	C, C	SFY2015-16
020000091	PIEDMONT GARDENS HEALTH FACILITY	LTC	SNF	Skilled Nursing Facility	East Bay	2020-02-27 00:00:00	020015714	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-29 00:00:00	2019-04-29 00:00:00	No	2020-03-19 00:00:00	None	B	None	1500	1500	-525	975	0	None	6EXP11	N	CA00635856, CA00635856	B, B	SFY2019-20
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2022-03-09 00:00:00	020017462	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-03-30 00:00:00	2022-03-23 00:00:00	B	B	2000	1600	0	1600	0	None	6T2N11	N	CA00774257	A	SFY2021-22
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-10-23 00:00:00	020019274	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-01 00:00:00	2023-09-01 00:00:00	Yes	2023-11-14 00:00:00	2023-11-07 00:00:00	B	None	2000	2000	0	0	2000	None	FBI711	N	None	None	SFY2023-24
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-08-18 00:00:00	030002173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-28 00:00:00	None	No	2004-09-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	030018809	A99999	N	None	None	SFY2004-05
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-10-13 00:00:00	030002336	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-27 00:00:00	None	No	2005-11-10 00:00:00	None	B	None	1000	3000	-1050	1950	0	030020457	A99999	N	None	None	SFY2005-06
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-09-12 00:00:00	030003327	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-12 00:00:00	2005-08-12 00:00:00	No	2006-10-03 00:00:00	None	B	None	500	500	-175	325	0	None	CGP511	N	CA00059025	C	SFY2006-07
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-09-12 00:00:00	030003332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-03 00:00:00	2006-02-03 00:00:00	No	2006-10-03 00:00:00	None	B	None	500	500	-175	325	0	None	B9CI11	N	CA00072097	B	SFY2006-07
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-11-13 00:00:00	030003480	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-04-13 00:00:00	2005-04-13 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	NUIY11	N	CA00050391	D	SFY2006-07
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-07-05 00:00:00	030004057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-24 00:00:00	2007-02-24 00:00:00	No	2007-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	XQWR11	N	CA00107670	B	SFY2007-08
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-10-12 00:00:00	030004338	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-02-09 00:00:00	2007-02-09 00:00:00	No	2007-11-06 00:00:00	None	B	None	1000	1550	-350	1200	0	None	8T7X11	N	CA00107999	B	SFY2007-08
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2008-02-05 00:00:00	030004652	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-24 00:00:00	2007-10-24 00:00:00	No	2008-02-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	AHMP11	N	CA00130765	B	SFY2007-08
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-10-26 00:00:00	030007669	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-27 00:00:00	2008-06-27 00:00:00	Yes	2013-02-04 00:00:00	2012-11-21 00:00:00	A	A	20000	13000	0	13000	0	None	5TK911	N	CA00155628	B	SFY2010-11
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-03-08 00:00:00	030009086	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-11 00:00:00	2009-06-11 00:00:00	No	2012-03-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	YXUK11	N	CA00195664	B	SFY2011-12
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-09-17 00:00:00	030010122	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-13 00:00:00	2010-10-13 00:00:00	No	2013-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	SB9Q11	N	CA00247096	B	SFY2013-14
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2013-09-17 00:00:00	030010123	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-10-13 00:00:00	2010-10-13 00:00:00	No	2013-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	SB9Q11	N	CA00246591	B	SFY2013-14
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-10-19 00:00:00	030013512	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2017-03-23 00:00:00	2017-03-23 00:00:00	Yes	2017-11-09 00:00:00	2017-10-31 00:00:00	B	B	2000	4300	0	4300	0	None	GYVJ11	N	CA00531892, CA00538219, CA00541837	B, B, B	SFY2017-18
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-10-29 00:00:00	030014529	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-02 00:00:00	2018-08-02 00:00:00	No	2018-11-20 00:00:00	None	B	None	2000	2050	0	2050	0	None	6FDO11	N	CA00598108	B	SFY2018-19
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-06-19 00:00:00	030015167	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-04-17 00:00:00	2019-04-17 00:00:00	No	2019-07-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	K1MW11	N	CA00633706, CA00633706	A, A	SFY2018-19
030000560	PINE CREEK CARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-10-28 00:00:00	030018104	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2022-11-21 00:00:00	None	A	None	10000	10000	0	10000	0	None	3BCP11	N	CA00795049	B	SFY2022-23
040000063	PACIFIC GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-02-13 00:00:00	040001206	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-02 00:00:00	2000-02-02 00:00:00	Yes	2001-03-09 00:00:00	2001-02-20 00:00:00	A	B	10000	10000	0	10000	0	040011753	A99999	N	None	None	SFY2000-01
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-04-12 00:00:00	040001211	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-01 00:00:00	2001-01-01 00:00:00	No	2001-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	040011952	A99999	N	None	None	SFY2000-01
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-06-07 00:00:00	040001219	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-15 00:00:00	2001-04-15 00:00:00	Yes	2001-06-28 00:00:00	2001-06-07 00:00:00	B	B	1000	1000	0	1000	0	040012127	A99999	N	None	None	SFY2000-01
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2001-08-06 00:00:00	040001226	Closed	Citation	Citation B (HSC 1424)	Other	STAFF/RESIDENT ABUSE	2001-05-09 00:00:00	2001-05-09 00:00:00	Yes	2001-08-29 00:00:00	2003-06-16 00:00:00	B	B	1000	1000	0	1000	0	040012097	A99999	N	None	None	SFY2001-02
040000063	PACIFIC GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2001-11-19 00:00:00	040001232	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-20 00:00:00	2001-03-20 00:00:00	Yes	2001-12-17 00:00:00	2001-11-30 00:00:00	B	B	500	500	0	500	0	040012025	A99999	N	None	None	SFY2001-02
040001016	PROVIDENT HEALTH CARE - WINDY GAP	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2002-01-17 00:00:00	040001235	Closed	Citation	Citation A (HSC 1424)	Other	RESTRAINTS	2001-11-14 00:00:00	2001-11-14 00:00:00	Yes	2002-06-06 00:00:00	2002-02-07 00:00:00	A	B	5000	0	0	0	0	040012686	A99999	N	None	None	SFY2001-02
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-13 00:00:00	040001256	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-15 00:00:00	2002-05-15 00:00:00	No	2002-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	040013315	A99999	N	None	None	SFY2001-02
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-07-25 00:00:00	040001263	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-06-06 00:00:00	2002-06-06 00:00:00	No	2002-08-21 00:00:00	None	B	None	1000	1000	0	1000	0	040013399	A99999	N	None	None	SFY2002-03
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2002-08-14 00:00:00	040001265	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-05-02 00:00:00	2002-05-02 00:00:00	Yes	2002-09-10 00:00:00	2002-08-29 00:00:00	A	B	10000	5573	0	5573	0	040013277	A99999	N	None	None	SFY2002-03
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-03-07 00:00:00	040001329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-18 00:00:00	2002-11-18 00:00:00	Yes	2003-04-03 00:00:00	2003-03-07 00:00:00	B	Drop>Deficiency	500	279	0	279	0	040014273	A99999	N	None	None	SFY2002-03
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-08 00:00:00	040001331	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-15 00:00:00	2002-02-15 00:00:00	Yes	2003-05-30 00:00:00	2003-05-03 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	040014678	A99999	N	None	None	SFY2002-03
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-08 00:00:00	040001332	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-15 00:00:00	2002-02-15 00:00:00	Yes	2003-05-30 00:00:00	2003-05-03 00:00:00	B	B	1000	1000	0	1000	0	040014679	A99999	N	None	None	SFY2002-03
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-08 00:00:00	040001333	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-01 00:00:00	2002-02-01 00:00:00	Yes	2003-05-30 00:00:00	2003-05-03 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	040014680	A99999	N	None	None	SFY2002-03
040000010	PALM VILLAGE RETIREMENT COMMUNITY HEALTH CARE CTR.	LTC	SNF	Skilled Nursing Facility	Fresno	2003-05-08 00:00:00	040001334	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	2002-09-13 00:00:00	Yes	2003-05-30 00:00:00	2003-05-30 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	040014298	A99999	N	None	None	SFY2002-03
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2003-06-18 00:00:00	040001341	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-26 00:00:00	2003-02-26 00:00:00	Yes	2003-07-16 00:00:00	2003-07-07 00:00:00	B	B Trebled	1000	1672	0	1672	0	040014531	A99999	N	None	None	SFY2002-03
040001335	PAUL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-01-11 00:00:00	040001366	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-03 00:00:00	2004-08-03 00:00:00	No	2005-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	040016159	A99999	N	None	None	SFY2004-05
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2009-07-10 00:00:00	040006381	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-03-19 00:00:00	2006-03-19 00:00:00	Yes	2009-08-03 00:00:00	2009-07-10 00:00:00	B	B	1000	500	0	500	0	None	PVED11	N	CA00186975	B	SFY2009-10
040000932	PROVIDENT HEALTH CARE - LULANG	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2013-01-24 00:00:00	040009713	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-04-12 00:00:00	2012-04-12 00:00:00	Yes	2013-02-14 00:00:00	2013-01-31 00:00:00	AA	None	25000	25000	0	25000	0	None	NYGY11	Y	CA00306922	B	SFY2012-13
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2015-10-27 00:00:00	040011799	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-08 00:00:00	2015-06-08 00:00:00	No	2015-11-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	XJ1E11	N	CA00445939	A	SFY2015-16
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-05-04 00:00:00	040013178	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-10-07 00:00:00	2016-10-07 00:00:00	No	2017-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IFYI11	N	CA00506149	A	SFY2016-17
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2017-05-04 00:00:00	040013181	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-11-23 00:00:00	2016-11-23 00:00:00	No	2017-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IFYI11	N	CA00511997	A	SFY2016-17
040001162	PROVIDENT HEALTH CARE - 619	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2018-02-08 00:00:00	040013797	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-10-16 00:00:00	2017-10-16 00:00:00	No	2018-03-02 00:00:00	None	B	None	2000	2300	-1000	1300	0	None	YXC711	N	CA00557202	A	SFY2017-18
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2018-06-20 00:00:00	040014167	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2018-07-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	GJWX11	N	CA00580714	A	SFY2017-18
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-10-24 00:00:00	040018108	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-28 00:00:00	2022-06-28 00:00:00	No	2022-11-15 00:00:00	None	A	None	20000	20000	-20000	0	0	None	9QID11	N	CA00791521	B	SFY2022-23
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-05-30 00:00:00	050001383	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-03 00:00:00	2000-04-03 00:00:00	No	2000-06-23 00:00:00	None	B	None	500	500	0	500	0	050013934	A99999	N	None	None	SFY1999-00
050000610	PELICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-02-06 00:00:00	050001440	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-25 00:00:00	None	Yes	2001-08-06 00:00:00	2001-02-09 00:00:00	B	B	1000	1050	0	1050	0	050014728	A99999	N	None	None	SFY2000-01
050000610	PELICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-02-09 00:00:00	050001442	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-12-09 00:00:00	None	Yes	2001-08-14 00:00:00	2001-02-09 00:00:00	A	A	5000	5000	0	5000	0	050014735	A99999	N	None	None	SFY2000-01
050001343	PIKE, THE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-03-22 00:00:00	050001447	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-13 00:00:00	None	Yes	2001-08-07 00:00:00	2001-03-28 00:00:00	B	B	800	800	0	800	0	050014908	A99999	N	None	None	SFY2000-01
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-03-14 00:00:00	050001494	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-06 00:00:00	None	Yes	2002-07-25 00:00:00	2002-03-18 00:00:00	B	B	500	500	0	500	0	050015759	A99999	N	None	None	SFY2001-02
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-08-21 00:00:00	050001517	Closed	Citation	Citation A (HSC 1424)	Administration	None	2002-05-29 00:00:00	None	Yes	2002-09-17 00:00:00	2002-09-13 00:00:00	A	None	5000	5000	0	5000	0	050016077	A99999	N	None	None	SFY2002-03
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-10-11 00:00:00	050001524	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-09-12 00:00:00	None	Yes	2003-05-20 00:00:00	2003-05-12 00:00:00	A	B	10000	4000	0	4000	0	050016195	A99999	N	None	None	SFY2002-03
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-10-11 00:00:00	050001525	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-03-26 00:00:00	2002-09-12 00:00:00	Yes	2003-05-20 00:00:00	2003-05-14 00:00:00	B	B	1000	250	0	250	0	050016197	A99999	N	None	None	SFY2002-03
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-12-04 00:00:00	050001540	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-23 00:00:00	None	Yes	2003-03-14 00:00:00	2002-12-18 00:00:00	B	B	1000	1000	0	1000	0	050016306	A99999	N	None	None	SFY2002-03
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-12-05 00:00:00	050001542	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-05-09 00:00:00	None	Yes	2003-03-14 00:00:00	2002-12-18 00:00:00	B	B	200	200	0	200	0	050016309	A99999	N	None	None	SFY2002-03
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-07 00:00:00	050001550	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2002-11-23 00:00:00	None	No	2003-03-28 00:00:00	None	B	None	100	100	0	100	0	050016500	A99999	N	None	None	SFY2002-03
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-07 00:00:00	050001551	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-23 00:00:00	None	No	2003-03-28 00:00:00	None	B	None	500	500	0	500	0	050016500	A99999	N	None	None	SFY2002-03
050000610	PELICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-07-29 00:00:00	050001580	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-06 00:00:00	None	No	2003-08-21 00:00:00	None	B	None	1000	1000	0	1000	0	050016766	A99999	N	None	None	SFY2003-04
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-10-17 00:00:00	050001589	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-04-27 00:00:00	2003-04-27 00:00:00	Yes	2003-11-10 00:00:00	2003-11-03 00:00:00	A	B	5000	5000	0	5000	0	050016668	A99999	N	None	None	SFY2003-04
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-07-22 00:00:00	050001602	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-30 00:00:00	None	Yes	2004-08-13 00:00:00	2004-08-04 00:00:00	B	B	1000	500	0	500	0	050017346	A99999	N	None	None	SFY2004-05
050001072	PEARL HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-07-22 00:00:00	050001603	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-03-22 00:00:00	None	No	2004-08-13 00:00:00	None	B	None	500	500	-175	325	0	050017472	A99999	N	None	None	SFY2004-05
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-02-23 00:00:00	050001625	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-12 00:00:00	None	No	2005-03-21 00:00:00	None	B	None	800	800	-280	520	0	050017797	A99999	N	None	None	SFY2004-05
050000610	PELICAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2005-05-04 00:00:00	050001626	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-09 00:00:00	2004-09-09 00:00:00	No	2005-06-07 00:00:00	None	B	None	800	800	0	800	0	050017802	A99999	N	None	None	SFY2004-05
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-06-28 00:00:00	050003181	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-09-10 00:00:00	2005-09-10 00:00:00	Yes	2006-07-20 00:00:00	2009-09-10 00:00:00	A	Drop>Deficiency	1500	0	0	0	0	None	Z0S611	N	None	None	SFY2005-06
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-06-28 00:00:00	050003182	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-15 00:00:00	2006-04-15 00:00:00	Yes	2006-07-20 00:00:00	2006-07-06 00:00:00	B	B	250	125	0	125	0	None	Z0S611	N	None	None	SFY2005-06
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-08-15 00:00:00	050003280	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-12-05 00:00:00	2005-12-05 00:00:00	Yes	2006-09-06 00:00:00	2006-08-29 00:00:00	B	B	200	100	0	100	0	None	IMUR11	N	CA00073810, CA00084595	C, C	SFY2006-07
050001347	PEREIRA DRIVE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-08-15 00:00:00	050003282	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-05 00:00:00	2005-12-05 00:00:00	Yes	2006-09-06 00:00:00	2006-08-29 00:00:00	B	B	300	150	0	150	0	None	IMUR11	N	CA00084595	C	SFY2006-07
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2008-10-28 00:00:00	050005199	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-14 00:00:00	2008-06-14 00:00:00	No	2008-11-20 00:00:00	None	A	None	3000	3000	-1050	1950	0	None	47WL11	N	CA00154149	C	SFY2008-09
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2011-04-20 00:00:00	050006243	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to Report	2009-05-12 00:00:00	2009-05-12 00:00:00	Yes	2011-05-11 00:00:00	2011-04-27 00:00:00	B	B	600	300	0	300	0	None	9X5S11	N	CA00187435	E	SFY2010-11
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2011-04-20 00:00:00	050006244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-04-30 00:00:00	2009-04-30 00:00:00	Yes	2011-05-11 00:00:00	2011-04-27 00:00:00	B	B	1000	500	0	500	0	None	QMYV11	N	CA00186969	C	SFY2010-11
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2010-02-02 00:00:00	050006581	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-11 00:00:00	2009-09-11 00:00:00	Yes	2010-02-25 00:00:00	2010-02-11 00:00:00	B	B	500	250	0	250	0	None	52IG11	N	None	None	SFY2009-10
050000919	PETIT COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2010-02-02 00:00:00	050006871	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-11-09 00:00:00	2009-11-09 00:00:00	Yes	2010-02-25 00:00:00	2010-02-11 00:00:00	B	B	500	250	0	250	0	None	G99X11	N	CA00208330	B	SFY2009-10
050000990	POTOMAC COMMUNITY HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2011-04-20 00:00:00	050007589	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Failure to Report Abuse	2010-08-31 00:00:00	2010-08-31 00:00:00	Yes	2011-05-11 00:00:00	2011-04-27 00:00:00	B	B	400	200	0	200	0	None	CMSO11	N	CA00241570	B	SFY2010-11
630016241	POTTER CARE, LLC	LTC	CLHF	Congregate Living Health Facility	Ventura	2023-12-12 00:00:00	050019302	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-11 00:00:00	2023-09-11 00:00:00	No	2024-01-03 00:00:00	None	A	None	9000	9000	0	0	9000	None	LR6C11	N	CA00860165, CA00860165, CA00860165, CA00860165, CA00860165, CA00860165	A, A, A, A, A, A	SFY2023-24
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2000-07-17 00:00:00	060001028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-30 00:00:00	None	Yes	2000-08-08 00:00:00	2000-07-24 00:00:00	B	B	800	800	-800	0	0	060009648	A99999	N	None	None	SFY2000-01
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2000-10-27 00:00:00	060001032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-24 00:00:00	None	Yes	2001-06-19 00:00:00	2001-05-29 00:00:00	B	Drop>Deficiency	700	700	0	700	0	060009867	A99999	N	None	None	SFY2000-01
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-02-05 00:00:00	060001041	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-14 00:00:00	None	Yes	2001-03-01 00:00:00	2001-02-14 00:00:00	B	B	500	1900	-900	1000	0	060010279	A99999	N	None	None	SFY2000-01
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2001-02-09 00:00:00	060001044	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-16 00:00:00	None	Yes	2001-07-11 00:00:00	2001-06-25 00:00:00	B	B	650	1000	0	1000	0	060010276	A99999	N	None	None	SFY2000-01
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-27 00:00:00	060001052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-10 00:00:00	None	Yes	2001-04-18 00:00:00	2001-04-04 00:00:00	B	None	1000	1000	-1000	0	0	060010490	A99999	N	None	None	SFY2000-01
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-06-18 00:00:00	060001061	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-10 00:00:00	None	Yes	2001-07-10 00:00:00	2001-06-27 00:00:00	B	B	850	850	0	850	0	060010752	A99999	N	None	None	SFY2000-01
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-08-27 00:00:00	060001070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-15 00:00:00	None	Yes	2002-02-14 00:00:00	2001-08-28 00:00:00	B	B	1000	1000	0	1000	0	060010981	A99999	N	None	None	SFY2001-02
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-10-25 00:00:00	060001074	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-03 00:00:00	None	No	2001-11-16 00:00:00	None	B	B	1000	1000	0	1000	0	060011195	A99999	N	None	None	SFY2001-02
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-01-11 00:00:00	060001081	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-03 00:00:00	None	Yes	2002-02-04 00:00:00	2002-01-29 00:00:00	A	B	15000	15000	0	15000	0	060011089	A99999	N	None	None	SFY2001-02
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-01-11 00:00:00	060001084	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-19 00:00:00	None	Yes	2002-02-01 00:00:00	2002-01-29 00:00:00	B	B	1000	3000	0	3000	0	060011318	A99999	N	None	None	SFY2001-02
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-02-28 00:00:00	060001087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-30 00:00:00	None	Yes	2002-03-21 00:00:00	2002-03-01 00:00:00	B	B	800	200	0	200	0	060011618	A99999	N	None	None	SFY2001-02
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-26 00:00:00	060001100	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-04-08 00:00:00	None	No	2002-05-17 00:00:00	None	B	None	750	750	-262.5	487.5	0	060011775	A99999	N	None	None	SFY2001-02
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2002-05-21 00:00:00	060001103	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-27 00:00:00	None	No	2002-06-13 00:00:00	None	B	None	500	500	0	500	0	060011962	A99999	N	None	None	SFY2001-02
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2002-05-21 00:00:00	060001104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-05 00:00:00	None	No	2002-06-13 00:00:00	None	B	None	1000	1000	0	1000	0	060011561	A99999	N	None	None	SFY2001-02
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-08-29 00:00:00	060001111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-29 00:00:00	2002-03-29 00:00:00	Yes	2002-09-24 00:00:00	2002-09-10 00:00:00	B	B	1000	500	0	500	0	060012375	A99999	N	None	None	SFY2002-03
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-08-29 00:00:00	060001112	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-06 00:00:00	2002-05-06 00:00:00	Yes	2002-09-19 00:00:00	2002-09-10 00:00:00	B	B	1000	500	0	500	0	060012376	A99999	N	None	None	SFY2002-03
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-12-19 00:00:00	060001122	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-31 00:00:00	None	Yes	2003-01-13 00:00:00	2003-01-02 00:00:00	B	B	1000	500	0	500	0	060012804	A99999	N	None	None	SFY2002-03
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-01-13 00:00:00	060001124	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-14 00:00:00	2002-12-14 00:00:00	Yes	2003-02-03 00:00:00	2003-01-15 00:00:00	B	B	1000	500	0	500	0	060012885	A99999	N	None	None	SFY2002-03
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-01 00:00:00	060001149	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-01 00:00:00	None	No	2003-10-23 00:00:00	None	B	None	700	700	-245	455	0	060013823	A99999	N	None	None	SFY2003-04
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-08 00:00:00	060001151	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-09-26 00:00:00	2000-09-26 00:00:00	Yes	2003-11-04 00:00:00	2003-10-20 00:00:00	B	B	1000	500	0	500	0	060013842	A99999	N	None	None	SFY2003-04
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-28 00:00:00	060001154	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-06-02 00:00:00	None	Yes	2003-11-24 00:00:00	2003-10-31 00:00:00	A	A	20000	15100	-100	15000	0	060013910	A99999	N	None	None	SFY2003-04
060001051	PURE JOY #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2004-09-16 00:00:00	060001180	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-08-18 00:00:00	None	No	2004-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	060014994	A99999	N	None	None	SFY2004-05
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-01-10 00:00:00	060001265	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-13 00:00:00	None	No	2006-02-07 00:00:00	None	B	None	750	850	-262.5	587.5	0	060015967	A99999	N	None	None	SFY2005-06
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-05-02 00:00:00	060003071	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-29 00:00:00	2005-12-29 00:00:00	No	2006-05-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	QQTS11	N	CA00070014	C	SFY2005-06
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2006-09-11 00:00:00	060003331	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-04 00:00:00	2005-12-04 00:00:00	No	2006-10-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	RWZB11	N	CA00075007	C	SFY2006-07
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2006-09-21 00:00:00	060003359	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-29 00:00:00	2006-06-29 00:00:00	Yes	2006-10-13 00:00:00	2006-10-02 00:00:00	B	B	750	250	0	250	0	None	M19H11	N	CA00086634	C	SFY2006-07
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-08-21 00:00:00	060004197	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-04-26 00:00:00	2007-04-26 00:00:00	Yes	2010-04-22 00:00:00	2010-04-06 00:00:00	A	A	20000	15000	0	15000	0	None	FH9C11	Y	CA00113199	B	SFY2007-08
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-08-23 00:00:00	060004199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-18 00:00:00	2007-04-18 00:00:00	Yes	2007-09-14 00:00:00	2007-09-12 00:00:00	B	None	1000	1000	0	1000	0	None	2KV611	N	CA00119815	B	SFY2007-08
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-09-26 00:00:00	060004292	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-18 00:00:00	2005-11-18 00:00:00	Yes	2007-10-18 00:00:00	2007-10-11 00:00:00	B	B	1000	500	0	500	0	None	MRGC11	N	CA00123017	C	SFY2007-08
060000130	PARKVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-04-15 00:00:00	060004791	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-10-12 00:00:00	2007-10-12 00:00:00	Yes	2008-05-08 00:00:00	2008-04-17 00:00:00	AA	AA	50000	50000	0	50000	0	None	63GR11	Y	CA00135423	C	SFY2007-08
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-04-11 00:00:00	060004877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-06 00:00:00	2008-02-06 00:00:00	No	2008-05-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	OWSU11	N	CA00141746	C	SFY2007-08
060000130	PARKVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-05-15 00:00:00	060005036	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-23 00:00:00	2008-03-23 00:00:00	No	2008-06-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	8GVS11	N	CA00146258	C	SFY2007-08
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-09-11 00:00:00	060005386	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-16 00:00:00	2007-09-16 00:00:00	Yes	2008-10-06 00:00:00	2008-10-23 00:00:00	A	None	5000	5000	0	5000	0	None	ELOC11	N	CA00146128	A	SFY2008-09
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-12-22 00:00:00	060005715	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-25 00:00:00	2008-08-25 00:00:00	No	2009-01-16 00:00:00	None	A	None	20000	20050	-7000	13050	0	None	Q1HF11	N	CA00159832	C	SFY2008-09
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-01-06 00:00:00	060005755	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-08 00:00:00	2008-10-08 00:00:00	Yes	2009-01-29 00:00:00	2009-01-07 00:00:00	B	B	1000	500	0	500	0	None	4TMT11	N	CA00167188	B	SFY2008-09
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2009-01-06 00:00:00	060005758	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-17 00:00:00	2008-01-17 00:00:00	No	2009-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	H01F11	N	CA00162924	C	SFY2008-09
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-04-27 00:00:00	060006121	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-17 00:00:00	2009-01-17 00:00:00	Yes	2009-05-21 00:00:00	2009-04-28 00:00:00	B	None	1000	1000	0	1000	0	None	L41111	N	CA00179447	B	SFY2008-09
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-07-01 00:00:00	060006338	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-17 00:00:00	2009-04-17 00:00:00	Yes	2009-07-24 00:00:00	2009-07-07 00:00:00	B	B	1000	650	0	650	0	None	B4DI11	N	CA00187891	B	SFY2009-10
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-09 00:00:00	060007299	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-02-21 00:00:00	2010-02-21 00:00:00	Yes	2010-07-01 00:00:00	2010-06-28 00:00:00	A	B	7000	7000	0	7000	0	None	5VGZ11	N	CA00224378	C	SFY2009-10
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2011-01-25 00:00:00	060007862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-06 00:00:00	2010-10-06 00:00:00	No	2011-02-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	KFOU11	N	CA00249204	C	SFY2010-11
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2011-10-03 00:00:00	060008588	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-06 00:00:00	2011-07-06 00:00:00	No	2011-10-24 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	B0Y611	N	CA00276381	C	SFY2011-12
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-11-10 00:00:00	060008726	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-27 00:00:00	2011-09-27 00:00:00	Yes	2011-12-06 00:00:00	2011-11-14 00:00:00	A	A	10000	10000	0	10000	0	None	22ED11	N	CA00285486	B	SFY2011-12
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2012-02-03 00:00:00	060008971	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-12-08 00:00:00	2011-12-08 00:00:00	No	2012-02-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4DIY11	N	CA00293969	C	SFY2011-12
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2012-03-01 00:00:00	060009056	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-07-15 00:00:00	2011-07-15 00:00:00	Yes	2012-03-22 00:00:00	2012-03-22 00:00:00	A	A	10000	5000	0	5000	0	None	D4V511	N	CA00287639	C	SFY2011-12
060000130	PARKVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2013-03-08 00:00:00	060009777	Closed	Citation	Citation B (HSC 1424)	Medication	None	2013-01-16 00:00:00	2013-01-16 00:00:00	No	2013-03-29 00:00:00	None	B	None	1500	2150	-525	1625	0	None	P2RX11	N	None	None	SFY2012-13
060000978	PARK REGENCY CARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2014-03-04 00:00:00	060010517	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-01-07 00:00:00	2014-01-07 00:00:00	No	2014-03-25 00:00:00	None	B	None	1500	1500	0	1500	0	None	IAE311	N	None	None	SFY2013-14
060000127	PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2016-03-02 00:00:00	060012053	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2015-12-04 00:00:00	2015-12-04 00:00:00	Yes	2016-03-23 00:00:00	2016-03-03 00:00:00	B	None	1500	1500	0	0	1500	None	PO6H11	N	CA00468881, CA00469542	C, B	SFY2015-16
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-01-23 00:00:00	060012897	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-01 00:00:00	2016-07-01 00:00:00	No	2017-02-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	J5PM11	N	None	None	SFY2016-17
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-01-23 00:00:00	060012898	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-09 00:00:00	2016-11-09 00:00:00	No	2017-02-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	J5PM11	N	None	None	SFY2016-17
060000255	PALM TERRACE HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2017-04-21 00:00:00	060013120	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-20 00:00:00	2017-01-20 00:00:00	No	2017-05-12 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	VBX011	N	CA00519873	B	SFY2016-17
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-09-27 00:00:00	060013519	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-05 00:00:00	2017-08-05 00:00:00	No	2017-10-18 00:00:00	None	A	None	2500	2500	0	2500	0	None	2QLG11	N	CA00547804	B	SFY2017-18
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2018-08-01 00:00:00	060014294	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-22 00:00:00	2018-05-22 00:00:00	Yes	2018-08-22 00:00:00	2018-08-08 00:00:00	A	B	2000	2000	0	2000	0	None	CG0M11	N	CA00588207	B	SFY2018-19
060001154	PARK VISTA AT MORNINGSIDE	LTC	SNF	Skilled Nursing Facility	Orange	2019-04-04 00:00:00	060014924	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-22 00:00:00	2019-01-22 00:00:00	No	2019-04-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XD6X11	N	CA00625217, CA00625217	B, B	SFY2018-19
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2019-05-20 00:00:00	060015084	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-19 00:00:00	2019-02-19 00:00:00	No	2019-06-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IKNF11	N	None	None	SFY2018-19
060000130	PARKVIEW HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-05-29 00:00:00	060015112	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-03-26 00:00:00	2019-03-26 00:00:00	No	2019-06-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LV4M11	N	CA00631679	B	SFY2018-19
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-09-09 00:00:00	060015372	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-07-16 00:00:00	2019-07-16 00:00:00	Yes	2019-09-30 00:00:00	2019-09-19 00:00:00	B	None	2000	2000	0	0	2000	None	2G5L11	N	CA00646909	B	SFY2019-20
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-07-25 00:00:00	070002337	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-05 00:00:00	None	No	2000-08-17 00:00:00	None	B	None	1000	1350	-350	1000	0	070014939	A99999	N	None	None	SFY2000-01
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-07 00:00:00	070002362	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-24 00:00:00	None	No	2001-01-03 00:00:00	None	B	Drop>Deficiency	1000	500	0	500	0	070015240	A99999	N	None	None	SFY2000-01
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-12 00:00:00	070002363	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-05 00:00:00	None	No	2001-01-08 00:00:00	None	B	None	1000	1000	-350	650	0	070015256	A99999	N	None	None	SFY2000-01
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-22 00:00:00	070002378	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-21 00:00:00	None	No	2001-04-12 00:00:00	None	B	None	600	600	-210	390	0	070016045	A99999	N	None	None	SFY2000-01
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-20 00:00:00	070002422	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-28 00:00:00	None	No	2002-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	070016750	A99999	N	None	None	SFY2001-02
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-07 00:00:00	070002469	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-19 00:00:00	None	No	2002-09-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	070017599	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-08-07 00:00:00	070002471	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-18 00:00:00	None	No	2002-09-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	070017600	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-11-15 00:00:00	070002481	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-02 00:00:00	None	Yes	2002-12-12 00:00:00	2002-11-20 00:00:00	A	A	20000	5000	0	5000	0	070017931	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-11-26 00:00:00	070002483	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-16 00:00:00	None	No	2002-12-19 00:00:00	None	B	None	1000	3000	-1050	1950	0	070017951	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-11-26 00:00:00	070002484	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-10-16 00:00:00	None	No	2002-12-19 00:00:00	None	B	None	1000	1000	-350	650	0	070017951	A99999	N	None	None	SFY2002-03
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2002-12-18 00:00:00	070002489	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-11 00:00:00	None	No	2003-01-10 00:00:00	None	B	None	1000	1000	-350	650	0	070017990	A99999	N	None	None	SFY2002-03
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2003-03-05 00:00:00	070002504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-26 00:00:00	None	Yes	2003-12-17 00:00:00	2003-03-12 00:00:00	B	B	600	600	0	600	0	070018768	A99999	N	None	None	SFY2002-03
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-30 00:00:00	070003529	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2006-11-06 00:00:00	2006-11-06 00:00:00	Yes	2006-12-21 00:00:00	2006-12-14 00:00:00	AA	A	100000	20000	0	20000	0	None	H3O811	Y	CA00097430	B	SFY2006-07
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-30 00:00:00	070003535	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-11-06 00:00:00	2006-11-06 00:00:00	No	2006-12-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	H3O811	N	None	None	SFY2006-07
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-08 00:00:00	070004142	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-06-29 00:00:00	2007-06-29 00:00:00	No	2007-08-29 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	B0OT11	N	None	None	SFY2007-08
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-07 00:00:00	070004429	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-15 00:00:00	2007-09-15 00:00:00	Yes	2009-03-20 00:00:00	2009-03-11 00:00:00	A	A	20000	34000	0	34000	0	None	T1O811	N	CA00126633	A	SFY2007-08
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-07 00:00:00	070004430	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2007-09-15 00:00:00	2007-09-15 00:00:00	Yes	2007-12-03 00:00:00	2009-04-27 00:00:00	AA	A	100000	10000	0	10000	0	None	T1O811	Y	CA00126633	A	SFY2007-08
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2007-11-15 00:00:00	070004437	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-13 00:00:00	2006-06-13 00:00:00	Yes	2009-11-19 00:00:00	2009-11-03 00:00:00	A	A	20000	14000	0	14000	0	None	CS8711	N	CA00108905	B	SFY2007-08
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-21 00:00:00	070004902	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2008-05-15 00:00:00	None	B	None	700	700	-245	455	0	None	WRE611	N	CA00145016	B	SFY2007-08
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-21 00:00:00	070004945	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2008-05-15 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	WRE611	N	CA00145016	B	SFY2007-08
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-21 00:00:00	070004946	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2008-05-15 00:00:00	None	B	None	700	700	-245	455	0	None	WRE611	N	CA00145016	B	SFY2007-08
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-02 00:00:00	070005117	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-06-05 00:00:00	2008-06-05 00:00:00	No	2008-07-28 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	7YKE11	N	CA00125530	C	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-02 00:00:00	070005196	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-22 00:00:00	2007-08-22 00:00:00	No	2008-08-01 00:00:00	None	B	None	900	900	-315	585	0	None	7YKE11	N	CA00125530	C	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-02 00:00:00	070005197	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-06 00:00:00	2007-09-06 00:00:00	No	2008-07-28 00:00:00	None	B	None	900	900	-315	585	0	None	7YKE11	N	CA00125530	C	SFY2008-09
