Table: health_facilities_state_enforcement_actions_1997_2023_data_file , facility_name like S*

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
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-06 00:00:00	010001426	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-11-11 00:00:00	1999-11-11 00:00:00	No	2000-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	010010610	A99999	N	None	None	SFY1999-00
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-28 00:00:00	010001438	Closed	Citation	Citation B (HSC 1424)	Other	PTCARE/PHYENVIRONMEN	1999-06-01 00:00:00	1999-06-01 00:00:00	No	2000-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	010010659	A99999	N	None	None	SFY1999-00
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-28 00:00:00	010001439	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1998-03-09 00:00:00	1998-04-13 00:00:00	No	2000-02-18 00:00:00	None	B	None	1000	1000	-500	500	0	010010660	A99999	N	None	None	SFY1999-00
010000598	SACRAMENTO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-02-23 00:00:00	010001717	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-01-24 00:00:00	2000-01-25 00:00:00	No	2000-03-20 00:00:00	None	B	None	400	400	0	400	0	010012236	A99999	N	None	None	SFY1999-00
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-06-09 00:00:00	010001754	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-18 00:00:00	2000-03-24 00:00:00	No	2000-06-30 00:00:00	None	B	None	1000	1000	-350	650	0	010012684	A99999	N	None	None	SFY1999-00
010000974	SUNRISE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-06-22 00:00:00	010001756	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-07-28 00:00:00	1999-09-27 00:00:00	No	2000-07-14 00:00:00	None	B	None	800	800	-280	520	0	010012698	A99999	N	None	None	SFY1999-00
010000974	SUNRISE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2000-06-29 00:00:00	010001758	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-05 00:00:00	None	Yes	2001-01-10 00:00:00	2000-12-27 00:00:00	A	B	5000	10000	0	10000	0	010012781	A99999	N	None	None	SFY1999-00
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-13 00:00:00	010001786	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-05-04 00:00:00	2000-06-27 00:00:00	No	2000-11-03 00:00:00	None	B	None	500	500	-175	325	0	010013264	A99999	N	None	None	SFY2000-01
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-10-19 00:00:00	010001790	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-30 00:00:00	None	No	2000-11-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	010013310	A99999	N	None	None	SFY2000-01
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-11-17 00:00:00	010001797	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-21 00:00:00	2000-04-04 00:00:00	Yes	2000-12-12 00:00:00	2000-11-28 00:00:00	B	B	250	250	0	250	0	010013471	A99999	N	None	None	SFY2000-01
010000598	SACRAMENTO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-01-24 00:00:00	010001821	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-10-13 00:00:00	None	No	2001-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	010013865	A99999	N	None	None	SFY2000-01
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-01 00:00:00	010001827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-06-24 00:00:00	2000-07-31 00:00:00	No	2001-05-09 00:00:00	None	B	None	1000	1000	-1000	0	0	010013950	A99999	N	None	None	SFY2000-01
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-23 00:00:00	010001830	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-03 00:00:00	2000-08-30 00:00:00	No	2001-05-09 00:00:00	None	A	None	10000	10000	-10000	0	0	010014014	A99999	N	None	None	SFY2000-01
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-22 00:00:00	010001843	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-03 00:00:00	2000-04-03 00:00:00	Yes	2001-06-14 00:00:00	2001-07-26 00:00:00	B	B	1000	650	0	650	0	010014236	A99999	N	None	None	SFY2000-01
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-05-22 00:00:00	010001844	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-10-25 00:00:00	2000-11-08 00:00:00	No	2001-06-13 00:00:00	None	AA	None	70000	70000	-70000	0	0	010014242	A99999	Y	None	None	SFY2000-01
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-26 00:00:00	010001852	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-02 00:00:00	2000-08-06 00:00:00	No	2001-07-20 00:00:00	None	B	None	1000	1000	-1000	0	0	010014330	A99999	N	None	None	SFY2000-01
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-06-28 00:00:00	010001854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-27 00:00:00	2000-05-30 00:00:00	Yes	2001-07-23 00:00:00	2001-07-02 00:00:00	B	B	1000	650	0	650	0	010014342	A99999	N	None	None	SFY2000-01
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-07-12 00:00:00	010001858	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-20 00:00:00	2001-03-23 00:00:00	Yes	2001-08-03 00:00:00	2001-07-26 00:00:00	B	B	1000	650	0	650	0	010014398	A99999	N	None	None	SFY2001-02
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-02 00:00:00	010001862	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-24 00:00:00	2001-05-24 00:00:00	Yes	2001-08-24 00:00:00	2001-08-15 00:00:00	B	B	1000	612	0	612	0	010014446	A99999	N	None	None	SFY2001-02
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-30 00:00:00	010001868	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RECORDS	2001-02-14 00:00:00	2001-02-14 00:00:00	Yes	2001-09-26 00:00:00	2001-09-05 00:00:00	B	None	1000	1000	0	1000	0	010014525	A99999	N	None	None	SFY2001-02
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-24 00:00:00	010001869	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-20 00:00:00	2001-03-20 00:00:00	No	2001-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	010014527	A99999	N	None	None	SFY2001-02
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-29 00:00:00	010001870	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-07 00:00:00	2000-02-07 00:00:00	No	2001-09-20 00:00:00	None	A	B	7500	4700	0	4700	0	010014539	A99999	N	None	None	SFY2001-02
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-08-30 00:00:00	010001876	Closed	Citation	Citation B (HSC 1424)	Other	PT RIGHTS/CARE MEDS.	2001-04-13 00:00:00	2001-07-17 00:00:00	Yes	2001-09-26 00:00:00	2001-09-05 00:00:00	B	None	1000	3000	0	3000	0	010014553	A99999	N	None	None	SFY2001-02
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-09 00:00:00	010001890	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-09-25 00:00:00	2001-09-25 00:00:00	No	2001-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	010014673	A99999	N	None	None	SFY2001-02
010000165	SUMMERSIDE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-10-25 00:00:00	010001896	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-10-31 00:00:00	2001-10-09 00:00:00	No	2001-11-16 00:00:00	None	B	None	1000	1000	-350	650	0	010014755	A99999	N	None	None	SFY2001-02
010000165	SUMMERSIDE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2001-10-25 00:00:00	010001897	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-20 00:00:00	2001-09-21 00:00:00	No	2001-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	010014756	A99999	N	None	None	SFY2001-02
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-26 00:00:00	010001927	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-09 00:00:00	1999-03-26 00:00:00	Yes	2002-03-19 00:00:00	2002-03-01 00:00:00	A	B	12000	3000	0	3000	0	010015071	A99999	N	None	None	SFY2001-02
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-02-26 00:00:00	010001928	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-03-09 00:00:00	1999-03-26 00:00:00	Yes	2002-03-19 00:00:00	2002-03-13 00:00:00	B	Drop>Deficiency	700	0	0	0	0	010015073	A99999	N	None	None	SFY2001-02
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-05-21 00:00:00	010001950	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-10 00:00:00	2002-04-10 00:00:00	No	2002-06-12 00:00:00	None	B	None	1000	1000	-350	650	0	010015349	A99999	N	None	None	SFY2001-02
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-07-31 00:00:00	010001965	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-22 00:00:00	2002-04-09 00:00:00	No	2002-08-21 00:00:00	None	B	None	1000	1000	0	1000	0	010015572	A99999	N	None	None	SFY2002-03
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-08 00:00:00	010001966	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-24 00:00:00	2000-11-05 00:00:00	No	2002-08-29 00:00:00	None	B	None	1000	1000	-1000	0	0	010015596	A99999	N	None	None	SFY2002-03
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-08 00:00:00	010001967	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-26 00:00:00	2000-11-08 00:00:00	No	2002-08-29 00:00:00	None	B	None	1000	1000	-1000	0	0	010015596	A99999	N	None	None	SFY2002-03
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-08 00:00:00	010001968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-01 00:00:00	2000-11-08 00:00:00	No	2002-08-29 00:00:00	None	B	None	1000	1000	-1000	0	0	010015596	A99999	N	None	None	SFY2002-03
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-08-27 00:00:00	010001974	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-20 00:00:00	2002-08-02 00:00:00	No	2002-09-18 00:00:00	None	B	None	1000	1000	-350	650	0	010015674	A99999	N	None	None	SFY2002-03
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-11-06 00:00:00	010001998	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-03 00:00:00	2002-10-07 00:00:00	Yes	2002-12-02 00:00:00	2002-11-21 00:00:00	B	B	1000	557	0	557	0	010015944	A99999	N	None	None	SFY2002-03
010000598	SACRAMENTO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-02-07 00:00:00	010002007	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-02 00:00:00	2002-07-18 00:00:00	No	2003-03-04 00:00:00	None	B	None	1000	1000	0	1000	0	010016187	A99999	N	None	None	SFY2002-03
010000976	SUNRISE II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-02-19 00:00:00	010002010	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-30 00:00:00	2003-01-02 00:00:00	No	2003-03-12 00:00:00	None	B	None	900	900	-315	585	0	010016225	A99999	N	None	None	SFY2002-03
010001031	STONEHAVEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-02-20 00:00:00	010002012	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-13 00:00:00	2002-10-10 00:00:00	No	2003-03-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	010015910	A99999	N	None	None	SFY2002-03
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-03-25 00:00:00	010002019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-24 00:00:00	2003-09-24 00:00:00	Yes	2003-04-16 00:00:00	2003-04-03 00:00:00	B	None	600	600	0	600	0	010016125	A99999	N	None	None	SFY2002-03
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-05-30 00:00:00	010002032	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	2003-04-23 00:00:00	No	2003-07-14 00:00:00	None	B	None	750	750	-262.5	487.5	0	010016514	A99999	N	None	None	SFY2002-03
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2003-06-19 00:00:00	010002035	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-11-29 00:00:00	2002-11-29 00:00:00	Yes	2003-07-28 00:00:00	2003-07-07 00:00:00	A	A	7500	7500	0	7500	0	010015993	A99999	N	None	None	SFY2002-03
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-03 00:00:00	010002040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-06 00:00:00	2003-06-06 00:00:00	Yes	2003-07-25 00:00:00	2003-07-25 00:00:00	B	B	750	430	0	430	0	010016705	A99999	N	None	None	SFY2003-04
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-24 00:00:00	010002043	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-01 00:00:00	2003-05-01 00:00:00	Yes	2003-08-14 00:00:00	2003-07-28 00:00:00	B	None	800	800	0	800	0	010016721	A99999	N	None	None	SFY2003-04
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-07-24 00:00:00	010002044	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-27 00:00:00	2003-04-27 00:00:00	Yes	2003-08-14 00:00:00	2003-07-28 00:00:00	B	None	500	500	0	500	0	010016721	A99999	N	None	None	SFY2003-04
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-08-25 00:00:00	010002050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-10 00:00:00	2003-07-10 00:00:00	No	2003-09-16 00:00:00	None	B	None	500	500	-175	325	0	010016961	A99999	N	None	None	SFY2003-04
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-04 00:00:00	010002051	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-08-31 00:00:00	2002-08-31 00:00:00	Yes	2003-09-25 00:00:00	2003-09-23 00:00:00	B	B	500	679	0	679	0	010016944	A99999	N	None	None	SFY2003-04
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-05 00:00:00	010002052	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-31 00:00:00	2003-05-31 00:00:00	No	2003-09-26 00:00:00	None	B	None	800	2400	0	2400	0	010016851	A99999	N	None	None	SFY2003-04
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-09-10 00:00:00	010002054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-19 00:00:00	2003-07-19 00:00:00	No	2003-10-01 00:00:00	None	B	None	800	800	0	800	0	010016911	A99999	N	None	None	SFY2003-04
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-03 00:00:00	010002062	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-10 00:00:00	2003-05-10 00:00:00	No	2003-11-25 00:00:00	None	B	None	800	800	0	800	0	010016714	A99999	Y	None	None	SFY2003-04
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-11-26 00:00:00	010002072	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-10-22 00:00:00	2003-10-26 00:00:00	Yes	2003-12-19 00:00:00	2003-12-15 00:00:00	B	None	750	750	-750	0	0	010017147	A99999	N	None	None	SFY2003-04
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-01-09 00:00:00	010002077	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-25 00:00:00	2003-08-27 00:00:00	No	2004-02-10 00:00:00	None	B	None	600	600	0	600	0	010017004	A99999	N	None	None	SFY2003-04
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-03-22 00:00:00	010002098	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-03 00:00:00	2004-01-03 00:00:00	No	2004-04-13 00:00:00	None	A	None	16000	16000	-5600	10400	0	010017347	A99999	N	None	None	SFY2003-04
010000598	SACRAMENTO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2004-05-25 00:00:00	010002104	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-12-13 00:00:00	2003-12-13 00:00:00	No	2004-06-16 00:00:00	None	B	None	800	800	-280	520	0	010017327	A99999	N	None	None	SFY2003-04
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-04-26 00:00:00	020002353	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-16 00:00:00	None	Yes	2000-01-12 00:00:00	1999-05-11 00:00:00	A	A	7000	7000	-7000	0	0	020009764	A99999	N	None	None	SFY1998-99
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-02-16 00:00:00	020002486	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-12-31 00:00:00	2000-01-03 00:00:00	Yes	2000-03-16 00:00:00	2000-02-22 00:00:00	B	B	600	600	-540	60	0	020011310	A99999	N	None	None	SFY1999-00
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-19 00:00:00	020002519	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-24 00:00:00	None	Yes	2000-06-20 00:00:00	2000-05-30 00:00:00	B	None	700	2100	0	2100	0	020011724	A99999	N	None	None	SFY1999-00
020000109	SUNSHINE ICF/DDH #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2000-06-01 00:00:00	020002526	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-26 00:00:00	None	Yes	2001-02-01 00:00:00	2000-06-06 00:00:00	B	B	600	600	0	600	0	020011770	A99999	N	None	None	SFY1999-00
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-07 00:00:00	020002546	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-17 00:00:00	2000-08-21 00:00:00	Yes	2000-09-29 00:00:00	2000-09-22 00:00:00	B	None	500	1850	0	1850	0	020012165	A99999	N	None	None	SFY2000-01
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-02-20 00:00:00	020002593	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-16 00:00:00	None	No	2001-03-20 00:00:00	None	B	None	1000	1000	-1000	0	0	020012910	A99999	N	None	None	SFY2000-01