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-31 00:00:00	070005728	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-13 00:00:00	2008-12-13 00:00:00	No	2009-01-30 00:00:00	None	B	None	850	850	0	850	0	None	BWY111	N	CA00172401	B	SFY2008-09
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-31 00:00:00	070005748	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-13 00:00:00	2008-12-13 00:00:00	No	2009-01-30 00:00:00	None	B	None	900	900	0	900	0	None	BWY111	N	CA00172401	B	SFY2008-09
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-31 00:00:00	070005749	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-12-13 00:00:00	2008-12-13 00:00:00	No	2009-01-30 00:00:00	None	B	None	950	950	0	950	0	None	BWY111	N	CA00172401	B	SFY2008-09
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2009-01-23 00:00:00	070005818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-01-05 00:00:00	2009-01-05 00:00:00	Yes	2014-02-10 00:00:00	2009-02-02 00:00:00	B	Dismissed by Court	600	0	0	0	0	None	5E0Q11	N	CA00174025	B	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-03-17 00:00:00	070005844	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-05 00:00:00	2009-01-05 00:00:00	No	2009-04-08 00:00:00	None	B	None	900	900	-315	585	0	None	0TI811	N	CA00175727	B	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-08 00:00:00	070006228	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-19 00:00:00	2009-05-19 00:00:00	No	2009-07-09 00:00:00	None	B	None	600	600	-210	390	0	None	ETCI11	N	None	None	SFY2008-09
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-08 00:00:00	070006263	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-05-19 00:00:00	2009-05-19 00:00:00	No	2009-07-09 00:00:00	None	B	None	600	600	-210	390	0	None	ETCI11	N	None	None	SFY2008-09
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-16 00:00:00	070006293	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-05-12 00:00:00	2009-05-12 00:00:00	No	2009-07-13 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	SL7P11	N	CA00189254	B	SFY2008-09
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-30 00:00:00	070006421	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-20 00:00:00	2009-07-20 00:00:00	No	2009-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	57QO11	N	CA00194472, CA00194474, CA00194781, CA00194794	B, B, B, B	SFY2009-10
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-31 00:00:00	070006854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-14 00:00:00	2009-11-14 00:00:00	No	2010-02-03 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	5VFX11	N	CA00209350	B	SFY2009-10
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-29 00:00:00	070006863	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	Failure to Report	2009-10-06 07:00:00	2009-10-06 07:00:00	No	2010-01-22 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	9W9Z11	None	CA00205607	C	SFY2009-10
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-04-14 00:00:00	070007109	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-26 00:00:00	2010-03-26 00:00:00	No	2010-05-05 00:00:00	None	A	None	16000	16000	0	16000	0	None	4ZH011	N	None	None	SFY2009-10
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-18 00:00:00	070007175	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-03-10 00:00:00	2010-03-10 00:00:00	Yes	2012-11-30 00:00:00	2012-11-15 00:00:00	A	A	17500	8000	0	8000	0	None	O75N11	N	CA00224140	B	SFY2009-10
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-11 00:00:00	070007207	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-28 00:00:00	2010-02-28 00:00:00	No	2010-06-21 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	WLS111	N	CA00221000	B	SFY2009-10
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-08-25 00:00:00	070007515	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-05-24 00:00:00	2010-05-24 00:00:00	Yes	2010-09-16 00:00:00	2010-08-31 00:00:00	B	B	650	422.5	0	422.5	0	None	6JPT11	N	CA00235205	B	SFY2010-11
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-08-25 00:00:00	070007520	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-07-04 00:00:00	2010-07-04 00:00:00	Yes	2010-09-16 00:00:00	2010-08-31 00:00:00	B	B	650	422.5	0	422.5	0	None	6JPT11	N	CA00235205	B	SFY2010-11
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2010-09-14 00:00:00	070007570	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-23 00:00:00	2008-05-23 00:00:00	Yes	2012-11-30 00:00:00	2012-11-15 00:00:00	A	B	18500	16000	0	16000	0	None	3NYO11	N	CA00228960	B	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-10-11 00:00:00	070007613	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-29 00:00:00	2010-07-29 00:00:00	No	2010-11-01 00:00:00	None	B	None	800	800	-280	520	0	None	O81S11	N	CA00238961	B	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-02 00:00:00	070007684	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-13 00:00:00	2010-09-13 00:00:00	No	2010-11-24 00:00:00	None	B	None	900	900	-315	585	0	None	85PX11	N	CA00244688	B	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-11-03 00:00:00	070007685	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-07 00:00:00	2010-10-07 00:00:00	No	2010-11-29 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	OWYB11	N	CA00245386, CA00245840	B, B	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-03-25 00:00:00	070007990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-28 00:00:00	2011-01-28 00:00:00	No	2011-04-18 00:00:00	None	B	None	800	800	-280	520	0	None	S0ML11	N	CA00257537, CA00259191	B, B	SFY2010-11
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2011-06-09 00:00:00	070008280	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-02 00:00:00	2011-05-02 00:00:00	No	2011-06-30 00:00:00	None	B	None	600	600	-210	390	0	None	KEK111	N	CA00269865	B	SFY2010-11
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2012-02-15 00:00:00	070009012	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-18 00:00:00	2012-01-18 00:00:00	No	2012-03-08 00:00:00	None	B	None	700	700	-245	455	0	None	3QHW11	N	CA00294615	B	SFY2011-12
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-04-30 00:00:00	070010621	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-18 00:00:00	2014-03-18 00:00:00	No	2014-05-21 00:00:00	None	B	None	1400	2250	-490	1760	0	None	6IDK11	N	CA00391855	C	SFY2013-14
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2014-09-04 00:00:00	070010981	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-20 00:00:00	2014-08-20 00:00:00	No	2014-09-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	SRLB11	N	CA00410150	B	SFY2014-15
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-04-20 00:00:00	070012195	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-04 00:00:00	2016-04-04 00:00:00	No	2016-05-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	SO8W11	N	CA00483320	B	SFY2015-16
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2016-05-16 00:00:00	070012253	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-19 00:00:00	2016-04-19 00:00:00	Yes	2016-06-07 00:00:00	2016-05-26 00:00:00	B	B	2000	1400	0	1400	0	None	1CCP11	N	CA00486341	B	SFY2015-16
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-14 00:00:00	070013341	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-19 00:00:00	2017-06-19 00:00:00	No	2017-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	T04O11	N	CA00540816, CA00540974	B, B	SFY2017-18
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-14 00:00:00	070013342	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-06-19 00:00:00	2017-06-19 00:00:00	No	2017-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	T04O11	N	CA00540816, CA00540974	B, B	SFY2017-18
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-18 00:00:00	070013346	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-14 00:00:00	2017-06-14 00:00:00	No	2017-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KQXF11	N	CA00540779	B	SFY2017-18
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-09 00:00:00	070013421	Closed	Citation	Citation B (HSC 1424)	Other	UNUSUAL OCCURRENCES	2017-07-23 00:00:00	2017-07-23 00:00:00	No	2017-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	UZ4Q11	N	CA00546169	B	SFY2017-18
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2017-08-30 00:00:00	070013465	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-21 00:00:00	2017-05-21 00:00:00	No	2017-09-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VL6R11	N	None	None	SFY2017-18
070000035	PACIFIC COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-04-03 00:00:00	070013954	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-08 00:00:00	2018-03-08 00:00:00	No	2018-04-24 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	OGTR11	N	CA00577402, CA00577798	B, B	SFY2017-18
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-04-18 00:00:00	070013999	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-04-02 00:00:00	2018-04-02 00:00:00	No	2018-05-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	OKHN11	N	None	None	SFY2017-18
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2018-06-13 00:00:00	070014143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-29 00:00:00	2018-04-29 00:00:00	No	2018-07-05 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	BD5811	N	CA00588915	B	SFY2017-18
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-12-07 00:00:00	070014498	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2018-08-20 00:00:00	2018-08-20 00:00:00	Yes	2018-12-31 00:00:00	2018-12-14 00:00:00	AA	AA	100000	75000	0	75000	0	None	73IM11	Y	CA00603886	B	SFY2018-19
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2019-01-24 00:00:00	070014727	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-22 00:00:00	2018-10-22 00:00:00	No	2019-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JP2W11	N	CA00610378	B	SFY2018-19
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-26 00:00:00	070015740	Closed	Citation	Citation B (HSC 1424)	Administration	None	2020-01-13 00:00:00	2020-01-13 00:00:00	Yes	2020-03-18 00:00:00	2020-03-09 00:00:00	B	B	2000	1400	0	1400	0	None	YPLM11	N	CA00671175	B	SFY2019-20
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-26 00:00:00	070015758	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-01-13 00:00:00	2020-01-13 00:00:00	Yes	2020-03-18 00:00:00	2020-03-09 00:00:00	B	B	2000	1400	0	1400	0	None	YPLM11	N	CA00671175	B	SFY2019-20
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-17 00:00:00	070015798	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-12-17 00:00:00	2019-12-17 00:00:00	No	2020-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PSGQ11	N	None	None	SFY2019-20
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-17 00:00:00	070015811	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-12-19 00:00:00	2019-12-19 00:00:00	No	2020-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PSGQ11	N	None	None	SFY2019-20
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-23 00:00:00	070015812	Closed	Citation	Citation B (HSC 1424)	Other	Preparation for Safe DC	2020-03-06 00:00:00	2020-03-06 00:00:00	No	2020-04-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	LCPY11	N	CA00680089, CA00680352	A, A	SFY2019-20
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-03-23 00:00:00	070015822	Closed	Citation	Citation B (HSC 1424)	Other	Preparation for Safe DC	2020-02-16 00:00:00	2020-02-16 00:00:00	No	2020-04-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	7K2T11	N	CA00680362	A	SFY2019-20
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2020-08-27 00:00:00	070016000	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-08-13 00:00:00	2020-08-13 00:00:00	No	2020-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	VP2011	N	None	None	SFY2020-21
070000048	PACIFIC HILLS MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2021-07-27 00:00:00	070016764	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-04 00:00:00	2021-04-04 00:00:00	No	2021-08-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	PTWQ11	N	None	None	SFY2021-22
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2024-04-12 00:00:00	070019891	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-16 00:00:00	2023-04-16 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	3000	0	3000	0	None	OSVO11	N	CA00836768	B	SFY2023-24
070000049	PACIFIC COAST MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2024-06-07 00:00:00	070020198	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-05-08 00:00:00	2024-05-08 00:00:00	No	2024-06-28 00:00:00	None	B	None	3000	3000	0	0	3000	None	Y73411	N	CA00898501, CA00898979	B, B	SFY2023-24
080000283	PALOMAR CONTINUING CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2000-10-06 00:00:00	080002769	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE & RIGHT	2000-09-16 00:00:00	None	No	2000-10-31 00:00:00	None	B	None	900	900	-315	585	0	080022149	A99999	N	None	None	SFY2000-01
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-01-03 00:00:00	080002807	Closed	Citation	Citation AA (HSC 1424)	Other	ADMIN & PATIENT CARE	2001-10-13 00:00:00	None	Yes	2002-01-30 00:00:00	2002-01-10 00:00:00	AA	AA	95000	52250	0	52250	0	080023590	A99999	Y	None	None	SFY2001-02
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-03-04 00:00:00	080002815	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-11-21 00:00:00	2001-11-21 00:00:00	Yes	2002-03-26 00:00:00	2002-03-11 00:00:00	A	B	19000	15000	0	15000	0	080023816	A99999	N	None	None	SFY2001-02
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-12 00:00:00	080002830	Closed	Citation	Citation B (HSC 1424)	Other	PATIENTS CARE/RIGHTS	2002-07-02 00:00:00	2002-07-02 00:00:00	Yes	2002-10-03 00:00:00	2002-09-18 00:00:00	B	None	1000	1000	0	1000	0	080024512	A99999	N	None	None	SFY2002-03
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2002-11-22 00:00:00	080002832	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-11 00:00:00	2002-10-11 00:00:00	No	2002-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	080025003	A99999	N	None	None	SFY2002-03
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-01-21 00:00:00	080002834	Closed	Citation	Citation B (HSC 1424)	Other	RIGHTS/NURSING SVCS	2002-11-14 00:00:00	2002-11-14 00:00:00	Yes	2003-05-27 00:00:00	2003-05-07 00:00:00	B	B	1000	1000	0	1000	0	080025152	A99999	N	None	None	SFY2002-03
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2004-03-26 00:00:00	080002852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-23 00:00:00	2004-02-23 00:00:00	Yes	2004-04-21 00:00:00	2004-04-05 00:00:00	B	B	900	1000	0	1000	0	080026897	A99999	N	None	None	SFY2003-04
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2004-07-07 00:00:00	080002857	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FAC. SELF RPT.	2004-06-04 00:00:00	2004-06-04 00:00:00	No	2004-08-03 00:00:00	None	B	None	900	900	-315	585	0	080027106	A99999	N	None	None	SFY2004-05
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2004-12-30 00:00:00	080002862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-24 00:00:00	2004-11-24 00:00:00	No	2005-01-21 00:00:00	None	B	None	1000	1000	-350	650	0	080027482	A99999	N	None	None	SFY2004-05
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-01-24 00:00:00	080002878	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-12-28 00:00:00	2005-12-28 00:00:00	No	2006-02-22 00:00:00	None	B	None	1000	1000	-350	650	0	080027730	A99999	N	None	None	SFY2005-06
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2006-02-03 00:00:00	080002879	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-01-11 00:00:00	None	Yes	2006-03-02 00:00:00	2006-02-15 00:00:00	AA	AA	100000	50000	0	50000	0	080027731	A99999	Y	None	None	SFY2005-06
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-08-10 00:00:00	080003264	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-15 00:00:00	2006-05-15 00:00:00	No	2006-08-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	BEZM11	N	CA00080719	B	SFY2006-07
080000283	PALOMAR CONTINUING CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2007-04-13 00:00:00	080003894	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-08-11 00:00:00	2004-08-11 00:00:00	Yes	2007-05-04 00:00:00	2007-04-20 00:00:00	A	B	20000	5000	0	5000	0	None	2TQ11	N	CA00052366	B	SFY2006-07
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-04-20 00:00:00	080003908	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-21 00:00:00	2007-03-21 00:00:00	No	2007-05-15 00:00:00	None	B	None	900	900	-315	585	0	None	ZCEL11	N	CA00107320	C	SFY2006-07
080000283	PALOMAR CONTINUING CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2007-11-15 00:00:00	080004442	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-09-25 00:00:00	2007-09-25 00:00:00	Yes	2007-12-10 00:00:00	2007-11-29 00:00:00	A	A	16000	8500	0	8500	0	None	NDR911	N	CA00128538	C	SFY2007-08
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-01-31 00:00:00	080004630	Closed	Citation	Citation AA (HSC 1424)	Other	Supervision	2007-11-26 00:00:00	2007-11-26 00:00:00	Yes	2008-02-27 00:00:00	2008-02-04 00:00:00	AA	A	100000	95000	0	95000	0	None	SQOZ11	Y	CA00132860	A	SFY2007-08
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-06-18 00:00:00	080005161	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-27 00:00:00	2008-05-27 00:00:00	No	2008-07-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	PLG111	N	CA00151967	A	SFY2007-08
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-04-29 00:00:00	080006135	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-03-23 00:00:00	2009-03-23 00:00:00	No	2009-05-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	597T11	N	CA00182650	A	SFY2008-09
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-07-06 00:00:00	080006349	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-09 00:00:00	2009-05-09 00:00:00	No	2009-07-27 00:00:00	None	B	None	1000	1000	0	1000	0	None	67D511	N	CA00187931	H	SFY2009-10
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-07-09 00:00:00	080006380	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-21 00:00:00	2008-12-21 00:00:00	No	2009-08-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	6IKT11	N	CA00190499	C	SFY2009-10
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-07-29 00:00:00	080006423	Closed	Citation	Citation A (HSC 1424)	Medication	None	2009-03-12 00:00:00	2009-03-12 00:00:00	Yes	2009-08-20 00:00:00	2009-08-12 00:00:00	A	A	16000	16000	0	16000	0	None	TS2L11	N	CA00188615	C	SFY2009-10
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-13 00:00:00	080006706	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2009-10-24 00:00:00	2009-10-24 00:00:00	Yes	2009-12-09 00:00:00	2009-11-30 00:00:00	B	B	1000	750	0	750	0	None	V0Y711	N	CA00206231	C	SFY2009-10
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-11-13 00:00:00	080006714	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2009-10-24 00:00:00	2009-10-24 00:00:00	No	2009-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	IBDJ11	N	CA00206233	C	SFY2009-10
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2010-02-05 00:00:00	080006972	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-11-27 00:00:00	2009-11-27 00:00:00	No	2010-03-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	NLT311	N	CA00209752	H	SFY2009-10
080000283	PALOMAR CONTINUING CARE CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2010-10-07 00:00:00	080007615	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-27 00:00:00	2010-08-27 00:00:00	No	2010-10-29 00:00:00	None	A	None	15000	15400	-5250	10150	0	None	WZ5011	N	CA00240878	B	SFY2010-11
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2013-02-01 00:00:00	080009727	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-05-30 00:00:00	2012-05-30 00:00:00	No	2013-02-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KKDZ11	N	CA00313908	B	SFY2012-13
080000012	POWAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2013-10-02 00:00:00	080010173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-04 00:00:00	2013-09-04 00:00:00	No	2013-10-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GFKW11	N	CA00352776	B	SFY2013-14
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-07-14 00:00:00	080011611	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-05-14 00:00:00	2015-05-14 00:00:00	No	2015-08-04 00:00:00	None	B	None	2000	2400	0	2400	0	None	J1YP11	N	None	None	SFY2015-16
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2017-01-19 00:00:00	080012896	Closed	Citation	Citation A (HSC 1424)	Medication	None	2016-08-26 00:00:00	2016-08-26 00:00:00	No	2017-02-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8TK911	N	CA00501920	B	SFY2016-17
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2017-12-05 00:00:00	080013660	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-04 00:00:00	2017-06-04 00:00:00	No	2017-12-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	50BH11	Y	CA00539510, CA00539510	B, B	SFY2017-18
090000140	PRYOR STREET GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2001-09-27 00:00:00	090002778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-26 00:00:00	2001-08-26 00:00:00	No	2001-10-19 00:00:00	None	B	None	600	600	-210	390	0	090023278	A99999	N	None	None	SFY2001-02
090000010	PARADISE VALLEY HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2002-03-14 00:00:00	090002799	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-02-19 00:00:00	2002-02-19 00:00:00	No	2002-04-05 00:00:00	None	B	None	850	850	-297.5	552.5	0	090023749	A99999	N	None	None	SFY2001-02
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2003-02-20 00:00:00	090002826	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-14 00:00:00	None	No	2003-03-13 00:00:00	None	B	None	700	700	-245	455	0	090024836	A99999	N	None	None	SFY2002-03
090001571	PINE DRIVE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-05-27 00:00:00	090002838	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-12 00:00:00	2004-04-12 00:00:00	No	2004-06-18 00:00:00	None	B	None	1000	1000	-350	650	0	090026771	A99999	N	None	None	SFY2003-04
090000140	PRYOR STREET GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-04-12 00:00:00	090003025	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-03 00:00:00	2006-03-03 00:00:00	No	2006-05-03 00:00:00	None	B	None	900	900	-315	585	0	None	CZ2B11	N	CA00073997	B	SFY2005-06
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-12-20 00:00:00	090004525	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-04 00:00:00	2007-10-04 00:00:00	No	2008-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	L2U611	N	CA00129715	B	SFY2007-08
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2008-09-24 00:00:00	090005462	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-04 00:00:00	2008-07-04 00:00:00	No	2008-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	NDZQ11	N	None	None	SFY2008-09
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-01-07 00:00:00	090007821	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-23 00:00:00	2009-12-23 00:00:00	No	2011-01-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	WNGI11	N	CA00220117	C	SFY2010-11
090001571	PINE DRIVE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2011-02-14 00:00:00	090007931	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-01 00:00:00	2010-09-01 00:00:00	No	2011-03-08 00:00:00	None	B	None	500	500	-175	325	0	None	RN8C11	N	CA00241518	C	SFY2010-11
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2011-07-26 00:00:00	090008398	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-02 00:00:00	2011-02-02 00:00:00	No	2011-08-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	6RCD11	N	CA00257297	C	SFY2011-12
090000140	PRYOR STREET GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2013-03-22 00:00:00	090009796	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-02-06 00:00:00	2013-02-06 00:00:00	No	2013-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	11CJ11	N	CA00342723	B	SFY2012-13
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2015-02-27 00:00:00	090011283	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-02-22 00:00:00	2014-02-22 00:00:00	No	2015-03-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WQOZ11	N	CA00388961	C	SFY2014-15
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2017-08-16 00:00:00	090013030	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-17 00:00:00	2016-05-17 00:00:00	No	2017-09-07 00:00:00	None	A	None	6000	6000	0	6000	0	None	LM5Y11	Y	CA00488668, CA00488668, CA00488668, CA00488668	A, A, A, A	SFY2017-18
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-03-29 00:00:00	100002006	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-17 00:00:00	None	No	2000-04-26 00:00:00	None	A	None	8000	8000	-2800	5200	0	100013996	A99999	N	None	None	SFY1999-00
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-03-29 00:00:00	100002007	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT ABUSE	2000-03-02 00:00:00	None	No	2000-04-19 00:00:00	None	B	None	900	900	0	900	0	100013997	A99999	N	None	None	SFY1999-00
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-10-25 00:00:00	100002040	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-04 00:00:00	None	No	2000-11-15 00:00:00	None	A	None	8000	8000	-2800	5200	0	100014665	A99999	N	None	None	SFY2000-01
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-04-12 00:00:00	100002155	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-30 00:00:00	None	No	2002-05-03 00:00:00	None	B	None	800	800	-280	520	0	100016451	A99999	N	None	None	SFY2001-02
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-05-14 00:00:00	100002160	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-25 00:00:00	None	No	2002-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	100016518	A99999	N	None	None	SFY2001-02
100000201	PRESIDENT JOHN ADAMS MANOR III - FALCONER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2003-04-15 00:00:00	100002214	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-04 00:00:00	None	Yes	2003-06-09 00:00:00	2003-05-14 00:00:00	B	B	500	500	0	500	0	100017768	A99999	N	None	None	SFY2002-03
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-22 00:00:00	100002229	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-14 00:00:00	None	No	2003-09-22 00:00:00	None	B	None	800	800	-280	520	0	100018102	A99999	N	None	None	SFY2003-04
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-04-28 00:00:00	100002261	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-02-10 00:00:00	None	No	2004-05-24 00:00:00	None	A	None	18000	18000	-6300	11700	0	100018973	A99999	N	None	None	SFY2003-04
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-10-21 00:00:00	100002274	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-27 00:00:00	None	No	2004-11-12 00:00:00	None	B	None	500	500	-175	325	0	100019610	A99999	N	None	None	SFY2004-05
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-06-25 00:00:00	100015195	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-07-08 00:00:00	2018-07-08 00:00:00	No	2019-07-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1SF111	N	CA00594013, CA00594606	B, B	SFY2018-19
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2020-01-29 00:00:00	100015716	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-11-30 00:00:00	2019-11-30 00:00:00	No	2020-02-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MDAV11	N	CA00665823	B	SFY2019-20
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2021-05-24 00:00:00	100016538	Open	Citation	Citation A (HSC 1424)	Other	ABUSE POLICY	2020-01-13 00:00:00	2020-01-13 00:00:00	Yes	2021-06-15 00:00:00	2021-06-07 00:00:00	A	None	16000	16000	0	0	16000	None	LXYP11	N	CA00671254	A	SFY2020-21
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-01-24 00:00:00	100018347	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-26 00:00:00	2022-01-26 00:00:00	No	2023-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M16611	N	CA00770723, CA00770982	A, B	SFY2022-23
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2023-07-14 00:00:00	100018951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-10-29 00:00:00	2022-10-29 00:00:00	No	2023-08-04 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DI0T11	N	CA00838299	B	SFY2023-24
080000066	PALOMAR HEIGHTS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-10-26 00:00:00	100019298	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-01-27 00:00:00	2022-01-27 00:00:00	No	2023-11-17 00:00:00	None	B	None	1200	1200	-420	780	0	None	T25L11	N	CA00771168	B	SFY2023-24
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-21 00:00:00	100019888	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-31 00:00:00	2024-01-31 00:00:00	No	2024-04-12 00:00:00	None	A	None	20000	20000	0	20000	0	None	I6O311	N	CA00885029	B	SFY2023-24
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-21 00:00:00	100019889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-07 00:00:00	2023-11-07 00:00:00	No	2024-04-12 00:00:00	None	B	None	800	800	0	800	0	None	I6O311	N	None	None	SFY2023-24
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-08-31 00:00:00	110003228	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-05-19 00:00:00	2005-05-19 00:00:00	Yes	2012-01-19 00:00:00	2012-01-05 00:00:00	A	A	18000	7800	-300	7500	0	None	HBLE11	N	CA00052147	A	SFY2006-07
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-11-28 00:00:00	110003248	Closed	Citation	Citation A (HSC 1424)	Other	C, PE	2006-07-19 00:00:00	2006-07-19 00:00:00	Yes	2006-12-19 00:00:00	2006-11-29 00:00:00	A	A	16000	7500	0	7500	0	None	C6NX11	N	CA00087741	A	SFY2006-07
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-05-31 00:00:00	110003474	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-09-05 00:00:00	2006-09-05 00:00:00	No	2007-06-22 00:00:00	None	B	None	800	800	0	800	0	None	G96R11	N	CA00092849	A	SFY2006-07
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-01 00:00:00	110003532	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-28 00:00:00	2005-09-28 00:00:00	Yes	2013-11-01 00:00:00	2006-12-16 00:00:00	B	B	1000	1000	0	1000	0	None	KFCZ11	N	CA00062339	A	SFY2006-07
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-04-26 00:00:00	110003545	Closed	Citation	Citation A (HSC 1424)	Other	A, C, P	2006-11-11 00:00:00	2006-11-11 00:00:00	Yes	2007-05-17 00:00:00	2007-05-01 00:00:00	A	A	18000	8000	0	8000	0	None	EG7C11	N	CA00098370	C	SFY2006-07
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-03 00:00:00	110003577	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-02 00:00:00	2005-11-02 00:00:00	No	2007-01-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	KNUQ11	N	CA00064908	B	SFY2006-07
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-09-11 00:00:00	110003712	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-19 00:00:00	2007-01-19 00:00:00	Yes	2007-10-02 00:00:00	2007-09-20 00:00:00	A	A	18000	9000	0	9000	0	None	88BI11	N	CA00104337	B	SFY2007-08
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-14 00:00:00	110003801	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-08-23 00:00:00	2006-08-23 00:00:00	No	2007-04-04 00:00:00	None	B	None	1000	1000	-1000	0	0	None	23SV11	N	None	None	SFY2006-07
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-07 00:00:00	110003881	Closed	Citation	Citation A (HSC 1424)	Other	Medication, Patient Care	2006-10-05 00:00:00	2006-10-05 00:00:00	Yes	2011-08-29 00:00:00	2011-08-04 00:00:00	A	A	20000	11370	-2300	9070	0	None	8LY011	N	CA00096963	B	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-14 00:00:00	110004132	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-09-07 00:00:00	2006-09-07 00:00:00	Yes	2007-09-05 00:00:00	2007-08-21 00:00:00	A	A	18000	8000	0	8000	0	None	TEYZ11	N	CA00067567	B	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-08-14 00:00:00	110004139	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-09-07 00:00:00	2006-09-07 00:00:00	Yes	2007-09-05 00:00:00	2007-08-21 00:00:00	A	A	18000	8000	0	8000	0	None	TEYZ11	N	CA00067567	B	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-09-11 00:00:00	110004228	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-17 00:00:00	2007-01-17 00:00:00	Yes	2007-10-02 00:00:00	2007-09-20 00:00:00	B	B	1000	500	0	500	0	None	88BI11	N	CA00104337	B	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-09-11 00:00:00	110004229	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-01-17 00:00:00	2007-01-17 00:00:00	Yes	2007-10-02 00:00:00	2007-09-20 00:00:00	B	B	1000	500	0	500	0	None	88BI11	N	CA00104337	B	SFY2007-08
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-03 00:00:00	110004236	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-02-04 00:00:00	2007-02-04 00:00:00	No	2008-06-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	RMMQ11	N	CA00105691	A	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-14 00:00:00	110004372	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-23 00:00:00	2007-05-23 00:00:00	No	2008-03-17 00:00:00	None	A	None	18000	18000	0	18000	0	None	3G8611	N	CA00119287	C	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-03 00:00:00	110004509	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-25 00:00:00	2007-06-25 00:00:00	No	2008-07-01 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	77WD11	N	CA00130724, CA00130724	B, B	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-10 00:00:00	110004573	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2008-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	8BY811	N	CA00114409	A	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-29 00:00:00	110004622	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-03 00:00:00	2007-02-03 00:00:00	No	2008-02-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	JIUU11	N	CA00119315	A	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-06 00:00:00	110004624	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-08 00:00:00	2007-06-08 00:00:00	Yes	2008-03-03 00:00:00	2008-02-15 00:00:00	A	A	20000	10000	0	10000	0	None	ITIO11	N	None	None	SFY2007-08
010000431	PETALUMA ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2008-03-27 00:00:00	110004658	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-28 00:00:00	2008-01-28 00:00:00	Yes	2011-12-15 00:00:00	2008-03-28 00:00:00	A	A	6000	6000	0	6000	0	None	CP0311	N	CA00139358	A	SFY2007-08
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-07 00:00:00	110004667	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-10-05 00:00:00	2006-10-05 00:00:00	Yes	2011-08-29 00:00:00	2011-08-04 00:00:00	A	A	20000	9070	0	9070	0	None	8LY011	N	CA00096963	B	SFY2007-08
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-07 00:00:00	110004670	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-10-05 00:00:00	2006-10-05 00:00:00	Yes	2011-08-29 00:00:00	2011-08-04 00:00:00	A	A	20000	9070	0	9070	0	None	8LY011	N	CA00096963	B	SFY2007-08
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-05 00:00:00	110004674	Closed	Citation	Citation B (HSC 1424)	Other	Patient Care, Medication	2007-12-27 00:00:00	2007-12-27 00:00:00	No	2008-07-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	72Q411	N	CA00137247	B	SFY2007-08
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-05 00:00:00	110004832	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-09-14 00:00:00	2006-09-14 00:00:00	No	2008-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	P8BL11	N	CA00140868	B	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-09 00:00:00	110004861	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-02 00:00:00	2007-05-02 00:00:00	Yes	2008-05-01 00:00:00	2008-04-09 00:00:00	A	A	20000	10000	0	10000	0	None	ITI011	N	None	None	SFY2007-08
010000061	PALM DRIVE NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-18 00:00:00	110004943	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-12-10 00:00:00	2007-12-10 00:00:00	Yes	2008-05-09 00:00:00	2008-04-22 00:00:00	B	B Trebled	1000	1500	0	1500	0	None	WCTQ11	N	CA00134629	A	SFY2007-08
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-05 00:00:00	110004980	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-09-14 00:00:00	2006-09-14 00:00:00	No	2008-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	P8BL11	N	CA00140868	B	SFY2007-08
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-08-01 00:00:00	110005173	Closed	Citation	Citation A (HSC 1424)	Other	medication, patient care	2007-03-18 00:00:00	2007-03-18 00:00:00	Yes	2012-01-19 00:00:00	2008-08-13 00:00:00	A	A	20000	20050	0	20050	0	None	1ZNC11	N	CA00111244	B	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-17 00:00:00	110005240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-11-22 00:00:00	2007-11-22 00:00:00	No	2009-04-14 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	5WFG11	Y	CA00137558, CA00155047	B, B	SFY2008-09
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-09-01 00:00:00	110005332	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-29 00:00:00	2008-07-29 00:00:00	Yes	2011-11-18 00:00:00	2011-10-27 00:00:00	A	A	18000	11700	0	11700	0	None	Y1FN11	N	CA00158675	B	SFY2009-10
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-15 00:00:00	110005346	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-09 00:00:00	2008-03-09 00:00:00	No	2008-11-05 00:00:00	None	B	None	800	800	-280	520	0	None	2TBN11	N	CA00144083	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-03 00:00:00	110005560	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-16 00:00:00	2007-09-16 00:00:00	No	2008-12-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	QHEF11	N	CA00126677	A	SFY2008-09
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-26 00:00:00	110005621	Closed	Citation	Citation A (HSC 1424)	Other	Patient Care/Medication	2008-09-14 00:00:00	2008-09-14 00:00:00	No	2008-12-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	XHWE11	N	CA00163601, CA00163904	B, B	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-01 00:00:00	110005909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-20 00:00:00	2008-03-20 00:00:00	No	2009-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZTF511	N	CA00144559	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-11 00:00:00	110005916	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2008-12-02 00:00:00	2008-12-02 00:00:00	No	2009-04-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	OEWH11	N	CA00171852	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-02 00:00:00	110006030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-16 00:00:00	2008-06-16 00:00:00	No	2009-04-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	LV7411	N	CA00153952	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-12 00:00:00	110006049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-17 00:00:00	2009-03-17 00:00:00	No	2009-06-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	VVHR11	N	CA00183630	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-20 00:00:00	110006050	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-03-17 00:00:00	2009-03-17 00:00:00	Yes	2009-06-16 00:00:00	2009-05-26 00:00:00	A	None	20000	20000	0	20000	0	None	KJHS11	N	CA00183663	A	SFY2008-09
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-30 00:00:00	110006145	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-09 00:00:00	2007-09-09 00:00:00	No	2009-05-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	KNUL11	N	CA00169960	B	SFY2008-09
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-12-18 00:00:00	110006189	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-07-01 00:00:00	2008-07-01 00:00:00	Yes	2010-01-12 00:00:00	2010-01-06 00:00:00	A	None	18000	18000	0	18000	0	None	UQ2711	N	CA00155750	B	SFY2009-10
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-11-23 00:00:00	110006248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-30 00:00:00	2009-04-30 00:00:00	Yes	2009-12-16 00:00:00	2009-12-04 00:00:00	B	B	1000	650	0	650	0	None	7L9I11	N	CA00187569	B	SFY2009-10
010000782	PARADISE HOME DONCASTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-07-29 00:00:00	110006400	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-14 00:00:00	2008-10-14 00:00:00	No	2009-08-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	WBGO11	N	CA00166314	A	SFY2009-10
010001143	PARADISE VALLEY ICF DDH, INC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-09-28 00:00:00	110006407	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-15 00:00:00	2009-02-15 00:00:00	No	2009-10-22 00:00:00	None	A	None	10000	10950	-3500	7450	0	None	G45311	N	CA00178003, CA00178609	B, B	SFY2009-10
010000051	PACIFIC REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-03-17 00:00:00	110006550	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-23 00:00:00	2009-08-23 00:00:00	Yes	2010-04-08 00:00:00	2010-03-23 00:00:00	B	B	1000	500	0	500	0	None	WYXG11	N	CA00199695	C	SFY2009-10
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-15 00:00:00	110006594	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-21 00:00:00	2009-07-21 00:00:00	No	2010-05-10 00:00:00	None	B	None	800	800	-280	520	0	None	D3SW11	N	CA00196134	B	SFY2009-10
010000431	PETALUMA ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-04-16 00:00:00	110006647	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-10 00:00:00	2009-10-10 00:00:00	No	2010-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	IG9311	N	CA00205463	A	SFY2009-10
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-20 00:00:00	110006754	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-08-30 00:00:00	2009-08-30 00:00:00	No	2010-11-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	R48611	N	CA00200508	C	SFY2010-11
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-14 00:00:00	110006901	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-25 00:00:00	2009-08-25 00:00:00	Yes	2010-05-07 00:00:00	2010-04-14 00:00:00	B	B	1000	650	0	650	0	None	FWIZ11	N	CA00199628	C	SFY2009-10
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-01-19 00:00:00	110006944	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-16 00:00:00	2009-11-16 00:00:00	Yes	2011-02-09 00:00:00	2011-01-19 00:00:00	B	B	1000	650	0	650	0	None	INZV11	N	CA00208327	B	SFY2010-11
010000431	PETALUMA ICF/DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-04-16 00:00:00	110007029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-10-10 00:00:00	2009-10-10 00:00:00	No	2010-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	IG9311	N	CA00205463	A	SFY2009-10
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-12-16 00:00:00	110007111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-26 00:00:00	2009-11-26 00:00:00	Yes	2012-01-10 00:00:00	2011-12-20 00:00:00	B	B	1000	1145	-300	845	0	None	TW0511	N	CA00209610	A	SFY2011-12
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-14 00:00:00	110007123	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-25 00:00:00	2009-08-25 00:00:00	Yes	2010-05-07 00:00:00	2010-04-14 00:00:00	B	B	1000	650	0	650	0	None	FWIZ11	N	CA00199628	C	SFY2009-10
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-07-05 00:00:00	110007292	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-31 00:00:00	2010-05-31 00:00:00	No	2012-07-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	LZC611	N	CA00231079	A	SFY2012-13
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-12-23 00:00:00	110007506	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-02 00:00:00	2009-09-02 00:00:00	Yes	2011-01-13 00:00:00	2010-12-29 00:00:00	B	B	1000	650	0	650	0	None	W75U11	N	CA00200836	B	SFY2010-11
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-09-21 00:00:00	110007508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-09 00:00:00	2010-03-09 00:00:00	Yes	2010-10-12 00:00:00	2010-09-21 00:00:00	B	B	1000	650	0	650	0	None	V47W11	N	CA00220597, CA00230968, CA00231940	B, B, B	SFY2010-11
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-10-20 00:00:00	110007585	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-12 00:00:00	2009-07-12 00:00:00	No	2010-11-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	NWPI11	N	CA00200212	C	SFY2010-11
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-10-19 00:00:00	110007586	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-15 00:00:00	2010-08-15 00:00:00	Yes	2012-11-09 00:00:00	2012-10-25 00:00:00	A	A	20000	12000	0	12000	0	None	HWSE11	N	CA00240708	B	SFY2012-13
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-09-04 00:00:00	110007663	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-20 00:00:00	2010-09-20 00:00:00	No	2012-09-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	NIDL11	N	CA00244624	B	SFY2012-13
010000643	PATHWAYS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2011-04-22 00:00:00	110008070	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-03-07 00:00:00	2011-03-07 00:00:00	No	2011-05-13 00:00:00	None	B	None	1000	1350	-350	1000	0	None	WZVO11	N	None	None	SFY2010-11
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-01-03 00:00:00	110008387	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-27 00:00:00	2011-01-27 00:00:00	No	2014-01-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	IPNM11	N	CA00256178	B	SFY2013-14
010000052	PETALUMA POST-ACUTE REHAB	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-12-07 00:00:00	110008712	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2011-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	66IN11	N	None	None	SFY2011-12
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-03-14 00:00:00	110009098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-18 00:00:00	2010-12-18 00:00:00	No	2012-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	VLCF11	Y	None	None	SFY2011-12
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-11-20 00:00:00	110009357	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-16 00:00:00	2012-04-16 00:00:00	No	2012-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	UP8T11	N	None	None	SFY2012-13
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-12-04 00:00:00	110009582	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-10-12 00:00:00	2012-10-12 00:00:00	No	2012-12-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	9ETU11	N	CA00331179	H	SFY2012-13
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-12-30 00:00:00	110009715	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-12-15 00:00:00	2012-12-15 00:00:00	No	2014-01-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2Z5J11	N	CA00336364	B	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-04-01 00:00:00	110009966	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-02 00:00:00	2013-04-02 00:00:00	Yes	2014-04-22 00:00:00	2014-04-16 00:00:00	A	A	20000	7000	0	7000	0	None	LMNO11	N	None	None	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-04-01 00:00:00	110009967	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-05-03 00:00:00	2013-05-03 00:00:00	Yes	2014-04-22 00:00:00	2014-04-16 00:00:00	A	A	20000	7000	0	7000	0	None	LMNO11	N	CA00353315	B	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-04-01 00:00:00	110009983	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-04-29 00:00:00	2013-04-29 00:00:00	Yes	2014-04-22 00:00:00	2014-04-16 00:00:00	A	A	20000	6000	0	6000	0	None	LMNO11	N	None	None	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-03-25 00:00:00	110010548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-03-07 00:00:00	2014-03-07 00:00:00	No	2014-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	IW5W11	N	None	None	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-03-27 00:00:00	110010572	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-01-15 00:00:00	2012-01-15 00:00:00	No	2014-04-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W7PB11	N	CA00296252	B	SFY2013-14
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-10-15 00:00:00	110011062	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-11-23 00:00:00	2013-11-23 00:00:00	Yes	2014-11-05 00:00:00	2014-11-04 00:00:00	A	A	18000	8750	-1750	7000	0	None	0FLK11	N	CA00378243	B	SFY2014-15
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-08 00:00:00	110011954	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-08 00:00:00	2014-07-08 00:00:00	Yes	2016-03-29 00:00:00	2016-03-22 00:00:00	A	A	20000	15000	0	15000	0	None	2YDK11	N	CA00404802, CA00407096	B, A	SFY2015-16
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-08 00:00:00	110011956	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-06-23 00:00:00	2014-06-23 00:00:00	Yes	2016-03-29 00:00:00	2016-03-22 00:00:00	A	A	20000	15000	0	15000	0	None	2YDK11	N	CA00406254, CA00407666	B, B	SFY2015-16
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-03-30 00:00:00	110012028	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-10-22 00:00:00	2015-10-22 00:00:00	No	2016-04-21 00:00:00	None	A	None	20000	20000	0	20000	0	None	QKN411	N	CA00463071	B	SFY2015-16
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-09-16 00:00:00	110012316	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-07-07 00:00:00	2015-07-07 00:00:00	No	2016-10-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X36711	N	CA00451724	B	SFY2016-17
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-08-17 00:00:00	110012502	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-06 00:00:00	2015-02-06 00:00:00	No	2016-09-08 00:00:00	None	B	None	2000	2250	-700	1550	0	None	LSSS11	N	CA00430534	B	SFY2016-17
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-01-31 00:00:00	110012609	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-19 00:00:00	2015-07-19 00:00:00	No	2017-02-22 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	PCMM11	Y	CA00451719	B	SFY2016-17
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-11-29 00:00:00	110012731	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-18 00:00:00	2014-03-18 00:00:00	No	2016-12-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1G5R11	N	CA00395650	B	SFY2016-17
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-03-13 00:00:00	110012745	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2015-08-06 00:00:00	2015-08-06 00:00:00	No	2020-04-06 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	J15711	N	CA00455113	B	SFY2019-20
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-10-22 00:00:00	110014306	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-04-25 00:00:00	2018-04-25 00:00:00	No	2018-11-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ODJ411	N	None	None	SFY2018-19
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-04-03 00:00:00	110014564	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-06 00:00:00	2018-10-06 00:00:00	No	2019-04-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GY1411	N	CA00606968, CA00606968, CA00607010, CA00607010	A, A, A, A	SFY2018-19
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-05-29 00:00:00	110014895	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-11 00:00:00	2018-08-11 00:00:00	No	2019-06-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	WQKY11	N	CA00602802	B	SFY2018-19
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-05-29 00:00:00	110014932	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-03 00:00:00	2018-08-03 00:00:00	No	2019-06-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Z5SI11	N	CA00599094	B	SFY2018-19
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-07-12 00:00:00	110015192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-08-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	JCIP11	N	CA00636978, CA00636978	B, B	SFY2019-20
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-09-17 00:00:00	110015299	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-13 00:00:00	2018-10-13 00:00:00	No	2019-10-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	40NG11	N	CA00607985	A	SFY2019-20
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-10-10 00:00:00	110015325	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-24 23:59:00	2019-04-24 23:59:00	No	2019-10-31 00:00:00	None	B	None	2000	2000	0	2000	0	None	QCZQ11	N	CA00638989, CA00638989	B, B	SFY2019-20
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-09 00:00:00	110015683	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility Not Report	2019-07-29 00:00:00	2019-07-29 00:00:00	No	2021-07-30 00:00:00	None	A	None	20000	20000	0	20000	0	None	1HI911	N	CA00648105, CA00649914, CA00650584	A, B, A	SFY2021-22
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-02-03 00:00:00	110015725	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-02-21 23:59:00	2019-02-21 23:59:00	No	2021-02-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	4QYE11	N	CA00632415	A	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-15 00:00:00	110016050	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-18 00:00:00	2019-10-18 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HT8U11	N	None	None	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-15 00:00:00	110016051	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-18 00:00:00	2019-10-18 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HT8U11	N	None	None	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-15 00:00:00	110016052	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-17 00:00:00	2019-10-17 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HT8U11	N	None	None	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-15 00:00:00	110016053	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-10-21 00:00:00	2019-10-21 00:00:00	No	2021-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HT8U11	N	None	None	SFY2020-21
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-29 00:00:00	110016072	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-07-29 23:59:00	2020-07-29 23:59:00	No	2021-08-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IOXG11	N	None	None	SFY2021-22
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-02-11 00:00:00	110016082	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-04-25 00:00:00	2020-04-25 00:00:00	No	2021-03-05 00:00:00	None	A	None	20000	20000	0	20000	0	None	W6UJ11	N	CA00686586	C	SFY2020-21
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-21 00:00:00	110017032	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-07-14 00:00:00	2021-07-14 00:00:00	No	2022-04-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EKZR11	N	CA00747683	A	SFY2021-22
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-08-03 00:00:00	110017794	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-05-21 00:00:00	2020-05-21 00:00:00	No	2022-08-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	V03511	N	CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170	B, B, B, B, B, B, B	SFY2022-23
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-08-03 00:00:00	110017795	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-21 00:00:00	2021-10-21 00:00:00	No	2022-08-24 00:00:00	None	B	None	2000	2950	0	2950	0	None	V03511	N	CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170, CA00764170	B, B, B, B, B, B, B, B	SFY2022-23
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-09-16 00:00:00	110017885	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-02-24 00:00:00	2022-02-24 00:00:00	No	2022-10-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UE7211	N	CA00782613	A	SFY2022-23
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-03-06 00:00:00	120001445	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-22 00:00:00	None	Yes	2001-03-27 00:00:00	2001-09-21 00:00:00	A	B	12000	6000	0	6000	0	120014814	A99999	N	None	None	SFY2000-01
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-03-28 00:00:00	120001448	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-22 00:00:00	2000-11-22 00:00:00	Yes	2001-04-26 00:00:00	2001-09-21 00:00:00	A	B	18000	9000	0	9000	0	120014920	A99999	N	None	None	SFY2000-01
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-12-31 00:00:00	120001543	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-12 00:00:00	None	Yes	2002-04-10 00:00:00	2001-12-31 00:00:00	B	B	500	550	0	550	0	120015896	A99999	N	None	None	SFY2001-02
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-09-10 00:00:00	120001559	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-11 00:00:00	None	No	2002-10-09 00:00:00	None	B	None	500	500	-175	325	0	120016324	A99999	N	None	None	SFY2002-03
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-10-06 00:00:00	120001833	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-05 00:00:00	2005-03-05 00:00:00	Yes	2008-02-19 00:00:00	2008-02-22 00:00:00	A	B	10000	3000	0	3000	0	120020931	A99999	N	None	None	SFY2005-06
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-10-06 00:00:00	120001834	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-15 00:00:00	None	Yes	2005-11-09 00:00:00	2005-10-19 00:00:00	B	B	1000	500	0	500	0	120020932	A99999	N	None	None	SFY2005-06
120000530	POSITIVE DIRECTIONS # 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2005-10-14 00:00:00	120001837	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-18 00:00:00	None	No	2005-11-09 00:00:00	None	B	None	500	500	-175	325	0	120020934	A99999	N	None	None	SFY2005-06
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-01-19 00:00:00	120001841	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-07-19 00:00:00	None	Yes	2006-02-10 00:00:00	2006-01-20 00:00:00	B	B	1000	500	0	500	0	120021013	A99999	N	None	None	SFY2005-06
120000503	POSITIVE DIRECTIONS # 2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2006-01-19 00:00:00	120001842	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-06-13 00:00:00	None	No	2006-02-10 00:00:00	None	B	None	300	450	-105	345	0	120021014	A99999	N	None	None	SFY2005-06
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-10-17 00:00:00	120003202	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-18 00:00:00	2005-09-18 00:00:00	Yes	2006-11-07 00:00:00	2009-07-15 00:00:00	A	B	20000	10350	-350	10000	0	None	FOXR11	N	CA00061750	B	SFY2006-07
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-03-27 00:00:00	120004568	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-30 00:00:00	2007-06-30 00:00:00	No	2008-04-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	90QQ11	N	CA00119144	C	SFY2007-08
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-11 00:00:00	120006898	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-13 00:00:00	2009-10-13 00:00:00	Yes	2010-09-07 00:00:00	2010-08-11 00:00:00	B	B	1000	650	0	650	0	None	VYCP11	N	CA00208441	B	SFY2010-11
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-11 00:00:00	120007242	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-03 00:00:00	2010-03-03 00:00:00	Yes	2010-09-07 00:00:00	2010-08-11 00:00:00	B	B	1000	650	0	650	0	None	0I5X11	N	CA00220788	C	SFY2010-11
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-08-11 00:00:00	120007243	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-03-03 00:00:00	2010-03-03 00:00:00	Yes	2010-09-07 00:00:00	2010-08-11 00:00:00	B	B	1000	650	0	650	0	None	0I5X11	N	CA00220788	C	SFY2010-11
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-13 00:00:00	120007889	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-12-11 00:00:00	2010-12-11 00:00:00	No	2011-05-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	8VQK11	N	CA00253107	B	SFY2010-11
120000662	POSITIVE DIRECTIONS, INC. #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2013-12-18 00:00:00	120010126	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-09-06 00:00:00	2012-09-06 00:00:00	No	2014-01-09 00:00:00	None	A	None	8000	8000	0	8000	0	None	0LTF11	N	CA00324825	B	SFY2013-14
120000559	POSITIVE DIRECTIONS #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2014-02-24 00:00:00	120010370	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-07-23 00:00:00	2013-07-23 00:00:00	Yes	2014-03-17 00:00:00	2014-03-03 00:00:00	B	B	1000	1000	0	1000	0	None	JDS511	N	CA00363187	B	SFY2013-14
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-11 00:00:00	120010422	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-05-13 00:00:00	2012-05-13 00:00:00	No	2014-03-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KTS911	N	None	None	SFY2013-14
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-08-03 00:00:00	120011581	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-04-04 00:00:00	2015-04-04 00:00:00	No	2015-08-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	25RO11	N	CA00443986	B	SFY2015-16
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-06-06 00:00:00	120012265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-23 00:00:00	2016-03-23 00:00:00	Yes	2016-06-27 00:00:00	2016-06-06 00:00:00	A	None	20000	20000	-7000	13000	0	None	I7GI11	N	CA00482011	A	SFY2015-16
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-06-06 00:00:00	120012266	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-03-23 00:00:00	2016-03-23 00:00:00	Yes	2016-06-27 00:00:00	2016-06-07 00:00:00	B	None	2000	2000	0	2000	0	None	I7GI11	N	CA00482011	A	SFY2015-16
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-07-25 00:00:00	120012398	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-05-21 00:00:00	2016-05-21 00:00:00	No	2016-08-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UV4V11	N	CA00489076	B	SFY2016-17
120000530	POSITIVE DIRECTIONS # 3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2017-05-10 00:00:00	120013167	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-19 00:00:00	2017-01-19 00:00:00	No	2017-06-01 00:00:00	None	B	None	2000	2250	-700	1550	0	None	0YN111	N	CA00519150	B	SFY2016-17
120000559	POSITIVE DIRECTIONS #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2019-02-22 00:00:00	120014775	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-12 00:00:00	2018-12-12 00:00:00	No	2019-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	OOEK11	N	None	None	SFY2018-19
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2020-09-09 00:00:00	120015813	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-10 00:00:00	2020-02-10 00:00:00	No	2020-09-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7Q0711	N	None	None	SFY2020-21
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-09-02 00:00:00	120017740	Closed	Citation	Citation A (HSC 1424)	Other	Dietary	2021-08-10 00:00:00	2021-08-10 00:00:00	No	2022-09-26 00:00:00	None	A	None	20000	20000	0	20000	0	None	QLFB11	N	CA00747221	B	SFY2022-23
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-10-17 00:00:00	120018034	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-09-22 00:00:00	2022-09-22 00:00:00	No	2022-11-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DMXN11	N	CA00799359	A	SFY2022-23
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-06-21 00:00:00	120018811	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-03 00:00:00	2023-04-03 00:00:00	No	2023-07-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	G8L311	N	CA00834011	B	SFY2022-23
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-03-15 00:00:00	120019794	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-02 00:00:00	2023-11-02 00:00:00	No	2024-04-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Q8YQ11	N	CA00871548, CA00873414, CA00878046	B, B, B	SFY2023-24
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-20 00:00:00	140002559	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-01-28 00:00:00	None	No	2000-10-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	140012264	A99999	N	None	None	SFY2000-01
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-20 00:00:00	140002560	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-31 00:00:00	2000-01-28 00:00:00	No	2000-10-13 00:00:00	None	B	None	600	600	-210	390	0	140012266	A99999	N	None	None	SFY2000-01
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-20 00:00:00	140002561	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-01-28 00:00:00	None	No	2000-10-13 00:00:00	None	B	None	600	600	-210	390	0	140012271	A99999	N	None	None	SFY2000-01
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-10-19 00:00:00	140002571	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-30 00:00:00	1999-12-24 00:00:00	No	2000-11-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	140012441	A99999	N	None	None	SFY2000-01
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-02 00:00:00	140002608	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-17 00:00:00	None	Yes	2001-08-31 00:00:00	2001-08-22 00:00:00	A	B	10000	5000	0	5000	0	140013737	A99999	N	None	None	SFY2001-02
140001278	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-09-21 00:00:00	140002615	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-01-13 00:00:00	2000-01-22 00:00:00	No	2000-10-19 00:00:00	None	AA	None	25000	25000	-8750	16250	0	140013924	A99999	Y	None	None	SFY2000-01
140001278	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-20 00:00:00	140002665	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2002-12-12 00:00:00	None	No	2003-04-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	140015375	A99999	N	None	None	SFY2002-03
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-29 00:00:00	140002674	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-13 00:00:00	None	No	2003-05-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	140015496	A99999	N	None	None	SFY2002-03
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-09 00:00:00	140002680	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-02-25 00:00:00	None	No	2003-08-01 00:00:00	None	B	None	1000	1000	-350	650	0	140015673	A99999	N	None	None	SFY2003-04
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-01-22 00:00:00	140002692	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-11-04 00:00:00	None	No	2004-02-25 00:00:00	None	B	None	600	600	-210	390	0	140016187	A99999	N	None	None	SFY2003-04
140000086	PLEASANTON NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-02-25 00:00:00	140002693	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-06 00:00:00	None	Yes	2007-11-08 00:00:00	2004-03-08 00:00:00	B	B	1000	1000	0	1000	0	140016257	A99999	N	None	None	SFY2003-04
140001344	PUTNAM ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2001-05-15 00:00:00	140002723	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-08 00:00:00	None	Yes	2001-09-25 00:00:00	2001-05-25 00:00:00	B	B	250	250	0	250	0	140016872	A99999	N	None	None	SFY2000-01
140001344	PUTNAM ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-12-19 00:00:00	140002724	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-21 00:00:00	2003-10-24 00:00:00	No	2004-01-14 00:00:00	None	B	B	700	700	0	700	0	140016886	A99999	N	None	None	SFY2003-04
140001354	PUTNAM WEST ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-07-17 00:00:00	140002731	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-27 00:00:00	None	No	2003-08-18 00:00:00	None	B	None	700	700	-245	455	0	140017024	A99999	N	None	None	SFY2003-04
140001278	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-02-08 00:00:00	140002741	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-05-17 00:00:00	None	No	2005-03-07 00:00:00	None	AA	None	50000	50000	-17500	32500	0	140017415	A99999	Y	None	None	SFY2004-05
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2003-01-14 00:00:00	170001796	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-22 00:00:00	2002-03-22 00:00:00	No	2003-02-05 00:00:00	None	A	None	10000	10000	-3500	6500	0	170017745	A99999	N	None	None	SFY2002-03
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-11-04 00:00:00	170001797	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-29 00:00:00	2002-07-29 00:00:00	No	2002-12-02 00:00:00	None	B	None	900	900	-315	585	0	170017836	A99999	N	None	None	SFY2002-03
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-11-07 00:00:00	170001798	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2003-04-13 00:00:00	2003-04-13 00:00:00	Yes	2003-12-04 00:00:00	2003-11-24 00:00:00	AA	AA	25000	25000	0	25000	0	170017969	A99999	Y	None	None	SFY2003-04
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-03-01 00:00:00	170001827	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-12-29 00:00:00	1999-12-29 00:00:00	No	2000-03-24 00:00:00	None	A	None	10000	10000	-10000	0	0	170018492	A99999	N	None	None	SFY1999-00
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-03-01 00:00:00	170001828	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-10-26 00:00:00	1999-10-27 00:00:00	No	2000-03-27 00:00:00	None	A	None	10000	10000	-10000	0	0	170018493	A99999	N	None	None	SFY1999-00
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-09-20 00:00:00	170001829	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-06-28 00:00:00	2000-06-28 00:00:00	No	2000-10-13 00:00:00	None	B	None	1000	1000	-350	650	0	170018529	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-09-20 00:00:00	170001830	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-15 00:00:00	2000-07-15 00:00:00	No	2000-10-13 00:00:00	None	B	None	1000	1000	-350	650	0	170018530	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-10-19 00:00:00	170001831	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-14 00:00:00	2000-08-14 00:00:00	No	2000-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	170018548	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-21 00:00:00	170001832	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-15 00:00:00	2000-08-15 00:00:00	No	2001-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	170018552	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-21 00:00:00	170001833	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-15 00:00:00	2000-04-15 00:00:00	No	2001-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	170018559	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-21 00:00:00	170001834	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-31 00:00:00	2000-08-31 00:00:00	No	2001-01-16 00:00:00	None	B	None	1000	1000	-350	650	0	170018535	A99999	N	None	None	SFY2000-01
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-10-17 00:00:00	170001835	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-14 00:00:00	2001-03-14 00:00:00	No	2001-11-07 00:00:00	None	B	None	800	2400	-840	1560	0	170018590	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-10-25 00:00:00	170001836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-19 00:00:00	2001-02-19 00:00:00	No	2001-11-20 00:00:00	None	B	None	1000	1000	-350	650	0	170018624	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-12-04 00:00:00	170001837	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-09 00:00:00	2001-07-09 00:00:00	No	2001-12-26 00:00:00	None	B	None	800	800	-280	520	0	170018600	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-12-13 00:00:00	170001838	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-08 00:00:00	2001-03-08 00:00:00	No	2002-01-09 00:00:00	None	B	None	900	900	-315	585	0	170018680	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-04-15 00:00:00	170001839	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-13 00:00:00	2001-03-13 00:00:00	No	2002-05-06 00:00:00	None	B	None	700	2100	-735	1365	0	170018589	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-05-21 00:00:00	170001840	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-09-01 00:00:00	2001-09-01 00:00:00	No	2002-06-12 00:00:00	None	A	None	8000	8000	-2800	5200	0	170018682	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-05-21 00:00:00	170001841	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-10-17 00:00:00	2001-10-17 00:00:00	No	2002-06-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	170018664	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-05-21 00:00:00	170001842	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-09-22 00:00:00	2001-09-22 00:00:00	No	2002-06-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	170018613	A99999	N	None	None	SFY2001-02
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-07-26 00:00:00	170001843	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-06-01 00:00:00	2001-06-01 00:00:00	No	2002-08-19 00:00:00	None	A	A	8000	5200	0	5200	0	170018681	A99999	N	None	None	SFY2002-03
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-11-04 00:00:00	170001844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-20 00:00:00	2001-01-20 00:00:00	No	2002-12-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	170018571	A99999	N	None	None	SFY2002-03
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-01-14 00:00:00	170001845	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-08 00:00:00	2001-01-08 00:00:00	No	2003-02-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	170018567	A99999	N	None	None	SFY2002-03
170001882	PARIS-LAMB HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2002-10-10 00:00:00	170001846	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-25 00:00:00	2002-02-25 00:00:00	No	2002-11-04 00:00:00	None	B	None	800	800	0	800	0	170019005	A99999	N	None	None	SFY2002-03
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-02-01 00:00:00	170001859	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-04 00:00:00	None	No	2005-02-23 00:00:00	None	B	None	500	600	-175	425	0	170019152	A99999	N	None	None	SFY2004-05
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-02-01 00:00:00	170001860	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-01 00:00:00	None	No	2005-02-23 00:00:00	None	B	None	800	800	-280	520	0	170019153	A99999	N	None	None	SFY2004-05
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-02-01 00:00:00	170001861	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-03 00:00:00	None	No	2005-02-23 00:00:00	None	B	None	800	1150	-280	870	0	170019154	A99999	N	None	None	SFY2004-05
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-28 00:00:00	170001871	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-18 00:00:00	None	No	2005-07-20 00:00:00	None	B	None	500	500	-175	325	0	170019163	A99999	N	None	None	SFY2004-05
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-08-04 00:00:00	170001874	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-12 00:00:00	None	No	2005-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	170019166	A99999	N	None	None	SFY2005-06
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-08-09 00:00:00	170001875	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-29 00:00:00	None	No	2005-09-19 00:00:00	None	B	None	500	500	-175	325	0	170019167	A99999	N	None	None	SFY2005-06
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-09-26 00:00:00	170001878	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-05-31 00:00:00	None	No	2005-10-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019170	A99999	N	None	None	SFY2005-06
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-09-26 00:00:00	170001879	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-12 00:00:00	None	No	2005-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	170019171	A99999	N	None	None	SFY2005-06
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-10-04 00:00:00	170001880	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-28 00:00:00	None	No	2005-10-26 00:00:00	None	B	None	1000	1000	-350	650	0	170019172	A99999	N	None	None	SFY2005-06
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-10-04 00:00:00	170001881	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-04-28 00:00:00	None	No	2005-10-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	170019173	A99999	N	None	None	SFY2005-06
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2005-10-11 00:00:00	170001882	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-08-29 00:00:00	None	No	2005-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	170019174	A99999	N	None	None	SFY2005-06
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-10-12 00:00:00	170001883	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-29 00:00:00	None	No	2005-11-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019175	A99999	N	CA00059315	C	SFY2005-06
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-02-21 00:00:00	170001888	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-27 00:00:00	2005-02-27 00:00:00	No	2006-03-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	170019179	A99999	N	None	None	SFY2005-06
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-08-17 00:00:00	170003117	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-23 00:00:00	2006-01-23 00:00:00	No	2006-09-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	ATXK11	N	CA00070939	C	SFY2006-07
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-29 00:00:00	170004958	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-05 00:00:00	2006-02-05 00:00:00	No	2008-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	DD1I11	N	CA00073868	C	SFY2007-08
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-29 00:00:00	170004960	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-02-05 00:00:00	2006-02-05 00:00:00	No	2008-05-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	DD1I11	N	CA00073868	C	SFY2007-08
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-09 00:00:00	170006056	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-21 00:00:00	2008-03-21 00:00:00	No	2009-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	C2CK11	N	CA00144858	C	SFY2008-09
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-09 00:00:00	170006057	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-16 00:00:00	2007-05-16 00:00:00	No	2009-04-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y66X11	N	CA00115426	C	SFY2008-09
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-08-25 00:00:00	170006485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-09 00:00:00	2008-07-09 00:00:00	No	2009-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	I57X11	N	CA00156452	C	SFY2009-10
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-09-22 00:00:00	170007012	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-08-23 00:00:00	2009-08-23 00:00:00	No	2010-10-13 00:00:00	None	AP BR	None	100000	100000	-25000	75000	0	None	JJH311	None	CA00214103	C	SFY2010-11
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-03-25 00:00:00	170007180	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-03-14 00:00:00	2010-03-14 00:00:00	Yes	2011-04-18 00:00:00	2011-04-04 00:00:00	AA	AA	25000	16250	0	16250	0	None	WB1H11	Y	CA00221743	C	SFY2010-11
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-07-28 00:00:00	170007535	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-05 00:00:00	2010-08-05 00:00:00	No	2011-08-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	G43M11	N	CA00238367	B	SFY2011-12
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	170009106	Closed	Citation	Citation B (HSC 1424)	Other	Nursing Services	2012-01-25 00:00:00	2012-01-25 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	OOXQ11	N	CA00297892	D	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-27 00:00:00	170009188	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-12-11 00:00:00	2010-12-11 00:00:00	No	2014-03-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	K13W11	N	CA00252924	C	SFY2013-14
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	170009430	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-07-10 00:00:00	2012-07-10 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	UDU011	N	CA00317795	C	SFY2013-14
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-04-02 00:00:00	170009453	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Other	WMFMR	2012-02-27 00:00:00	2012-02-27 00:00:00	No	2014-04-23 00:00:00	None	WF	None	2500	2500	-875	1625	0	None	T3SV11	None	CA00302932	C	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-10 00:00:00	170009596	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-10-12 00:00:00	2012-10-12 00:00:00	No	2014-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	8UUJ11	N	CA00329459	C	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-10 00:00:00	170009757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-01-29 00:00:00	2013-01-29 00:00:00	No	2014-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	0VTA11	N	CA00341668	C	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-07-31 00:00:00	170010153	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-05-30 00:00:00	2014-05-30 00:00:00	No	2014-08-21 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	DS1011	N	CA00357474	B	SFY2014-15
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-10 00:00:00	170010246	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-10-14 00:00:00	2013-10-14 00:00:00	No	2014-05-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	D1HO11	N	None	None	SFY2013-14