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-03-27 00:00:00	020002606	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-22 00:00:00	2000-12-18 00:00:00	No	2001-04-23 00:00:00	None	A	None	18000	18000	-18000	0	0	020013217	A99999	N	None	None	SFY2000-01
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-04-03 00:00:00	020002607	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-11-22 00:00:00	2000-12-18 00:00:00	No	2001-05-01 00:00:00	None	B	None	1000	1000	-1000	0	0	020013217	A99999	N	None	None	SFY2000-01
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2001-04-16 00:00:00	020002610	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-06 00:00:00	2001-03-11 00:00:00	No	2001-06-08 00:00:00	None	B	None	800	800	0	800	0	020013281	A99999	N	None	None	SFY2000-01
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-02 00:00:00	020002651	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2001-07-18 00:00:00	None	No	2001-08-30 00:00:00	None	B	None	700	700	0	700	0	020013577	A99999	N	None	None	SFY2001-02
020000072	SOUTH SHORE CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	East Bay	2001-08-07 00:00:00	020002653	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-13 00:00:00	None	No	2001-08-30 00:00:00	None	B	None	800	800	-280	520	0	020013624	A99999	N	None	None	SFY2001-02
020000648	STANLEY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-01-18 00:00:00	020002680	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2001-11-26 00:00:00	None	No	2002-02-19 00:00:00	None	B	None	600	600	-210	390	0	020013940	A99999	N	None	None	SFY2001-02
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-01-24 00:00:00	020002682	Closed	Citation	Citation B (HSC 1424)	Other	RETALIATION	2001-10-24 00:00:00	2001-11-14 00:00:00	Yes	2002-08-26 00:00:00	2002-01-28 00:00:00	B	B	500	500	0	500	0	020013866	A99999	N	None	None	SFY2001-02
020000005	ST ANTHONY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-03-22 00:00:00	020002694	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-10 00:00:00	2002-01-28 00:00:00	No	2002-04-17 00:00:00	None	B	None	600	600	0	600	0	020014105	A99999	N	None	None	SFY2001-02
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2002-04-17 00:00:00	020002697	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-10-24 00:00:00	None	Yes	2002-05-10 00:00:00	2002-04-26 00:00:00	B	None	1000	1000	0	1000	0	020013839	A99999	N	None	None	SFY2001-02
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2002-05-23 00:00:00	020002701	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-04 00:00:00	None	Yes	2002-06-20 00:00:00	2002-06-24 00:00:00	B	None	500	500	0	500	0	020014223	A99999	N	None	None	SFY2001-02
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-18 00:00:00	020002746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-11-27 00:00:00	2003-01-29 00:00:00	No	2003-05-14 00:00:00	None	B	None	700	700	-245	455	0	020015164	A99999	N	None	None	SFY2002-03
020000817	SERRA CENTER GIBRALTAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-05-23 00:00:00	020002755	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-27 00:00:00	None	No	2003-06-20 00:00:00	None	B	None	700	700	-245	455	0	020015355	A99999	N	None	None	SFY2002-03
020000064	ST. PAUL'S TOWERS	LTC	SNF	Skilled Nursing Facility	East Bay	2003-07-22 00:00:00	020002763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-05 00:00:00	None	Yes	2004-02-06 00:00:00	2004-01-28 00:00:00	B	B	700	700	0	700	0	020015393	A99999	N	None	None	SFY2003-04
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-03-29 00:00:00	020002795	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	2003-10-27 00:00:00	Yes	2004-04-20 00:00:00	2004-04-12 00:00:00	A	A	12000	12000	0	12000	0	020015974	A99999	N	None	None	SFY2003-04
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-03-29 00:00:00	020002796	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-01-24 00:00:00	2004-01-29 00:00:00	Yes	2007-11-07 00:00:00	2004-04-13 00:00:00	A	A	12000	12000	0	12000	0	020016072	A99999	N	None	None	SFY2003-04
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-03-29 00:00:00	020002797	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2003-04-23 00:00:00	2003-06-24 00:00:00	Yes	2004-04-20 00:00:00	2004-04-12 00:00:00	B	B	800	400	0	400	0	020015974	A99999	N	None	None	SFY2003-04
020000817	SERRA CENTER GIBRALTAR HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2004-08-18 00:00:00	020002813	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-06-08 00:00:00	None	No	2004-09-13 00:00:00	None	B	None	500	500	-175	325	0	020016476	A99999	N	None	None	SFY2004-05
020001052	SERRA CENTER SAN JUAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2004-11-03 00:00:00	020002819	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-12 00:00:00	None	No	2004-11-29 00:00:00	None	B	None	500	500	-175	325	0	020016614	A99999	N	None	None	SFY2004-05
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-11-08 00:00:00	020002821	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-03 00:00:00	None	No	2004-12-06 00:00:00	None	B	None	700	700	-245	455	0	020016622	A99999	N	None	None	SFY2004-05
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2004-11-10 00:00:00	020002822	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-04 00:00:00	None	No	2004-12-09 00:00:00	None	B	None	700	700	-245	455	0	020016623	A99999	N	None	None	SFY2004-05
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2004-12-03 00:00:00	020002824	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-10-05 00:00:00	None	No	2005-01-03 00:00:00	None	B	None	500	500	-175	325	0	020016680	A99999	N	None	None	SFY2004-05
020000142	SUNSHINE ICF/DDH #1	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2005-03-17 00:00:00	020002829	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-08 00:00:00	None	Yes	2005-04-11 00:00:00	2005-03-21 00:00:00	B	B	500	250	0	250	0	020016786	A99999	N	None	None	SFY2004-05
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2006-07-21 00:00:00	020003213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-28 00:00:00	2006-04-28 00:00:00	No	2006-08-11 00:00:00	None	B	None	600	600	-210	390	0	None	INBN11	N	None	None	SFY2006-07
020001052	SERRA CENTER SAN JUAN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2007-05-03 00:00:00	020003927	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-31 00:00:00	2007-03-31 00:00:00	No	2007-05-24 00:00:00	None	B	None	700	700	-245	455	0	None	FGU711	N	CA00111041	B	SFY2006-07
020000813	SERRA CENTER VALPEY PARK HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2007-05-29 00:00:00	020003993	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-17 00:00:00	2007-04-17 00:00:00	No	2007-06-19 00:00:00	None	B	None	800	800	-280	520	0	None	1FTU11	N	CA00113154, CA00113635, CA00114165	C, B, B	SFY2006-07
020000677	SUNSHINE ICF/DDH #5	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2008-05-08 00:00:00	020005007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-14 00:00:00	2008-04-14 00:00:00	Yes	2008-06-02 00:00:00	2008-05-16 00:00:00	B	B	600	300	0	300	0	None	BLXH11	N	CA00147017	B	SFY2007-08
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-09-17 00:00:00	020005430	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-22 00:00:00	2008-08-22 00:00:00	Yes	2008-10-08 00:00:00	2008-09-26 00:00:00	B	B	750	375	0	375	0	None	4PF411	N	CA00161320	C	SFY2008-09
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2008-11-19 00:00:00	020005625	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-03-03 00:00:00	2008-03-03 00:00:00	Yes	2008-12-17 00:00:00	2008-11-21 00:00:00	B	B	700	350	0	350	0	None	XOO311	N	CA00145397	A	SFY2008-09
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2008-12-08 00:00:00	020005672	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-11-12 00:00:00	2008-11-12 00:00:00	No	2009-01-01 00:00:00	None	B	None	800	800	0	800	0	None	P4BM11	N	CA00169049	A	SFY2008-09
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2008-12-08 00:00:00	020005674	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2008-11-12 00:00:00	2008-11-12 00:00:00	No	2009-01-01 00:00:00	None	B	None	700	700	0	700	0	None	P4BM11	N	CA00169049	A	SFY2008-09
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2009-10-14 00:00:00	020006611	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2009-09-01 00:00:00	2009-09-01 00:00:00	No	2009-11-10 00:00:00	None	B	None	600	600	0	600	0	None	L6BE11	N	CA00203533	B	SFY2009-10
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2009-10-22 00:00:00	020006631	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-18 00:00:00	2009-09-18 00:00:00	No	2009-11-17 00:00:00	None	B	None	500	500	0	500	0	None	P7N911	N	CA00202357	B	SFY2009-10
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2009-10-22 00:00:00	020006632	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-09 00:00:00	2009-09-09 00:00:00	No	2009-11-17 00:00:00	None	B	None	500	500	0	500	0	None	P7N911	N	CA00202565	B	SFY2009-10
020000681	SUNSHINE ICF/DDH #6	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2010-05-19 00:00:00	020007218	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-22 00:00:00	2010-04-22 00:00:00	Yes	2010-06-15 00:00:00	2010-06-16 00:00:00	B	None	900	900	0	900	0	None	9NRB11	N	CA00226357	B	SFY2009-10
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2011-05-17 00:00:00	020008251	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-31 00:00:00	2010-08-31 00:00:00	Yes	2014-04-30 00:00:00	2011-05-24 00:00:00	B	B	600	600	0	600	0	None	UXMG11	N	CA00242575	B	SFY2010-11
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2012-12-12 00:00:00	020009676	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-08-30 00:00:00	2012-08-30 00:00:00	No	2013-01-04 00:00:00	None	B	None	1500	1500	-525	975	0	None	VIFI11	N	CA00326008	B	SFY2012-13
020000068	ST JOHN KRONSTADT CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-02-04 00:00:00	020009728	Closed	Citation	Citation AA (HSC 1424)	Other	Accidents	2012-07-18 00:00:00	2012-07-18 00:00:00	No	2013-02-26 00:00:00	None	AA	None	60000	60000	-21000	39000	0	None	L8HA11	Y	CA00318813	C	SFY2012-13
020000630	SERRA RESIDENTIAL CENTER - CRESTWOOD HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2013-09-27 00:00:00	020010162	Closed	Citation	Citation A (HSC 1424)	Other	Supvr During Dining	2013-04-13 00:00:00	2013-04-13 00:00:00	Yes	2013-10-18 00:00:00	2013-10-17 00:00:00	A	A	20000	20000	0	20000	0	None	1CW411	N	CA00351206, CA00352674	B, B	SFY2013-14
140000396	SHIELDS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2013-11-20 00:00:00	020010274	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-04-17 00:00:00	2013-04-17 00:00:00	Yes	2013-12-13 00:00:00	2013-12-03 00:00:00	B	None	2000	2000	0	0	2000	None	ZM9Z11	N	CA00367739	B	SFY2013-14
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-06-04 00:00:00	020010744	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2014-06-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	DLCF11	N	CA00398982	A	SFY2013-14
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2014-07-17 00:00:00	020010865	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-26 00:00:00	2014-04-26 00:00:00	No	2014-08-07 00:00:00	None	B	None	1500	1500	-525	975	0	None	KE2B11	N	CA00396949	B	SFY2014-15
140000733	STONEBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2015-11-05 00:00:00	020011831	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-11-19 00:00:00	2014-11-19 00:00:00	No	2015-12-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	WO0I11	N	CA00421787	B	SFY2015-16
020000629	SUNSHINE ICF/DDH #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2016-06-16 00:00:00	020012337	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-03-20 00:00:00	2015-03-20 00:00:00	No	2016-07-08 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	81EI11	N	CA00436078, CA00436078, CA00436078, CA00436078	A, A, A, A	SFY2015-16
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2017-11-15 00:00:00	020013620	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-11 00:00:00	2017-08-11 00:00:00	No	2017-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	F4S411	N	CA00548743, CA00550053	B, B	SFY2017-18
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2018-10-18 00:00:00	020014507	Open	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-09-18 00:00:00	2018-09-18 00:00:00	Yes	2018-11-08 00:00:00	2018-10-25 00:00:00	B	None	2000	2600	0	0	2600	None	IC3G11	N	CA00607724	A	SFY2018-19
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2018-12-07 00:00:00	020014632	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-11-18 00:00:00	2018-11-18 00:00:00	Yes	2018-12-31 00:00:00	2018-12-19 00:00:00	B	None	1500	3950	-2450	1500	0	None	7DTE11	N	CA00612625	A	SFY2018-19
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2019-06-21 00:00:00	020015189	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-28 00:00:00	2018-12-28 00:00:00	No	2019-07-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	SU9811	N	None	None	SFY2018-19
020000064	ST. PAUL'S TOWERS	LTC	SNF	Skilled Nursing Facility	East Bay	2019-07-11 00:00:00	020015226	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-25 00:00:00	2018-08-25 00:00:00	No	2019-08-01 00:00:00	None	B	None	1500	1500	0	1500	0	None	6BBX11	N	CA00604402	B	SFY2019-20
140000733	STONEBROOK HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-12-13 00:00:00	020017184	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2021-06-19 00:00:00	2021-06-19 00:00:00	No	2022-01-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1PDK11	N	CA00741128	B	SFY2021-22
020000005	ST ANTHONY CARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-08-23 00:00:00	020017908	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-01-05 00:00:00	2022-01-05 00:00:00	No	2022-09-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	U65211	N	CA00767848, CA00767848, CA00768215	A, A, A	SFY2022-23
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-02-10 00:00:00	020018398	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2022-12-12 00:00:00	2022-12-12 00:00:00	No	2023-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	974U11	N	None	None	SFY2022-23
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-02-10 00:00:00	020018399	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2022-12-15 00:00:00	2022-12-15 00:00:00	No	2023-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	974U11	N	None	None	SFY2022-23
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-02-10 00:00:00	020018400	Closed	Citation	Citation B (HSC 1424)	Other	Dietary	2022-12-13 00:00:00	2022-12-13 00:00:00	No	2023-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	974U11	N	None	None	SFY2022-23
020000074	SERENETHOS CARE CENTER, LLC	LTC	SNF	Skilled Nursing Facility	East Bay	2023-05-04 00:00:00	020018713	Closed	Citation	Citation B (HSC 1424)	Other	Accidents	2023-02-09 00:00:00	2023-02-09 00:00:00	No	2023-05-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EG0G11	N	CA00826647	A	SFY2022-23
630014957	STRATFORD VILLA POST-ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2024-02-06 00:00:00	020019681	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-05 00:00:00	2022-07-05 00:00:00	Yes	2024-02-27 00:00:00	2024-02-23 00:00:00	A	None	25000	25000	0	0	25000	None	ZHN111	Y	CA00837686, CA00837686, CA00837686	B, B, B	SFY2023-24
030000083	SUTTER TRANSITIONAL CARE CENTER-MIDTOWN D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-04-04 00:00:00	030002058	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-27 00:00:00	None	No	2001-04-25 00:00:00	None	B	None	500	500	-175	325	0	030015377	A99999	N	None	None	SFY2000-01
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-04 00:00:00	030002077	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-13 00:00:00	None	No	2001-10-26 00:00:00	None	B	None	800	800	-280	520	0	030015890	A99999	N	None	None	SFY2001-02