170001878	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-24 00:00:00	170010248	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-08-21 00:00:00	2013-08-21 00:00:00	No	2014-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	GG1311	N	CA00395676	B	SFY2013-14
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-12-09 00:00:00	170010955	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-08-11 00:00:00	2014-08-11 00:00:00	No	2014-12-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	OGK111	N	CA00409095	C	SFY2014-15
170001876	PORTERVILLE DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2015-07-28 00:00:00	170011344	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-31 00:00:00	2015-01-31 00:00:00	No	2015-08-18 00:00:00	None	A	None	8000	8000	-2800	5200	0	None	9LFS11	N	CA00429793	C	SFY2015-16
170001877	PORTERVILLE DEVELOPMENTAL CENTER D/P ICFDD (STP)	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2019-08-15 00:00:00	170015223	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-06 00:00:00	2018-12-06 00:00:00	No	2019-09-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	1S7911	N	CA00615064	C	SFY2019-20
220000678	PENINSULA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-01-03 00:00:00	220001032	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-09 00:00:00	None	Yes	2000-01-24 00:00:00	2000-01-21 00:00:00	A	A	10000	5000	0	5000	0	220006818	A99999	N	None	None	SFY1999-00
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-05-19 00:00:00	220001044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-04 00:00:00	None	No	2000-06-12 00:00:00	None	A	None	10000	10900	0	10900	0	220006889	A99999	N	None	None	SFY1999-00
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-02-02 00:00:00	220001480	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-23 00:00:00	None	Yes	2001-02-23 00:00:00	2001-08-30 00:00:00	B	B	1000	450	-150	300	0	220010136	A99999	N	None	None	SFY2000-01
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-06-13 00:00:00	220001489	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-17 00:00:00	None	Yes	2001-11-05 00:00:00	2001-06-23 00:00:00	B	B	1000	1000	0	1000	0	220010452	A99999	N	None	None	SFY2000-01
220000076	PACIFICA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-12-28 00:00:00	220001546	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-28 00:00:00	None	No	2005-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	220012466	A99999	N	CA00029317	B	SFY2004-05
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-12-07 00:00:00	220001556	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-25 00:00:00	None	No	2005-12-29 00:00:00	None	B	None	1000	1000	0	1000	0	220011788	A99999	N	None	None	SFY2005-06
220000076	PACIFICA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-10-06 00:00:00	220003401	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-11 00:00:00	2004-08-11 00:00:00	No	2006-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y9ZU11	N	CA00029899	A	SFY2006-07
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-19 00:00:00	220003795	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-10 00:00:00	2004-11-10 00:00:00	No	2007-04-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	XSE711	N	CA00034386	A	SFY2006-07
220000076	PACIFICA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-03-19 00:00:00	220003819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-10 00:00:00	2001-08-10 00:00:00	No	2007-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	BE5211	N	None	None	SFY2006-07
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-12-07 00:00:00	220004504	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-11-07 00:00:00	2007-11-07 00:00:00	Yes	2008-01-08 00:00:00	2007-12-10 00:00:00	B	None	1000	1000	-350	650	0	None	0J1H11	N	CA00134009	A	SFY2007-08
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-12-18 00:00:00	220004527	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-07 00:00:00	2007-05-07 00:00:00	No	2008-01-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YJ2Z11	N	CA00117751	C	SFY2007-08
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-07-16 00:00:00	220006377	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-15 00:00:00	2009-03-15 00:00:00	Yes	2009-08-10 00:00:00	2009-07-16 00:00:00	B	B	750	487.5	0	487.5	0	None	PXKK11	N	CA00188411	C	SFY2009-10
220000076	PACIFICA NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-10-15 00:00:00	220006622	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-08-18 00:00:00	2009-08-18 00:00:00	No	2009-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	C4IE11	N	CA00199631	C	SFY2009-10
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-01-25 00:00:00	220007866	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-04 00:00:00	2010-11-04 00:00:00	Yes	2011-02-15 00:00:00	2011-02-04 00:00:00	B	B	700	455	0	455	0	None	R0UI11	N	CA00248209	B	SFY2010-11
220000061	PENINSULA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-01-28 00:00:00	220007868	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-09-01 00:00:00	2010-09-01 00:00:00	Yes	2011-02-18 00:00:00	2011-02-01 00:00:00	B	B	1000	650	0	650	0	None	KS0911	N	CA00241516	C	SFY2010-11
220001046	PALO ALTO SUB-ACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-08-01 00:00:00	220009413	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-14 00:00:00	2011-05-14 00:00:00	Yes	2012-08-22 00:00:00	2012-08-06 00:00:00	B	B	2000	1500	0	1500	0	None	VM3911	N	CA00270653	C	SFY2012-13
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2016-12-06 00:00:00	220012792	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-01-29 00:00:00	2016-01-29 00:00:00	No	2016-12-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GVHU11	N	CA00474425	C	SFY2016-17
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-03-24 00:00:00	220018561	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2023-04-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8SX211	N	CA00794537, CA00794537, CA00795473, CA00795473	B, B, B, B	SFY2022-23
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-02-10 00:00:00	230000874	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-18 00:00:00	None	Yes	2000-07-10 00:00:00	2000-07-05 00:00:00	A	A	8500	3500	0	3500	0	230006246	A99999	N	None	None	SFY1999-00
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-05-04 00:00:00	230000884	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1994-01-12 00:00:00	None	Yes	2000-05-26 00:00:00	2000-05-11 00:00:00	A	B	10000	3500	0	3500	0	230006342	A99999	N	None	None	SFY1999-00
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-05 00:00:00	230000885	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1996-02-05 00:00:00	None	Yes	2000-04-27 00:00:00	2000-04-18 00:00:00	A	B	8000	3500	0	3500	0	230006343	A99999	N	None	None	SFY1999-00
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-05 00:00:00	230000886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1996-05-15 00:00:00	None	No	2000-04-27 00:00:00	None	B	None	700	700	-700	0	0	230006344	A99999	N	None	None	SFY1999-00
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-01-26 00:00:00	230000919	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-12-30 00:00:00	None	Yes	2001-02-28 00:00:00	2001-06-12 00:00:00	B	B	950	1150	-760	390	0	230006890	A99999	N	None	None	SFY2000-01
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2001-09-27 00:00:00	230000952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-16 00:00:00	None	No	2001-10-24 00:00:00	None	B	None	950	950	-332.5	617.5	0	230007090	A99999	N	None	None	SFY2001-02
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2003-02-06 00:00:00	230001016	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-09 00:00:00	2002-10-09 00:00:00	No	2003-03-07 00:00:00	None	B	None	800	1150	0	1150	0	230008583	A99999	N	None	None	SFY2002-03
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-05-04 00:00:00	230001076	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-18 00:00:00	2003-10-18 00:00:00	No	2004-06-01 00:00:00	None	B	None	500	500	-175	325	0	230009945	A99999	N	None	None	SFY2003-04
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2004-12-17 00:00:00	230001108	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-06-21 00:00:00	2004-06-21 00:00:00	No	2005-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	230010762	A99999	N	None	None	SFY2004-05
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-01-28 00:00:00	230001122	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-16 00:00:00	2004-09-16 00:00:00	No	2005-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	230011175	A99999	N	None	None	SFY2004-05
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2005-02-09 00:00:00	230001123	Closed	Citation	Citation A (HSC 1424)	Medication	None	2004-08-30 00:00:00	2004-08-30 00:00:00	Yes	2005-03-08 00:00:00	2005-03-02 00:00:00	A	None	14000	14000	0	14000	0	230011176	A99999	N	None	None	SFY2004-05
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-01-12 00:00:00	230001162	Closed	Citation	Citation B (HSC 1424)	Medication	None	2005-08-31 00:00:00	None	No	2006-02-07 00:00:00	None	B	None	1000	1000	-350	650	0	230011643	A99999	N	None	None	SFY2005-06
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2006-06-22 00:00:00	230003136	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-28 00:00:00	2005-08-28 00:00:00	No	2006-07-14 00:00:00	None	B	None	700	700	-245	455	0	None	RTH511	N	CA00059524	A	SFY2005-06
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-02-15 00:00:00	230003676	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-16 00:00:00	2006-01-16 00:00:00	No	2007-03-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	T85P11	N	CA00070750	B	SFY2006-07
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-02-15 00:00:00	230003682	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-08-11 00:00:00	2005-08-11 00:00:00	No	2007-03-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	T85P11	N	CA00071507	B	SFY2006-07
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-04-05 00:00:00	230003857	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-28 00:00:00	2007-02-28 00:00:00	No	2007-05-03 00:00:00	None	B	None	800	800	-280	520	0	None	1KOY11	N	CA00108121	B	SFY2006-07
230000034	PARADISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Chico	2007-05-16 00:00:00	230003945	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-30 00:00:00	2006-08-30 00:00:00	No	2007-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	USGJ11	N	CA00092071	B	SFY2006-07
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-10-19 00:00:00	230004361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-15 00:00:00	2007-05-15 00:00:00	No	2007-11-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	0B4Z11	N	CA00114980	B	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-11-29 00:00:00	230004456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-29 00:00:00	2007-01-29 00:00:00	No	2007-12-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	C2BT11	N	CA00103592, CA00106075	B, B	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-11-29 00:00:00	230004462	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-30 00:00:00	2007-03-30 00:00:00	No	2007-12-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	60FB11	N	CA00111268, CA00111271	B, B	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-16 00:00:00	230004923	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-17 00:00:00	2008-03-17 00:00:00	No	2008-05-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZPUT11	N	CA00144608	B	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-24 00:00:00	230004932	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-06-29 00:00:00	2007-06-29 00:00:00	No	2008-05-15 00:00:00	None	B	None	500	500	-175	325	0	None	QQXL11	N	CA00118958	C	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-04-24 00:00:00	230004950	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-01 00:00:00	2007-07-01 00:00:00	No	2008-05-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	QQXL11	N	CA00118958	C	SFY2007-08
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-19 00:00:00	230005421	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-11-07 00:00:00	2007-11-07 00:00:00	No	2008-10-10 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	HEC511	N	None	None	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-19 00:00:00	230005423	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-10-01 00:00:00	2007-10-01 00:00:00	No	2008-10-10 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	T8CT11	N	CA00132777	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-19 00:00:00	230005428	Closed	Citation	Citation A (HSC 1424)	Medication	None	2007-11-19 00:00:00	2007-11-19 00:00:00	No	2008-10-10 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	T8CT11	N	CA00132777	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-29 00:00:00	230005478	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-09-01 00:00:00	2008-09-01 00:00:00	No	2008-10-21 00:00:00	None	B	None	500	500	-175	325	0	None	CEYP11	N	None	None	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-30 00:00:00	230005723	Closed	Citation	Citation B (HSC 1424)	Other	FTR WITHIN 24 HOURS	2008-11-27 00:00:00	2008-11-27 00:00:00	No	2009-01-26 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	None	DENI11	N	CA00171011	B	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-12-30 00:00:00	230005729	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-11 00:00:00	2008-12-11 00:00:00	No	2009-01-26 00:00:00	None	B	None	800	800	-280	520	0	None	RRQG11	N	CA00171942	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-22 00:00:00	230005804	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-06 00:00:00	2009-01-06 00:00:00	No	2009-02-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	VB2411	N	CA00173992, CA00174036	C, C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-22 00:00:00	230005806	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-12-25 00:00:00	2008-12-25 00:00:00	No	2009-02-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	0UTX11	N	CA00174149	B	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-01-29 00:00:00	230005835	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-21 00:00:00	2008-12-21 00:00:00	No	2009-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	2BQB11	N	CA00172840	A	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-03-16 00:00:00	230005960	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours.	2009-02-07 00:00:00	2009-02-07 00:00:00	No	2009-04-14 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	None	44P511	N	CA00177581	B	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-04-17 00:00:00	230006085	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-02 00:00:00	2009-03-02 00:00:00	No	2009-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	870611	N	CA00180322	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-15 00:00:00	230006176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-28 00:00:00	2009-03-28 00:00:00	No	2009-06-08 00:00:00	None	B	None	1000	3000	0	3000	0	None	2C1311	N	CA00183722	B	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-05-15 00:00:00	230006179	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-30 00:00:00	2009-03-30 00:00:00	No	2009-06-08 00:00:00	None	B	None	1000	3000	0	3000	0	None	OCQ011	N	CA00183444	C	SFY2008-09
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-07-10 00:00:00	230006373	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-07 00:00:00	2009-06-07 00:00:00	No	2009-08-10 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	L7Z511	N	CA00191236	B	SFY2009-10
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-08-14 00:00:00	230006452	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-24 00:00:00	2009-07-24 00:00:00	No	2009-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	UQ0E11	N	CA00196338	C	SFY2009-10
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2009-10-15 00:00:00	230006610	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-29 00:00:00	2009-08-29 00:00:00	No	2009-11-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	N86411	N	CA00200271	C	SFY2009-10
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-05-13 00:00:00	230007194	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-02-02 00:00:00	2010-02-02 00:00:00	No	2010-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	VVR511	N	CA00218133	B	SFY2009-10
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-02-10 00:00:00	230007482	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-05-12 04:00:00	2010-05-12 04:00:00	No	2011-03-04 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	Q6BC11	None	CA00231100	C	SFY2010-11
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2010-11-18 00:00:00	230007715	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-05-28 00:00:00	2010-05-28 00:00:00	Yes	2010-12-13 00:00:00	2010-11-18 00:00:00	A	None	10000	10000	-3500	6500	0	None	DRTE11	N	CA00230906	C	SFY2010-11
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-06-30 00:00:00	230008336	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-04-21 00:00:00	2011-04-21 00:00:00	No	2011-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	KOD011	N	CA00267142	B	SFY2010-11
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2011-07-06 00:00:00	230008352	Closed	Citation	Citation B (HSC 1424)	Other	Reporting	2011-05-09 00:00:00	2011-05-09 00:00:00	No	2011-07-27 00:00:00	None	B	None	500	500	-175	325	0	None	I8Z311	N	CA00269051	B	SFY2011-12
230000173	PINE VIEW CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2012-06-07 00:00:00	230009248	Closed	Citation	Citation B (HSC 1424)	Other	Unnecessary Meds	2012-03-11 00:00:00	2012-03-11 00:00:00	No	2012-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	ENCO11	N	CA00302798	B	SFY2011-12
240001087	PALOMAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2003-12-30 00:00:00	240001786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-29 00:00:00	None	No	2004-01-22 00:00:00	None	B	None	350	350	-122.5	227.5	0	240016964	A99999	N	None	None	SFY2003-04
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-03-15 00:00:00	240001847	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-20 00:00:00	2004-06-20 00:00:00	No	2005-04-06 00:00:00	None	B	None	500	500	-175	325	0	240019986	A99999	N	CA00027453	B	SFY2004-05
240001087	PALOMAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-03-10 00:00:00	240004771	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-09-17 00:00:00	2007-09-17 00:00:00	Yes	2008-04-01 00:00:00	2008-03-10 00:00:00	B	B	1000	1000	0	1000	0	None	F6XL11	N	CA00126847	B	SFY2007-08
240000855	PALMYRA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-02-22 00:00:00	240007008	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-06-10 00:00:00	2005-06-10 00:00:00	Yes	2010-03-15 00:00:00	2010-03-11 00:00:00	B	B	1000	500	0	500	0	None	1QJ011	N	CA00051649	C	SFY2009-10
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-09-08 00:00:00	240007547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-21 00:00:00	2008-02-21 00:00:00	No	2010-09-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	MLY811	N	CA00141481	B	SFY2010-11
240001087	PALOMAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2011-09-12 00:00:00	240008545	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-07 00:00:00	2009-04-07 00:00:00	Yes	2011-10-04 00:00:00	2011-09-12 00:00:00	B	B	1000	500	0	500	0	None	NH9411	N	CA00184471	C	SFY2011-12
240000855	PALMYRA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2012-05-08 00:00:00	240009282	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-12 00:00:00	2010-08-12 00:00:00	Yes	2012-05-30 00:00:00	2012-05-21 00:00:00	B	B	1000	500	0	500	0	None	ERCU11	N	CA00239390, CA00242600	H, C	SFY2011-12
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-07-09 00:00:00	240010850	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-09-08 00:00:00	2013-09-08 00:00:00	No	2014-07-30 00:00:00	None	A	None	15000	15000	0	15000	0	None	0XWN11	N	CA00369869, CA00370071	B, B	SFY2014-15
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-02-24 00:00:00	240012034	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-09-15 00:00:00	2014-09-15 00:00:00	No	2016-03-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	V6LZ11	N	CA00413798	B	SFY2015-16
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-19 00:00:00	240012584	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-09-07 00:00:00	2015-09-07 00:00:00	No	2016-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	1MWE11	N	CA00457565	A	SFY2016-17
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-11-17 00:00:00	250003409	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2005-12-02 00:00:00	2005-12-02 00:00:00	No	2006-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	6HFE11	N	CA00063954	C	SFY2006-07
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2012-11-16 00:00:00	250009589	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	B - ABUSE	2008-06-30 00:00:00	2008-06-30 00:00:00	No	2012-12-11 00:00:00	None	B	None	1000	1350	0	1350	0	None	4KDK11	N	CA00155169, CA00155243	C, B	SFY2012-13
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2014-03-06 00:00:00	250010514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-08-20 00:00:00	2013-08-20 00:00:00	No	2014-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5J111	N	CA00366597	B	SFY2013-14
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011511	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011512	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011513	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011514	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011515	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011516	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011529	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011534	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011536	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011541	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011547	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011550	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011551	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	1500	1500	-525	975	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011556	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011557	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011558	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2015-06-30 00:00:00	250011575	Closed	Citation	Citation B (HSC 1424)	Other	Financial Abuse	2013-10-03 00:00:00	2013-10-03 00:00:00	No	2015-07-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EJU611	N	CA00371859	C	SFY2014-15
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-03 00:00:00	250011700	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-19 00:00:00	2015-08-19 00:00:00	No	2015-09-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KGNU11	N	CA00443880	B	SFY2015-16
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-10 00:00:00	250011707	Closed	Citation	Citation A (HSC 1424)	Other	Accidents	2014-01-18 00:00:00	2014-01-18 00:00:00	Yes	2015-10-01 00:00:00	2015-10-09 00:00:00	A	B	10000	10000	0	10000	0	None	EEJQ11	N	CA00384508	C	SFY2015-16
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2015-09-16 00:00:00	250011714	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-05-21 00:00:00	2014-05-21 00:00:00	No	2015-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	2LVN11	N	CA00389504	C	SFY2015-16
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2016-11-08 00:00:00	250012713	Closed	Citation	Citation B (HSC 1424)	Other	Environ./Infection Cont.	2014-09-15 00:00:00	2014-09-15 00:00:00	No	2016-12-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	94WQ11	N	CA00436375	B	SFY2016-17
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-08-29 00:00:00	250013436	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2017-05-22 00:00:00	2017-05-22 00:00:00	No	2017-09-20 00:00:00	None	B	None	2000	2150	-700	1450	0	None	JRGJ11	N	CA00536081, CA00536151	B, B	SFY2017-18
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2017-09-14 00:00:00	250013495	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-08 00:00:00	2017-06-08 00:00:00	Yes	2017-10-05 00:00:00	2017-09-28 00:00:00	B	B	2000	1600	0	1600	0	None	D41W11	N	CA00538868, CA00544011	B, C	SFY2017-18
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-02-08 00:00:00	250013791	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-20 00:00:00	2017-07-20 00:00:00	No	2018-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EX6Z11	N	CA00544981	B	SFY2017-18
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-09-20 00:00:00	250014312	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Notify Ombudsm	2018-03-28 00:00:00	2018-03-28 00:00:00	No	2018-10-11 00:00:00	None	B	None	500	500	-175	325	0	None	7S0J11	N	None	None	SFY2018-19
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-10-02 00:00:00	250014361	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-08 00:00:00	2018-06-08 00:00:00	Yes	2018-10-23 00:00:00	2018-09-24 00:00:00	B	None	2000	2000	-700	1300	0	None	PB9711	N	CA00547748	B	SFY2018-19
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-09-19 00:00:00	250014362	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-20 00:00:00	2017-09-20 00:00:00	Yes	2018-10-10 00:00:00	2018-09-24 00:00:00	A	B	10000	10000	0	10000	0	None	5DDJ11	N	CA00553994	C	SFY2018-19
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-10-04 00:00:00	250014378	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-25 00:00:00	2018-05-25 00:00:00	No	2018-10-25 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	LECD11	N	CA00593933	B	SFY2018-19
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-14 00:00:00	250014548	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-24 00:00:00	2018-06-24 00:00:00	No	2018-12-07 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	TK3G11	N	CA00592559	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014556	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-06-28 00:00:00	2018-06-28 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014557	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-10 00:00:00	2018-07-10 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014558	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-09 00:00:00	2018-07-09 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014559	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-13 00:00:00	2018-07-13 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014560	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-16 00:00:00	2018-07-16 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014561	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-17 00:00:00	2018-07-17 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-28 00:00:00	250014562	Closed	Citation	Citation B (HSC 1424)	Other	Ombudsman Notification	2018-07-13 00:00:00	2018-07-13 00:00:00	Yes	2018-12-19 00:00:00	2018-12-24 00:00:00	B	None	200	200	0	200	0	None	80PE11	N	CA00594639	B	SFY2018-19
250000039	PREMIER CARE CENTER FOR PALM SPRINGS	LTC	SNF	Skilled Nursing Facility	Riverside	2018-11-14 00:00:00	250014569	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-24 00:00:00	2018-06-24 00:00:00	No	2018-12-07 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	X1Z511	N	CA00592552	B	SFY2018-19
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2019-01-23 00:00:00	250014684	Closed	Citation	Citation B (HSC 1424)	Other	OMBUDSMAN NOTIFICATION	2018-09-28 00:00:00	2018-09-28 00:00:00	No	2019-02-13 00:00:00	None	B	None	200	200	0	200	0	None	MINR11	N	CA00606024	B	SFY2018-19
630017845	PAPILLON DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Riverside	2022-11-10 00:00:00	250018146	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-08-05 00:00:00	2022-08-05 00:00:00	No	2022-12-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	27DB11	N	CA00796902, CA00796902	B, B	SFY2022-23
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-02-23 00:00:00	250018365	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-26 00:00:00	2022-11-26 00:00:00	No	2023-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4AU711	N	CA00813552, CA00813615, CA00813690	A, A, A	SFY2022-23
250000110	PALM GROVE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-02-29 00:00:00	250019774	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-02 00:00:00	2023-12-02 00:00:00	No	2024-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UMF011	N	CA00875102, CA00875102, CA00875102	B, B, B	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-05-16 00:00:00	910001272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-12 00:00:00	2000-05-16 00:00:00	No	2000-06-06 00:00:00	None	B	None	600	600	-210	390	0	910005267	A99999	N	None	None	SFY1999-00
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-11-07 00:00:00	910001286	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-18 00:00:00	2000-11-07 00:00:00	Yes	2001-05-10 00:00:00	2000-11-14 00:00:00	B	B	1000	1000	0	1000	0	910005536	A99999	N	None	None	SFY2000-01
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-11-29 00:00:00	910001288	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-03 00:00:00	2000-11-29 00:00:00	Yes	2001-05-10 00:00:00	2000-12-08 00:00:00	B	B Trebled	1000	3000	0	3000	0	910005560	A99999	N	None	None	SFY2000-01
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-12-18 00:00:00	910001459	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-11-07 00:00:00	None	No	2002-01-18 00:00:00	None	B	None	1000	1000	-350	650	0	910007023	A99999	N	None	None	SFY2001-02
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-28 00:00:00	910001462	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-21 00:00:00	2002-02-28 00:00:00	No	2002-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	910007003	A99999	N	None	None	SFY2001-02
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-02-28 00:00:00	910001463	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-11-20 00:00:00	2002-02-28 00:00:00	Yes	2002-06-19 00:00:00	2002-03-11 00:00:00	B	B	800	800	0	800	0	910006987	A99999	N	None	None	SFY2001-02
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-18 00:00:00	910001499	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-04 00:00:00	None	Yes	2003-07-28 00:00:00	2003-07-11 00:00:00	B	B	1000	574	0	574	0	910007787	A99999	N	None	None	SFY2002-03
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-18 00:00:00	910001500	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-05-04 00:00:00	None	Yes	2003-07-28 00:00:00	2003-07-11 00:00:00	B	B	1000	574	0	574	0	910007787	A99999	N	None	None	SFY2002-03
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-20 00:00:00	910001501	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-04 00:00:00	None	Yes	2003-07-28 00:00:00	2003-07-11 00:00:00	B	B	1000	574	0	574	0	910007788	A99999	N	None	None	SFY2002-03
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-07-14 00:00:00	910001502	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Other	WMF	2003-06-27 00:00:00	None	No	2003-09-17 00:00:00	None	WF	None	2000	2000	-700	1300	0	910007816	A99999	None	None	None	SFY2003-04
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-07-30 00:00:00	910001503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-01 00:00:00	None	No	2003-09-08 00:00:00	None	B	B	850	488	0	488	0	910007761	A99999	N	None	None	SFY2003-04
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-06-04 00:00:00	910001514	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-18 00:00:00	None	No	2004-07-06 00:00:00	None	B	None	1000	1000	-350	650	0	910008223	A99999	N	None	None	SFY2003-04
910000064	PACIFIC POST - ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-06-24 00:00:00	910001520	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-06-08 00:00:00	2005-06-08 00:00:00	Yes	2005-07-18 00:00:00	2005-06-30 00:00:00	B	None	1000	1000	0	1000	0	910008499	A99999	N	None	None	SFY2004-05
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-03-19 00:00:00	910004803	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-21 00:00:00	2007-10-21 00:00:00	No	2008-04-10 00:00:00	None	B	None	1000	1100	0	1100	0	None	E3ER11	N	CA00130129	C	SFY2007-08
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-10-03 00:00:00	910007237	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-30 00:00:00	2009-10-30 00:00:00	Yes	2013-10-24 00:00:00	2013-10-10 00:00:00	A	None	20000	20000	-7000	13000	0	None	HFIB11	N	CA00206906, CA00209940, CA00210360	H, B, B	SFY2013-14
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-10-03 00:00:00	910007238	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-30 00:00:00	2009-10-30 00:00:00	Yes	2013-10-24 00:00:00	2013-10-10 00:00:00	B	None	2000	2000	-700	1300	0	None	HFIB11	N	CA00206906, CA00209940, CA00210360	H, B, B	SFY2013-14
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-10-29 00:00:00	910007607	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-28 00:00:00	2005-02-28 00:00:00	No	2010-11-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	774211	N	CA00040571	B	SFY2010-11
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-03-29 00:00:00	910009808	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-14 00:00:00	2010-03-14 00:00:00	No	2013-04-22 00:00:00	None	B	None	1500	1500	0	1500	0	None	0NT911	N	CA00229827	C	SFY2012-13
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-03-29 00:00:00	910009809	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-03-14 00:00:00	2010-03-14 00:00:00	No	2013-04-22 00:00:00	None	B	None	1500	1500	0	1500	0	None	0NT911	N	CA00229827	C	SFY2012-13
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-16 00:00:00	910010101	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-18 00:00:00	2009-06-18 00:00:00	No	2013-09-09 00:00:00	None	B	None	1800	1800	0	1800	0	None	FOEO11	N	CA00193044	H	SFY2013-14
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-11-04 00:00:00	910011657	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-10-03 00:00:00	2014-10-03 00:00:00	No	2015-11-30 00:00:00	None	B	None	1800	1800	-1800	0	0	None	TQJY11	N	CA00415776	B	SFY2015-16
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-08-31 00:00:00	910011665	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-05-29 00:00:00	2011-05-29 00:00:00	No	2015-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	DFLE11	N	CA00275357	C	SFY2015-16
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-11-04 00:00:00	910011828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-03-25 00:00:00	2014-03-25 00:00:00	No	2015-11-30 00:00:00	None	B	None	1800	1800	-1800	0	0	None	CV2J11	N	CA00395508	A	SFY2015-16
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-09-12 00:00:00	910012564	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-01 00:00:00	2016-07-01 00:00:00	No	2016-10-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DY7S11	N	None	None	SFY2016-17
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-14 00:00:00	910013451	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-01 00:00:00	2017-06-01 00:00:00	No	2017-10-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5B1I11	N	CA00536206	A	SFY2017-18
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-02-23 00:00:00	910013815	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-11-01 00:00:00	2017-11-01 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	IOCU11	N	CA00559043	B	SFY2017-18
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-03-16 00:00:00	910013898	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-10-17 00:00:00	2017-10-17 00:00:00	No	2018-04-06 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	DVMO11	N	CA00557517, CA00557517	B, B	SFY2017-18
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-21 00:00:00	910014419	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-05-14 00:00:00	2018-05-14 00:00:00	No	2018-10-12 00:00:00	None	A	None	15000	45000	-15750	29250	0	None	RZX611	N	CA00587126	A	SFY2018-19
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-02-15 00:00:00	910014824	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-01-16 00:00:00	2018-01-16 00:00:00	No	2019-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	47FJ11	N	CA00612772, CA00612773	B, B	SFY2018-19
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-09 00:00:00	910015050	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-03-19 00:00:00	2019-03-19 00:00:00	No	2019-05-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0LP011	N	None	None	SFY2018-19
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-05-09 00:00:00	910015052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-19 00:00:00	2019-03-19 00:00:00	No	2019-05-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0LP011	N	None	None	SFY2018-19
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-07-18 00:00:00	910015235	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-11 00:00:00	2019-04-11 00:00:00	No	2019-08-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	F7D011	N	CA00634410	B	SFY2019-20
930000436	PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-16 00:00:00	910015317	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-27 00:00:00	2019-06-27 00:00:00	No	2019-09-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	JOPE11	N	None	None	SFY2019-20
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-04 00:00:00	910015435	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-21 00:00:00	2019-06-21 00:00:00	Yes	2019-10-25 00:00:00	2019-11-01 00:00:00	A	A	20000	16500	0	16500	0	None	MUDQ11	N	CA00642979, CA00645330	B, B	SFY2019-20
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-17 00:00:00	910015465	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-21 00:00:00	2019-07-21 00:00:00	No	2019-11-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	H4UF11	N	CA00647116, CA00647116	B, B	SFY2019-20
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-25 00:00:00	910015484	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-07-26 00:00:00	2019-07-26 00:00:00	Yes	2019-11-15 00:00:00	2019-11-01 00:00:00	A	A	20000	16500	0	16500	0	None	7PZI11	N	CA00648232, CA00650524, CA00650524	A, B, B	SFY2019-20
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-10-25 00:00:00	910015487	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2019-07-26 00:00:00	2019-07-26 00:00:00	Yes	2019-11-15 00:00:00	2019-11-01 00:00:00	WF	WMF>$1000	2000	1750	0	1750	0	None	7PZI11	None	CA00648232, CA00648232, CA00650524, CA00650524, CA00650524	A, A, B, B, B	SFY2019-20
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-27 00:00:00	910015553	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-17 00:00:00	2019-08-17 00:00:00	Yes	2019-12-18 00:00:00	2019-12-03 00:00:00	B	None	2000	2000	0	0	2000	None	06LD11	N	CA00652677	A	SFY2019-20
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-12-20 00:00:00	910015626	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-11 00:00:00	2019-10-11 00:00:00	No	2020-01-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	14ME11	N	CA00417072, CA00417116, CA00417273	B, B, B	SFY2019-20
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-16 00:00:00	910015693	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-26 00:00:00	2019-08-26 00:00:00	Yes	2020-02-06 00:00:00	2020-01-31 00:00:00	B	B	2000	2000	0	2000	0	None	BLVD11	N	CA00652332, CA00652603, CA00654310	A, B, B	SFY2019-20
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-24 00:00:00	910015702	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-17 00:00:00	2019-05-17 00:00:00	Yes	2020-02-14 00:00:00	2020-02-07 00:00:00	B	None	2000	6000	0	0	6000	None	0E0G11	N	CA00652673	A	SFY2019-20
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-07 00:00:00	910015727	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-12-26 00:00:00	2019-12-26 00:00:00	No	2020-03-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	I83H11	N	None	None	SFY2019-20
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-02-07 00:00:00	910015729	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-09 00:00:00	2019-09-09 00:00:00	No	2020-03-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	I83H11	N	None	None	SFY2019-20
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-03-25 00:00:00	910015825	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-09 00:00:00	2020-02-09 00:00:00	No	2020-04-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	KK1111	N	None	None	SFY2019-20