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-23 00:00:00	030002082	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-09 00:00:00	None	No	2001-11-14 00:00:00	None	A	None	15000	15000	-5250	9750	0	030015230	A99999	N	None	None	SFY2001-02
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-10-26 00:00:00	030002083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-08 00:00:00	None	No	2001-11-27 00:00:00	None	B	None	800	800	-280	520	0	030015771	A99999	N	None	None	SFY2001-02
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2001-12-14 00:00:00	030002085	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2001-08-24 00:00:00	None	Yes	2002-01-11 00:00:00	2001-12-24 00:00:00	AA	A	60000	50000	0	50000	0	030016089	A99999	Y	None	None	SFY2001-02
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-08-19 00:00:00	030002102	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-07-31 00:00:00	None	No	2002-09-10 00:00:00	None	A	None	16000	16000	-5600	10400	0	030015848	A99999	N	None	None	SFY2002-03
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-10-02 00:00:00	030002108	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-12 00:00:00	None	No	2002-10-29 00:00:00	None	B	None	800	800	-280	520	0	030015958	A99999	N	None	None	SFY2002-03
030000550	SUTTER AMADOR HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-03-14 00:00:00	030002124	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-10-05 00:00:00	None	Yes	2003-04-09 00:00:00	2003-03-19 00:00:00	A	A	10000	1000	0	1000	0	030016970	A99999	N	None	None	SFY2002-03
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-04-10 00:00:00	030002128	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-10 00:00:00	None	No	2003-05-05 00:00:00	None	B	None	1000	1000	0	1000	0	030016533	A99999	N	None	None	SFY2002-03
030000550	SUTTER AMADOR HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-06-27 00:00:00	030002135	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2003-01-20 00:00:00	None	Yes	2003-07-21 00:00:00	2003-07-01 00:00:00	AA	AA	75000	30000	0	30000	0	030017242	A99999	Y	None	None	SFY2002-03
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-03 00:00:00	030002138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-19 00:00:00	2003-05-11 00:00:00	No	2003-07-30 00:00:00	None	B	None	1000	1000	-350	650	0	030017463	A99999	N	None	None	SFY2003-04
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-28 00:00:00	030002139	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-05-14 00:00:00	2002-05-22 00:00:00	Yes	2004-01-09 00:00:00	2003-07-31 00:00:00	B	B	1000	1000	0	1000	0	030016711	A99999	N	None	None	SFY2003-04
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-28 00:00:00	030002140	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2002-05-14 00:00:00	2002-05-22 00:00:00	Yes	2003-08-20 00:00:00	2003-07-29 00:00:00	AA	AA	85000	40000	0	40000	0	030016711	A99999	Y	None	None	SFY2003-04
030000878	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-07-31 00:00:00	030002141	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-24 00:00:00	None	No	2003-08-28 00:00:00	None	A	None	12000	12000	-4200	7800	0	030017231	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-08-04 00:00:00	030002142	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-11-06 00:00:00	None	No	2003-08-27 00:00:00	None	A	None	18000	18000	-6300	11700	0	030017362	A99999	N	None	None	SFY2003-04
030000083	SUTTER TRANSITIONAL CARE CENTER-MIDTOWN D/P SNF	LTC	SNF	Skilled Nursing Facility	Sacramento	2003-10-16 00:00:00	030002148	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-08-18 00:00:00	None	Yes	2003-11-17 00:00:00	2003-10-23 00:00:00	B	B	500	400	0	400	0	030017945	A99999	N	None	None	SFY2003-04
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-01-27 00:00:00	030002157	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-24 00:00:00	None	No	2004-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	030017881	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-01-27 00:00:00	030002158	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-30 00:00:00	None	No	2004-02-23 00:00:00	None	A	None	16000	16000	-5600	10400	0	030017909	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-04-14 00:00:00	030002169	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-08 00:00:00	None	No	2004-05-12 00:00:00	None	A	None	10000	10000	-3500	6500	0	030016899	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2004-06-03 00:00:00	030002171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-02-09 00:00:00	None	No	2004-06-29 00:00:00	None	B	None	1000	1000	-350	650	0	030018448	A99999	N	None	None	SFY2003-04
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-10-13 00:00:00	030002335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-18 00:00:00	None	Yes	2005-11-03 00:00:00	2005-11-02 00:00:00	B	B	500	250	0	250	0	030020456	A99999	N	None	None	SFY2005-06
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-11-10 00:00:00	030002341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-02-11 00:00:00	None	No	2005-12-21 00:00:00	None	B	None	1000	1000	-350	650	0	030020463	A99999	N	None	None	SFY2005-06
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2006-10-19 00:00:00	030003415	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-30 00:00:00	2006-07-30 00:00:00	No	2006-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	YXL411	N	CA00089636, CA00089694	B, B	SFY2006-07
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-01-16 00:00:00	030003636	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-02 00:00:00	2006-07-02 00:00:00	No	2007-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	6Z1B11	N	CA00085732, CA00089597	B, B	SFY2006-07
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-04-05 00:00:00	030003655	Closed	Citation	Citation B (HSC 1424)	Administration	Patient Care	2006-12-07 00:00:00	2006-12-07 00:00:00	No	2007-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	TGTL11	N	CA00100864	A	SFY2006-07
100001594	SHIRLEY'S ICF/DD-H #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2007-04-25 00:00:00	030003912	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-26 00:00:00	2006-09-26 00:00:00	No	2007-05-16 00:00:00	None	B	None	500	500	-175	325	0	None	CP3F11	N	CA00093397	B	SFY2006-07
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004047	Closed	Citation	Citation A (HSC 1424)	Patient Care	Physical Environment	2006-07-22 00:00:00	2006-07-22 00:00:00	Yes	2007-07-27 00:00:00	2007-07-17 00:00:00	A	B	20000	5000	0	5000	0	None	V63M11	N	CA00087566	A	SFY2006-07
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004048	Closed	Citation	Citation A (HSC 1424)	Patient Care	Physical Environment	2006-07-23 00:00:00	2006-07-23 00:00:00	Yes	2007-08-02 00:00:00	2007-07-17 00:00:00	A	A	20000	20000	0	20000	0	None	V63M11	N	CA00087566	A	SFY2006-07
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2007-06-27 00:00:00	030004050	Closed	Citation	Citation AA (HSC 1424)	Patient Care	Physical Environment	2006-07-22 00:00:00	2006-07-22 00:00:00	Yes	2007-08-02 00:00:00	2007-07-17 00:00:00	AA	B	80000	5000	0	5000	0	None	V63M11	Y	CA00087566	A	SFY2006-07
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2007-09-14 00:00:00	030004261	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-05-21 00:00:00	2007-05-21 00:00:00	No	2007-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	741F11	N	CA00115358	B	SFY2007-08
030000096	SAN LUIS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2007-10-08 00:00:00	030004329	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	Patiet Right/Patient Care	2007-08-11 00:00:00	2007-08-11 00:00:00	Yes	2007-10-29 00:00:00	2007-10-16 00:00:00	B	B	1000	500	0	500	0	None	10D811	N	CA00123176	B	SFY2007-08
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-01-14 00:00:00	030005090	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-12 00:00:00	2007-12-12 00:00:00	No	2010-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	71WM11	N	CA00140835, CA00141702	B, B	SFY2009-10
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2009-03-19 00:00:00	030005997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-14 00:00:00	2008-01-14 00:00:00	No	2009-04-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	O18F11	N	CA00142570	B	SFY2008-09
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-08-06 00:00:00	030007468	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-03 00:00:00	2008-07-03 00:00:00	No	2010-08-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	QOZT11	N	CA00158021	B	SFY2010-11
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2010-09-08 00:00:00	030007534	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-27 00:00:00	2008-07-27 00:00:00	No	2010-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	0PUG11	N	CA00159484, CA00159779	B, B	SFY2010-11
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-02-01 00:00:00	030008960	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	2012-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	CINF11	N	CA00189469	C	SFY2011-12
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2012-03-07 00:00:00	030009085	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-10 00:00:00	2009-10-10 00:00:00	No	2012-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	LKKF11	N	CA00205459	B	SFY2011-12
100001810	SHIRLEY'S ICF/DD-H #4	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2013-03-11 00:00:00	030009773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-21 00:00:00	2009-12-21 00:00:00	No	2013-04-02 00:00:00	None	B	None	500	500	-175	325	0	None	5J7211	N	CA00242264	B	SFY2012-13
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2013-07-03 00:00:00	030009986	Closed	Citation	Citation B (HSC 1424)	Medication	None	2012-06-20 00:00:00	2012-06-20 00:00:00	No	2013-07-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	R65811	N	CA00233171	A	SFY2013-14
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-03-25 00:00:00	030010549	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-12-17 00:00:00	2013-12-17 00:00:00	No	2014-04-16 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	XV0K11	None	CA00382082	E	SFY2013-14
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2014-03-25 00:00:00	030010550	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-12-17 00:00:00	2013-12-17 00:00:00	No	2014-04-16 00:00:00	None	FTR RES	None	300	300	-75	225	0	None	XV0K11	None	CA00382082	E	SFY2013-14
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2016-05-18 00:00:00	030012238	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-03-26 00:00:00	2016-03-26 00:00:00	No	2016-06-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CYVQ11	N	CA00482003	A	SFY2015-16
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-02-09 00:00:00	030012928	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-01-08 00:00:00	2014-01-08 00:00:00	Yes	2017-03-03 00:00:00	2017-02-14 00:00:00	A	None	20000	20000	0	20000	0	None	M1HO11	N	CA00471937	B	SFY2016-17
100000097	SAYLOR LANE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-03-24 00:00:00	030013081	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-11-27 00:00:00	2016-11-27 00:00:00	No	2017-04-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ONVX11	Y	CA00511986	A	SFY2016-17
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2017-04-14 00:00:00	030013126	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-03-03 00:00:00	2017-03-03 00:00:00	No	2017-05-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CWS811	N	CA00524832	B	SFY2016-17
100000097	SAYLOR LANE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-08-30 00:00:00	030013459	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Readmit	2017-01-13 00:00:00	2017-01-13 00:00:00	No	2017-09-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HFC111	N	CA00518158	B	SFY2017-18
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2017-12-06 00:00:00	030013675	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-06 00:00:00	2017-08-06 00:00:00	No	2017-12-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EL6Y11	N	CA00547340	B	SFY2017-18
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-04-04 00:00:00	030013950	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-19 00:00:00	2017-12-19 00:00:00	No	2018-04-25 00:00:00	None	B	None	2000	2400	-700	1700	0	None	TC4O11	N	CA00565917	B	SFY2017-18
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2018-04-04 00:00:00	030013951	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-19 00:00:00	2017-12-19 00:00:00	No	2018-04-25 00:00:00	None	B	None	2000	2400	-700	1700	0	None	TC4O11	N	CA00565917	B	SFY2017-18
630011558	SHIRLEY'S ICF/DD-N #5	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Stockton	2019-04-17 00:00:00	030014956	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-01-05 00:00:00	2019-01-05 00:00:00	No	2019-05-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	RYA711	N	None	None	SFY2018-19
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-06-17 00:00:00	030015156	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-03-16 00:00:00	2018-03-16 00:00:00	Yes	2019-07-08 00:00:00	2019-06-25 00:00:00	A	A	20000	15000	0	15000	0	None	540G11	Y	CA00585174, CA00585174	B, B	SFY2018-19
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-06-26 00:00:00	030015183	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-01-14 00:00:00	2019-01-14 00:00:00	No	2019-07-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7EMF11	N	CA00620336	B	SFY2018-19
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-07-12 00:00:00	030015227	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-04 00:00:00	2019-02-04 00:00:00	No	2019-08-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UEWR11	N	CA00622824	B	SFY2019-20
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2019-08-28 00:00:00	030015351	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-02-25 00:00:00	2019-02-25 00:00:00	No	2019-09-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HMPS11	N	CA00626705	B	SFY2019-20
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2019-12-23 00:00:00	030015623	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-08-02 00:00:00	2019-08-02 00:00:00	Yes	2020-01-15 00:00:00	2020-01-06 00:00:00	AA	AA	100000	80000	0	80000	0	None	IPGJ11	Y	CA00648877	A	SFY2019-20
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2020-01-28 00:00:00	030015698	Closed	Citation	Citation B (HSC 1424)	Other	Not notifying ombudsman	2019-09-27 00:00:00	2019-09-27 00:00:00	No	2020-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	1OO811	N	CA00667416	B	SFY2019-20
100000070	SHERWOOD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-03-05 00:00:00	030015784	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-12-24 00:00:00	2019-12-24 00:00:00	No	2020-03-26 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	VK6K11	N	CA00668413, CA00668413, CA00669575, CA00669575	A, A, B, B	SFY2019-20
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2020-03-12 00:00:00	030015792	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-23 00:00:00	2014-10-23 00:00:00	No	2020-04-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	75JZ11	N	None	None	SFY2019-20
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2021-08-13 00:00:00	030016796	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-06-17 00:00:00	2021-06-17 00:00:00	No	2021-09-03 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	F8JX11	N	CA00740781	A	SFY2021-22
630012655	SUNSHINE ICF DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Sacramento	2024-05-03 00:00:00	030020092	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-24 00:00:00	2024-03-24 00:00:00	No	2024-05-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	34BC11	N	CA00891419, CA00891419	C, C	SFY2023-24
040000060	SIERRA VIEW HOMES INC.	LTC	SNF	Skilled Nursing Facility	Fresno	2002-02-26 00:00:00	040001238	Closed	Citation	Citation B (HSC 1424)	Other	RES.BEHAVE. & FAC.PR	2001-08-27 00:00:00	2001-08-27 00:00:00	No	2002-03-21 00:00:00	None	B	Drop>Deficiency	500	0	0	0	0	040012561	A99999	N	None	None	SFY2001-02
040000680	SELMA COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Fresno	2002-06-25 00:00:00	040001259	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICES	2001-07-03 00:00:00	2002-06-25 00:00:00	No	2002-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	040013299	A99999	N	None	None	SFY2001-02
040000899	SAFE HARBOR RESIDENTIAL SERVICES-MAGNOLIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2005-06-20 00:00:00	040001373	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-28 00:00:00	2005-01-28 00:00:00	No	2005-07-19 00:00:00	None	B	None	1000	1000	-350	650	0	040016638	A99999	N	None	None	SFY2004-05
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-09-25 00:00:00	040006583	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-07-16 00:00:00	2009-07-16 00:00:00	Yes	2009-10-19 00:00:00	2010-11-19 00:00:00	AP BR	AP BR	125000	31250	0	31250	0	None	MCEG11	None	CA00195220	H	SFY2009-10
040001257	SHEPHERD FAMILY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2010-12-21 00:00:00	040007786	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-08-01 00:00:00	2010-08-01 00:00:00	Yes	2011-01-11 00:00:00	2011-01-12 00:00:00	AA	None	25000	25000	-25000	0	0	None	JU8711	Y	CA00244672	C	SFY2010-11
040000898	SAFE HARBOR RESIDENTIAL SERVICES-DOUTY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2011-09-13 00:00:00	040008563	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-09 00:00:00	2011-07-09 00:00:00	No	2011-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	UFKG11	N	CA00276731	C	SFY2011-12
040000898	SAFE HARBOR RESIDENTIAL SERVICES-DOUTY	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2014-09-03 00:00:00	040010979	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-07-30 00:00:00	2014-07-30 00:00:00	No	2014-09-24 00:00:00	None	B	None	1000	1100	-350	750	0	None	O0PC11	N	CA00408013	C	SFY2014-15
040001120	SIERRA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Fresno	2016-03-24 00:00:00	040012146	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-11-16 00:00:00	2015-11-16 00:00:00	No	2016-04-15 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	UY6V11	N	CA00464981	C	SFY2015-16
040000037	SIERRA VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2016-05-25 00:00:00	040012291	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2016-04-27 00:00:00	2016-04-27 00:00:00	No	2016-06-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	REHO11	N	CA00463683, CA00463683	B, B	SFY2015-16
040000037	SIERRA VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2017-09-18 00:00:00	040013500	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-11-18 00:00:00	2016-11-18 00:00:00	No	2017-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LBCD11	N	CA00511409	A	SFY2017-18
630017833	SIERRA CARE CLOVIS	LTC	CLHF	Congregate Living Health Facility	Fresno	2022-06-13 00:00:00	040017705	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-09 00:00:00	2022-04-09 00:00:00	No	2022-07-05 00:00:00	None	A	None	8000	8000	0	8000	0	None	W64811	N	CA00780396	B	SFY2021-22
050000216	SINGH CARE HOME, INC. II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-01-28 00:00:00	050001362	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-12-20 00:00:00	None	Yes	2000-02-25 00:00:00	2000-02-22 00:00:00	A	A	10000	10000	-10000	0	0	050013490	A99999	N	None	None	SFY1999-00
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-02-02 00:00:00	050001363	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-10 00:00:00	1999-09-10 00:00:00	No	2000-01-26 00:00:00	None	B	None	900	900	0	900	0	050013498	A99999	N	None	None	SFY1999-00
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-03-02 00:00:00	050001370	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-08-24 00:00:00	1999-08-24 00:00:00	Yes	2000-07-19 00:00:00	2000-07-07 00:00:00	B	Dismissed by Court	800	0	0	0	0	050013583	A99999	N	None	None	SFY1999-00
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-05-19 00:00:00	050001379	Closed	Citation	Citation B (HSC 1424)	Other	PT RIGHTS/NEGLECT/AB	2000-04-26 00:00:00	2000-04-26 00:00:00	No	2000-06-14 00:00:00	None	B	None	1000	1000	0	1000	0	050013890	A99999	N	None	None	SFY1999-00
050000612	SEASHORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-05-30 00:00:00	050001384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-14 00:00:00	2000-04-14 00:00:00	No	2000-06-26 00:00:00	None	B	None	700	700	0	700	0	050013935	A99999	N	None	None	SFY1999-00
050000836	SUNSET COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2000-06-09 00:00:00	050001385	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-26 00:00:00	2000-04-26 00:00:00	Yes	2000-07-06 00:00:00	2000-06-12 00:00:00	B	B	1000	1000	0	1000	0	050013976	A99999	N	None	None	SFY1999-00
050001218	SIERRA VISTA REGIONAL MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-06-14 00:00:00	050001386	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-04-02 00:00:00	2000-04-02 00:00:00	Yes	2000-11-22 00:00:00	2000-11-08 00:00:00	B	Dismissed by Court	800	0	0	0	0	050013991	A99999	N	None	None	SFY1999-00
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-08-10 00:00:00	050001390	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-19 00:00:00	1999-08-19 00:00:00	No	2000-08-31 00:00:00	None	B	None	1000	1000	-350	650	0	050014186	A99999	N	None	None	SFY2000-01
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2000-08-10 00:00:00	050001391	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-19 00:00:00	1999-08-19 00:00:00	No	2000-09-07 00:00:00	None	B	None	1000	1000	-350	650	0	050014186	A99999	N	None	None	SFY2000-01
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-02-05 00:00:00	050001438	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-02 00:00:00	None	Yes	2001-03-06 00:00:00	2001-02-14 00:00:00	A	A	12000	6500	0	6500	0	050014714	A99999	N	None	None	SFY2000-01
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2001-02-06 00:00:00	050001441	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-10-28 00:00:00	None	No	2001-03-07 00:00:00	None	B	None	1000	3000	-1050	1950	0	050014711	A99999	N	None	None	SFY2000-01
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-02-22 00:00:00	050001444	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-11-01 00:00:00	2000-11-01 00:00:00	No	2001-03-21 00:00:00	None	B	None	1000	1000	-1000	0	0	050014794	A99999	N	None	None	SFY2000-01
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-06-06 00:00:00	050001456	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-28 00:00:00	2001-02-28 00:00:00	No	2001-07-02 00:00:00	None	B	None	1000	1000	0	1000	0	050015137	A99999	N	None	None	SFY2000-01
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-06-26 00:00:00	050001457	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-03-11 00:00:00	2001-03-11 00:00:00	No	2001-07-24 00:00:00	None	A	None	3000	3000	-1050	1950	0	050015179	A99999	N	None	None	SFY2000-01
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2001-10-03 00:00:00	050001469	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-09 00:00:00	2001-01-09 00:00:00	No	2001-10-26 00:00:00	None	B	None	800	800	-280	520	0	050015449	A99999	N	None	None	SFY2001-02
050000611	SANDPIPER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-18 00:00:00	050001470	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-08-02 00:00:00	2001-08-02 00:00:00	Yes	2002-03-12 00:00:00	2002-02-28 00:00:00	A	B	2500	2500	0	2500	0	050015462	A99999	N	None	None	SFY2001-02
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2001-10-19 00:00:00	050001471	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-07-31 00:00:00	2001-07-31 00:00:00	Yes	2002-01-30 00:00:00	2002-01-22 00:00:00	A	A	2500	3500	0	3500	0	050015469	A99999	N	None	None	SFY2001-02
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2001-12-10 00:00:00	050001483	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-23 00:00:00	None	Yes	2002-04-08 00:00:00	2001-12-31 00:00:00	B	B	500	500	0	500	0	050015581	A99999	N	None	None	SFY2001-02
050001180	STARFISH HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-05-17 00:00:00	050001502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-03-05 00:00:00	None	No	2002-06-18 00:00:00	None	B	None	800	800	0	800	0	050015874	A99999	N	None	None	SFY2001-02
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-06-10 00:00:00	050001508	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-08 00:00:00	None	No	2002-07-08 00:00:00	None	B	None	800	800	0	800	0	050015919	A99999	N	None	None	SFY2001-02
050000722	SCHOOL STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2002-06-25 00:00:00	050001511	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-06-10 00:00:00	None	Yes	2002-10-23 00:00:00	2002-10-04 00:00:00	B	Drop>Deficiency	800	0	0	0	0	050015947	A99999	N	None	None	SFY2001-02
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-17 00:00:00	050001526	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-08 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-19 00:00:00	B	B	1000	1000	0	1000	0	050016201	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-17 00:00:00	050001527	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-08-28 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-19 00:00:00	B	B	500	500	0	500	0	050016204	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-10-17 00:00:00	050001529	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-15 00:00:00	None	Yes	2003-03-06 00:00:00	2003-02-19 00:00:00	A	B	2000	4000	0	4000	0	050016211	A99999	N	None	None	SFY2002-03
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2002-11-04 00:00:00	050001536	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-14 00:00:00	2002-10-31 00:00:00	No	2002-12-03 00:00:00	None	B	None	500	500	0	500	0	050016247	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-11-13 00:00:00	050001537	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-10-23 00:00:00	None	Yes	2002-12-09 00:00:00	2002-11-14 00:00:00	B	None	1000	1250	0	1250	0	050016269	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2002-11-13 00:00:00	050001538	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-10-23 00:00:00	None	Yes	2002-12-09 00:00:00	2002-11-14 00:00:00	B	None	800	800	0	800	0	050016270	A99999	N	None	None	SFY2002-03
050000722	SCHOOL STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-03-27 00:00:00	050001559	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-09-22 00:00:00	None	Yes	2003-04-21 00:00:00	2003-04-01 00:00:00	A	B	3000	1000	0	1000	0	050016554	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-07 00:00:00	050001565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-06 00:00:00	None	Yes	2003-08-15 00:00:00	2003-08-06 00:00:00	B	B	600	300	0	300	0	050016628	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-15 00:00:00	050001569	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-02-06 00:00:00	None	Yes	2003-08-29 00:00:00	2003-08-14 00:00:00	A	B	15000	10000	0	10000	0	050016646	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-05-28 00:00:00	050001576	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-03-03 00:00:00	None	Yes	2003-11-13 00:00:00	2003-06-10 00:00:00	A	A	15000	0	0	0	0	050016684	A99999	N	None	None	SFY2002-03
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2003-06-05 00:00:00	050001578	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-05-05 00:00:00	None	No	2003-06-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	050016696	A99999	N	None	None	SFY2002-03
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-08-12 00:00:00	050001582	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2003-05-28 00:00:00	None	Yes	2003-09-04 00:00:00	2003-08-19 00:00:00	B	B	500	500	0	500	0	050016781	A99999	N	None	None	SFY2003-04
050001180	STARFISH HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-08-19 00:00:00	050001584	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-06 00:00:00	None	No	2003-09-12 00:00:00	None	B	None	600	600	0	600	0	050016786	A99999	N	None	None	SFY2003-04
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2003-08-26 00:00:00	050001585	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-07 00:00:00	None	Yes	2003-09-18 00:00:00	2003-08-27 00:00:00	B	B	1000	1000	0	1000	0	050016798	A99999	N	None	None	SFY2003-04
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-09-09 00:00:00	050001586	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-22 00:00:00	None	Yes	2003-10-03 00:00:00	2003-09-11 00:00:00	B	B	1000	1000	0	1000	0	050016820	A99999	N	None	None	SFY2003-04
050000722	SCHOOL STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2003-12-04 00:00:00	050001597	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-17 00:00:00	None	Yes	2003-12-29 00:00:00	2004-05-04 00:00:00	B	B	800	0	0	0	0	050016937	A99999	N	None	None	SFY2003-04
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-07-07 00:00:00	050001600	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-04-29 00:00:00	None	No	2004-07-29 00:00:00	None	B	None	500	500	0	500	0	050017428	A99999	N	None	None	SFY2004-05
050000612	SEASHORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2004-07-22 00:00:00	050001604	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-05-21 00:00:00	None	Yes	2004-08-13 00:00:00	2004-08-04 00:00:00	B	B	600	300	0	300	0	050017479	A99999	N	None	None	SFY2004-05
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-02 00:00:00	050001605	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-08-18 00:00:00	None	Yes	2004-09-27 00:00:00	2004-09-09 00:00:00	B	B	500	250	0	250	0	050017527	A99999	N	None	None	SFY2004-05
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-02 00:00:00	050001606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-07 00:00:00	None	Yes	2004-09-27 00:00:00	2004-09-09 00:00:00	B	B	800	400	0	400	0	050017527	A99999	N	None	None	SFY2004-05
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2004-09-17 00:00:00	050001608	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-17 00:00:00	None	No	2004-10-12 00:00:00	None	B	None	400	400	-140	260	0	050017542	A99999	N	None	None	SFY2004-05
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-08-09 00:00:00	050001629	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-12-09 00:00:00	2004-12-09 00:00:00	No	2005-09-02 00:00:00	None	A	None	3000	3000	-1050	1950	0	050017808	A99999	N	None	None	SFY2005-06
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-11-10 00:00:00	050001635	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-25 00:00:00	2005-03-25 00:00:00	No	2005-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	050017840	A99999	N	CA00043412	C	SFY2005-06
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-11-22 00:00:00	050001637	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-01 00:00:00	2004-04-01 00:00:00	Yes	2005-12-19 00:00:00	2005-12-07 00:00:00	B	B	500	250	0	250	0	050017842	A99999	N	None	None	SFY2005-06
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-12-23 00:00:00	050001639	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-03-17 00:00:00	2005-03-17 00:00:00	Yes	2006-02-17 00:00:00	2005-12-27 00:00:00	B	B	800	400	0	400	0	050017846	A99999	N	None	None	SFY2005-06
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2005-12-23 00:00:00	050001640	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-02 00:00:00	2005-04-02 00:00:00	Yes	2006-02-17 00:00:00	2005-12-27 00:00:00	B	B	800	400	0	400	0	050017847	A99999	N	None	None	SFY2005-06
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2006-09-14 00:00:00	050003342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-03-15 00:00:00	2005-03-15 00:00:00	No	2006-10-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	TCG911	N	CA00044146	C	SFY2006-07