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-09 00:00:00	910015843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-19 00:00:00	2019-11-19 00:00:00	No	2020-04-30 00:00:00	None	B	None	2000	6000	0	6000	0	None	RV2D11	N	CA00663875	B	SFY2019-20
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-04-27 00:00:00	910015860	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-03-03 00:00:00	2020-03-03 00:00:00	Yes	2020-05-18 00:00:00	2020-05-04 00:00:00	A	A	20000	8500	0	8500	0	None	3O4F11	N	None	None	SFY2019-20
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-08-13 00:00:00	910015974	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-05-01 00:00:00	2020-05-01 00:00:00	Yes	2020-09-03 00:00:00	2020-09-02 00:00:00	A	A	20000	40000	0	40000	0	None	RVP511	N	CA00690959, CA00690959, CA00690959, CA00690959, CA00690959	A, A, A, A, A	SFY2020-21
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-11 00:00:00	910016032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-21 00:00:00	2020-06-21 00:00:00	No	2020-10-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	V19811	N	CA00693565, CA00693565, CA00693733	A, A, A	SFY2020-21
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-06 00:00:00	910016479	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-07 00:00:00	2021-01-07 00:00:00	No	2021-05-27 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	71SJ11	Y	CA00722151, CA00722151	A, A	SFY2020-21
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-05-13 00:00:00	910016499	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-10 00:00:00	2021-03-10 00:00:00	No	2021-06-04 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	TSVH11	N	CA00728749, CA00728749	B, B	SFY2020-21
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-23 00:00:00	910016757	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-23 00:00:00	2021-05-23 00:00:00	Yes	2021-08-13 00:00:00	2021-08-11 00:00:00	A	A	20000	18000	0	3000	15000	None	L9Z511	N	CA00738205, CA00738205	A, A	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-28 00:00:00	910016771	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-05 00:00:00	2021-05-05 00:00:00	Yes	2021-08-18 00:00:00	2021-08-16 00:00:00	A	A	20000	15000	0	15000	0	None	Y0CZ11	N	CA00734490, CA00734490, CA00734490, CA00734490	B, B, B, B	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-28 00:00:00	910016773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-05 00:00:00	2021-05-05 00:00:00	No	2021-08-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y0CZ11	N	CA00734490, CA00734490, CA00734490, CA00734490	B, B, B, B	SFY2021-22
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-14 00:00:00	910016921	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-15 00:00:00	2021-06-15 00:00:00	No	2021-10-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	1EZL11	N	CA00740651, CA00740651, CA00740651, CA00740651, CA00741110	B, B, B, B, B	SFY2021-22
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-14 00:00:00	910016923	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-15 00:00:00	2021-06-15 00:00:00	No	2021-10-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	1EZL11	N	CA00740651, CA00740651, CA00740651, CA00740651, CA00740651, CA00741110, CA00741110	B, B, B, B, B, B, B	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-08 00:00:00	910016997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-18 00:00:00	2021-06-18 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	JS8011	N	CA00737001	B	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-08 00:00:00	910016998	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-18 00:00:00	2021-06-18 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	JS8011	N	CA00737001, CA00737001	B, B	SFY2021-22
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-08 00:00:00	910017000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-29 00:00:00	2021-07-29 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	31NT11	N	None	None	SFY2021-22
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-03 00:00:00	910017149	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-05-11 00:00:00	2021-05-11 00:00:00	Yes	2021-12-24 00:00:00	2021-12-13 00:00:00	A	A	16000	11200	0	11200	0	None	4I5B11	N	CA00736545	B	SFY2021-22
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-03 00:00:00	910017318	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-17 00:00:00	2021-12-17 00:00:00	Yes	2022-02-25 00:00:00	2022-02-23 00:00:00	B	B	2000	1600	0	1600	0	None	NSXE11	N	None	None	SFY2021-22
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-24 00:00:00	910017440	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-18 00:00:00	2021-12-18 00:00:00	No	2022-03-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9U0G11	N	None	None	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-14 00:00:00	910017493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-27 00:00:00	2022-01-27 00:00:00	No	2022-04-05 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	W4RO11	N	CA00770468, CA00770898	B, B	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-21 00:00:00	910017810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-05-04 00:00:00	2022-05-04 00:00:00	No	2022-08-11 00:00:00	None	B	None	3000	3000	0	3000	0	None	HFZ911	N	CA00783790	B	SFY2022-23
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-15 00:00:00	910017998	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-10-06 00:00:00	None	A	None	20000	60000	-21000	39000	0	None	HE9211	N	None	None	SFY2022-23
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-13 00:00:00	910018240	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-07 00:00:00	2022-10-07 00:00:00	Yes	2023-01-04 00:00:00	2022-12-14 00:00:00	A	None	20000	20000	0	0	20000	None	POKV11	N	None	None	SFY2022-23
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-17 00:00:00	910018531	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-24 00:00:00	2022-10-24 00:00:00	No	2023-04-10 00:00:00	None	A	None	25000	25150	0	25150	0	None	FSRH11	N	CA00808744	B	SFY2022-23
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-03 00:00:00	910018715	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	X6HO11	N	CA00832423	A	SFY2022-23
940000079	PICO RIVERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-25 00:00:00	910018797	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-25 00:00:00	2022-09-25 00:00:00	Yes	2023-06-16 00:00:00	2023-06-07 00:00:00	A	None	25000	25000	0	0	25000	None	PX7V11	N	CA00804922	B	SFY2022-23
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-22 00:00:00	910018889	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-05-02 00:00:00	2023-05-02 00:00:00	No	2023-07-14 00:00:00	None	B	None	3000	3000	0	0	3000	None	6FSU11	N	CA00839451	A	SFY2022-23
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-20 00:00:00	910018983	Open	Citation	Citation A (HSC 1424)	Medication	None	2023-05-31 00:00:00	2023-05-31 00:00:00	No	2023-08-10 00:00:00	None	A	None	25000	25000	0	0	25000	None	KWUV11	N	CA00843474	A	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-26 00:00:00	910019004	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2023-05-25 00:00:00	2023-05-25 00:00:00	No	2023-08-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	W8DY11	N	CA00844776	B	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-29 00:00:00	910019109	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-07-13 00:00:00	2023-07-13 00:00:00	Yes	2023-09-20 00:00:00	2023-09-05 00:00:00	AA	None	120000	120000	0	0	120000	None	EK7111	Y	CA00850765, CA00850765, CA00851127, CA00851127, CA00851127, CA00851127	A, A, A, A, A, A	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-06 00:00:00	910019133	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-24 00:00:00	2023-07-24 00:00:00	No	2023-09-27 00:00:00	None	B	None	3000	3000	0	0	3000	None	DH7F11	N	CA00852139	B	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-22 00:00:00	910019193	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-31 00:00:00	2023-07-31 00:00:00	No	2023-10-13 00:00:00	None	B	None	3000	3100	0	3100	0	None	2JKB11	N	CA00853198, CA00853979	B, B	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-20 00:00:00	910019287	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-05 00:00:00	2023-09-05 00:00:00	No	2023-11-13 00:00:00	None	A	None	20000	20000	0	0	20000	None	S2Y711	N	CA00858704, CA00858704, CA00858704, CA00858704, CA00859161, CA00859161, CA00859161, CA00859161	B, B, B, B, B, B, B, B	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-20 00:00:00	910019291	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility Not Report	2023-08-23 00:00:00	2023-08-23 00:00:00	No	2023-11-13 00:00:00	None	A	None	25000	75000	-26250	48750	0	None	RI8011	N	CA00857514, CA00857514	A, A	SFY2023-24
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-15 00:00:00	910019371	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-15 00:00:00	2023-05-15 00:00:00	No	2023-12-08 00:00:00	None	B	None	3000	3000	0	3000	0	None	JH7K11	N	CA00862083, CA00862083, CA00862339, CA00862339	B, B, B, B	SFY2023-24
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-16 00:00:00	910019375	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-08-07 00:00:00	2023-08-07 00:00:00	Yes	2023-12-11 00:00:00	2023-12-01 00:00:00	A	None	25000	25000	0	0	25000	None	14FB11	N	CA00863687, CA00863687, CA00863687	A, A, A	SFY2023-24
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-28 00:00:00	910019411	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-05 00:00:00	2023-10-05 00:00:00	No	2023-12-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KXMP11	N	CA00864312, CA00865347, CA00865347	B, B, B	SFY2023-24
930000436	PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-01 00:00:00	910019673	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-12-11 00:00:00	2023-12-11 00:00:00	No	2024-02-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	4KK311	N	None	None	SFY2023-24
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-21 00:00:00	910019766	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-02 00:00:00	2024-01-02 00:00:00	No	2024-03-13 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5RVH11	N	CA00877959, CA00878140	B, B	SFY2023-24
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-22 00:00:00	910019773	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-22 00:00:00	2023-12-22 00:00:00	No	2024-03-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MOKP11	N	CA00876393, CA00876393, CA00876393, CA00876393, CA00876393	B, B, B, B, B	SFY2023-24
940000079	PICO RIVERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-23 00:00:00	910019775	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-08 00:00:00	2023-11-08 00:00:00	No	2024-03-15 00:00:00	None	A	None	25000	25000	0	0	25000	None	4HLR11	Y	None	None	SFY2023-24
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-03 00:00:00	910019947	Open	Citation	Citation B (HSC 1424)	Other	Admission, Transfer, Disc	2024-02-18 00:00:00	2024-02-18 00:00:00	No	2024-04-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5IKU11	N	CA00886217, CA00886217, CA00886217, CA00886217	A, A, A, A	SFY2023-24
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-12 00:00:00	910020002	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-08 00:00:00	2024-02-08 00:00:00	No	2024-05-03 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1LNL11	N	CA00886014, CA00886014	B, B	SFY2023-24
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-01 00:00:00	910020090	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-04 00:00:00	2024-03-04 00:00:00	No	2024-05-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3JPO11	N	CA00888387, CA00888387, CA00888387	B, B, B	SFY2023-24
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-20 00:00:00	910020342	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-02-15 00:00:00	2024-02-15 00:00:00	No	2024-07-12 00:00:00	None	A	None	25000	25000	0	0	25000	None	U1T011	Y	None	None	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-28 00:00:00	910020367	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-05-14 00:00:00	2024-05-14 00:00:00	No	2024-07-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	NOSI11	N	None	None	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-28 00:00:00	910020370	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-21 00:00:00	2024-04-21 00:00:00	No	2024-07-22 00:00:00	None	B	None	3000	3000	0	0	3000	None	NOSI11	N	None	None	SFY2023-24
920000054	PANORAMA GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-03-06 00:00:00	920001177	Closed	Citation	Citation A (HSC 1424)	Medication	None	2002-12-13 00:00:00	2002-12-13 00:00:00	Yes	2003-06-05 00:00:00	2003-06-05 00:00:00	A	A	17000	17000	0	17000	0	920007011	A99999	N	None	None	SFY2002-03
920000054	PANORAMA GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-11-22 00:00:00	920003519	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-13 00:00:00	2006-10-13 00:00:00	No	2007-01-04 00:00:00	None	B	None	900	900	0	900	0	None	SJYH11	N	CA00095884	A	SFY2006-07
920000054	PANORAMA GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-24 00:00:00	920013357	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-06-13 00:00:00	2016-06-13 00:00:00	Yes	2017-08-14 00:00:00	2017-08-14 00:00:00	A	B	10000	10000	0	10000	0	None	CPDH11	N	CA00492605	B	SFY2017-18
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-28 00:00:00	920013933	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-10 00:00:00	2018-02-10 00:00:00	Yes	2018-04-18 00:00:00	2018-04-18 00:00:00	A	B	18000	15000	0	15000	0	None	A31Z11	N	None	None	SFY2017-18
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-28 00:00:00	920013934	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-11 00:00:00	2018-02-11 00:00:00	No	2018-04-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	A31Z11	N	None	None	SFY2017-18
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-03-28 00:00:00	920013935	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-11 00:00:00	2018-02-11 00:00:00	No	2018-04-18 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	A31Z11	N	None	None	SFY2017-18
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-06 00:00:00	920015376	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-07-14 00:00:00	2019-07-14 00:00:00	No	2019-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MNW611	N	CA00642505	B	SFY2019-20
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-27 00:00:00	920015424	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-07-01 00:00:00	2019-07-01 00:00:00	No	2019-10-18 00:00:00	None	B	None	1500	1600	0	1600	0	None	J1KJ11	N	CA00644533	B	SFY2019-20
920000054	PANORAMA GARDENS NURSING AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-08-20 00:00:00	920015984	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-07-10 00:00:00	2020-07-10 00:00:00	No	2020-09-11 00:00:00	None	B	None	1500	1500	-525	975	0	None	KBEZ11	N	CA00690376	B	SFY2020-21
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-30 00:00:00	920016865	Closed	Citation	Citation B (HSC 1424)	Medication	None	2021-05-02 00:00:00	2021-05-02 00:00:00	No	2021-09-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EDB311	N	None	None	SFY2021-22
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-30 00:00:00	920016868	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-02 00:00:00	2021-05-02 00:00:00	No	2021-09-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	EDB311	N	None	None	SFY2021-22
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-02 00:00:00	920017146	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-10-16 00:00:00	2021-10-16 00:00:00	No	2021-12-23 00:00:00	None	A	None	20000	20000	0	20000	0	None	R0KO11	N	None	None	SFY2021-22
920000074	PROVIDENCE ST. ELIZABETH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-17 00:00:00	920017203	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2021-09-03 00:00:00	2021-09-03 00:00:00	No	2022-01-07 00:00:00	None	WF	None	2000	2000	0	2000	0	None	T3QZ11	None	CA00753895	B	SFY2021-22
930000681	PROVIDENCE HOLY CROSS MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-02-16 00:00:00	920017353	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-12-14 00:00:00	2021-12-14 00:00:00	No	2022-03-10 00:00:00	None	B	None	2000	2400	0	2400	0	None	DM2K11	N	CA00764658	A	SFY2021-22
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-23 00:00:00	920018178	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Abuse Reporting	2022-08-19 00:00:00	2022-08-19 00:00:00	No	2022-12-16 00:00:00	None	B	None	3000	3000	0	3000	0	None	8KFG11	Y	CA00799946	B	SFY2022-23
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-23 00:00:00	920018179	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-18 00:00:00	2022-08-18 00:00:00	No	2022-12-16 00:00:00	None	A	None	25000	75050	0	0	75050	None	8KFG11	Y	CA00799946	B	SFY2022-23
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-02-28 00:00:00	920018442	Closed	Citation	Citation B (HSC 1424)	Administration	None	2022-05-15 00:00:00	2022-05-15 00:00:00	No	2023-03-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	JFC511	N	None	None	SFY2022-23
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-28 00:00:00	920018705	Closed	Citation	Citation A (HSC 1424)	Medication	None	2023-02-09 00:00:00	2023-02-09 00:00:00	No	2023-05-19 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5E1P11	N	CA00831645, CA00831645	B, B	SFY2022-23
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-18 00:00:00	920018764	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-04-17 00:00:00	2023-04-17 00:00:00	No	2023-06-09 00:00:00	None	B	None	3000	9000	0	0	9000	None	TUFL11	N	CA00836735	B	SFY2022-23
920000074	PROVIDENCE ST. ELIZABETH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-09-28 00:00:00	920019213	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-03 00:00:00	2023-06-03 00:00:00	No	2023-10-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	501T11	N	CA00854465, CA00854465	B, B	SFY2023-24
930000681	PROVIDENCE HOLY CROSS MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-24 00:00:00	920020237	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-15 00:00:00	2024-01-15 00:00:00	No	2024-06-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	VXYQ11	N	None	None	SFY2023-24
930000773	PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-11 00:00:00	930000313	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-08-26 00:00:00	None	Yes	2001-05-14 00:00:00	2001-05-10 00:00:00	A	B	6500	4875	0	4875	0	930010571	A99999	N	None	None	SFY1999-00
930000773	PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-11 00:00:00	930000314	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Care	None	1999-08-26 00:00:00	None	Yes	2001-05-21 00:00:00	2001-05-08 00:00:00	WF	WMO=<$1000	800	600	0	600	0	930010571	A99999	None	None	None	SFY1999-00
930000436	PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-03-16 00:00:00	930000317	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-29 00:00:00	None	Yes	2001-05-21 00:00:00	2001-05-08 00:00:00	A	B	4000	9050	-50	9000	0	930010697	A99999	N	None	None	SFY1999-00
930001577	PRESBYTERIAN INTERCOMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-08-20 00:00:00	930000331	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-03-11 00:00:00	None	No	2002-09-23 00:00:00	None	A	None	12000	12000	-4200	7800	0	930013231	A99999	N	None	None	SFY2002-03
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-01-24 00:00:00	930000335	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-01-07 00:00:00	None	No	2003-02-26 00:00:00	None	B	None	1000	2950	-350	2600	0	930013863	A99999	N	None	None	SFY2002-03
930001611	PROMISE HOSP OF EAST LOS ANGELES-SUB CAMPUS DP/SNF	LTC	SNF	Skilled Nursing Facility	LA Region 3	2004-02-26 00:00:00	930000344	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-20 00:00:00	None	No	2004-04-06 00:00:00	None	B	None	1000	1000	-350	650	0	930014717	A99999	N	None	None	SFY2003-04
930000436	PROVIDENCE LITTLE COMPANY OF MARY SUBACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-04-14 00:00:00	930003031	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-17 00:00:00	2006-03-17 00:00:00	No	2006-05-15 00:00:00	None	B	None	900	900	-315	585	0	None	1PIX11	N	CA00075234	A	SFY2005-06
930001577	PRESBYTERIAN INTERCOMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-04-23 00:00:00	930003672	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-24 00:00:00	2006-06-24 00:00:00	No	2007-05-14 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	6V5H11	N	CA00095430	C	SFY2006-07
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-03-09 00:00:00	930003773	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-12 00:00:00	2005-07-12 00:00:00	No	2007-03-30 00:00:00	None	B	None	900	900	-315	585	0	None	VZYE11	N	CA00065023	C	SFY2006-07
930001185	POMONA VALLEY HOSPITAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-05-26 00:00:00	930007249	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-11-06 00:00:00	2009-11-06 00:00:00	No	2010-06-17 00:00:00	None	B	None	900	900	-315	585	0	None	CZG211	N	CA00209484	B	SFY2009-10
930000773	PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-05 00:00:00	930008536	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-08-10 00:00:00	2011-08-10 00:00:00	Yes	2012-01-27 00:00:00	2012-01-27 00:00:00	B	B	1000	500	0	500	0	None	S9I211	N	CA00278966	A	SFY2011-12
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-08-23 00:00:00	930009452	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2012-04-02 00:00:00	2012-04-02 00:00:00	No	2012-09-14 00:00:00	None	WF	None	900	900	-315	585	0	None	8YHS11	None	None	None	SFY2012-13
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-06-19 00:00:00	930011378	Closed	Citation	Citation A (HSC 1424)	Medication	None	2014-06-30 00:00:00	2014-06-30 00:00:00	No	2015-07-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FNO511	N	None	None	SFY2014-15
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-05-18 00:00:00	930012259	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-02-03 00:00:00	2016-02-03 00:00:00	No	2016-06-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SJB511	N	None	None	SFY2015-16
930000773	PROVIDENCE LITTLE COMPANY OF MARY TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-09-19 00:00:00	930013505	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-05-17 00:00:00	2017-05-17 00:00:00	No	2017-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	63XO11	N	CA00536005	A	SFY2017-18
930000611	PACIFICA HOSPITAL OF THE VALLEY D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-05-22 00:00:00	930014092	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-28 00:00:00	2018-03-28 00:00:00	No	2018-06-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	FYEQ11	N	CA00575757, CA00575757	B, B	SFY2017-18
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-14 00:00:00	940001380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-03 00:00:00	None	Yes	2001-05-29 00:00:00	2000-01-26 00:00:00	B	B	1000	1000	0	1000	0	940005029	A99999	N	None	None	SFY1999-00
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-01-14 00:00:00	940001381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-05 00:00:00	None	Yes	2000-02-07 00:00:00	2000-01-26 00:00:00	B	B	1000	1000	0	1000	0	940005029	A99999	N	None	None	SFY1999-00
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-11 00:00:00	940001385	Closed	Citation	Citation B (HSC 1424)	Other	NEGLECT/ABUSE	2000-02-11 00:00:00	None	No	2000-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	940005058	A99999	N	None	None	SFY1999-00
940000079	PICO RIVERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-01-18 00:00:00	940001410	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-12-29 00:00:00	None	No	2001-02-16 00:00:00	None	B	B	1000	1000	-800	200	0	940005438	A99999	N	None	None	SFY2000-01
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-11-15 00:00:00	940001441	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-30 00:00:00	None	Yes	2002-02-25 00:00:00	2001-11-29 00:00:00	B	B	1000	1000	0	1000	0	940005835	A99999	N	None	None	SFY2001-02
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-11-09 00:00:00	940003478	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-27 00:00:00	2006-08-27 00:00:00	No	2006-12-15 00:00:00	None	B	None	800	800	0	800	0	None	R3MX11	N	CA00094570	C	SFY2006-07
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-01-02 00:00:00	940003597	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-24 00:00:00	2006-06-24 00:00:00	No	2007-01-23 00:00:00	None	B	None	800	800	0	800	0	None	U8VV11	N	CA00084734	A	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-05-15 00:00:00	940003949	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-20 00:00:00	2006-06-20 00:00:00	No	2007-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	CRE211	N	CA00085685	B	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-05-15 00:00:00	940003950	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-06-20 00:00:00	2006-06-20 00:00:00	No	2007-06-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	CRE211	N	CA00085685	B	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-08 00:00:00	940004019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-06 00:00:00	2007-03-06 00:00:00	No	2007-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	V73K11	N	CA00114240	C	SFY2006-07
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-06-08 00:00:00	940004020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-27 00:00:00	2007-04-27 00:00:00	No	2007-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	V73K11	N	CA00114240	C	SFY2006-07
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-01-20 00:00:00	940008078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-08 00:00:00	2011-03-08 00:00:00	No	2012-02-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IQ9K11	N	CA00258730, CA00258730, CA00258730	B, B, B	SFY2011-12
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-09-26 00:00:00	940010164	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-05-14 00:00:00	2013-05-14 00:00:00	No	2013-10-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	90DN11	N	None	None	SFY2013-14
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-01-26 00:00:00	940011194	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-05-18 00:00:00	2014-05-18 00:00:00	No	2015-02-17 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	C5KX11	N	None	None	SFY2014-15
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-02 00:00:00	940011818	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-18 00:00:00	2015-01-18 00:00:00	Yes	2015-12-23 00:00:00	2015-12-15 00:00:00	A	None	20000	20000	0	0	20000	None	UPUY11	N	CA00427793	B	SFY2015-16
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-02 00:00:00	940011862	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-30 00:00:00	2015-06-30 00:00:00	No	2015-12-23 00:00:00	None	A	None	20000	60000	0	60000	0	None	V4XQ11	N	CA00463569	B	SFY2015-16
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-12-02 00:00:00	940011864	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-20 00:00:00	2015-02-20 00:00:00	No	2015-12-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	V4XQ11	N	CA00463569	B	SFY2015-16
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-28 00:00:00	940012360	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility Not Report	2015-04-02 00:00:00	2015-04-02 00:00:00	No	2016-07-20 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	EW3811	N	CA00437533	A	SFY2015-16
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-29 00:00:00	940012781	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-10 00:00:00	2016-07-10 00:00:00	No	2016-12-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Q74R11	N	CA00500577	A	SFY2016-17
940000079	PICO RIVERA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-06 00:00:00	940012944	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-02 00:00:00	2016-08-02 00:00:00	Yes	2017-02-28 00:00:00	2017-02-07 00:00:00	A	B	15000	10500	0	10500	0	None	W8LS11	N	None	None	SFY2016-17
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-04-21 00:00:00	940013141	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-12 00:00:00	2017-02-12 00:00:00	No	2017-05-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	L3YT11	N	CA00522198	A	SFY2016-17
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-06-09 00:00:00	940013261	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2016-10-30 00:00:00	2016-10-30 00:00:00	Yes	2017-06-30 00:00:00	2017-06-09 00:00:00	A	None	20000	20000	0	0	20000	None	987Q11	N	CA00518324	B	SFY2016-17
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-27 00:00:00	940014021	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-09-04 00:00:00	2017-09-04 00:00:00	No	2018-05-18 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	RL1D11	N	CA00559094, CA00559094, CA00559094	B, B, B	SFY2017-18
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-15 00:00:00	940014337	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-01 00:00:00	2018-04-01 00:00:00	No	2018-09-06 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	7LEY11	N	CA00582927, CA00582927, CA00582927	B, B, B	SFY2018-19
940000091	PARAMOUNT CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-07 00:00:00	940014637	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-08-31 00:00:00	2018-08-31 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XNGM11	N	CA00603191, CA00603191	A, A	SFY2018-19
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-28 00:00:00	940014694	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-09-18 00:00:00	2018-09-18 00:00:00	No	2019-01-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CC0O11	N	CA00607273	B	SFY2018-19
940000046	PACIFIC PALMS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-11 00:00:00	940014717	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-08-23 00:00:00	2018-08-23 00:00:00	Yes	2019-02-01 00:00:00	2019-01-11 00:00:00	A	B	16000	16000	0	16000	0	None	6YIW11	N	CA00601151, CA00601151, CA00601151	B, B, B	SFY2018-19
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-15 00:00:00	950001327	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-15 00:00:00	None	No	2000-03-08 00:00:00	None	B	None	700	700	-245	455	0	950006267	A99999	N	None	None	SFY1999-00
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-03-24 00:00:00	950001335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-15 00:00:00	None	No	2000-04-28 00:00:00	None	B	None	500	500	-175	325	0	950006267	A99999	N	None	None	SFY1999-00
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-04-14 00:00:00	950001336	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-01 00:00:00	None	No	2000-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	950006342	A99999	N	None	None	SFY1999-00
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-07-18 00:00:00	950001417	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-03-18 00:00:00	None	Yes	2002-11-19 00:00:00	2002-08-07 00:00:00	B	B	700	700	0	700	0	950007326	A99999	N	None	None	SFY2002-03
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-11-13 00:00:00	950001431	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-10-08 00:00:00	2003-10-09 00:00:00	No	2003-12-16 00:00:00	None	B	None	600	600	0	600	0	950008051	A99999	N	None	None	SFY2003-04
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2005-11-10 00:00:00	950001444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-07 00:00:00	2005-10-07 00:00:00	No	2005-12-06 00:00:00	None	B	None	300	300	-105	195	0	950008582	A99999	N	None	None	SFY2005-06
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-06-09 00:00:00	950003153	Closed	Citation	Citation B (HSC 1424)	Medication	None	2006-04-06 00:00:00	2006-04-06 00:00:00	No	2006-06-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	5T6P11	N	None	None	SFY2005-06
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-22 00:00:00	950004603	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-11-08 00:00:00	2007-11-08 00:00:00	No	2008-02-13 00:00:00	None	B	B	1000	1350	-1173	177	0	None	INN411	N	CA00131310	A	SFY2007-08
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-22 00:00:00	950004604	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-11-08 00:00:00	2007-11-08 00:00:00	No	2008-02-13 00:00:00	None	B	B	1000	1050	-912	138	0	None	7ZT511	N	CA00131563	A	SFY2007-08
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-02-17 00:00:00	950007002	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-22 00:00:00	2010-01-22 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	SJCI11	N	CA00215079	H	SFY2009-10
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-02-17 00:00:00	950007003	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-24 00:00:00	2009-10-24 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	SJCI11	N	CA00215079	H	SFY2009-10
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-02-17 00:00:00	950007004	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-01-22 00:00:00	2010-01-22 00:00:00	No	2010-03-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	SJCI11	N	CA00215079	H	SFY2009-10
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-08-11 00:00:00	950007485	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-24 00:00:00	2009-04-24 00:00:00	Yes	2010-09-01 00:00:00	2013-04-15 00:00:00	A	A	20000	10000	0	10000	0	None	0T7Q11	N	CA00187425	C	SFY2010-11
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-09-20 00:00:00	950007527	Closed	Citation	Citation A (HSC 1424)	Administration	None	2010-01-22 00:00:00	2010-01-22 00:00:00	No	2010-10-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	SJCI11	N	CA00215079	H	SFY2010-11
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-11-01 00:00:00	950008687	Closed	Citation	Citation B (HSC 1424)	Other	Failed to post rating	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2011-11-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	GQCI11	N	None	None	SFY2011-12
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-01 00:00:00	950008969	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-10-15 00:00:00	2011-10-15 00:00:00	No	2012-02-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3WD611	N	CA00287777	B	SFY2011-12
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-06-19 00:00:00	950009368	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-03 00:00:00	2012-04-03 00:00:00	No	2012-07-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H6GQ11	N	None	None	SFY2011-12
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-07-18 00:00:00	950009401	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2012-04-03 00:00:00	2012-04-03 00:00:00	No	2012-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H6GQ11	N	None	None	SFY2012-13
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-07-18 00:00:00	950009402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-03 00:00:00	2012-04-03 00:00:00	No	2012-08-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	H6GQ11	N	None	None	SFY2012-13
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-08-23 00:00:00	950009456	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-09 00:00:00	2010-09-09 00:00:00	Yes	2012-09-14 00:00:00	2012-09-06 00:00:00	B	None	2000	2000	0	2000	0	None	QEB611	N	CA00277821	A	SFY2012-13
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-06 00:00:00	950009584	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-03 00:00:00	2009-10-03 00:00:00	No	2012-11-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	QZGM11	N	CA00204106	B	SFY2012-13
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-19 00:00:00	950009804	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-29 00:00:00	2011-03-29 00:00:00	No	2013-05-10 00:00:00	None	A	None	10000	10000	0	10000	0	None	M2VJ11	N	CA00262232	B	SFY2012-13
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-09-01 00:00:00	950011688	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-05-06 00:00:00	2014-05-06 00:00:00	No	2015-09-23 00:00:00	None	A	None	20000	20000	0	0	20000	None	EIIZ11	N	CA00275823	A	SFY2015-16
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-09-25 00:00:00	950011747	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-05-06 00:00:00	2014-05-06 00:00:00	No	2015-10-16 00:00:00	None	B	None	2000	2000	0	0	2000	None	EIIZ11	N	CA00275823	A	SFY2015-16
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-03-16 00:00:00	950012052	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-24 00:00:00	2015-03-24 00:00:00	No	2016-04-07 00:00:00	None	A	None	14000	14550	-4900	9650	0	None	UXKS11	N	CA00436069	A	SFY2015-16
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-03-23 00:00:00	950012144	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-26 00:00:00	2011-10-26 00:00:00	No	2016-04-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	0WEZ11	N	CA00287664	A	SFY2015-16
950000084	PILGRIM PLACE HEALTH SERVICES CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2016-09-23 00:00:00	950012592	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-28 00:00:00	2014-03-28 00:00:00	No	2016-10-14 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	86OS11	N	CA00392476	B	SFY2016-17
950000084	PILGRIM PLACE HEALTH SERVICES CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-03-24 00:00:00	950013078	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2017-04-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YYJZ11	N	CA00494123	B	SFY2016-17
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-03 00:00:00	950013177	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-03-18 00:00:00	2017-03-18 00:00:00	Yes	2017-05-24 00:00:00	2017-05-23 00:00:00	B	B	2000	2000	0	2000	0	None	MTDH11	N	None	None	SFY2016-17
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-12 00:00:00	950013193	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-31 00:00:00	2017-01-31 00:00:00	No	2017-06-05 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	2S5H11	N	CA00520811	A	SFY2016-17
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-05-17 00:00:00	950013203	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-03-13 00:00:00	2017-03-13 00:00:00	Yes	2017-06-08 00:00:00	2017-06-06 00:00:00	A	A	20000	15000	0	15000	0	None	WYW711	N	None	None	SFY2016-17
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-12-01 00:00:00	950013666	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2017-08-08 00:00:00	2017-08-08 00:00:00	No	2017-12-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	P6EM11	N	CA00546808	A	SFY2017-18
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-12-01 00:00:00	950013667	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurence	2017-05-25 00:00:00	2017-05-25 00:00:00	No	2017-12-22 00:00:00	None	B	None	2000	2000	0	2000	0	None	P6EM11	N	CA00546808	A	SFY2017-18
950000057	PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-01-10 00:00:00	950013725	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-10-29 00:00:00	2017-10-29 00:00:00	No	2018-01-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Z1XI11	N	None	None	SFY2017-18
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-02 00:00:00	950013862	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-19 00:00:00	2018-01-19 00:00:00	Yes	2018-03-23 00:00:00	2018-05-03 00:00:00	A	B	20000	15000	0	15000	0	None	BQTD11	N	None	None	SFY2017-18
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013894	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-07 00:00:00	2017-02-07 00:00:00	No	2018-04-11 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	4J0I11	N	CA00562364	B	SFY2017-18
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013923	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-01-23 00:00:00	2018-01-23 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4J0I11	N	CA00572688	B	SFY2017-18
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-06-29 00:00:00	950014205	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-02-22 00:00:00	2018-02-22 00:00:00	No	2018-07-23 00:00:00	None	A	None	20000	20000	0	20000	0	None	KF5611	Y	CA00576294	A	SFY2017-18
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-08-17 00:00:00	950014344	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-02-14 00:00:00	2018-02-14 00:00:00	Yes	2018-09-10 00:00:00	2018-09-10 00:00:00	B	B	2000	1200	0	1200	0	None	LZ6J11	N	CA00574494	A	SFY2018-19