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-09 00:00:00	050003481	Closed	Citation	Citation B (HSC 1424)	Other	Not Reporting Unusual Occ	2006-01-19 00:00:00	2006-01-19 00:00:00	No	2006-12-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	0OX311	N	CA00095367	C	SFY2006-07
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-09 00:00:00	050003482	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-09-12 00:00:00	2006-09-12 00:00:00	No	2006-12-05 00:00:00	None	A	None	5000	5000	0	5000	0	None	0OX311	N	CA00093092	C	SFY2006-07
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2006-11-09 00:00:00	050003483	Closed	Citation	Citation A (HSC 1424)	Other	Neglect	2006-01-19 00:00:00	2006-01-19 00:00:00	No	2006-12-05 00:00:00	None	A	None	5000	5000	0	5000	0	None	0OX311	N	CA00095367	C	SFY2006-07
050000836	SUNSET COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2006-12-12 00:00:00	050003561	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2006-06-25 00:00:00	2006-06-25 00:00:00	Yes	2007-01-04 00:00:00	2006-12-26 00:00:00	A	A	10000	5000	0	5000	0	None	X1FQ11	N	CA00084729, CA00084756, CA00085010	B, B, B	SFY2006-07
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-12-08 00:00:00	050003562	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-08-10 00:00:00	2006-08-10 00:00:00	No	2007-01-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZHKQ11	N	CA00090184, CA00094846	C, C	SFY2006-07
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-12-08 00:00:00	050003563	Closed	Citation	Citation B (HSC 1424)	Other	Neglect	2006-08-10 00:00:00	2006-08-10 00:00:00	No	2007-01-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZHKQ11	N	CA00090184, CA00094846	C, C	SFY2006-07
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2006-12-13 00:00:00	050003566	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-10 00:00:00	2006-05-10 00:00:00	Yes	2007-01-05 00:00:00	2006-12-20 00:00:00	B	B	1000	500	0	500	0	None	N7XL11	N	CA00080486	B	SFY2006-07
050000612	SEASHORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-10-16 00:00:00	050003740	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-07-31 00:00:00	2006-07-31 00:00:00	No	2007-11-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	V4WQ11	N	CA00089083, CA00090170	B, B	SFY2007-08
050000612	SEASHORE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-10-16 00:00:00	050003741	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-07-29 00:00:00	2006-07-29 00:00:00	No	2007-11-08 00:00:00	None	B	None	300	300	0	300	0	None	V4WQ11	N	None	None	SFY2007-08
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-20 00:00:00	050003785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-18 00:00:00	2005-12-18 00:00:00	No	2007-04-10 00:00:00	None	B	None	800	2400	-840	1560	0	None	XVX011	N	CA00068226	C	SFY2006-07
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2007-03-12 00:00:00	050003786	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-11-06 00:00:00	2006-11-06 00:00:00	Yes	2007-04-02 00:00:00	2007-03-13 00:00:00	A	None	10000	10000	-3500	6500	0	None	DQJX11	Y	CA00098893	C	SFY2006-07
050000611	SANDPIPER HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-08-29 00:00:00	050004066	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-06-26 00:00:00	2007-06-26 00:00:00	No	2007-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y39911	N	CA00117809, CA00118623	C, B	SFY2007-08
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-12 00:00:00	050004083	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-09-08 00:00:00	2006-09-08 00:00:00	No	2007-08-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZN8N11	N	None	None	SFY2007-08
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2007-07-12 00:00:00	050004094	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-28 00:00:00	2006-04-28 00:00:00	No	2007-08-02 00:00:00	None	B	None	900	900	-315	585	0	None	8YLK11	N	CA00079826	C	SFY2007-08
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-09-05 00:00:00	050004235	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2007-01-01 00:00:00	2007-01-01 00:00:00	No	2007-09-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	C8WL11	N	None	None	SFY2007-08
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-09-28 00:00:00	050004305	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-20 00:00:00	2007-01-20 00:00:00	Yes	2007-10-26 00:00:00	2007-10-02 00:00:00	B	Dismissed by Court	700	0	0	0	0	None	9DDH11	N	CA00104536	C	SFY2007-08
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-10-26 00:00:00	050004310	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-09-06 00:00:00	2007-09-06 00:00:00	No	2007-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	DGEQ11	N	CA00126738	B	SFY2007-08
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-10-26 00:00:00	050004311	Closed	Citation	Citation B (HSC 1424)	Patient Care	Mistreatment/Neglect	2007-09-25 00:00:00	2007-09-25 00:00:00	No	2007-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	CUF211	N	CA00127641	H	SFY2007-08
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2007-11-06 00:00:00	050004312	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-08-26 00:00:00	2007-08-26 00:00:00	Yes	2007-12-04 00:00:00	2007-11-14 00:00:00	B	B	600	600	0	600	0	None	RBDE11	N	CA00127722	A	SFY2007-08
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2007-12-13 00:00:00	050004452	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-11 00:00:00	2007-10-11 00:00:00	No	2008-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	GLVG11	N	CA00129492, CA00129996	C, C	SFY2007-08
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2008-04-10 00:00:00	050004864	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-02-08 00:00:00	2008-02-08 00:00:00	No	2008-05-07 00:00:00	None	B	None	800	800	0	800	0	None	HX9E11	N	CA00140660	C	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005014	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005015	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005016	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005017	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005018	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005019	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005020	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005021	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005022	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005023	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005024	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005025	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005026	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005027	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005028	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-29 00:00:00	2008-04-29 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-06-17 00:00:00	050005029	Closed	Citation	Citation B (HSC 1424)	Other	Transfer/Discharge	2008-04-25 00:00:00	2008-04-25 00:00:00	No	2008-07-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	N8Z011	N	CA00149155	B	SFY2007-08
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005085	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-29 00:00:00	2008-01-29 00:00:00	No	2009-04-01 00:00:00	None	A	None	10000	10000	0	10000	0	None	SRUZ11	N	CA00140624	B	SFY2008-09
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2008-10-17 00:00:00	050005220	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-11-22 00:00:00	2007-11-22 00:00:00	No	2008-11-10 00:00:00	None	B	None	800	800	0	800	0	None	XOZ511	N	CA00137069	C	SFY2008-09
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-08-29 00:00:00	050005225	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-08-06 00:00:00	2007-08-06 00:00:00	No	2008-09-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	Z2PT11	N	CA00140594	C	SFY2008-09
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-08-29 00:00:00	050005226	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-06 00:00:00	2007-08-06 00:00:00	No	2008-09-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	Z2PT11	N	CA00140594	C	SFY2008-09
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2008-08-29 00:00:00	050005302	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-18 00:00:00	2007-12-18 00:00:00	No	2008-09-26 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	620E11	N	CA00152348	C	SFY2008-09
050001152	SAN LUIS OBISPO HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2008-10-16 00:00:00	050005451	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-26 00:00:00	2008-08-26 00:00:00	Yes	2008-11-12 00:00:00	2008-10-22 00:00:00	B	B	1000	500	0	500	0	None	VPML11	N	CA00162612	C	SFY2008-09
050001180	STARFISH HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2009-01-29 00:00:00	050005476	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2008-06-06 00:00:00	2008-06-06 00:00:00	No	2009-02-24 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	WTPD11	N	CA00153911	C	SFY2008-09
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005495	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005496	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-24 00:00:00	2008-06-24 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005497	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-07-03 00:00:00	2008-07-03 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005498	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005499	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-19 00:00:00	2008-06-19 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005500	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005501	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005502	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-26 00:00:00	2008-06-26 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005503	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005504	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-17 00:00:00	2008-06-17 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005505	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-08-08 00:00:00	2008-08-08 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-18 00:00:00	050005506	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-06-24 00:00:00	2008-06-24 00:00:00	No	2009-09-14 00:00:00	None	B	None	1000	1100	-350	750	0	None	VQ8B11	N	CA00164423	B	SFY2009-10
050000836	SUNSET COMMUNITY HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2010-07-19 00:00:00	050005602	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-11 00:00:00	2008-10-11 00:00:00	No	2010-08-10 00:00:00	None	B	None	600	600	0	600	0	None	H9GW11	N	CA00166331, CA00166748	B, C	SFY2010-11
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-04 00:00:00	050005643	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-11-03 00:00:00	2008-11-03 00:00:00	No	2009-03-26 00:00:00	None	B	None	300	300	0	300	0	None	LLMQ11	N	CA00169142	B	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005644	Closed	Citation	Citation A (HSC 1424)	Medication	None	2008-11-01 00:00:00	2008-11-01 00:00:00	No	2009-04-01 00:00:00	None	A	None	5000	5000	0	5000	0	None	LLMQ11	N	CA00168487	C	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005645	Closed	Citation	Citation A (HSC 1424)	Medication	None	2008-08-19 00:00:00	2008-08-19 00:00:00	No	2009-04-01 00:00:00	None	A	None	3500	3500	0	3500	0	None	LLMQ11	N	CA00162342	C	SFY2008-09
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-28 00:00:00	050005677	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-17 00:00:00	2008-11-17 00:00:00	No	2009-02-24 00:00:00	None	B	None	500	500	-175	325	0	None	IR2Z11	N	CA00169872	C	SFY2008-09
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-01-28 00:00:00	050005763	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-12-01 00:00:00	2008-12-01 00:00:00	No	2009-02-24 00:00:00	None	B	None	300	300	-105	195	0	None	LWO111	N	CA00171431	C	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005910	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-01-29 00:00:00	2008-01-29 00:00:00	No	2009-04-01 00:00:00	None	A	None	5000	5000	0	5000	0	None	SRUZ11	N	CA00140624	B	SFY2008-09
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-09 00:00:00	050005911	Closed	Citation	Citation B (HSC 1424)	Administration	Reporting	2008-01-29 00:00:00	2008-01-29 00:00:00	No	2009-04-01 00:00:00	None	B	None	800	800	0	800	0	None	SRUZ11	N	CA00140624	B	SFY2008-09
050000063	SANTA PAULA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Ventura	2009-03-17 00:00:00	050005952	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-16 00:00:00	2008-04-16 00:00:00	No	2009-04-10 00:00:00	None	B	None	1000	1000	-1000	0	0	None	H9PG11	N	CA00147796	C	SFY2008-09
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-11 00:00:00	050005987	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2009-02-24 00:00:00	2009-02-24 00:00:00	Yes	2010-02-03 00:00:00	2014-10-08 00:00:00	WF	WMF<$1000	500	100	0	100	0	None	4LOU11	None	CA00179293	C	SFY2009-10
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-06 00:00:00	050006137	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-08-23 00:00:00	2008-08-23 00:00:00	Yes	2009-11-20 00:00:00	2009-08-17 00:00:00	B	B	1000	650	0	650	0	None	UWZE11	N	CA00181244	C	SFY2009-10
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2009-06-18 00:00:00	050006156	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-03-01 00:00:00	2009-03-01 00:00:00	No	2009-07-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	Y47711	N	CA00185481	C	SFY2008-09
050000065	ST JOSEPHS HEALTH AND RETIREMENT CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-04-07 00:00:00	050006236	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-17 00:00:00	2009-05-17 00:00:00	No	2011-04-28 00:00:00	None	B	None	800	800	0	800	0	None	OBJL11	N	CA00189230	C	SFY2010-11
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-11 00:00:00	050006242	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-22 00:00:00	2009-05-22 00:00:00	Yes	2014-03-28 00:00:00	2014-03-20 00:00:00	B	B	800	400	0	400	0	None	E3CO11	N	CA00190230	C	SFY2009-10
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-12 00:00:00	050006286	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-06 00:00:00	2009-05-06 00:00:00	No	2009-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	GZYS11	N	CA00187856	C	SFY2009-10
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-12 00:00:00	050006287	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-18 00:00:00	2009-05-18 00:00:00	No	2009-09-16 00:00:00	None	A	None	3500	3500	-1225	2275	0	None	PKC511	N	CA00188978	B	SFY2009-10
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-08-12 00:00:00	050006417	Closed	Citation	Citation B (HSC 1424)	Other	willful falsification	2009-07-10 00:00:00	2009-07-10 00:00:00	No	2009-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	IURU11	N	None	None	SFY2009-10
050000458	SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2009-10-15 00:00:00	050006509	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2009-08-21 00:00:00	2009-08-21 00:00:00	No	2009-11-10 00:00:00	None	A	None	2000	4800	0	4800	0	None	Y2JP11	N	None	None	SFY2009-10
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-04 00:00:00	050006592	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2010-02-03 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	NIZU11	N	CA00182801	B	SFY2009-10
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-14 00:00:00	050006684	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-29 00:00:00	2009-10-29 00:00:00	Yes	2010-07-08 00:00:00	2010-06-18 00:00:00	B	Drop>Deficiency	800	1800	0	1800	0	None	VV8811	N	CA00206876	A	SFY2009-10
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-11 00:00:00	050006759	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-12 00:00:00	2009-08-12 00:00:00	Yes	2015-04-16 00:00:00	2015-03-26 00:00:00	A	A	8500	5500	0	5500	0	None	OZKJ11	N	CA00200652	C	SFY2009-10
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-01-11 00:00:00	050006778	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-08-08 00:00:00	2009-08-08 00:00:00	Yes	2015-04-16 00:00:00	2015-03-26 00:00:00	A	B	5000	5100	-100	5000	0	None	HT0C11	N	CA00200192	C	SFY2009-10
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2010-04-13 00:00:00	050007081	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2010-02-22 00:00:00	2010-02-22 00:00:00	Yes	2010-07-08 00:00:00	2010-06-17 00:00:00	A	B	8000	10000	0	10000	0	None	074411	N	CA00219723, CA00219912	C, A	SFY2009-10
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2012-07-19 00:00:00	050007262	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-22 00:00:00	2009-05-22 00:00:00	No	2012-08-09 00:00:00	None	A	None	10000	10000	-10000	0	0	None	9B5G11	N	CA00218890	B	SFY2012-13
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2011-08-03 00:00:00	050008413	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-06-06 00:00:00	2011-06-06 00:00:00	Yes	2014-05-27 00:00:00	2014-05-12 00:00:00	A	A	8000	8000	0	8000	0	None	PNZR11	N	CA00272495	B	SFY2011-12
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2012-04-05 00:00:00	050008714	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-09-27 00:00:00	2009-09-27 00:00:00	No	2012-04-26 00:00:00	None	B	None	800	800	-280	520	0	None	8QUW11	N	CA00204026	C	SFY2011-12
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2012-01-19 00:00:00	050008727	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-24 00:00:00	2011-03-24 00:00:00	No	2012-02-09 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	70V011	N	CA00265090	C	SFY2011-12
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2012-01-10 00:00:00	050008821	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-09-05 00:00:00	2011-09-05 00:00:00	No	2012-02-01 00:00:00	None	A	None	9500	9500	-3325	6175	0	None	VFM611	N	None	None	SFY2011-12
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2012-07-24 00:00:00	050009334	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-05-04 00:00:00	2009-05-04 00:00:00	Yes	2012-08-14 00:00:00	2012-08-07 00:00:00	A	B	10000	6750	0	6750	0	None	RTSV11	N	CA00191362	B	SFY2012-13
050000053	SANTA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2014-02-20 00:00:00	050010171	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-09-26 00:00:00	2010-09-26 00:00:00	No	2014-03-13 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	71G211	Y	CA00244360, CA00246881	C, C	SFY2013-14
050000053	SANTA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2015-05-18 00:00:00	050011093	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-03-13 00:00:00	2014-03-13 00:00:00	No	2015-06-09 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	Q4SY11	N	CA00406236	B	SFY2014-15
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2015-10-14 00:00:00	050011205	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-16 00:00:00	2014-10-16 00:00:00	No	2015-11-04 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	WJ8S11	N	CA00417597	B	SFY2015-16
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-02-01 00:00:00	050011614	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-15 00:00:00	2015-06-15 00:00:00	No	2016-02-23 00:00:00	None	A	None	6000	6000	-2100	3900	0	None	L80411	N	CA00446995	B	SFY2015-16
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-04-06 00:00:00	050011736	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-06-18 00:00:00	2015-06-18 00:00:00	Yes	2016-04-27 00:00:00	2016-04-11 00:00:00	A	A	15542	10100	0	10100	0	None	SLGS11	N	None	None	SFY2015-16
050000248	ST. JOHN'S HOSPITAL CAMARILLO D/P SNF	LTC	SNF	Skilled Nursing Facility	Ventura	2015-10-30 00:00:00	050011791	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-04-20 00:00:00	2015-04-20 00:00:00	Yes	2015-11-23 00:00:00	2015-11-23 00:00:00	B	Dismissed by Court	2000	250	-250	0	0	None	WFPI11	N	CA00444823	B	SFY2015-16
050000053	SANTA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2016-09-22 00:00:00	050012369	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-19 00:00:00	2016-04-19 00:00:00	No	2016-10-13 00:00:00	None	B	None	803	803	0	803	0	None	MD1D11	N	CA00483962, CA00483989	B, B	SFY2016-17
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-10-14 00:00:00	050012550	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurence Report	2016-08-10 00:00:00	2016-08-10 00:00:00	No	2016-11-04 00:00:00	None	B	None	771	771	0	771	0	None	G3J511	N	CA00499351	B	SFY2016-17
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2016-12-28 00:00:00	050012759	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-07-15 00:00:00	2016-07-15 00:00:00	No	2017-01-20 00:00:00	None	B	None	771	771	-269.85	501.15	0	None	QU6N11	N	CA00510019	B	SFY2016-17
630014636	SIMI VALLEY CARE HOME, INC.	LTC	CLHF	Congregate Living Health Facility	Ventura	2019-01-23 00:00:00	050013174	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-04-10 00:00:00	2017-04-10 00:00:00	No	2019-02-13 00:00:00	None	AA	None	21375	21375	-7481.25	13893.75	0	None	R4U311	Y	CA00530780	A	SFY2018-19
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2017-07-19 00:00:00	050013213	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-01-18 00:00:00	2017-01-18 00:00:00	No	2017-08-09 00:00:00	None	B	None	1900	1900	-665	1235	0	None	41MT11	N	CA00535485	B	SFY2017-18
050000554	SURFRIDER HOME ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Ventura	2017-12-15 00:00:00	050013609	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-07-10 00:00:00	2017-07-10 00:00:00	No	2018-01-09 00:00:00	None	B	None	1710	1710	0	1710	0	None	DTFZ11	N	CA00543413	B	SFY2017-18
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2019-06-12 00:00:00	050014451	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-27 00:00:00	2018-04-27 00:00:00	Yes	2019-07-03 00:00:00	2019-06-12 00:00:00	A	B	17100	14000	0	14000	0	None	RF0G11	Y	CA00586840	C	SFY2018-19
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2019-01-15 00:00:00	050014701	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-12-02 00:00:00	2018-12-02 00:00:00	No	2019-02-05 00:00:00	None	B	None	1710	1710	-598.5	1111.5	0	None	VUSM11	N	CA00614485	B	SFY2018-19
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2019-08-09 00:00:00	050015119	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-02-16 00:00:00	2019-02-16 00:00:00	No	2019-08-30 00:00:00	None	A	None	18050	18050	-6317.5	11732.5	0	None	QC5S11	N	CA00625160, CA00625160	B, B	SFY2019-20
050000044	SAN LUIS POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2019-10-01 00:00:00	050015278	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-31 00:00:00	2019-05-31 00:00:00	No	2019-10-22 00:00:00	None	B	None	1805	1805	0	1805	0	None	12KI11	N	CA00639957, CA00639957	B, B	SFY2019-20
050000070	SIMI HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2022-07-29 00:00:00	050015731	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-17 00:00:00	2019-11-17 00:00:00	No	2022-08-19 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	DVWX11	Y	None	None	SFY2022-23
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2022-07-07 00:00:00	050017308	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-10-01 00:00:00	2021-10-01 00:00:00	No	2022-07-28 00:00:00	None	AA	None	81000	81000	-28350	52650	0	None	IQ9X11	Y	CA00755465	A	SFY2022-23
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-04-13 00:00:00	050017470	Closed	Citation	Citation A (HSC 1424)	Other	Elopement	2022-01-04 00:00:00	2022-01-04 00:00:00	No	2023-05-04 00:00:00	None	A	None	3500	3500	0	3500	0	None	HXQN11	N	CA00768241, CA00768241	A, A	SFY2022-23
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-03-14 00:00:00	050017471	Open	Citation	Citation B (HSC 1424)	Other	Failure to report	2022-01-04 00:00:00	2022-01-04 00:00:00	No	2023-04-05 00:00:00	None	B	None	1710	1710	0	0	1710	None	HXQN11	N	CA00768241, CA00768241, CA00768241	A, A, A	SFY2022-23
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-03-16 00:00:00	050018017	Open	Citation	Citation B (HSC 1424)	Other	Fairure to report	2022-07-21 00:00:00	2022-07-21 00:00:00	No	2023-04-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IJEE11	N	CA00795753, CA00795753, CA00795753, CA00795753	A, A, A, A	SFY2022-23
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2000-05-18 00:00:00	060001020	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	None	No	2000-06-09 00:00:00	None	B	None	1000	1000	-350	650	0	060009490	A99999	N	None	None	SFY1999-00
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-05 00:00:00	060001048	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-11-01 00:00:00	None	No	2001-03-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	060010391	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-05 00:00:00	060001049	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-01 00:00:00	None	No	2001-03-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	060010391	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-03-05 00:00:00	060001050	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-24 00:00:00	None	No	2001-03-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	060010391	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-04-09 00:00:00	060001053	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-01 00:00:00	None	No	2001-05-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	060010391	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-05-07 00:00:00	060001056	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2000-10-01 00:00:00	None	No	2001-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	060010613	A99999	N	None	None	SFY2000-01
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2001-05-07 00:00:00	060001057	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-01 00:00:00	None	No	2001-05-29 00:00:00	None	B	None	1000	1000	-350	650	0	060010613	A99999	N	None	None	SFY2000-01
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-09-20 00:00:00	060001072	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-20 00:00:00	None	No	2001-10-12 00:00:00	None	B	None	1000	1000	-350	650	0	060011070	A99999	N	None	None	SFY2001-02
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2001-12-10 00:00:00	060001078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-05 00:00:00	None	No	2002-01-02 00:00:00	None	B	None	500	500	0	500	0	060011239	A99999	N	None	None	SFY2001-02
060000151	STANLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-01-11 00:00:00	060001083	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-29 00:00:00	None	No	2002-02-04 00:00:00	None	B	None	800	800	-280	520	0	060011299	A99999	N	None	None	SFY2001-02
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2002-02-07 00:00:00	060001085	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-12-20 00:00:00	None	Yes	2002-05-17 00:00:00	2002-05-08 00:00:00	A	A	15000	6000	0	6000	0	060011393	A99999	N	None	None	SFY2001-02
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-03-25 00:00:00	060001092	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN. & PT. RIGHTS	2002-02-28 00:00:00	None	No	2002-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	060011633	A99999	N	None	None	SFY2001-02
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-18 00:00:00	060001095	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-12-31 00:00:00	None	No	2002-05-09 00:00:00	None	B	None	1000	1000	-350	650	0	060011515	A99999	N	None	None	SFY2001-02
060000145	ST. EDNA SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2002-04-15 00:00:00	060001098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-10 00:00:00	None	Yes	2002-09-26 00:00:00	2002-04-16 00:00:00	B	B	600	600	0	600	0	060011425	A99999	N	None	None	SFY2001-02
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2003-05-14 00:00:00	060001129	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-23 00:00:00	None	No	2003-06-12 00:00:00	None	A	A	15000	9750	0	9750	0	060012981	A99999	N	None	None	SFY2002-03
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-05-22 00:00:00	060001138	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	None	No	2003-06-13 00:00:00	None	B	B	1000	574	0	574	0	060013385	A99999	N	None	None	SFY2002-03
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-07-08 00:00:00	060001139	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-16 00:00:00	None	No	2003-07-29 00:00:00	None	B	B	1000	574	0	574	0	060013548	A99999	N	None	None	SFY2003-04
060000145	ST. EDNA SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-07-11 00:00:00	060001142	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-07-08 00:00:00	None	No	2003-09-03 00:00:00	None	B	None	500	500	0	500	0	060013672	A99999	N	None	None	SFY2003-04
060000145	ST. EDNA SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-09-11 00:00:00	060001148	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-28 00:00:00	None	No	2003-10-08 00:00:00	None	B	None	1000	1000	-350	650	0	060013770	A99999	N	None	None	SFY2003-04
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-08 00:00:00	060001150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-04-03 00:00:00	None	No	2003-11-04 00:00:00	None	A	A	15000	8607	0	8607	0	060013841	A99999	N	None	None	SFY2003-04
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2003-10-21 00:00:00	060001152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-07-16 00:00:00	None	Yes	2003-11-13 00:00:00	2003-10-31 00:00:00	B	None	750	750	0	750	0	060013887	A99999	N	None	None	SFY2003-04
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2003-11-19 00:00:00	060001156	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-15 00:00:00	None	No	2003-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	060013987	A99999	N	None	None	SFY2003-04
060000145	ST. EDNA SUBACUTE AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-01-13 00:00:00	060001160	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	800	800	-280	520	0	060014163	A99999	N	None	None	SFY2003-04
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-01-27 00:00:00	060001162	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-11-17 00:00:00	None	No	2004-02-19 00:00:00	None	B	None	800	800	-280	520	0	060014209	A99999	N	None	None	SFY2003-04
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2004-08-03 00:00:00	060001174	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-14 00:00:00	None	Yes	2004-08-30 00:00:00	2004-08-13 00:00:00	B	B	1000	1500	0	1500	0	060014825	A99999	N	None	None	SFY2004-05
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2004-09-08 00:00:00	060001177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-08-05 00:00:00	None	No	2004-09-29 00:00:00	None	B	None	750	750	-262.5	487.5	0	060014961	A99999	N	None	None	SFY2004-05
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2005-01-10 00:00:00	060001186	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-07-30 00:00:00	None	Yes	2005-02-03 00:00:00	2005-01-19 00:00:00	AA	AA	75000	60150	-150	60000	0	060015292	A99999	Y	None	None	SFY2004-05
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2006-07-27 00:00:00	060003221	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-01 00:00:00	2006-01-01 00:00:00	No	2006-08-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	8KQL11	N	CA00076064	C	SFY2006-07
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2006-07-27 00:00:00	060003222	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-22 00:00:00	2006-05-22 00:00:00	No	2006-08-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	STYW11	N	None	None	SFY2006-07
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2006-07-27 00:00:00	060003223	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-01-14 00:00:00	2006-01-14 00:00:00	No	2006-08-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	CVJP11	N	CA00073301	C	SFY2006-07
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-02-27 00:00:00	060003747	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-07 00:00:00	2006-08-07 00:00:00	No	2007-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	N94511	Y	CA00091473	C	SFY2006-07