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-02-08 00:00:00	950014803	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-10-19 00:00:00	2018-10-19 00:00:00	Yes	2019-03-01 00:00:00	2019-03-01 00:00:00	A	B	20000	10000	0	10000	0	None	JYSE11	N	CA00608994, CA00608994	B, B	SFY2018-19
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-06-21 00:00:00	950015178	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-01 00:00:00	2019-02-01 00:00:00	No	2019-07-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	JXRH11	N	CA00630534, CA00630534	B, B	SFY2018-19
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-19 00:00:00	950015338	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RXTC11	N	CA00636749, CA00638666, CA00639257, CA00640788	A, A, B, B	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-19 00:00:00	950015397	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	RXTC11	N	CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788, CA00640788	A, A, A, A, A, A, A, B, B, B, B, B, B	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-19 00:00:00	950015398	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	RXTC11	N	CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788	A, A, A, A, A, A, A, B, B, B, B, B	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-19 00:00:00	950015399	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-07 00:00:00	2019-05-07 00:00:00	No	2019-10-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	RXTC11	N	CA00636749, CA00636749, CA00636749, CA00638666, CA00638666, CA00638666, CA00638666, CA00639257, CA00639257, CA00640788, CA00640788, CA00640788	A, A, A, A, A, A, A, B, B, B, B, B	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-01-17 00:00:00	950015692	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-11-26 00:00:00	2019-11-26 00:00:00	No	2020-02-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X5F911	N	CA00665263	A	SFY2019-20
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-02-12 00:00:00	950015735	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-15 00:00:00	2019-09-15 00:00:00	No	2020-03-04 00:00:00	None	B	None	2000	2350	0	2350	0	None	LBG411	N	None	None	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-05-27 00:00:00	950015887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-11-18 00:00:00	2019-11-18 00:00:00	No	2020-06-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	TF2M11	N	CA00678264	A	SFY2019-20
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-06 00:00:00	950016139	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-08-10 00:00:00	2020-08-10 00:00:00	No	2020-12-02 00:00:00	None	B	None	2000	8100	0	8100	0	None	IIO511	N	CA00700694, CA00700694, CA00700882, CA00700882, CA00700889, CA00700889, CA00701262, CA00701262, CA00703394	A, A, A, A, A, A, A, A, B	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-11-25 00:00:00	950016169	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-16 00:00:00	2020-10-16 00:00:00	No	2020-12-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GVY411	N	CA00709046, CA00709046, CA00709046	B, B, B	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-05 00:00:00	950016324	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-03-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	DO9M11	N	CA00720218, CA00720218, CA00720218, CA00720218	A, A, A, A	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-05 00:00:00	950016325	Closed	Citation	Citation B (HSC 1424)	Administration	None	2020-12-30 00:00:00	2020-12-30 00:00:00	No	2021-03-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	XVOG11	Y	CA00719810, CA00719810, CA00719810	A, A, A	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-05 00:00:00	950016328	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-01-04 00:00:00	2021-01-04 00:00:00	Yes	2021-03-26 00:00:00	2021-03-26 00:00:00	AA	AA	100000	65000	0	65000	0	None	DO9M11	Y	CA00720218, CA00720218, CA00720218, CA00720218, CA00720218	A, A, A, A, A	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-12 00:00:00	950016345	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-14 00:00:00	2021-01-14 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	2HBL11	N	CA00721332	A	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-12 00:00:00	950016346	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2021-01-14 00:00:00	2021-01-14 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2HBL11	N	CA00721332, CA00721332	A, A	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-16 00:00:00	950016347	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-24 00:00:00	2020-12-24 00:00:00	Yes	2021-04-07 00:00:00	2021-04-07 00:00:00	A	A	20000	15000	0	15000	0	None	7VL111	N	CA00669029	B	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-26 00:00:00	950016380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-04 00:00:00	2021-01-04 00:00:00	No	2021-04-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	3U5Y11	N	CA00722119	B	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-04-14 00:00:00	950016418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-14 00:00:00	2021-01-14 00:00:00	No	2021-05-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	EHOQ11	N	CA00721321, CA00721321, CA00721321, CA00721794, CA00721801	A, A, A, B, B	SFY2020-21
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-02 00:00:00	950016690	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-04-27 00:00:00	2021-04-27 00:00:00	No	2021-07-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	MD1B11	N	None	None	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-07 00:00:00	950016699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-18 00:00:00	2021-05-18 00:00:00	No	2021-07-28 00:00:00	None	B	None	2000	2000	0	2000	0	None	NRCG11	N	CA00735643, CA00735643, CA00735931, CA00735931, CA00737113, CA00737113, CA00737113	B, B, B, B, B, B, B	SFY2021-22
950000084	PILGRIM PLACE HEALTH SERVICES CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-07 00:00:00	950016704	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-17 00:00:00	2021-04-17 00:00:00	No	2021-07-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IMWV11	N	CA00733425	A	SFY2021-22
950000057	PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-15 00:00:00	950016727	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2021-06-18 00:00:00	2021-07-15 00:00:00	Yes	2021-08-05 00:00:00	2021-07-19 00:00:00	B	B	2000	6100	-1350	4750	0	None	JLVN11	N	CA00743816	A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-03 00:00:00	950016889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-03 00:00:00	2021-04-03 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	WUCI11	N	CA00732043	B	SFY2021-22
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-29 00:00:00	950016968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-05 00:00:00	2021-07-05 00:00:00	No	2021-10-20 00:00:00	None	B	None	2000	2000	0	2000	0	None	NV4L11	N	CA00743049, CA00743049	A, A	SFY2021-22
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-08 00:00:00	950016996	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-08-11 00:00:00	2021-08-11 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NXDG11	N	CA00747957, CA00747957	B, B	SFY2021-22
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-20 00:00:00	950017028	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-01 00:00:00	2021-08-01 00:00:00	No	2021-11-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	GVN011	N	CA00751125, CA00751125	B, B	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-29 00:00:00	950017054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-23 00:00:00	2021-08-23 00:00:00	No	2021-11-22 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	XBCX11	N	CA00747913, CA00747913, CA00749025, CA00749025	B, B, A, A	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-27 00:00:00	950017224	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-09-29 00:00:00	2021-09-29 00:00:00	No	2022-01-18 00:00:00	None	B	None	2000	3550	-700	2850	0	None	U5BX11	N	CA00754300	A	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-01-20 00:00:00	950017275	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-10 00:00:00	2021-05-10 00:00:00	No	2022-02-10 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	0CNQ11	N	CA00736178	B	SFY2021-22
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-02 00:00:00	950017454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-28 00:00:00	2021-12-28 00:00:00	No	2022-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	G2YE11	N	CA00766953, CA00766953	A, A	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-02 00:00:00	950017456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-01-13 00:00:00	2022-01-13 00:00:00	No	2022-03-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WC9F11	N	CA00768871, CA00768871	A, A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-10 00:00:00	950017483	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-02-02 00:00:00	2022-02-02 00:00:00	No	2022-04-01 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	O32V11	N	CA00771715	A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-22 00:00:00	950017595	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-04-14 00:00:00	2022-04-22 00:00:00	No	2022-05-13 00:00:00	None	B	None	3000	3400	0	0	3400	None	NCG011	N	CA00780870	A	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-22 00:00:00	950017596	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2022-04-15 00:00:00	2022-04-22 00:00:00	No	2022-05-13 00:00:00	None	B	None	3000	3350	0	0	3350	None	NCG011	N	CA00781120	A	SFY2021-22
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-06 00:00:00	950017627	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-06 00:00:00	2022-02-06 00:00:00	No	2022-05-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O1ER11	N	CA00772568, CA00772626	B, B	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-20 00:00:00	950017655	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-05 00:00:00	2022-04-05 00:00:00	No	2022-06-13 00:00:00	None	B	None	3000	3000	0	0	3000	None	17F111	N	CA00779614, CA00779614, CA00779614	B, B, B	SFY2021-22
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-06-09 00:00:00	950017702	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-28 00:00:00	2022-04-28 00:00:00	No	2022-06-30 00:00:00	None	B	None	2000	2000	0	0	2000	None	YM8911	N	CA00776502, CA00776502	B, B	SFY2021-22
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-07-29 00:00:00	950017864	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-01-21 00:00:00	2022-01-21 00:00:00	No	2022-08-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DYNH11	N	CA00768861	B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-08 00:00:00	950017967	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-25 00:00:00	2022-03-25 00:00:00	No	2022-09-29 00:00:00	None	B	None	3000	3000	0	0	3000	None	YRPU11	N	CA00789261	B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-29 00:00:00	950018026	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-08-17 00:00:00	2022-08-17 00:00:00	No	2022-10-20 00:00:00	None	B	None	3000	3000	0	3000	0	None	2CN011	N	CA00797018, CA00797018, CA00797018	B, B, B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-29 00:00:00	950018028	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-08-17 00:00:00	2022-08-17 00:00:00	No	2022-10-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2CN011	N	CA00797018, CA00797018, CA00797018, CA00797018	B, B, B, B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-10 00:00:00	950018150	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-11 00:00:00	2022-09-11 00:00:00	No	2022-12-06 00:00:00	None	B	None	3000	3000	0	0	3000	None	I4S211	N	CA00802685, CA00802685	A, A	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-18 00:00:00	950018162	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-08-19 00:00:00	2022-08-19 00:00:00	Yes	2022-12-13 00:00:00	2022-11-29 00:00:00	A	None	25000	25000	0	0	25000	None	FZWJ11	N	CA00799715, CA00799715	A, A	SFY2022-23
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-02 00:00:00	950018211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-19 00:00:00	2022-09-19 00:00:00	No	2022-12-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	U7KH11	N	CA00803831	A	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-01-18 00:00:00	950018320	Open	Citation	Citation B (HSC 1424)	Dietary	None	2022-11-30 00:00:00	2022-11-30 00:00:00	No	2023-02-08 00:00:00	None	B	None	3000	3000	0	0	3000	None	XN3F11	N	CA00811934, CA00811934	B, B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-22 00:00:00	950018435	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-30 00:00:00	2022-12-30 00:00:00	No	2023-03-15 00:00:00	None	B	None	3000	3000	0	0	3000	None	XJBO11	N	CA00818705, CA00818705, CA00818705	A, A, A	SFY2022-23
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-28 00:00:00	950018450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-16 00:00:00	2022-11-16 00:00:00	No	2023-03-21 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2KPU11	N	None	None	SFY2022-23
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-09 00:00:00	950018500	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-02 00:00:00	2023-01-02 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	H7NH11	N	CA00819256, CA00819256, CA00819256, CA00819276, CA00819276, CA00819421, CA00819421	A, A, A, A, A, B, B	SFY2022-23
950000057	PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-10 00:00:00	950018503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-12-08 00:00:00	2022-12-08 00:00:00	No	2023-04-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	S6P611	N	CA00815815, CA00815815	B, B	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-21 00:00:00	950018540	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-01-18 00:00:00	2023-01-18 00:00:00	No	2023-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	9XC211	N	CA00822075, CA00822075, CA00822075, CA00822075, CA00822075	A, A, A, A, A	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-21 00:00:00	950018665	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-22 00:00:00	2023-03-22 00:00:00	No	2023-05-12 00:00:00	None	B	None	3000	3000	0	0	3000	None	9YWU11	N	CA00835040	A	SFY2022-23
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-24 00:00:00	950018676	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-25 00:00:00	2022-10-25 00:00:00	No	2023-05-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	78IE11	N	CA00825701, CA00825701, CA00825701, CA00825701, CA00825701, CA00825701, CA00825701	A, A, A, A, A, A, A	SFY2022-23
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-24 00:00:00	950018678	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-05-15 00:00:00	None	B	None	3000	3000	0	0	3000	None	TTUX11	N	CA00830937	B	SFY2022-23
950000057	PINE GROVE HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-04 00:00:00	950018720	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-13 00:00:00	2023-02-13 00:00:00	No	2023-05-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MEU911	N	CA00826586, CA00826586, CA00826595, CA00826595	B, B, B, B	SFY2022-23
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-11 00:00:00	950018744	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-21 00:00:00	2023-03-21 00:00:00	No	2023-06-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	37J711	N	CA00832547, CA00832547	A, A	SFY2022-23
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-05-24 00:00:00	950018790	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-27 00:00:00	2023-03-27 00:00:00	No	2023-06-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	9X1P11	N	CA00834792, CA00835626, CA00835626, CA00835626	A, A, A, A	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-02 00:00:00	950018824	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-11-11 00:00:00	2022-11-11 00:00:00	No	2023-06-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	4AYD11	N	None	None	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-02 00:00:00	950018825	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-04-20 00:00:00	2023-04-20 00:00:00	No	2023-06-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4AYD11	N	None	None	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-02 00:00:00	950018826	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-12 00:00:00	2023-04-12 00:00:00	No	2023-06-23 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	4AYD11	N	None	None	SFY2022-23
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-23 00:00:00	950018896	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-05-24 00:00:00	2023-05-24 00:00:00	No	2023-07-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	XS4O11	N	CA00841916	B	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-07-18 00:00:00	950018971	Closed	Citation	Citation B (HSC 1424)	Other	Staff Qualifications	2023-05-24 00:00:00	2023-05-24 00:00:00	No	2023-08-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	4AYD12	N	None	None	SFY2023-24
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-27 00:00:00	950019315	Open	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-03-16 00:00:00	2023-03-16 00:00:00	No	2023-11-20 00:00:00	None	A	None	25000	25000	0	0	25000	None	2TPG11	N	CA00860791, CA00860791, CA00860791, CA00860791	A, A, A, A	SFY2023-24
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-07 00:00:00	950019451	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-09 00:00:00	2023-10-09 00:00:00	No	2023-12-29 00:00:00	None	B	None	3000	3000	0	3000	0	None	9SG311	N	CA00864805	B	SFY2023-24
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-12 00:00:00	950019466	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-17 00:00:00	2023-10-17 00:00:00	No	2024-01-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	3KJW11	N	CA00866067	B	SFY2023-24
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-12-19 00:00:00	950019512	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-17 00:00:00	2023-10-17 00:00:00	No	2024-01-10 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	E1E711	N	CA00867215, CA00867215, CA00868099, CA00868099, CA00868277, CA00868277, CA00868329, CA00868329	B, B, B, B, B, B, B, B	SFY2023-24
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-11 00:00:00	950019590	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-12-27 00:00:00	2023-12-27 00:00:00	No	2024-02-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	6VJZ11	N	None	None	SFY2023-24
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-17 00:00:00	950019614	Closed	Citation	Citation B (HSC 1424)	Other	Free from accident hazard	2023-12-02 00:00:00	2023-12-02 00:00:00	No	2024-02-07 00:00:00	None	B	None	3000	3000	0	3000	0	None	E0UK11	N	CA00872422, CA00872956	A, A	SFY2023-24
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-01-19 00:00:00	950019615	Closed	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-12-14 00:00:00	2023-12-17 00:00:00	No	2024-02-09 00:00:00	None	B	None	3000	3150	-1050	2100	0	None	CU7411	N	CA00874872, CA00874872	A, A	SFY2023-24
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-15 00:00:00	950019741	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2023-12-20 00:00:00	2023-12-20 00:00:00	No	2024-03-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2BSZ11	N	CA00875987	B	SFY2023-24
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-15 00:00:00	950019743	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-12-25 00:00:00	2023-12-28 00:00:00	No	2024-03-07 00:00:00	None	B	None	3000	3150	-1050	1982.5	117.5	None	2BSZ11	N	CA00876647, CA00876825	A, B	SFY2023-24
950000081	PARK AVENUE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-06 00:00:00	950019832	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-03 00:00:00	2024-02-03 00:00:00	No	2024-03-27 00:00:00	None	B	None	2000	6000	0	6000	0	None	DILQ11	N	CA00883256	B	SFY2023-24
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-04 00:00:00	950019952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-01 00:00:00	2024-02-01 00:00:00	No	2024-04-25 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	PXJ011	N	None	None	SFY2023-24
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-02 00:00:00	950020098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-05-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	7BNB11	N	CA00889145	A	SFY2023-24
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-02 00:00:00	950020104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-14 00:00:00	2024-02-14 00:00:00	No	2024-05-23 00:00:00	None	B	None	2500	7500	-2625	4875	0	None	T61P11	N	CA00890434	A	SFY2023-24
950000083	PENN MAR HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-15 00:00:00	950020192	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-29 00:00:00	2024-03-29 00:00:00	No	2024-06-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	KS3T11	N	CA00892403	A	SFY2023-24
960001043	PHOENIX DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-21 00:00:00	960000826	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-29 00:00:00	None	No	2000-02-17 00:00:00	None	B	None	1000	1000	-350	650	0	960006826	A99999	N	None	None	SFY1999-00
960002358	PATE & INGRAM HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-03-29 00:00:00	960000844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-05 00:00:00	None	No	2000-04-19 00:00:00	None	B	None	500	500	-175	325	0	960006975	A99999	N	None	None	SFY1999-00
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-06-16 00:00:00	960000855	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-19 00:00:00	None	No	2000-07-10 00:00:00	None	B	None	800	800	-280	520	0	960007143	A99999	N	None	None	SFY1999-00
960002360	PATE & INGRAM HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-03-07 00:00:00	960000887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-21 00:00:00	None	No	2001-04-03 00:00:00	None	B	None	1000	1000	-350	650	0	960007562	A99999	N	None	None	SFY2000-01
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000907	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-10 00:00:00	None	No	2001-07-10 00:00:00	None	B	None	2400	2400	-840	1560	0	960007804	A99999	N	None	None	SFY2000-01
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000908	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-10 00:00:00	None	No	2001-07-03 00:00:00	None	B	None	800	800	-280	520	0	960007805	A99999	N	None	None	SFY2000-01
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-06-05 00:00:00	960000909	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-10 00:00:00	None	No	2001-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	960007808	A99999	N	None	None	SFY2000-01
960002360	PATE & INGRAM HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-06 00:00:00	960000917	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-06-25 00:00:00	None	No	2001-07-27 00:00:00	None	B	None	1000	1000	-350	650	0	960007882	A99999	N	None	None	SFY2001-02
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-11-26 00:00:00	960000941	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-02 00:00:00	None	Yes	2002-05-02 00:00:00	2001-11-26 00:00:00	B	B	1000	1000	0	1000	0	960008160	A99999	N	None	None	SFY2001-02
960002606	PRIMARY RELIANCE - VICTORIA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-08 00:00:00	960000950	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-25 00:00:00	None	No	2002-02-07 00:00:00	None	A	None	5000	5000	-1750	3250	0	960008020	A99999	N	None	None	SFY2001-02
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-17 00:00:00	960000953	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-12-26 00:00:00	None	No	2002-02-21 00:00:00	None	B	None	600	600	-210	390	0	960008284	A99999	N	None	None	SFY2001-02
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-01-17 00:00:00	960000954	Closed	Citation	Citation B (HSC 1424)	Medication	None	2001-12-26 00:00:00	None	No	2002-02-21 00:00:00	None	B	None	800	800	-280	520	0	960008285	A99999	N	None	None	SFY2001-02
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-13 00:00:00	960000975	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-06-04 00:00:00	None	No	2002-08-06 00:00:00	None	B	None	600	600	-210	390	0	960008585	A99999	N	None	None	SFY2001-02
960002360	PATE & INGRAM HOME II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-06-21 00:00:00	960000979	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-06-12 00:00:00	None	No	2002-08-01 00:00:00	None	B	None	700	700	-245	455	0	960008608	A99999	N	None	None	SFY2001-02
960002043	PARTHENIA NORTH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2002-10-31 00:00:00	960000991	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-10-18 00:00:00	None	Yes	2003-04-10 00:00:00	2002-11-19 00:00:00	B	B	1000	1000	0	1000	0	960008851	A99999	N	None	None	SFY2002-03
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-02-11 00:00:00	960001005	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-30 00:00:00	None	No	2003-03-12 00:00:00	None	B	None	1000	1000	-350	650	0	960009005	A99999	N	None	None	SFY2002-03
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-02-13 00:00:00	960001006	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2003-01-30 00:00:00	None	No	2003-03-14 00:00:00	None	B	None	1000	1000	-350	650	0	960009015	A99999	N	None	None	SFY2002-03
960002393	PACIFIC HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-07-31 00:00:00	960001030	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-07-29 00:00:00	None	No	2003-09-08 00:00:00	None	B	None	1000	1000	-350	650	0	960009292	A99999	N	None	None	SFY2003-04
960002393	PACIFIC HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-08-25 00:00:00	960001033	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-29 00:00:00	None	No	2003-09-23 00:00:00	None	B	None	1000	1000	-350	650	0	960009292	A99999	N	None	None	SFY2003-04
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-09-26 00:00:00	960001034	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-04 00:00:00	None	Yes	2004-01-27 00:00:00	2003-10-06 00:00:00	B	B	1000	1500	-500	1000	0	960009320	A99999	N	None	None	SFY2003-04
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-11-07 00:00:00	960001039	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-15 00:00:00	None	No	2003-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	960009460	A99999	N	None	None	SFY2003-04
960000951	PROJECT HOMELIFE - PARISE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-01-20 00:00:00	960001048	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-02 00:00:00	None	No	2004-02-20 00:00:00	None	B	None	1000	1000	-350	650	0	960009540	A99999	N	None	None	SFY2003-04
960001097	PURE JOY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-05-26 00:00:00	960001071	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-03-26 00:00:00	None	No	2004-07-14 00:00:00	None	B	None	1000	1000	-350	650	0	960009733	A99999	N	None	None	SFY2003-04
960001679	PECK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-07-22 00:00:00	960001082	Closed	Citation	Citation B (HSC 1424)	Administration	None	2004-06-17 00:00:00	None	No	2004-08-25 00:00:00	None	B	None	800	800	-280	520	0	960009788	A99999	N	None	None	SFY2004-05
960002358	PATE & INGRAM HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2004-12-03 00:00:00	960001097	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-10-01 00:00:00	None	No	2005-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	960009983	A99999	N	None	None	SFY2004-05
960002358	PATE & INGRAM HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-06 00:00:00	960001139	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-03 00:00:00	None	No	2005-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	960010248	A99999	N	None	None	SFY2005-06
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-04 00:00:00	960001147	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-29 00:00:00	None	No	2005-10-26 00:00:00	None	B	None	800	1200	0	1200	0	960010303	A99999	N	None	None	SFY2005-06
960001097	PURE JOY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-04 00:00:00	960001149	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-29 00:00:00	None	No	2005-11-16 00:00:00	None	B	None	800	1150	0	1150	0	960010341	A99999	N	None	None	SFY2005-06
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-12-29 00:00:00	960001165	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-11-23 00:00:00	None	No	2006-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	960010420	A99999	N	None	None	SFY2005-06
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-06-14 00:00:00	960003161	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-17 00:00:00	2005-04-17 00:00:00	No	2006-07-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	HCST11	N	None	None	SFY2005-06
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-11-13 00:00:00	960003487	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-10-10 00:00:00	2006-10-10 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	3750	0	3750	0	None	W1P811	N	CA00083232	C	SFY2006-07
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-11-13 00:00:00	960003488	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-10-10 00:00:00	2006-10-10 00:00:00	No	2006-12-06 00:00:00	None	B	None	1000	2850	0	2850	0	None	W1P811	N	CA00083232	C	SFY2006-07
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-02-15 00:00:00	960004690	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-02-06 00:00:00	2008-02-06 00:00:00	No	2008-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	UX8I11	N	None	None	SFY2007-08
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-13 00:00:00	960004783	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-02-06 00:00:00	2008-02-06 00:00:00	No	2008-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	E5YF11	N	CA00131989	A	SFY2007-08
960002393	PACIFIC HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-13 00:00:00	960004784	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-01 00:00:00	2008-02-01 00:00:00	No	2008-04-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	D78Z11	N	CA00139062	C	SFY2007-08
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-06-16 00:00:00	960005112	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-05-13 00:00:00	2008-05-13 00:00:00	No	2008-07-08 00:00:00	None	B	None	600	600	-210	390	0	None	KMGC11	N	CA00149989	A	SFY2007-08
960001043	PHOENIX DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-20 00:00:00	960005999	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2009-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	91JB11	N	None	None	SFY2008-09
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-06-15 00:00:00	960007310	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-02-05 00:00:00	2010-02-05 00:00:00	No	2010-08-06 00:00:00	None	B	None	1000	1000	0	1000	0	None	HIZI11	N	CA00219851	E	SFY2009-10
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-07-15 00:00:00	960007375	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-02-10 00:00:00	2010-02-10 00:00:00	No	2010-08-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	HIZI11	N	CA00219851	E	SFY2010-11
960001696	PRIMARY RELIANCE ENCINAS HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-07-15 00:00:00	960007377	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-02-10 00:00:00	2010-02-10 00:00:00	Yes	2010-08-09 00:00:00	2010-08-24 00:00:00	B	None	1000	1000	0	1000	0	None	HIZI11	N	CA00219851	E	SFY2010-11
960001097	PURE JOY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2011-02-17 00:00:00	960007942	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-06-15 00:00:00	2010-06-15 00:00:00	No	2011-03-11 00:00:00	None	B	None	500	500	-175	325	0	None	DZWB11	N	CA00250944	D	SFY2010-11
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-07-13 00:00:00	960009394	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-08-31 00:00:00	2011-08-31 00:00:00	No	2012-08-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	FQMP11	N	None	None	SFY2012-13
960001096	PURE JOY #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-10-12 00:00:00	960012644	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-08-05 00:00:00	2016-08-05 00:00:00	No	2016-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	1DGN11	N	None	None	SFY2016-17
960002393	PACIFIC HOME CARE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-09-13 00:00:00	960013493	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2017-08-02 00:00:00	2017-08-02 00:00:00	No	2017-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	LC9J11	N	None	None	SFY2017-18
960002358	PATE & INGRAM HOME I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-11-22 00:00:00	960015550	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-10-08 00:00:00	2019-10-08 00:00:00	No	2019-12-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	2B4H11	N	None	None	SFY2019-20
960001316	PALM HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-10 00:00:00	960019979	Open	Citation	Citation B (HSC 1424)	Other	Dietary	2024-02-21 00:00:00	2024-02-21 00:00:00	Yes	2024-05-01 00:00:00	2024-04-19 00:00:00	B	None	1800	1800	0	0	1800	None	98QG11	N	None	None	SFY2023-24
960001097	PURE JOY #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-16 00:00:00	960020012	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-14 00:00:00	2024-03-14 00:00:00	No	2024-05-07 00:00:00	None	B	None	1300	1300	-455	845	0	None	5IDE11	N	None	None	SFY2023-24
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-04-11 00:00:00	970001375	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-24 00:00:00	2002-04-11 00:00:00	No	2002-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	970007136	A99999	N	None	None	SFY2001-02
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2007-04-18 00:00:00	970003905	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-02 00:00:00	2006-12-02 00:00:00	No	2007-05-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	DVY311	N	None	None	SFY2006-07
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-28 00:00:00	970004616	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2008-01-01 00:00:00	2008-01-01 00:00:00	No	2008-02-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	9WL911	N	CA00135564	C	SFY2007-08
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-02-11 00:00:00	970004660	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-09 00:00:00	2008-01-09 00:00:00	No	2008-03-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	6ZLI11	N	CA00135290	C	SFY2007-08
970000184	PASADENA PARK HEALTHCARE AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-02-11 00:00:00	970004661	Closed	Citation	Citation B (HSC 1424)	Other	Resident Assessment	2007-12-04 00:00:00	2007-12-04 00:00:00	No	2008-03-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	6ZLI11	N	CA00135290	C	SFY2007-08
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-04-14 00:00:00	970004921	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-26 00:00:00	2007-07-26 00:00:00	No	2008-05-07 00:00:00	None	B	None	900	900	-315	585	0	None	K3S411	N	CA00121490	B	SFY2007-08
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-04-29 00:00:00	980016450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-03 00:00:00	2021-03-03 00:00:00	No	2021-05-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	QVO111	N	CA00730430, CA00730430	B, B	SFY2020-21
630016003	PULSE HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-05-10 00:00:00	980016484	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-17 00:00:00	2021-03-17 00:00:00	No	2021-06-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	5B8811	N	CA00729314, CA00729314	A, A	SFY2020-21
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-07-02 00:00:00	980016682	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-11 00:00:00	2021-05-11 00:00:00	No	2021-07-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	L7YJ11	N	CA00736195	A	SFY2021-22
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-08-25 00:00:00	980016849	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-07-08 00:00:00	2021-07-08 00:00:00	No	2021-09-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	K3V711	N	None	None	SFY2021-22
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-09-01 00:00:00	980016880	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-07-09 00:00:00	2021-07-09 00:00:00	No	2021-09-23 00:00:00	None	B	None	1000	1000	0	0	1000	None	K3V711	N	None	None	SFY2021-22
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-01-14 00:00:00	980017269	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-11-15 00:00:00	2021-11-15 00:00:00	No	2022-02-07 00:00:00	None	A	A	10000	9112.51	0	9112.51	0	None	N5PJ11	N	CA00761108, CA00761108, CA00761108, CA00761212, CA00761212, CA00761212, CA00761406, CA00761406, CA00761406	A, A, A, A, A, A, A, A, A	SFY2021-22
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-08 00:00:00	980017476	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-22 00:00:00	2022-02-22 00:00:00	No	2022-03-29 00:00:00	None	A	A	10000	22501	0	22501	0	None	TFKL11	N	CA00774296, CA00774296	H, H	SFY2021-22
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-03-08 00:00:00	980017478	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-04 00:00:00	2022-02-04 00:00:00	No	2022-03-29 00:00:00	None	A	A	10000	7501	0	1592.74	5908.26	None	TFKL11	N	CA00774296, CA00774296, CA00774296	H, H, H	SFY2021-22
630015903	PORTER RANCH CONGREGATE LIVING INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-04-08 00:00:00	980017559	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-10 00:00:00	2022-02-10 00:00:00	No	2022-04-29 00:00:00	None	A	A	10000	7501	0	0	7501	None	HJ9E11	N	CA00772611, CA00772611	A, A	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-04-14 00:00:00	980017575	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-03 00:00:00	2022-03-03 00:00:00	No	2022-05-05 00:00:00	None	A	None	10000	10000	-7000	3000	0	None	71U911	N	CA00768150	A	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-05-04 00:00:00	980017619	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-16 00:00:00	2022-02-16 00:00:00	No	2022-05-25 00:00:00	None	A	None	10000	10000	-7000	3000	0	None	VJK111	N	CA00777242	A	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-05-31 00:00:00	980017680	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-04-01 00:00:00	2022-04-01 00:00:00	No	2022-06-21 00:00:00	None	B	None	1000	1000	0	1000	0	None	S7E911	N	CA00779028	A	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017730	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5BN11	N	None	None	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017732	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5BN11	N	None	None	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017734	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5BN11	N	None	None	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-06-23 00:00:00	980017736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-21 00:00:00	2022-04-21 00:00:00	No	2022-07-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	E5BN11	N	None	None	SFY2021-22
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-09-29 00:00:00	980018030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-08-20 00:00:00	2022-08-20 00:00:00	No	2022-10-20 00:00:00	None	B	None	1000	1850	-1850	0	0	None	7YBE11	N	CA00798335, CA00798335, CA00798833	B, B, A	SFY2022-23
630015017	PARADISE CONGREGATE LIVING INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2022-09-29 00:00:00	980018031	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-08-20 00:00:00	2022-08-20 00:00:00	No	2022-10-20 00:00:00	None	B	None	1000	1000	-1000	0	0	None	7YBE11	N	CA00798335, CA00798335, CA00798335, CA00798833, CA00798833	B, B, B, A, A	SFY2022-23
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-04 00:00:00	980019956	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-25 00:00:00	None	B	None	1000	4550	0	1000	3550	None	1YXD11	N	CA00883680	A	SFY2023-24
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-04 00:00:00	980019964	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-25 00:00:00	None	B	None	1000	4550	0	1000	3550	None	1YXD11	N	CA00883680, CA00883680	A, A	SFY2023-24
630016501	PARADISE POINT CARE CENTER, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-04-05 00:00:00	980019965	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2024-02-02 00:00:00	2024-02-02 00:00:00	No	2024-04-26 00:00:00	None	B	None	1000	4550	0	1000	3550	None	1YXD11	N	CA00883680, CA00883680	A, A	SFY2023-24