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-04-17 00:00:00	060003893	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-20 00:00:00	2007-01-20 00:00:00	Yes	2007-05-08 00:00:00	2007-05-07 00:00:00	A	A	30000	20000	0	20000	0	None	XH0M11	N	CA00106866	C	SFY2006-07
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2007-07-10 00:00:00	060004068	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-26 00:00:00	2007-02-26 00:00:00	No	2007-07-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	7JH011	N	CA00110882	C	SFY2007-08
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2007-08-29 00:00:00	060004198	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-01 00:00:00	2007-07-01 00:00:00	Yes	2007-09-24 00:00:00	2007-09-14 00:00:00	B	None	1000	3000	0	3000	0	None	Y21U11	N	CA00120076	B	SFY2007-08
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2007-10-11 00:00:00	060004262	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-20 00:00:00	2007-05-20 00:00:00	No	2007-11-01 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	XO7L11	Y	CA00120537	C	SFY2007-08
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2007-10-23 00:00:00	060004380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-05 00:00:00	2007-10-05 00:00:00	No	2007-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	0XUQ11	N	CA00128686	C	SFY2007-08
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2008-03-12 00:00:00	060004757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-01-09 00:00:00	2008-01-09 00:00:00	No	2008-04-08 00:00:00	None	B	None	750	750	0	750	0	None	E6TK11	N	CA00137732	C	SFY2007-08
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2008-09-04 00:00:00	060005365	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-12 00:00:00	2008-07-12 00:00:00	Yes	2008-09-29 00:00:00	2008-09-04 00:00:00	B	B	1000	530	0	530	0	None	ZZH511	N	CA00158004	C	SFY2008-09
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2008-10-03 00:00:00	060005482	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-20 00:00:00	2008-08-20 00:00:00	No	2008-10-28 00:00:00	None	B	None	1000	1250	0	1250	0	None	X5N111	N	CA00161707	C	SFY2008-09
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2009-03-17 00:00:00	060005968	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-17 00:00:00	2008-12-17 00:00:00	No	2009-04-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	B1YJ11	N	CA00174676	C	SFY2008-09
060001314	SEA BRIGHT PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-06-19 00:00:00	060006298	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-06-04 00:00:00	2009-06-04 00:00:00	No	2009-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5DR11	N	None	None	SFY2008-09
060001314	SEA BRIGHT PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2009-06-19 00:00:00	060006299	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-06-04 00:00:00	2009-06-04 00:00:00	No	2009-07-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	C5DR11	N	None	None	SFY2008-09
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2009-07-16 00:00:00	060006385	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-15 00:00:00	2009-05-15 00:00:00	No	2009-08-10 00:00:00	None	B	None	1000	1000	0	1000	0	None	O5VV11	N	CA00189700	C	SFY2009-10
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-08-18 00:00:00	060006470	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-01 00:00:00	2008-12-01 00:00:00	Yes	2009-09-09 00:00:00	2009-09-09 00:00:00	B	None	1000	1000	0	1000	0	None	BHH411	N	CA00172465	C	SFY2009-10
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-08-27 00:00:00	060006498	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-13 00:00:00	2009-07-13 00:00:00	Yes	2009-09-21 00:00:00	2009-09-10 00:00:00	B	None	1000	1000	0	1000	0	None	5BO611	N	CA00195542	B	SFY2009-10
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2009-11-17 00:00:00	060006696	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-02 00:00:00	2009-09-02 00:00:00	Yes	2009-12-15 00:00:00	2009-11-24 00:00:00	B	None	500	500	0	500	0	None	RHL311	N	CA00200950	C	SFY2009-10
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-01-21 00:00:00	060006932	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-11-15 00:00:00	2009-11-15 00:00:00	Yes	2010-02-12 00:00:00	2010-01-25 00:00:00	A	A	7500	7500	0	7500	0	None	XIQZ11	N	CA00209128	C	SFY2009-10
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-08 00:00:00	060007291	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-28 00:00:00	2009-10-28 00:00:00	Yes	2010-06-30 00:00:00	2010-06-09 00:00:00	A	A	5000	5000	0	5000	0	None	24Z611	N	CA00204225	C	SFY2009-10
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2010-06-23 00:00:00	060007323	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-21 00:00:00	2010-05-21 00:00:00	Yes	2010-07-14 00:00:00	2010-07-01 00:00:00	B	None	1000	1000	-883.6	116.4	0	None	2Z9I11	N	CA00224550	C	SFY2009-10
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-08-12 00:00:00	060007486	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-21 00:00:00	2010-06-21 00:00:00	Yes	2010-09-14 00:00:00	2010-08-16 00:00:00	B	None	1000	3000	0	3000	0	None	P5GJ11	N	CA00232880	C	SFY2010-11
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2010-10-26 00:00:00	060007670	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-19 00:00:00	2010-07-19 00:00:00	No	2010-11-18 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	2Z3Z11	N	CA00236402	B	SFY2010-11
060001255	SOUTH COAST GLOBAL MEDICAL CENTER, INC. D/P SNF	LTC	SNF	Skilled Nursing Facility	Orange	2011-01-19 00:00:00	060007850	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-29 00:00:00	2010-10-29 00:00:00	No	2011-02-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	V7TR11	N	CA00248272	C	SFY2010-11
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-03-22 00:00:00	060008042	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-28 00:00:00	2011-02-28 00:00:00	No	2011-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	V2KE11	N	CA00260768	B	SFY2010-11
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2011-08-17 00:00:00	060008487	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-19 00:00:00	2011-06-19 00:00:00	Yes	2011-09-07 00:00:00	2011-09-01 00:00:00	B	B	1000	750	-100	650	0	None	SB3W11	N	CA00273610	B	SFY2011-12
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-10-19 00:00:00	060008649	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-07-20 00:00:00	2011-07-20 00:00:00	No	2011-11-09 00:00:00	None	B	None	1000	1000	0	1000	0	None	J4V811	N	CA00278127	B	SFY2011-12
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2011-12-07 00:00:00	060008782	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-29 00:00:00	2011-08-29 00:00:00	No	2011-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	30MF11	N	CA00281787	C	SFY2011-12
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2012-03-22 00:00:00	060009176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-27 00:00:00	2012-02-27 00:00:00	No	2012-04-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VE5H11	N	CA00301257	C	SFY2011-12
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2013-08-26 00:00:00	060010117	Closed	Citation	Citation B (HSC 1424)	Administration	None	2013-04-01 00:00:00	2013-04-01 00:00:00	No	2013-09-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	L87E11	N	CA00364055	C	SFY2013-14
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2014-05-21 00:00:00	060010735	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-07 00:00:00	2014-04-07 00:00:00	Yes	2014-06-12 00:00:00	2014-05-23 00:00:00	B	B	1000	650	0	650	0	None	NLW611	N	None	None	SFY2013-14
060000053	SEA CLIFF HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2015-04-29 00:00:00	060011418	Closed	Citation	Citation B (HSC 1424)	Medication	None	2015-01-18 00:00:00	2015-01-18 00:00:00	No	2015-05-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	D8MQ11	N	None	None	SFY2014-15
060001314	SEA BRIGHT PLACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2015-10-02 00:00:00	060011767	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-09-17 00:00:00	2015-09-17 00:00:00	No	2015-10-23 00:00:00	None	B	None	800	800	-280	520	0	None	9DX911	N	CA00450463	C	SFY2015-16
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2016-05-17 00:00:00	060012254	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-31 00:00:00	2015-08-31 00:00:00	Yes	2016-06-08 00:00:00	2016-05-20 00:00:00	A	A	10000	7000	0	7000	0	None	MJLN11	N	CA00480287	B	SFY2015-16
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2017-10-06 00:00:00	060013535	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-28 00:00:00	2017-08-28 00:00:00	No	2017-10-27 00:00:00	None	A	None	3500	3500	0	3500	0	None	KUND11	N	None	None	SFY2017-18
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2019-10-14 00:00:00	060015446	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-11 00:00:00	2019-08-11 00:00:00	No	2019-11-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	3N6711	N	None	None	SFY2019-20
630011440	STAR ICF/DD-N WAKEFIELD HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2020-11-09 00:00:00	060016131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-10-16 00:00:00	2020-10-16 00:00:00	No	2020-12-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	PMYN11	N	CA00703722	B	SFY2020-21
060001605	SAN ALTO HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Orange	2021-03-16 00:00:00	060016338	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-12-17 00:00:00	2020-12-17 00:00:00	No	2021-04-07 00:00:00	None	B	None	1000	1050	-350	700	0	None	2YPD11	N	CA00722833	B	SFY2020-21
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-03-16 00:00:00	060017496	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-02-15 00:00:00	2022-02-15 00:00:00	Yes	2022-04-07 00:00:00	2022-03-28 00:00:00	B	B	3000	2500	0	2500	0	None	4Y2J11	N	CA00765302	A	SFY2021-22
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-04-06 00:00:00	060017546	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-03 00:00:00	2022-03-03 00:00:00	Yes	2022-04-27 00:00:00	2022-04-11 00:00:00	B	B	2500	2500	0	2500	0	None	I32T11	N	CA00769456, CA00769456	B, B	SFY2021-22
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-05-24 00:00:00	060017647	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-14 00:00:00	2022-04-14 00:00:00	Yes	2022-06-15 00:00:00	2022-05-27 00:00:00	B	B	3000	5000	0	5000	0	None	LFNR11	N	CA00775407	B	SFY2021-22
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-07-15 00:00:00	060017781	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-15 00:00:00	2022-06-15 00:00:00	No	2022-08-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OQIA11	N	CA00782448, CA00782448	A, A	SFY2022-23
060000151	STANLEY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2023-06-13 00:00:00	060018841	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-06-05 00:00:00	2023-06-05 00:00:00	No	2023-07-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	87J211	N	None	None	SFY2022-23
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2023-07-12 00:00:00	060018941	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-06 00:00:00	2023-06-06 00:00:00	No	2023-08-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OQUF11	N	CA00841899	B	SFY2023-24
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2023-12-20 00:00:00	060019508	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-11-15 00:00:00	2023-11-15 00:00:00	No	2024-01-11 00:00:00	None	B	None	3000	9000	0	9000	0	None	LKPP11	N	CA00868972	B	SFY2023-24
060000020	SANTA ANA HEALTHCARE & WELLNESS CENTRE, LP	LTC	SNF	Skilled Nursing Facility	Orange	2024-01-08 00:00:00	060019566	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-04 00:00:00	2023-12-04 00:00:00	No	2024-01-29 00:00:00	None	B	None	3000	3000	0	0	3000	None	S1N311	N	CA00870873	B	SFY2023-24
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2024-01-09 00:00:00	060019577	Closed	Citation	Citation B (HSC 1424)	Other	Accidents/Hazards	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-01-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	RJWZ11	N	CA00872022	B	SFY2023-24
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	1999-05-14 00:00:00	070002246	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-04-15 00:00:00	None	Yes	1999-06-09 00:00:00	1999-05-21 00:00:00	A	A	5000	3500	-3500	0	0	070013569	A99999	N	None	None	SFY1998-99
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-03-31 00:00:00	070002319	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-12-31 00:00:00	None	Yes	2000-04-25 00:00:00	2000-04-17 00:00:00	B	B	800	800	-720	80	0	070014587	A99999	N	None	None	SFY1999-00
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-04-07 00:00:00	070002322	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-17 00:00:00	None	No	2000-04-28 00:00:00	None	A	None	10000	10000	-3500	6500	0	070014611	A99999	N	None	None	SFY1999-00
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-05-22 00:00:00	070002327	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-03 00:00:00	None	No	2000-06-13 00:00:00	None	A	None	10000	10000	0	10000	0	070014759	A99999	N	None	None	SFY1999-00
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2000-06-16 00:00:00	070002329	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-12-13 00:00:00	None	Yes	2000-07-12 00:00:00	2000-06-28 00:00:00	A	A	10000	10000	0	10000	0	070014823	A99999	N	None	None	SFY1999-00
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2001-04-10 00:00:00	070002380	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-03-02 00:00:00	None	No	2001-05-03 00:00:00	None	B	None	400	400	-140	260	0	070016058	A99999	N	None	None	SFY2000-01
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-04-20 00:00:00	070002387	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-06 00:00:00	None	Yes	2001-05-11 00:00:00	2001-04-27 00:00:00	B	B	600	600	0	600	0	070016100	A99999	N	None	None	SFY2000-01
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-05-08 00:00:00	070002388	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-11-17 00:00:00	None	No	2001-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	070016148	A99999	N	None	None	SFY2000-01
070000989	SAN MIGUEL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2001-06-06 00:00:00	070002391	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-09 00:00:00	None	Yes	2001-12-07 00:00:00	2001-06-07 00:00:00	B	B	600	600	0	600	0	070016242	A99999	N	None	None	SFY2000-01
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2001-12-12 00:00:00	070002417	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-23 00:00:00	None	No	2002-01-10 00:00:00	None	B	B	600	600	-540	60	0	070016684	A99999	N	None	None	SFY2001-02
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-01-24 00:00:00	070002427	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-01-15 00:00:00	None	No	2002-02-15 00:00:00	None	B	None	500	500	-175	325	0	070016907	A99999	N	None	None	SFY2001-02
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2002-06-05 00:00:00	070002457	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-09 00:00:00	None	No	2002-06-28 00:00:00	None	B	None	400	400	-140	260	0	070017330	A99999	N	None	None	SFY2001-02
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-07-16 00:00:00	070002465	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-06-29 00:00:00	None	Yes	2002-08-09 00:00:00	2002-07-23 00:00:00	A	None	8000	8000	0	8000	0	070017509	A99999	N	None	None	SFY2002-03
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2002-11-19 00:00:00	070002482	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-11-13 00:00:00	None	No	2002-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	070017977	A99999	N	None	None	SFY2002-03
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-02-11 00:00:00	070002500	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-01-16 00:00:00	None	No	2003-03-10 00:00:00	None	B	None	750	750	-262.5	487.5	0	070018707	A99999	N	None	None	SFY2002-03