020000094	PARK CENTRAL CARE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-11-26 00:00:00	020009608	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-06 00:00:00	2012-05-21 00:00:00	Yes	2012-12-11 00:00:00	None	AP NHPPD	REVERSED	15000	0	0	0	0	None	F8GY11	None	None	None	SFY2012-13
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2022-12-07 00:00:00	040018186	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	JRK811	None	None	None	SFY2022-23
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2016-05-03 00:00:00	060012217	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-03-17 00:00:00	2015-06-16 00:00:00	No	2016-05-18 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	UK7911	None	None	None	SFY2015-16
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2017-11-07 00:00:00	060013589	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-03-17 00:00:00	2016-06-16 00:00:00	No	2017-11-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	HMIG11	None	None	None	SFY2017-18
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2021-07-13 00:00:00	060016714	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	GOT211	None	None	None	SFY2021-22
060000033	PELICAN RIDGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2024-01-10 00:00:00	060019541	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-01-31 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	YM8H11	None	None	None	SFY2023-24
080000050	PALOMAR VISTA HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2014-01-17 00:00:00	080010313	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-10-10 00:00:00	2012-12-25 00:00:00	Yes	2014-02-01 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	KFKU11	None	None	None	SFY2013-14
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2017-04-27 00:00:00	080013146	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-08-24 00:00:00	2015-11-23 00:00:00	No	2017-05-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	XFFL11	None	None	None	SFY2016-17
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2014-05-01 00:00:00	090010352	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-05-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	YZ7Q11	None	None	None	SFY2013-14
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-01-08 00:00:00	110009527	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-01-27 00:00:00	2012-04-12 00:00:00	Yes	2013-01-23 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	4HXX11	None	None	None	SFY2012-13
010000949	PINE RIDGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-06-13 00:00:00	110014131	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-06 00:00:00	2017-06-05 00:00:00	Yes	2018-06-28 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	AH1I11	None	None	None	SFY2017-18
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-07-08 00:00:00	110016707	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	QTZV11	None	None	None	SFY2021-22
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-04-08 00:00:00	120010337	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-11-26 00:00:00	2013-02-10 00:00:00	No	2014-04-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PSTZ11	None	None	None	SFY2013-14
220000077	PACIFIC HEIGHTS TRANSITIONAL CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Francisco	2024-01-23 00:00:00	220019623	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	G3SO11	None	None	None	SFY2023-24
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-10-22 00:00:00	810015456	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-11-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	RPED11	None	None	None	SFY2019-20
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-12-10 00:00:00	810015491	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-01-01 00:00:00	2018-03-31 00:00:00	No	2019-12-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	O3HT11	None	None	None	SFY2019-20
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2020-08-04 00:00:00	810015953	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-07-31 00:00:00	2018-10-30 00:00:00	No	2020-08-19 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CEL811	None	None	None	SFY2020-21
940000089	PACIFIC CARE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-07-14 00:00:00	810016016	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-03-14 00:00:00	2019-06-13 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	Q0MC11	None	None	None	SFY2020-21
920000074	PROVIDENCE ST. ELIZABETH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-02-11 00:00:00	810016266	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	2021-02-26 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2FU111	None	None	None	SFY2020-21
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2021-02-17 00:00:00	810016274	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QG5D11	None	None	None	SFY2020-21
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-03-10 00:00:00	810016319	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-25 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	EY4911	None	None	None	SFY2020-21
040000018	PALMS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2021-05-06 00:00:00	810016429	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	2021-05-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VNZR11	None	None	None	SFY2020-21
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-16 00:00:00	810016596	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	1BGZ11	None	None	None	SFY2021-22
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-30 00:00:00	810016668	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	H64211	None	None	None	SFY2020-21
970000161	PASADENA GROVE HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-21 00:00:00	810016673	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-08-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	6G1T11	None	None	None	SFY2021-22
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2021-09-17 00:00:00	810016726	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	2021-10-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	S4YJ11	None	None	None	SFY2021-22
070000078	PACIFIC GROVE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2021-09-08 00:00:00	810016877	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-23 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	3LS411	None	None	None	SFY2021-22
010000043	PARK VIEW POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-10-01 00:00:00	810016957	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	Yes	2021-10-16 00:00:00	2021-10-19 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	NTFF11	None	None	None	SFY2021-22
140000962	PITTSBURG SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-09-20 00:00:00	810016982	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	HI5311	None	None	None	SFY2021-22
970000058	PALAZZO POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-13 00:00:00	810016988	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-28 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	OR5V11	None	None	None	SFY2021-22
060000147	PARK ANAHEIM HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-10-27 00:00:00	810017026	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	2021-11-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7UN911	None	None	None	SFY2021-22
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-11-29 00:00:00	810017106	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-12-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LZ8P11	None	None	None	SFY2021-22
070000082	PLUM TREE CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-03-09 00:00:00	810017193	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	Yes	2022-03-24 00:00:00	2022-03-22 00:00:00	AP NHPPD	None	15000	15000	0	15000	0	None	T76811	None	None	None	SFY2021-22
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-01-05 00:00:00	810017233	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-20 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	ISXW11	None	None	None	SFY2021-22
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-03-02 00:00:00	810017381	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2022-03-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	VILG11	None	None	None	SFY2021-22
140000096	PLEASANT HILL POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-04-19 00:00:00	810017564	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-05-04 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2YI311	None	None	None	SFY2021-22
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-10 00:00:00	810017839	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	HKFJ11	None	None	None	SFY2021-22
910000064	PACIFIC POST - ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-19 00:00:00	810017850	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	BHM911	None	None	None	SFY2021-22
250000092	PALM SPRINGS HEALTHCARE & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2022-09-21 00:00:00	810017980	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-10-06 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PO5J11	None	None	None	SFY2022-23
920000074	PROVIDENCE ST. ELIZABETH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-22 00:00:00	810018154	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	XYO011	None	None	None	SFY2022-23
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-11-22 00:00:00	810018155	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	9ZJY11	None	None	None	SFY2022-23
970000188	PASADENA CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-30 00:00:00	810018169	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	MS8W11	None	None	None	SFY2022-23
950000041	POMONA VISTA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-24 00:00:00	810018188	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	4U5K11	None	None	None	SFY2022-23
080000062	PARKWAY HILLS NURSING & REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Diego	2023-03-14 00:00:00	810018471	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-04-05 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	H55G11	None	None	None	SFY2022-23
250000072	PALM TERRACE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Riverside	2023-07-06 00:00:00	810018910	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	2023-07-27 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	BRWD11	None	None	None	SFY2023-24
020000054	PRINCETON MANOR HEALTHCARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-08-23 00:00:00	810019041	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-14 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	1J9S11	None	None	None	SFY2023-24
090000034	PARKSIDE HEALTH AND WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-08-28 00:00:00	810019082	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-09-19 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	IEMJ11	None	None	None	SFY2023-24
240000096	PLYMOUTH VILLAGE	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-10-03 00:00:00	810019197	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-10-24 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	JOF611	None	None	None	SFY2023-24
910000318	PAVILION ON PICO HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-02 00:00:00	810019300	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-11-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	HXDV11	None	None	None	SFY2023-24
910000022	PRIMROSE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-20 00:00:00	810019481	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	2024-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	QRF511	None	None	None	SFY2023-24
120000365	PARKVIEW JULIAN HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-12-27 00:00:00	810019516	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-01-17 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	2TKX11	None	None	None	SFY2023-24
910000064	PACIFIC POST - ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-27 00:00:00	810019517	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	2024-01-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	7O2H11	None	None	None	SFY2023-24
110000053	PINER'S NURSING HOME	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-01-10 00:00:00	810019735	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	2MQM11	None	None	None	SFY2023-24
090000015	PIONEERS MEMORIAL SKILLED NURSING CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-03-19 00:00:00	810019856	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-04-09 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	DR5Z11	None	None	None	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-30 00:00:00	810020010	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2024-05-21 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	QFGZ11	None	None	None	SFY2023-24
010000968	PROFESSIONAL POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-05-07 00:00:00	810020081	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-29 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	705611	None	None	None	SFY2023-24
040000007	PROMENADE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2024-05-08 00:00:00	810020085	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-30 00:00:00	None	AP NHPPD	None	50000	50000	-50000	0	0	None	HOU811	None	None	None	SFY2023-24
100000084	PIONEER HOUSE	LTC	SNF	Skilled Nursing Facility	Sacramento	2024-05-21 00:00:00	810020179	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	2024-06-12 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	NPQN11	None	None	None	SFY2023-24
910000068	PALOS VERDES HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-04-01 00:00:00	910010339	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-04-02 00:00:00	2013-06-16 00:00:00	No	2014-04-16 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	LP9811	None	None	None	SFY2013-14
910000069	PLAYA DEL REY CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-07-28 00:00:00	910010876	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-09-24 00:00:00	2013-12-24 00:00:00	Yes	2014-08-12 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	F9JD11	None	None	None	SFY2014-15
940000090	PACIFIC VILLA, INC.	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-12 00:00:00	940009491	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2011-12-26 00:00:00	2012-03-11 00:00:00	No	2012-09-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Y14911	None	None	None	SFY2012-13
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-05-23 00:00:00	950009888	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-01-23 00:00:00	2012-04-08 00:00:00	No	2013-06-07 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	D4ZM11	None	None	None	SFY2012-13
970000186	PASADENA NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-09-12 00:00:00	950014383	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2016-12-27 00:00:00	2017-03-28 00:00:00	No	2018-09-27 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	XRYM11	None	None	None	SFY2018-19
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-09-17 00:00:00	020005413	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-27 15:00:00	2008-06-27 15:00:00	No	2008-10-15 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	467E11	N	CA00159051	C	SFY2008-09
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-07-01 00:00:00	020007332	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	2009-10-14 16:56:00	2009-10-14 16:56:00	No	2010-07-23 00:00:00	None	FTR AE	None	200	200	0	200	0	None	4JSN11	N	CA00205691	C	SFY2010-11
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-07-01 00:00:00	020007341	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	2009-10-10 11:07:00	2009-10-10 11:07:00	No	2010-07-23 00:00:00	None	FTR AE	None	700	700	0	700	0	None	4JSN11	N	CA00205693	C	SFY2010-11
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-07-22 00:00:00	020007413	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-05-19 18:00:00	2010-05-19 18:00:00	No	2010-08-16 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	GP1811	N	CA00231886	C	SFY2010-11
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-04-24 00:00:00	060004961	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2008-02-15 00:00:00	2008-02-15 00:00:00	No	2008-05-15 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	BOCI11	N	CA00141168	A	SFY2007-08
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-12-09 00:00:00	060005651	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-07-30 00:00:00	2008-07-30 00:00:00	No	2009-01-07 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	EUCH11	N	CA00158947	B	SFY2008-09
060000066	PROVIDENCE MISSION HOSPITAL - LAGUNA BEACH	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-04-08 00:00:00	060006063	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-06-06 00:00:00	2007-06-06 00:00:00	No	2009-04-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	JJZZ11	N	CA00168546	C	SFY2008-09
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-05-05 00:00:00	060006161	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-02-03 00:00:00	2009-02-03 00:00:00	No	2009-05-27 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	C0IX11	N	CA00177085	B	SFY2008-09
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2009-11-16 00:00:00	060006717	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2009-12-10 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	LTC511	Y	CA00182037	B	SFY2009-10
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-04-30 00:00:00	060007178	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-04-04 00:00:00	2009-04-04 00:00:00	Yes	2010-05-24 00:00:00	2010-05-28 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	GF1711	N	CA00186058	C	SFY2009-10
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-07-29 00:00:00	060007449	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-08-13 00:00:00	2009-08-13 00:00:00	No	2010-08-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	XEEU11	N	CA00198377	A	SFY2010-11
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2010-12-29 00:00:00	060007772	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2009-01-17 00:00:00	2009-01-17 00:00:00	Yes	2011-12-30 00:00:00	2011-12-15 00:00:00	AP IJ	AP IJ	75000	75000	0	75000	0	None	MRC011	N	CA00212243	B	SFY2010-11
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-02-28 00:00:00	060007973	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2009-11-18 00:00:00	2009-11-18 00:00:00	No	2011-03-21 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	MRC011	N	CA00212243	B	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-03-24 00:00:00	060008066	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	2010-01-08 08:00:00	2010-01-08 08:00:00	No	2011-04-15 00:00:00	None	FTR AE	None	8300	8300	0	8300	0	None	GNY811	N	CA00225145	B	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-03-25 00:00:00	060008072	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-01-08 00:00:00	2010-01-08 00:00:00	Yes	2011-12-30 00:00:00	2011-12-14 00:00:00	AP IJ	AP IJ	100000	30000	0	30000	0	None	GNY811	N	CA00225145	B	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-16 00:00:00	060008311	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-02-02 08:00:00	2010-02-02 08:00:00	No	2011-07-08 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	NPKE11	None	CA00219706	C	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-24 00:00:00	060008329	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-01-15 08:00:00	2010-01-15 08:00:00	No	2011-07-18 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	XS2E11	None	CA00216439	D	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-29 00:00:00	060008344	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-01-20 08:00:00	2010-01-20 08:00:00	No	2011-07-21 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	KMRR11	None	CA00216915	C	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-29 00:00:00	060008347	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-01-15 08:00:00	2010-01-15 08:00:00	No	2011-07-21 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	DLNR11	None	CA00269902	C	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-29 00:00:00	060008350	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2010-02-01 08:00:00	2010-02-01 08:00:00	No	2011-07-21 00:00:00	None	FTR AE	None	900	900	0	900	0	None	DWEK11	N	CA00218882	B	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-30 00:00:00	060008354	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	2011-05-12 08:00:00	2011-05-12 08:00:00	No	2011-07-22 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	O08711	None	CA00271302	E	SFY2010-11
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-30 00:00:00	060008355	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	2011-05-12 08:00:00	2011-05-12 08:00:00	No	2011-07-22 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	O08711	None	CA00271302	E	SFY2010-11
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-10-06 00:00:00	060008623	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-07-27 08:00:00	2010-07-27 08:00:00	No	2011-10-27 00:00:00	None	FTR AE	None	900	900	0	900	0	None	YNHQ11	N	CA00239463	B	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-08 00:00:00	060008803	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-07-20 08:00:00	2011-07-20 08:00:00	No	2011-12-30 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	PUFG11	None	CA00279077	E	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-14 00:00:00	060008806	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-07-20 08:00:00	2011-07-20 08:00:00	No	2012-01-06 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	PUFG11	None	CA00279077	E	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-13 00:00:00	060008807	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-05-04 08:00:00	2010-05-04 08:00:00	No	2012-01-05 00:00:00	None	FTR BR	None	1700	1700	-425	1275	0	None	9EDI11	None	CA00230853	C	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-12-13 00:00:00	060008815	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-05-04 08:00:00	2010-05-04 08:00:00	No	2012-01-05 00:00:00	None	FTR BR	None	1700	1700	-425	1275	0	None	9EDI11	None	CA00230853	C	SFY2011-12
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-01-25 00:00:00	060008885	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-06-17 00:00:00	2010-06-17 00:00:00	Yes	2012-09-20 00:00:00	2012-08-31 00:00:00	AP IJ	AP IJ	100000	45000	0	45000	0	None	WRJH11	N	CA00242778	B	SFY2011-12
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-05-07 00:00:00	060009204	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-01-28 08:00:00	2011-01-28 08:00:00	No	2013-05-29 00:00:00	None	FTR AE	None	5200	5200	0	5200	0	None	XLER11	N	CA00264897	B	SFY2012-13
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-06-14 00:00:00	060009347	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2010-10-27 00:00:00	2010-10-27 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	NDLF11	N	CA00253352	B	SFY2011-12
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-06-14 00:00:00	060009348	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2012-02-07 00:00:00	2012-02-07 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	4PPX11	N	CA00300836	B	SFY2011-12
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2012-07-27 00:00:00	060009422	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-09-27 00:00:00	2010-09-27 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	CEVI11	N	CA00245251	B	SFY2012-13
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-07-29 00:00:00	060010037	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2010-03-14 00:00:00	2010-03-14 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	Y2D211	N	CA00222416, CA00225807	B, B	SFY2013-14
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-07-29 00:00:00	060010039	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-03-06 00:00:00	2011-03-06 00:00:00	Yes	2013-11-14 00:00:00	2013-11-01 00:00:00	AP IJ	AP IJ	100000	66150	0	66150	0	None	W7TU11	N	CA00263331	B	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-12 00:00:00	060010140	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-02-18 00:00:00	2011-02-18 00:00:00	No	2013-10-03 00:00:00	None	FTR RES	None	1800	1800	0	1800	0	None	IY1L11	None	CA00261815	D	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-09-12 00:00:00	060010142	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	2011-05-25 00:00:00	2011-05-25 00:00:00	No	2013-10-03 00:00:00	None	FTR RES	None	800	800	0	800	0	None	D2W911	None	CA00272500	E	SFY2013-14
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-07 00:00:00	060010186	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2012-06-30 00:00:00	2012-06-30 00:00:00	No	2014-02-21 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	OT9X11	Y	CA00317257	B	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010365	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	2011-08-07 00:00:00	2011-08-07 00:00:00	No	2014-01-31 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	YGOO11	None	CA00338683	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010366	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	2011-08-03 00:00:00	2011-08-03 00:00:00	No	2014-01-31 00:00:00	None	FTR BR	None	1200	1200	-300	900	0	None	4KZ211	None	CA00283784	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010367	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-04-07 00:00:00	2011-04-07 00:00:00	No	2014-01-31 00:00:00	None	FTR RES	None	1400	1400	-350	1050	0	None	GQ0M11	None	CA00268019	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010368	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-11-20 00:00:00	2011-11-20 00:00:00	No	2014-01-31 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	2F9V11	None	CA00338661	E	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-01-09 00:00:00	060010369	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-11-20 00:00:00	2011-11-20 00:00:00	No	2014-01-31 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	2F9V11	None	CA00338661	E	SFY2013-14
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-28 00:00:00	060010508	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	2012-10-03 00:00:00	2012-10-03 00:00:00	No	2014-03-21 00:00:00	None	FTR BR	None	500	500	0	500	0	None	MUCW11	None	CA00330794	D	SFY2013-14
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-04-17 00:00:00	060010637	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	2011-03-11 00:00:00	2011-03-11 00:00:00	No	2014-05-08 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	NCGY11	None	CA00338597	E	SFY2013-14
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-08-07 00:00:00	060010918	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	2014-03-14 00:00:00	2014-03-14 00:00:00	No	2014-08-28 00:00:00	None	FTR RES	None	600	600	0	600	0	None	SIPN11	None	CA00396348	E	SFY2014-15
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-09-30 00:00:00	060011757	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2014-04-09 00:00:00	2014-04-09 00:00:00	No	2015-10-22 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	8MVC11	N	CA00395049	B	SFY2015-16
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-09-30 00:00:00	060011759	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-05-25 00:00:00	2014-05-25 00:00:00	No	2015-10-22 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	SQ0R11	N	CA00401179	B	SFY2015-16
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-12-22 00:00:00	060011902	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2014-08-08 00:00:00	2014-08-08 00:00:00	No	2016-01-14 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	5YS311	N	CA00409856	B	SFY2015-16
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-01-19 00:00:00	060011950	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2015-01-13 00:00:00	2015-01-13 00:00:00	No	2016-02-09 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	GG0911	N	CA00427098	B	SFY2015-16
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-02-10 00:00:00	060012002	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2014-11-30 00:00:00	2014-11-30 00:00:00	No	2016-03-03 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	5LLV11	N	CA00422873	B	SFY2015-16
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-09-13 00:00:00	060012570	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	2016-01-29 00:00:00	2016-01-29 00:00:00	No	2016-10-04 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	RRSB11	N	CA00478684	B	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-12-14 00:00:00	060012816	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2016-08-08 00:00:00	2016-08-08 00:00:00	No	2017-01-06 00:00:00	None	FTR AE	None	500	500	0	500	0	None	YP7A11	N	CA00499783	B	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-01-11 00:00:00	060012875	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2017-02-02 00:00:00	None	FTR AE	None	34000	34000	0	34000	0	None	G6CD11	N	CA00508991	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-02-16 00:00:00	060012971	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-05-29 00:00:00	2015-05-29 00:00:00	No	2017-03-10 00:00:00	None	FTR AE	None	51300	51300	0	51300	0	None	8WLW11	N	CA00509161	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-02-16 00:00:00	060012972	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-06-28 00:00:00	2016-06-28 00:00:00	No	2017-03-10 00:00:00	None	FTR AE	None	12100	12100	0	12100	0	None	TMPI11	N	CA00510426	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-02-16 00:00:00	060012973	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-12-14 00:00:00	2015-12-14 00:00:00	No	2017-03-10 00:00:00	None	FTR AE	None	31200	31200	0	31200	0	None	275M11	N	CA00508986	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013090	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	2014-11-17 00:00:00	2014-11-17 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	73900	73900	0	73900	0	None	4MQD11	N	CA00512772	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013103	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-11-10 00:00:00	2015-11-10 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	38100	38100	0	38100	0	None	5MPH11	N	CA00512788	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013104	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-01-26 00:00:00	2015-01-26 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	66900	66900	0	66900	0	None	CK6411	N	CA00512780	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013105	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-04-24 00:00:00	2015-04-24 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	58100	58100	0	58100	0	None	VKDZ11	N	CA00512783	D	SFY2016-17
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-04-10 00:00:00	060013107	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-09-14 00:00:00	2016-09-14 00:00:00	No	2017-05-01 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	K9XV11	N	CA00506906	D	SFY2016-17
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013442	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2016-09-14 00:00:00	2016-09-14 00:00:00	No	2017-09-13 00:00:00	None	FTR RES	None	900	900	0	900	0	None	R4CB11	None	CA00543793	D	SFY2017-18
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013443	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2016-10-07 00:00:00	2016-10-07 00:00:00	No	2017-09-13 00:00:00	None	FTR BR	None	900	900	0	900	0	None	Y26811	None	CA00529710	D	SFY2017-18
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-08-22 00:00:00	060013445	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2016-10-07 00:00:00	2016-10-07 00:00:00	No	2017-09-13 00:00:00	None	FTR RES	None	900	900	0	900	0	None	Y26811	None	CA00529710	D	SFY2017-18
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2017-12-13 00:00:00	060013687	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	2017-03-07 00:00:00	2017-03-07 00:00:00	No	2018-01-04 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	KGDY11	N	CA00531803	D	SFY2017-18
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-01-04 00:00:00	060013712	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	2017-10-23 00:00:00	2017-10-23 00:00:00	No	2018-01-25 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	UF9711	N	CA00558512	D	SFY2017-18
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2018-08-01 00:00:00	060014289	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	2017-12-10 00:00:00	2017-12-10 00:00:00	No	2018-08-22 00:00:00	None	FTR AE	None	600	600	0	600	0	None	EOGW11	N	CA00567481	D	SFY2018-19
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2019-07-15 00:00:00	060015231	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2019-02-26 00:00:00	2019-02-26 00:00:00	No	2019-08-05 00:00:00	None	FTR AE	None	5100	5100	0	5100	0	None	KIIO11	N	CA00637542	B	SFY2019-20
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2019-08-08 00:00:00	060015281	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2019-01-03 00:00:00	2019-01-03 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	45450	45450	0	45450	0	None	H1UP11	N	CA00631969, CA00631969, CA00631969, CA00631969	B, B, B, B	SFY2019-20
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-01-02 00:00:00	060015653	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-07-25 00:00:00	2018-07-25 00:00:00	No	2020-01-23 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	UCCT11	Y	CA00602183	B	SFY2019-20
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2020-04-15 00:00:00	060015835	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2019-11-11 00:00:00	2019-11-11 00:00:00	No	2020-05-06 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	3WTU11	N	CA00665328, CA00665328	B, B	SFY2019-20
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-07-01 00:00:00	060016663	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-11-24 00:00:00	2020-11-24 00:00:00	No	2021-07-22 00:00:00	None	FTR AE	None	300	300	0	300	0	None	EMZU11	Y	CA00718118	D	SFY2021-22
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-07-01 00:00:00	060016672	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-01-25 00:00:00	2021-01-25 00:00:00	No	2021-07-22 00:00:00	None	FTR AE	None	300	300	0	300	0	None	YFCP11	Y	CA00723915, CA00723915	D, D	SFY2021-22
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-10-05 00:00:00	060016984	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2021-04-09 00:00:00	2021-04-09 00:00:00	No	2021-10-26 00:00:00	None	FTR AE	None	7800	7800	0	7800	0	None	2H3411	N	CA00742530	B	SFY2021-22
060000060	PROVIDENCE MISSION HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-11-16 00:00:00	060017099	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2021-07-12 00:00:00	2021-07-12 00:00:00	No	2021-12-09 00:00:00	None	FTR AE	None	600	600	0	600	0	None	IZKF11	N	CA00746133	B	SFY2021-22
060000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Orange	2021-12-28 00:00:00	060017226	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2021-11-16 00:00:00	2021-11-16 00:00:00	No	2022-01-19 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	C3VM11	N	CA00763848	D	SFY2021-22
060000068	PROVIDENCE ST. JUDE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-08-02 00:00:00	060017834	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-03-11 00:00:00	2022-03-11 00:00:00	No	2022-08-23 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	IKLB11	Y	CA00777042	B	SFY2022-23
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-03-27 00:00:00	080004811	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-02-23 01:04:00	2008-02-23 01:04:00	No	2008-04-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	7DYX11	N	CA00142346	C	SFY2007-08
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-05 00:00:00	080005103	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2008-03-28 00:00:00	2008-03-28 00:00:00	No	2008-06-26 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	XO3B11	N	CA00145575	A	SFY2007-08
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-27 00:00:00	080005187	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-02-23 01:00:00	2008-02-23 01:00:00	No	2008-07-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	6MOX11	N	CA00142346	C	SFY2007-08
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-07-16 00:00:00	080005232	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-05-15 10:45:00	2008-05-15 10:45:00	No	2008-08-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	PMUB11	N	CA00151252	A	SFY2008-09
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-10-16 00:00:00	080005401	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-28 16:10:00	2008-07-28 16:10:00	No	2008-11-10 00:00:00	None	FTR AE	None	300	300	0	300	0	None	P6J711	N	CA00159108	B	SFY2008-09
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-11-25 00:00:00	080006735	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2009-06-20 00:00:00	2009-06-20 00:00:00	Yes	2009-12-18 00:00:00	2010-06-01 00:00:00	AP IJ	None	50000	50000	0	50000	0	None	JPM711	Y	CA00193150	C	SFY2009-10
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-05-24 00:00:00	080007241	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-02-09 00:00:00	2010-02-09 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	YNCK11	N	CA00218239	A	SFY2009-10
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-05-26 00:00:00	080007259	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-12-29 00:00:00	2009-12-29 00:00:00	No	2010-06-17 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	GZ3P11	N	CA00213140	A	SFY2009-10
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-05-26 00:00:00	080007260	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2010-01-31 00:00:00	2010-01-31 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	LQQ711	Y	CA00217096	C	SFY2009-10
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-09-13 00:00:00	080008567	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-10-24 13:30:00	2010-10-24 13:30:00	No	2011-10-05 00:00:00	None	FTR AE	None	4900	4900	0	4900	0	None	N9WG11	N	CA00252661	B	SFY2011-12
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-09-16 00:00:00	080008577	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-06-09 00:00:00	2011-06-09 00:00:00	No	2011-10-07 00:00:00	None	FTR AE	None	400	400	0	400	0	None	ER2Q11	N	CA00273337, CA00273601	,	SFY2011-12
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2012-12-07 00:00:00	080009665	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	Death due to a fall	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	51G011	Y	CA00284117	A	SFY2012-13
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2013-05-02 00:00:00	080009871	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-01-10 18:50:00	2013-01-10 18:50:00	No	2013-05-23 00:00:00	None	FTR AE	None	800	800	0	800	0	None	0JG211	N	CA00340653	B	SFY2012-13
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2013-08-23 00:00:00	080010092	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	2013-05-09 20:00:00	2013-05-09 20:00:00	No	2013-09-16 00:00:00	None	FTR AE	None	600	600	0	600	0	None	UNC911	N	CA00355359	B	SFY2013-14
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-04-02 00:00:00	080010587	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2013-02-07 00:00:00	2013-02-07 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	L6DU11	N	CA00342790	B	SFY2013-14
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-09-09 00:00:00	080010987	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	2014-03-16 00:00:00	2014-03-16 00:00:00	No	2014-09-30 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	W7M511	None	CA00395840	D	SFY2014-15
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-05-13 00:00:00	080011467	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2014-09-24 00:00:00	2014-09-24 00:00:00	No	2015-06-04 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	SNE011	None	CA00415687	E	SFY2014-15
080000147	PALOMAR MEDICAL CENTER POWAY	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-05-21 00:00:00	080011491	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	2014-03-18 00:00:00	2014-03-18 00:00:00	No	2015-06-12 00:00:00	None	FTR BR	None	19900	19900	-4975	14925	0	None	TSMI11	None	CA00416812	D	SFY2014-15
080000142	PALOMAR HEALTH DOWNTOWN CAMPUS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-06-15 00:00:00	080011555	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-02-22 00:00:00	2014-02-22 00:00:00	No	2015-07-06 00:00:00	None	AP BR	None	247500	247500	-247500	0	0	None	J15511	None	CA00393317	D	SFY2014-15
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-04-15 00:00:00	080012194	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2015-06-15 00:00:00	2015-06-15 00:00:00	Yes	2016-05-06 00:00:00	2016-05-03 00:00:00	FTR AE	B	11600	11600	0	11600	0	None	HD1J11	N	CA00462090	B	SFY2015-16
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-10-21 00:00:00	080012670	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-06-21 00:00:00	2016-06-21 00:00:00	No	2016-11-14 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	JFU011	N	CA00492192	B	SFY2016-17
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-05-16 00:00:00	080013205	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2016-04-21 00:00:00	2016-04-21 00:00:00	No	2017-06-07 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	A9C911	N	CA00485353	B	SFY2016-17
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-05-25 00:00:00	080013228	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2016-11-05 00:00:00	2016-11-05 00:00:00	No	2017-06-16 00:00:00	None	FTR AE	None	600	600	0	600	0	None	DXEE11	N	CA00511007	C	SFY2016-17
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-12 00:00:00	090005130	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-03-25 00:00:00	2008-03-25 00:00:00	Yes	2008-07-03 00:00:00	2008-08-28 00:00:00	AP IJ	AP IJ	25000	13500	0	13500	0	None	PKSY11	N	CA00141559	B	SFY2007-08
090000145	PARADISE VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-12-03 00:00:00	090005665	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	2008-08-05 22:00:00	2008-08-05 22:00:00	No	2008-12-24 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	HI7711	N	CA00161242	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-08 00:00:00	090005767	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-05-27 14:00:00	2008-05-27 14:00:00	No	2009-01-30 00:00:00	None	FTR AE	None	11100	11100	0	11100	0	None	0FG411	N	CA00164059	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-08 00:00:00	090005768	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-05 19:00:00	2008-06-05 19:00:00	No	2009-01-30 00:00:00	None	FTR AE	None	10100	10100	0	10100	0	None	0FG411	N	CA00164059	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-08 00:00:00	090005769	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	2008-08-06 10:00:00	2008-08-06 10:00:00	No	2009-01-30 00:00:00	None	FTR AE	None	4000	4000	0	4000	0	None	0FG411	N	CA00164059	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-14 00:00:00	090005790	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	2008-08-28 15:00:00	2008-08-28 15:00:00	No	2009-02-05 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	56C411	N	CA00164720	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-14 00:00:00	090005791	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-16 15:00:00	2008-09-16 15:00:00	No	2009-02-05 00:00:00	None	FTR AE	None	600	600	0	600	0	None	56C411	N	CA00164720	B	SFY2008-09
090000155	PROMISE HOSPITAL OF SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-27 00:00:00	090005805	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	2008-11-18 15:00:00	2008-11-18 15:00:00	No	2009-02-19 00:00:00	None	FTR AE	None	900	900	0	900	0	None	56C411	N	CA00170836	B	SFY2008-09
090000146	PIONEERS MEMORIAL HEALTHCARE DISTRICT	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-19 00:00:00	090005998	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-01-14 17:00:00	2009-01-14 17:00:00	No	2009-04-10 00:00:00	None	FTR AE	None	700	700	0	700	0	None	2INP11	N	CA00175983	B	SFY2008-09
090000145	PARADISE VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-12-02 00:00:00	090011815	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Pharmacy	2015-08-17 00:00:00	2015-08-17 00:00:00	Yes	2015-12-23 00:00:00	2015-12-14 00:00:00	AP NON-IJ	AP NON-IJ	17500	12500	0	12500	0	None	VMJ111	N	None	None	SFY2015-16
090000145	PARADISE VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-12-17 00:00:00	090014544	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-06-03 00:00:00	2016-06-03 00:00:00	No	2022-01-07 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	T7VC11	None	CA00500404, CA00500404	D, D	SFY2021-22
090000257	PLANNED PARENTHOOD ASSOCIATION OF SAN DIEGO COUNTY	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2021-11-24 00:00:00	090014546	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2017-05-13 00:00:00	2017-05-13 00:00:00	Yes	2021-12-17 00:00:00	2021-12-24 00:00:00	AP BR	AP BR	15000	15000	0	15000	0	None	BFI711	None	CA00538208	C	SFY2021-22
090000145	PARADISE VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2024-04-16 00:00:00	100018956	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-03-03 00:00:00	2016-03-03 00:00:00	No	2024-05-07 00:00:00	None	AP IJ	None	75000	75000	0	0	75000	None	0NFJ11	Y	CA00478789, CA00478789, CA00478789	B, B, B	SFY2023-24
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-08-15 00:00:00	100019778	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-08-07 00:00:00	2017-08-07 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	125000	125000	-31250	93750	0	None	KG8911	None	CA00583330	C	SFY2023-24
630013873	PALOMAR MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-09-06 00:00:00	100019779	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-07-26 00:00:00	2017-07-26 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	125000	125000	-31250	93750	0	None	CIL911	None	CA00579576	C	SFY2023-24
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2008-12-01 00:00:00	110005581	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-02 00:00:00	2008-06-02 00:00:00	No	2008-12-22 00:00:00	None	FTR AE	None	600	600	0	600	0	None	J0H411	N	CA00154016, CA00154016	B, B	SFY2008-09
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-09-22 00:00:00	110006427	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-09-08 00:00:00	2008-09-08 00:00:00	Yes	2009-10-14 00:00:00	2009-10-02 00:00:00	AP IJ	AP IJ	25000	16500	0	16500	0	None	SDQ311	N	CA00163279	C	SFY2009-10
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-03-11 00:00:00	110006943	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	2009-06-19 06:30:00	2009-06-19 06:30:00	No	2010-04-02 00:00:00	None	FTR AE	None	700	700	0	700	0	None	UFPL11	N	CA00193486, CA00193486	B, B	SFY2009-10
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-11-15 00:00:00	110007569	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-09-28 00:00:00	2009-09-28 00:00:00	No	2010-12-08 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	3JA211	N	CA00203471	B	SFY2010-11
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-24 00:00:00	110007910	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	2010-07-12 00:00:00	2010-07-12 00:00:00	No	2011-04-15 00:00:00	None	FTR BR	None	100	100	0	100	0	None	O18M11	None	CA00236204	C	SFY2010-11
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-09 00:00:00	110007913	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	2010-06-05 00:00:00	2010-06-05 00:00:00	No	2011-03-30 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	PQ0U11	None	CA00233434	C	SFY2010-11
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-09 00:00:00	110007914	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	2010-06-05 00:00:00	2010-06-05 00:00:00	No	2011-03-30 00:00:00	None	FTR BR	None	400	400	0	400	0	None	PQ0U11	None	CA00233434	C	SFY2010-11
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-24 00:00:00	110007926	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	2010-07-12 00:00:00	2010-07-12 00:00:00	No	2011-04-15 00:00:00	None	FTR BR	None	100	100	0	100	0	None	O18M11	None	CA00236204	C	SFY2010-11
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-18 00:00:00	110008002	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2010-01-05 00:00:00	2010-01-05 00:00:00	No	2013-03-08 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	JGQO11	None	CA00214133	D	SFY2010-11
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-27 00:00:00	110008081	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2011-01-04 09:00:00	2011-01-04 09:00:00	No	2011-05-18 00:00:00	None	FTR AE	None	400	400	0	400	0	None	O0ED11	N	CA00255416	B	SFY2010-11
110000129	PLANNED PARENTHOOD - VALLEJO CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2011-06-16 00:00:00	110008104	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-09-02 00:00:00	2010-09-02 00:00:00	No	2011-07-08 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	PLCT11	None	CA00243148, CA00264986	C, C	SFY2010-11
110000129	PLANNED PARENTHOOD - VALLEJO CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2011-06-16 00:00:00	110008265	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	2010-09-02 00:00:00	2010-09-02 00:00:00	No	2011-07-08 00:00:00	None	FTR RES	None	600	600	-150	450	0	None	PLCT11	None	CA00243148, CA00264986	C, C	SFY2010-11
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-10-07 00:00:00	110008611	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-07-27 00:00:00	2011-07-27 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	ZXNK11	N	CA00277671	C	SFY2011-12
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-05-10 00:00:00	110008762	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2010-12-07 00:00:00	2010-12-07 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	11W711	None	CA00253265	C	SFY2011-12
110000812	PETALUMA HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-09-13 00:00:00	110009859	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-23 00:00:00	2011-08-23 00:00:00	No	2013-10-04 00:00:00	None	FTR RES	None	1600	1600	0	1600	0	None	FQP711	None	CA00281063	C	SFY2013-14
110000812	PETALUMA HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-09-13 00:00:00	110009860	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2011-08-23 00:00:00	2011-08-23 00:00:00	No	2013-10-04 00:00:00	None	FTR RES	None	1600	1600	0	1600	0	None	FQP711	None	CA00281063	C	SFY2013-14
110000128	PLANNED PARENTHOOD NAPA CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2014-03-11 00:00:00	110010302	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-08-10 00:00:00	2012-08-10 00:00:00	No	2015-06-03 00:00:00	None	AP BR	None	2500	2500	-625	1875	0	None	BEOX11	None	None	None	SFY2013-14
110000812	PETALUMA HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-12-12 00:00:00	110010314	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2010-10-04 00:00:00	2010-10-04 00:00:00	Yes	2014-01-06 00:00:00	2013-12-23 00:00:00	FTR RES	None	2300	2300	0	2300	0	None	SDW011	None	CA00250887	C	SFY2013-14
110000812	PETALUMA HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2013-12-17 00:00:00	110010316	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-10-04 00:00:00	2010-10-04 00:00:00	Yes	2014-01-09 00:00:00	2013-12-23 00:00:00	FTR BR	None	5400	5400	0	5400	0	None	SDW011	None	CA00250887	C	SFY2013-14
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-14 00:00:00	110010347	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-04-04 00:00:00	2011-04-04 00:00:00	Yes	2015-06-03 00:00:00	2015-05-20 00:00:00	AP BR	AP BR	77500	54250	0	54250	0	None	SLLZ11	None	CA00265628	C	SFY2014-15
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-14 00:00:00	110010348	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	2011-04-04 00:00:00	2011-04-04 00:00:00	Yes	2014-12-09 00:00:00	2014-12-03 00:00:00	FTR RES	None	64400	64400	0	64400	0	None	SLLZ11	None	CA00265628	C	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-10-17 00:00:00	110010940	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-04-24 00:00:00	2012-04-24 00:00:00	No	2014-11-07 00:00:00	None	FTR BR	None	200	200	0	200	0	None	HXHV11	None	CA00309127	C	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2014-11-17 00:00:00	110010941	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-07-24 00:00:00	2012-07-24 00:00:00	No	2014-12-10 00:00:00	None	FTR BR	None	100	100	0	100	0	None	HXHV11	None	CA00319934	D	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-16 00:00:00	110011010	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-10-18 00:00:00	2012-10-18 00:00:00	No	2015-02-09 00:00:00	None	FTR RES	None	400	400	0	400	0	None	PFQ311	None	CA00331295	E	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-01-16 00:00:00	110011011	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-10-18 00:00:00	2012-10-18 00:00:00	No	2015-02-09 00:00:00	None	FTR BR	None	500	500	0	500	0	None	PFQ311	None	CA00331295	E	SFY2014-15
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2017-02-14 00:00:00	110011306	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2014-04-29 00:00:00	2014-04-29 00:00:00	No	2017-03-08 00:00:00	None	AP IJ	None	40000	40000	0	40000	0	None	4Q1D11	N	CA00399624	B	SFY2016-17
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-12 00:00:00	110011390	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-06-03 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	5CGQ11	None	CA00299299	D	SFY2014-15
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-12 00:00:00	110011391	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	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-06-03 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	5CGQ11	None	CA00299299	D	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-12 00:00:00	110011401	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	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-06-03 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	DNDF11	None	CA00299298	C	SFY2014-15
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-05-12 00:00:00	110011402	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2015-06-03 00:00:00	None	FTR RES	None	500	500	-125	375	0	None	DNDF11	None	CA00299298	C	SFY2014-15
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-24 00:00:00	110011404	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-10-06 00:00:00	2013-10-06 00:00:00	Yes	2017-05-11 00:00:00	2017-04-24 00:00:00	AP IJ	AP IJ	100000	100000	0	100000	0	None	EWKP11	N	CA00372443, CA00372887	A, A	SFY2015-16
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-24 00:00:00	110011421	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-04-23 00:00:00	2013-04-23 00:00:00	Yes	2017-05-11 00:00:00	2017-04-24 00:00:00	AP IJ	AP IJ	50000	50000	0	50000	0	None	HP5D11	N	CA00353131	B	SFY2015-16
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-24 00:00:00	110011422	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2013-05-24 00:00:00	2013-05-24 00:00:00	Yes	2017-05-11 00:00:00	2017-04-24 00:00:00	AP IJ	AP IJ	75000	45000	0	45000	0	None	KO8Q11	N	CA00363220	B	SFY2015-16
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-10 00:00:00	110011553	Open	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach of IT system theft/loss of edevice/med rec	None	2014-06-02 00:00:00	2014-06-02 00:00:00	No	2015-07-31 00:00:00	None	FTR RES	None	300	300	75	225	150	None	GAH111	None	CA00401448, CA00403983, CA00406425	B, B, C	SFY2015-16
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-06-11 00:00:00	110012068	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-06-16 00:00:00	2012-06-16 00:00:00	Yes	2019-07-02 00:00:00	2019-06-21 00:00:00	FTR RES	FTR RES	5200	3900	0	3900	0	None	9GH711	None	CA00322517, CA00322517, CA00322523, CA00322523	C, C, C, C	SFY2018-19
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-06-11 00:00:00	110012070	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	2012-06-16 00:00:00	2012-06-16 00:00:00	Yes	2019-07-02 00:00:00	2019-06-21 00:00:00	FTR BR	FTR BR	5200	3900	0	3900	0	None	9GH711	None	CA00322517, CA00322523	C, C	SFY2018-19
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-06-11 00:00:00	110012096	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-06-16 00:00:00	2012-06-16 00:00:00	Yes	2019-07-02 00:00:00	2019-06-21 00:00:00	FTR RES	FTR RES	5200	3900	0	3900	0	None	9GH711	None	CA00322517, CA00322523	C, C	SFY2018-19
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-24 00:00:00	110013841	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-01-23 00:00:00	2015-01-23 00:00:00	No	2018-06-15 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	DEVG11	N	None	None	SFY2017-18
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-23 00:00:00	110013849	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-06-02 00:00:00	2015-06-02 00:00:00	No	2018-06-14 00:00:00	None	AP NON-IJ	None	12750	12750	0	12750	0	None	1X7W11	N	CA00450672	B	SFY2017-18
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-12-17 00:00:00	110013858	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-02-10 00:00:00	2016-02-10 00:00:00	No	2019-01-08 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	GBK011	N	CA00476463	B	SFY2018-19
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-05-23 00:00:00	110013866	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-01-03 00:00:00	2016-01-03 00:00:00	No	2018-06-14 00:00:00	None	AP NON-IJ	None	4250	4250	0	4250	0	None	LRHL11	N	CA00470930	B	SFY2017-18
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-09-05 00:00:00	110013889	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Patient Environment	2015-09-01 00:00:00	2015-09-01 00:00:00	No	2018-09-26 00:00:00	None	AP NON-IJ	None	10625	10625	0	10625	0	None	GO6N11	N	CA00461759	B	SFY2018-19
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-09-05 00:00:00	110013891	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Infection Control	2015-09-01 00:00:00	2015-09-01 00:00:00	No	2018-09-26 00:00:00	None	AP NON-IJ	None	10625	10625	0	10625	0	None	GO6N11	N	CA00461759	B	SFY2018-19
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-11-06 00:00:00	110014488	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-05-08 00:00:00	2018-05-08 00:00:00	No	2018-11-30 00:00:00	None	AP NON-IJ	None	13387.5	13387.5	0	13387.5	0	None	8U2211	N	CA00588230	B	SFY2018-19
110000067	PROVIDENCE ST. JOSEPH HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-01-22 00:00:00	110014743	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-08-29 00:00:00	2018-08-29 00:00:00	No	2019-02-12 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	YG9C11	N	CA00468194	B	SFY2018-19
110000040	PETALUMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-06-11 00:00:00	110015048	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	2012-06-16 00:00:00	2012-06-16 00:00:00	Yes	2019-07-02 00:00:00	2019-06-21 00:00:00	FTR BR	FTR BR	5200	3900	0	3900	0	None	9GH711	None	CA00322517, CA00322523	C, C	SFY2018-19
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-09-18 00:00:00	110015390	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-12-03 00:00:00	2018-12-03 00:00:00	No	2019-10-09 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	Y1IH11	N	CA00615745	B	SFY2019-20
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-09-26 00:00:00	110015391	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-02-12 00:00:00	2019-02-12 00:00:00	No	2019-10-17 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	YZJE11	N	CA00624882	B	SFY2019-20
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-01-24 00:00:00	110015581	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-06-14 00:00:00	2019-06-14 00:00:00	No	2020-02-14 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	51E511	N	CA00642546, CA00642546, CA00642546	B, B, B	SFY2019-20
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-03-25 00:00:00	110016366	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	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2021-04-16 00:00:00	None	FTR BR	None	200	200	0	200	0	None	U08B11	None	CA00299277	C	SFY2020-21
110000041	PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-03-25 00:00:00	110016367	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-02-01 00:00:00	2012-02-01 00:00:00	No	2021-04-16 00:00:00	None	FTR RES	None	500	500	0	500	0	None	U08B11	None	CA00299277	C	SFY2020-21
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-11-22 00:00:00	110017076	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	2017-05-22 00:00:00	2017-05-22 00:00:00	No	2021-12-15 00:00:00	None	FTR BR	None	600	600	0	600	0	None	IZB511	None	CA00545842, CA00545842	D, D	SFY2021-22
110000045	PROVIDENCE REDWOOD MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-11-22 00:00:00	110017077	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	2017-05-22 00:00:00	2017-05-22 00:00:00	No	2021-12-15 00:00:00	None	FTR BR	None	600	600	0	600	0	None	IZB511	None	CA00545842, CA00545842	D, D	SFY2021-22
140001268	PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-11-16 00:00:00	110017090	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-11-27 00:00:00	2018-11-27 00:00:00	No	2021-12-09 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	GCR211	N	CA00616297	B	SFY2021-22
120000426	PHYSICIANS PLAZA SURGICAL CENTER	Non-LTC	ASC	Surgical Clinic	Bakersfield	2015-09-30 00:00:00	120011763	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2013-01-24 00:00:00	2013-01-24 00:00:00	Yes	2015-10-21 00:00:00	2015-10-09 00:00:00	FTR AE	None	13500	13500	-500	13000	0	None	2RQ311	N	CA00358859	B	SFY2015-16
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-04-30 00:00:00	220004977	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-01-28 00:00:00	2008-01-28 00:00:00	No	2008-05-21 00:00:00	None	FTR AE	None	600	600	0	600	0	None	FHEK11	N	CA00140151	B	SFY2007-08
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-10-27 00:00:00	220005553	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-07-31 08:00:00	2008-07-31 08:00:00	No	2008-11-18 00:00:00	None	FTR AE	None	5800	5800	0	5800	0	None	3P3C11	N	CA00165421	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-11-14 00:00:00	220005613	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-09-26 08:00:00	2008-09-26 08:00:00	No	2008-12-09 00:00:00	None	FTR AE	None	1900	1900	0	1900	0	None	KCQR11	N	CA00166894	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-01-21 00:00:00	220005815	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	2008-11-24 08:00:00	2008-11-24 08:00:00	No	2009-02-11 00:00:00	None	FTR AE	None	500	500	0	500	0	None	WK1W11	N	CA00171166	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-01-21 00:00:00	220005816	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	2008-11-13 08:00:00	2008-11-13 08:00:00	No	2009-02-11 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	WK1W11	N	CA00170730	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-03-19 00:00:00	220006001	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	2009-02-01 08:00:00	2009-02-01 08:00:00	No	2009-04-10 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	HPVQ11	N	CA00178426	B	SFY2008-09
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-09-10 00:00:00	220006545	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-09-08 00:00:00	2008-09-08 00:00:00	No	2009-10-01 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1TVD11	N	CA00172409	B	SFY2009-10
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-23 00:00:00	220007331	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-03-03 00:00:00	2009-03-03 00:00:00	Yes	2010-07-14 00:00:00	2010-12-09 00:00:00	AP BR	AP BR	250000	187500	0	187500	0	None	XKVN11	None	CA00179966	C	SFY2009-10
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-03-04 00:00:00	220008001	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2011-01-03 00:00:00	2011-01-03 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	IV7511	None	CA00255005	C	SFY2010-11
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-07-01 00:00:00	220008356	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2009-10-05 00:00:00	2009-10-05 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	X2W211	N	CA00204986	B	SFY2011-12
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-06 00:00:00	220009087	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-10-28 08:00:00	2011-10-28 08:00:00	No	2012-03-27 00:00:00	None	FTR AE	None	3600	3600	0	3600	0	None	6TIG11	N	CA00292326	B	SFY2011-12
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-27 00:00:00	220009190	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-05-03 00:00:00	2011-05-03 00:00:00	No	2015-02-24 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	T1JO11	None	CA00268593	B	SFY2011-12
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-04-24 00:00:00	220009255	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2010-03-12 00:00:00	2010-03-12 00:00:00	No	2013-07-22 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	LDDD11	None	CA00224352	C	SFY2011-12
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-08-24 00:00:00	220009458	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2009-12-09 00:00:00	2009-12-09 00:00:00	No	2013-07-22 00:00:00	None	AP BR	None	100000	100000	-25000	75000	0	None	Y71G11	None	CA00211950	C	SFY2012-13
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-10-15 00:00:00	220009554	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-05-02 00:00:00	2011-05-02 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	K8RT11	None	CA00269988	C	SFY2012-13
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-12 00:00:00	220009949	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-10-31 08:00:00	2012-10-31 08:00:00	No	2013-07-03 00:00:00	None	FTR AE	None	400	400	0	400	0	None	RW3011	N	CA00332772	C	SFY2012-13
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-07-08 00:00:00	220010000	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2013-03-01 08:00:00	2013-03-01 08:00:00	No	2013-07-29 00:00:00	None	FTR AE	None	500	500	0	500	0	None	M8F411	N	CA00346788	C	SFY2013-14
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-01-10 00:00:00	220010374	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-10-21 00:00:00	2013-10-21 00:00:00	No	2014-02-07 00:00:00	None	AP BR	None	38750	38750	-9687.5	29062.5	0	None	GBVG11	None	CA00374966	B	SFY2013-14
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-04-18 00:00:00	220010623	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach of IT system theft/loss of edevice/med rec	None	2013-10-31 08:00:00	2013-10-31 08:00:00	No	2014-05-09 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	EI8111	None	CA00377475	B	SFY2013-14
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-04-18 00:00:00	220010643	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE10 - Death/disability due to disappearance	None	2013-10-08 00:00:00	2013-10-08 00:00:00	No	2015-01-06 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	49D811	Y	CA00372499	B	SFY2013-14
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-08-25 00:00:00	220010954	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	2012-11-05 00:00:00	2012-11-05 00:00:00	No	2014-09-16 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	JJKG11	None	CA00333545	C	SFY2014-15
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-09-25 00:00:00	220011031	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2012-08-28 00:00:00	2012-08-28 00:00:00	No	2015-06-03 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	0J8011	None	CA00325831	C	SFY2014-15
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-24 00:00:00	220011358	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2012-10-16 00:00:00	2012-10-16 00:00:00	No	2015-11-09 00:00:00	None	AP BR	None	250000	250000	-62500	187500	0	None	8WR811	None	CA00330488	C	SFY2014-15
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-05-06 00:00:00	220011451	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-02-26 00:00:00	2014-02-26 00:00:00	No	2015-06-05 00:00:00	None	AP BR	None	21250	21250	-5312.5	15937.5	0	None	2NUH11	None	CA00389501	C	SFY2014-15
220000019	PRISCILLA CHAN AND MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUM	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2020-02-05 00:00:00	220015726	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-11-02 00:00:00	2018-11-02 00:00:00	No	2020-02-26 00:00:00	None	AP NON-IJ	None	4040	4040	0	4040	0	None	8RKY11	Y	CA00613997	B	SFY2019-20
230000092	PLANNED PARENTHOOD OF THE NORTH VALLEY - CHICO CTR.	Non-LTC	COMTYC	Primary Care Clinic	Chico	2012-11-09 00:00:00	230009277	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-12-21 00:00:00	2011-12-21 00:00:00	No	2015-06-03 00:00:00	None	AP BR	None	2500	2500	-625	1875	0	None	R8M211	None	CA00294738	B	SFY2012-13
230000444	PATIENTS' HOSPITAL OF REDDING	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-06-04 00:00:00	230015061	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-01-03 00:00:00	2017-01-03 00:00:00	No	2019-06-25 00:00:00	None	AP NON-IJ	None	12120	12120	0	0	12120	None	NZU811	N	CA00519244	C	SFY2018-19
230000092	PLANNED PARENTHOOD OF THE NORTH VALLEY - CHICO CTR.	Non-LTC	COMTYC	Primary Care Clinic	Chico	2021-02-12 00:00:00	230018572	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-04-01 00:00:00	2018-04-01 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	TGX611	None	CA00583861	C	SFY2020-21
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2013-12-02 00:00:00	240006904	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-04-30 00:00:00	2009-04-30 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	UTI011	None	CA00187117	E	SFY2013-14
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2013-12-02 00:00:00	240010286	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-04-27 00:00:00	2009-04-27 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	G29011	None	CA00187710	C	SFY2013-14
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-03-26 00:00:00	240010575	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-04-20 00:00:00	2010-04-20 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	8QNP11	N	CA00228810	B	SFY2013-14
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-05-22 00:00:00	240010640	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2010-02-26 00:00:00	2010-02-26 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	GCN311	N	CA00224633	C	SFY2013-14
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-09-03 00:00:00	240010973	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-02-06 00:00:00	2012-02-06 00:00:00	No	2014-09-24 00:00:00	None	FTR AE	None	900	900	0	900	0	None	U2S011	N	CA00301084	B	SFY2014-15
240000104	PROVIDENCE ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-07-10 00:00:00	240011621	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-07-29 00:00:00	2009-07-29 00:00:00	No	2015-11-09 00:00:00	None	AP BR	None	4250	4250	0	4250	0	None	B41911	None	CA00201179	E	SFY2015-16
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2010-04-15 00:00:00	250008161	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-09-30 00:00:00	2008-09-30 00:00:00	No	2010-05-06 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	EJQ911	N	CA00167005	C	SFY2009-10
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2015-08-25 00:00:00	250011691	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	2012-05-31 00:00:00	2012-05-31 00:00:00	No	2015-09-16 00:00:00	None	FTR BR	None	1300	1300	-1300	0	0	None	WIEX11	None	CA00314988	C	SFY2015-16
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2015-09-18 00:00:00	250011731	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	2012-05-31 00:00:00	2012-05-31 00:00:00	No	2015-10-09 00:00:00	None	FTR RES	None	600	600	-600	0	0	None	WIEX11	None	CA00314988	C	SFY2015-16
250000042	PALO VERDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-18 00:00:00	250011732	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	2013-12-26 00:00:00	2013-12-26 00:00:00	No	2015-10-09 00:00:00	None	FTR BR	None	6100	6100	-1525	4575	0	None	YH7E11	None	CA00389818, CA00390076	D, D	SFY2015-16
250000042	PALO VERDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-18 00:00:00	250011734	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	2013-12-26 00:00:00	2013-12-26 00:00:00	No	2015-10-09 00:00:00	None	FTR RES	None	5400	5400	-1350	4050	0	None	YH7E11	None	CA00389818, CA00390076	D, D	SFY2015-16
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2017-02-09 00:00:00	250012962	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2016-02-25 00:00:00	2016-02-25 00:00:00	No	2017-03-03 00:00:00	None	AP NON-IJ	None	5000	5000	0	5000	0	None	T2UX11	N	CA00477926	B	SFY2016-17
250000042	PALO VERDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-06-13 00:00:00	250014158	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-03-24 00:00:00	2018-03-24 00:00:00	No	2018-07-05 00:00:00	None	FTR AE	None	300	300	0	300	0	None	LPJT11	N	CA00582245	C	SFY2017-18
250000048	PACIFIC GROVE HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	Riverside	2021-06-17 00:00:00	250016619	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2020-09-04 00:00:00	2020-09-04 00:00:00	No	2021-07-08 00:00:00	None	FTR AE	None	900	900	0	900	0	None	364Y11	N	CA00705671	B	SFY2020-21
930000123	POMONA VALLEY HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-04-23 00:00:00	930004956	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-03-13 00:00:00	2008-03-13 00:00:00	No	2008-05-14 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	AHB211	Y	CA00143523	A	SFY2007-08
930000003	PROMISE HOSP OF EAST LOS ANGELES-EAST L.A. CAMPUS	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-09-23 00:00:00	930007587	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2010-03-24 00:00:00	2010-03-24 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	349C11	N	CA00223727	C	SFY2010-11
930000101	PROVIDENCE SAINT JOSEPH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-07-08 00:00:00	930008310	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-06-20 00:00:00	2010-06-20 00:00:00	Yes	2013-07-22 00:00:00	2013-07-09 00:00:00	AP BR	None	25000	25000	0	25000	0	None	P97011	None	CA00234923	C	SFY2011-12
930000052	PIH HEALTH DOWNEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-11-10 00:00:00	930008728	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2010-11-16 00:00:00	2010-11-16 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	YYBK11	None	CA00251578	C	SFY2011-12
930000101	PROVIDENCE SAINT JOSEPH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-11-28 00:00:00	930008770	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2010-03-15 00:00:00	2010-03-15 00:00:00	Yes	2013-03-08 00:00:00	2013-02-21 00:00:00	AP BR	None	42500	42500	0	42500	0	None	PCGF11	None	CA00223538	B	SFY2011-12
930000133	PACIFICA HOSPITAL OF THE VALLEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-10-18 00:00:00	930010221	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2011-06-26 00:00:00	2011-06-26 00:00:00	Yes	2014-02-21 00:00:00	2014-02-18 00:00:00	AP IJ	None	50000	50000	0	0	50000	None	ING911	Y	CA00274380	B	SFY2013-14
930000133	PACIFICA HOSPITAL OF THE VALLEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-03-08 00:00:00	930012060	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2013-08-11 00:00:00	2013-08-11 00:00:00	No	2016-03-29 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	N96211	N	CA00365892	B	SFY2015-16
930000052	PIH HEALTH DOWNEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-06-09 00:00:00	930012322	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-09-28 00:00:00	2015-09-28 00:00:00	Yes	2017-05-11 00:00:00	2017-04-26 00:00:00	AP IJ	None	47025	47025	0	47025	0	None	S4SI11	Y	CA00460600	B	SFY2015-16
930000133	PACIFICA HOSPITAL OF THE VALLEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-10-26 00:00:00	930012687	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Patient Safety	2016-03-30 00:00:00	2016-03-30 00:00:00	No	2016-11-17 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	L7CN11	N	CA00482489	B	SFY2016-17
930000077	PALMDALE REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2017-07-06 00:00:00	930013312	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2016-03-09 00:00:00	2016-03-09 00:00:00	Yes	2017-07-27 00:00:00	2018-01-04 00:00:00	AP IJ	AP IJ	49500	39600	0	39600	0	None	3Y2E11	N	CA00480191, CA00482818, CA00482818, CA00482818	B, B, B, B	SFY2017-18
930000157	PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-13 00:00:00	930013733	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2019-07-09 00:00:00	None	AP IJ	None	27075	27075	0	27075	0	None	YWV711	N	CA00495270	A	SFY2018-19
930000157	PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-11-01 00:00:00	930014553	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	2017-10-25 00:00:00	2017-10-25 00:00:00	No	2018-11-27 00:00:00	None	FTR AE	None	400	400	0	400	0	None	SVXV11	N	CA00559780	B	SFY2018-19
930000123	POMONA VALLEY HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-06-19 00:00:00	930015173	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE05 - Death during or up to 24 hours after surgery	None	2019-02-01 00:00:00	2019-02-01 00:00:00	No	2019-07-11 00:00:00	None	FTR AE	None	700	700	0	700	0	None	TQGZ11	Y	CA00624561	B	SFY2018-19
930000068	PIH HEALTH GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-06 00:00:00	930015662	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2019-06-24 00:00:00	2019-06-24 00:00:00	No	2020-01-27 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	1W7811	N	CA00645710	B	SFY2019-20
930000068	PIH HEALTH GOOD SAMARITAN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-06 00:00:00	930015664	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-07-31 00:00:00	2018-07-31 00:00:00	No	2020-01-27 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	049911	N	CA00601283	B	SFY2019-20
930000123	POMONA VALLEY HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-20 00:00:00	930015696	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2018-11-09 00:00:00	2018-11-09 00:00:00	No	2020-02-10 00:00:00	None	FTR AE	None	28900	28900	0	28900	0	None	VNEQ11	N	CA00652890	B	SFY2019-20
930000077	PALMDALE REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-09-24 00:00:00	930016043	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	2017-12-11 00:00:00	2017-12-11 00:00:00	No	2020-10-15 00:00:00	None	FTR AE	None	6100	6100	0	6100	0	None	2V1S11	N	CA00574121, CA00574121	B, B	SFY2020-21
930000032	PACIFIC GARDENS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-06-14 00:00:00	930016300	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2021-02-04 00:00:00	2021-02-04 00:00:00	Yes	2021-07-06 00:00:00	2021-07-21 00:00:00	AP IJ	AP IJ	31350	21957.5	0	21957.5	0	None	R1HU11	N	CA00724209	A	SFY2020-21
930000032	PACIFIC GARDENS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-06-14 00:00:00	930016497	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-04-19 00:00:00	2021-04-19 00:00:00	Yes	2021-07-05 00:00:00	2021-07-21 00:00:00	AP IJ	AP IJ	100000	70255.5	0	70255.5	0	None	ILEI11	Y	CA00733845, CA00734308	A, A	SFY2020-21
930000032	PACIFIC GARDENS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-07-12 00:00:00	930016563	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-05-26 00:00:00	2021-05-26 00:00:00	Yes	2021-08-03 00:00:00	2021-07-21 00:00:00	AP IJ	AP IJ	57750	40258.5	0	40258.5	0	None	2M2I11	N	CA00737855	A	SFY2021-22
930000032	PACIFIC GARDENS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-07-12 00:00:00	930016614	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-05-28 00:00:00	2021-05-28 00:00:00	Yes	2021-07-06 00:00:00	2021-07-21 00:00:00	AP IJ	AP IJ	86625	60678.5	0	60678.5	0	None	RTIE11	N	CA00738383	A	SFY2021-22
930000101	PROVIDENCE SAINT JOSEPH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-10-26 00:00:00	930017038	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2020-06-09 00:00:00	2020-06-09 00:00:00	No	2021-11-17 00:00:00	None	AP NON-IJ	None	4750	4750	0	4750	0	None	YQ6611	N	CA00692994	B	SFY2021-22
930000123	POMONA VALLEY HOSPITAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2022-02-03 00:00:00	930017316	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-02-06 00:00:00	2020-02-06 00:00:00	No	2022-02-25 00:00:00	None	FTR AE	None	14200	14200	0	14200	0	None	GMIR11	N	CA00695551	B	SFY2021-22
930000133	PACIFICA HOSPITAL OF THE VALLEY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2024-04-24 00:00:00	930020061	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2024-01-15 00:00:00	2024-01-15 00:00:00	Yes	2024-05-15 00:00:00	2024-06-04 00:00:00	AP NON-IJ	AP NON-IJ	4040	3636	0	0	3636	None	DELK11	N	CA00880498	B	SFY2023-24