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-02-11 00:00:00	070002501	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-01-16 00:00:00	None	No	2003-03-10 00:00:00	None	B	None	750	750	-262.5	487.5	0	070018707	A99999	N	None	None	SFY2002-03
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2003-02-11 00:00:00	070002502	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-01-16 00:00:00	None	No	2003-03-10 00:00:00	None	B	None	750	750	-262.5	487.5	0	070018707	A99999	N	None	None	SFY2002-03
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2003-03-10 00:00:00	070002505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-24 00:00:00	None	No	2003-04-03 00:00:00	None	B	None	600	600	-210	390	0	070018790	A99999	N	None	None	SFY2002-03
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2003-12-18 00:00:00	070002549	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-24 00:00:00	None	No	2004-01-13 00:00:00	None	B	None	600	600	-210	390	0	070019657	A99999	N	None	None	SFY2003-04
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-23 00:00:00	070002564	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-09 00:00:00	None	Yes	2004-04-16 00:00:00	2004-04-01 00:00:00	B	B	800	400	0	400	0	070019906	A99999	N	None	None	SFY2003-04
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-23 00:00:00	070002565	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-02-23 00:00:00	None	Yes	2004-04-16 00:00:00	2004-04-01 00:00:00	B	B	900	450	0	450	0	070019906	A99999	N	None	None	SFY2003-04
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2004-03-23 00:00:00	070002566	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-09 00:00:00	None	Yes	2004-04-16 00:00:00	2004-04-01 00:00:00	B	B	800	400	0	400	0	070019906	A99999	N	None	None	SFY2003-04
070000940	SHINRAI - PURPLE HILLS	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2004-03-26 00:00:00	070002567	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-01-07 00:00:00	None	No	2004-04-22 00:00:00	None	B	None	500	500	-175	325	0	070019912	A99999	N	None	None	SFY2003-04
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2005-01-05 00:00:00	070002594	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-18 00:00:00	None	No	2005-01-27 00:00:00	None	B	None	800	800	-280	520	0	070020430	A99999	N	None	None	SFY2004-05
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2005-04-07 00:00:00	070002597	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-13 00:00:00	None	No	2005-05-12 00:00:00	None	B	None	800	800	-280	520	0	070020479	A99999	N	None	None	SFY2004-05
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2005-08-03 00:00:00	070002603	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2005-07-15 00:00:00	None	No	2005-08-29 00:00:00	None	B	None	400	400	0	400	0	070020488	A99999	N	None	None	SFY2005-06
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2005-08-30 00:00:00	070002606	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-31 00:00:00	None	No	2005-09-26 00:00:00	None	B	None	900	900	0	900	0	070020493	A99999	N	None	None	SFY2005-06
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2005-12-08 00:00:00	070002608	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-09-12 00:00:00	2005-09-12 00:00:00	Yes	2006-01-04 00:00:00	2007-12-12 00:00:00	A	A	10000	3500	0	3500	0	070020501	A99999	N	None	None	SFY2005-06
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-22 00:00:00	070002959	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2005-08-30 00:00:00	2005-08-30 00:00:00	No	2006-04-28 00:00:00	None	AA	None	20000	20000	-7000	13000	0	None	IF0A11	Y	CA00059878	B	SFY2005-06
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002961	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-03 00:00:00	2005-12-03 00:00:00	No	2006-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	C6E911	N	CA00072298	B	SFY2005-06
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2006-03-23 00:00:00	070002978	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-08-30 00:00:00	2005-08-30 00:00:00	No	2006-05-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	C6E911	N	CA00072298	B	SFY2005-06
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-10-23 00:00:00	070003439	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-19 00:00:00	2006-09-19 00:00:00	Yes	2006-11-14 00:00:00	2006-10-31 00:00:00	B	Dismissed by Court	850	0	0	0	0	None	CFU511	N	CA00093129, CA00093257	B, B	SFY2006-07
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2006-11-16 00:00:00	070003475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-21 00:00:00	2006-10-21 00:00:00	No	2006-12-11 00:00:00	None	B	None	700	700	-245	455	0	None	4UWR11	N	CA00097037, CA00097045	B, B	SFY2006-07
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-02-26 00:00:00	070003702	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2006-10-17 00:00:00	2006-10-17 00:00:00	Yes	2007-03-19 00:00:00	2007-03-02 00:00:00	AA	A	100000	5000	0	5000	0	None	NSI811	Y	CA00104898	B	SFY2006-07
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2007-02-26 00:00:00	070003757	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-17 00:00:00	2006-10-17 00:00:00	Yes	2007-04-06 00:00:00	2007-03-02 00:00:00	B	Drop>Deficiency	1000	0	0	0	0	None	NSI811	N	CA00104898	B	SFY2006-07
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2007-03-14 00:00:00	070003803	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-02-22 00:00:00	2007-02-22 00:00:00	No	2007-04-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	PAY011	N	None	None	SFY2006-07
070000989	SAN MIGUEL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2007-05-21 00:00:00	070003969	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-01-19 00:00:00	2007-01-19 00:00:00	No	2007-06-11 00:00:00	None	B	None	1000	1000	0	1000	0	None	LM3V11	N	CA00104549	B	SFY2006-07
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-05 00:00:00	070004061	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-04-30 00:00:00	2007-04-30 00:00:00	No	2007-07-26 00:00:00	None	B	None	400	400	-140	260	0	None	B08A11	N	CA00114872	B	SFY2007-08
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-08-13 00:00:00	070004151	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-07-17 00:00:00	2007-07-17 00:00:00	No	2007-09-04 00:00:00	None	B	None	700	700	0	700	0	None	1M6W11	N	CA00121046, CA00121319	B, C	SFY2007-08
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-10-12 00:00:00	070004303	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-24 00:00:00	2007-05-24 00:00:00	Yes	2007-11-02 00:00:00	2007-10-19 00:00:00	B	B	600	600	0	600	0	None	NTS011	N	CA00115595	C	SFY2007-08
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-03-06 00:00:00	070004443	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-26 00:00:00	2007-10-26 00:00:00	Yes	2008-03-27 00:00:00	2008-03-07 00:00:00	B	B	1000	500	0	500	0	None	7M3011	N	CA00130506, CA00130814	C, B	SFY2007-08
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-21 00:00:00	070004914	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-01 00:00:00	2008-04-01 00:00:00	No	2008-05-16 00:00:00	None	B	None	900	900	-315	585	0	None	LTLQ11	N	CA00145748	B	SFY2007-08
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-05-06 00:00:00	070005001	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-28 00:00:00	2007-10-28 00:00:00	No	2008-06-02 00:00:00	None	B	None	700	700	-245	455	0	None	HMWL11	N	CA00145834	C	SFY2007-08
070000989	SAN MIGUEL HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-05-30 00:00:00	070005096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-25 00:00:00	2008-03-25 00:00:00	No	2008-06-20 00:00:00	None	B	None	500	500	-175	325	0	None	WI7411	N	CA00145286	B	SFY2007-08
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-17 00:00:00	070005105	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-06 00:00:00	2008-05-06 00:00:00	Yes	2008-07-15 00:00:00	2008-06-30 00:00:00	A	None	12000	12000	-12000	0	0	None	JQI811	N	CA00149707	B	SFY2007-08
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2008-07-11 00:00:00	070005222	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-11 00:00:00	2006-04-11 00:00:00	No	2008-08-04 00:00:00	None	B	None	800	800	0	800	0	None	R5GV11	N	CA00098314	B	SFY2008-09
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2008-08-01 00:00:00	070005258	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-11-09 00:00:00	2007-11-09 00:00:00	No	2008-08-25 00:00:00	None	B	None	400	400	0	400	0	None	0RR211	N	None	None	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-13 00:00:00	070005298	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-04 00:00:00	2008-07-04 00:00:00	No	2008-09-16 00:00:00	None	B	None	750	950	-262.5	687.5	0	None	OC5P11	N	CA00155612	B	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-08-13 00:00:00	070005299	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-04 00:00:00	2008-07-04 00:00:00	No	2008-09-04 00:00:00	None	B	None	700	700	-245	455	0	None	OC5P11	N	None	None	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-11-26 00:00:00	070005616	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-09-11 00:00:00	2008-09-11 00:00:00	Yes	2012-05-04 00:00:00	2012-04-23 00:00:00	A	A	17000	8200	0	8200	0	None	E5AT11	N	CA00168971	B	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-12-09 00:00:00	070005655	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-23 00:00:00	2008-10-23 00:00:00	No	2009-01-07 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	BMOM11	N	CA00167366	B	SFY2008-09
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-01-14 00:00:00	070005794	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	600	600	-210	390	0	None	DGHN11	N	CA00172704	B	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-04 00:00:00	070005843	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-01-08 00:00:00	2009-01-08 00:00:00	No	2009-03-13 00:00:00	None	B	None	900	900	-315	585	0	None	LXWB11	N	CA00174662	C	SFY2008-09
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-05 00:00:00	070005863	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-30 00:00:00	2009-01-30 00:00:00	Yes	2009-03-23 00:00:00	2009-02-18 00:00:00	B	None	750	750	0	750	0	None	TJHY11	N	CA00176212	B	SFY2008-09
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2009-02-11 00:00:00	070005879	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-28 00:00:00	2008-12-28 00:00:00	No	2009-03-16 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	BWZF11	N	None	None	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-03-09 00:00:00	070005934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-11 00:00:00	2009-02-11 00:00:00	No	2009-04-07 00:00:00	None	B	None	900	900	-315	585	0	None	R0VT11	N	CA00177842	A	SFY2008-09
630010933	SILVER STAR ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-03-18 00:00:00	070005980	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-02 00:00:00	2009-03-02 00:00:00	No	2009-04-21 00:00:00	None	B	None	700	700	-245	455	0	None	ZELX11	N	None	None	SFY2008-09
630010933	SILVER STAR ICF/DD-N	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-03-18 00:00:00	070005981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-02 00:00:00	2009-03-02 00:00:00	No	2009-04-21 00:00:00	None	B	None	500	500	-175	325	0	None	ZELX11	N	None	None	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-17 00:00:00	070006065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-25 00:00:00	2009-03-25 00:00:00	No	2009-05-14 00:00:00	None	B	None	850	2550	-892.5	1657.5	0	None	G49N11	N	CA00182901	B	SFY2008-09
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-05-15 00:00:00	070006151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-17 00:00:00	2009-04-17 00:00:00	No	2009-06-15 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	I6GO11	N	CA00185008	B	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-06-02 00:00:00	070006199	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-06 00:00:00	2009-05-06 00:00:00	Yes	2009-06-30 00:00:00	2009-06-11 00:00:00	B	B	850	425	0	425	0	None	VB8C11	N	CA00187595	B	SFY2008-09
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-16 00:00:00	070006297	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-22 00:00:00	2009-05-22 00:00:00	Yes	2011-04-07 00:00:00	2009-07-27 00:00:00	B	B	1000	1000	0	1000	0	None	Y6G011	N	CA00189626	B	SFY2009-10
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-07-07 00:00:00	070006360	Closed	Citation	Citation B (HSC 1424)	Medication	None	2009-04-27 00:00:00	2009-04-27 00:00:00	No	2009-08-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	HMLG11	N	None	None	SFY2009-10
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-07-06 00:00:00	070006361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-17 00:00:00	2009-05-17 00:00:00	No	2009-07-27 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	2JSF11	N	CA00189648	C	SFY2009-10
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2009-08-18 00:00:00	070006454	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-26 00:00:00	2009-07-26 00:00:00	No	2009-09-11 00:00:00	None	B	None	650	650	0	650	0	None	HQI011	N	CA00196793	B	SFY2009-10
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2009-12-21 00:00:00	070006461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-07-18 00:00:00	2009-07-18 00:00:00	No	2010-01-13 00:00:00	None	B	None	800	800	0	800	0	None	Q13I11	N	CA00195612	B	SFY2009-10
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-27 00:00:00	070006500	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2009-10-20 00:00:00	None	B	None	700	700	-245	455	0	None	HLWZ11	N	CA00197310	B	SFY2009-10
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-27 00:00:00	070006501	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-06-15 00:00:00	2009-06-15 00:00:00	No	2009-10-20 00:00:00	None	B	None	700	700	-245	455	0	None	HLWZ11	N	CA00197310	B	SFY2009-10
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-11 00:00:00	070006742	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-08-24 00:00:00	2009-08-24 00:00:00	Yes	2010-04-02 00:00:00	2010-03-29 00:00:00	AA	None	80000	80000	-80000	0	0	None	22JE11	Y	CA00199676, CA00200856	B, B	SFY2009-10
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-05-05 00:00:00	070007126	Closed	Citation	Citation B (HSC 1424)	Administration	None	2010-02-14 00:00:00	2010-02-14 00:00:00	Yes	2010-06-23 00:00:00	2010-05-14 00:00:00	B	B	500	325	0	325	0	None	OTTR11	N	CA00222476	B	SFY2009-10
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-05-19 00:00:00	070007231	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-05-04 00:00:00	2010-05-04 00:00:00	Yes	2010-06-10 00:00:00	2010-06-07 00:00:00	B	B	800	400	0	400	0	None	206811	N	CA00227848	B	SFY2009-10
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-05-19 00:00:00	070007233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-03 00:00:00	2010-05-03 00:00:00	Yes	2010-06-10 00:00:00	2010-06-09 00:00:00	B	B	800	400	0	400	0	None	206811	N	CA00227503	C	SFY2009-10
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-07-13 00:00:00	070007355	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-06-13 00:00:00	2010-06-13 00:00:00	No	2010-12-07 00:00:00	None	B	None	800	800	-280	520	0	None	0Q5611	N	CA00232233, CA00232390	B, B	SFY2010-11
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-08-17 00:00:00	070007428	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-09-21 00:00:00	2009-09-21 00:00:00	No	2010-09-08 00:00:00	None	B	None	700	700	0	700	0	None	E3BW11	N	None	None	SFY2010-11
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2010-08-17 00:00:00	070007492	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-07-21 00:00:00	2010-07-21 00:00:00	No	2010-09-08 00:00:00	None	B	None	700	700	0	700	0	None	E3BW11	N	None	None	SFY2010-11
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-12-17 00:00:00	070007755	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2010-11-14 00:00:00	2010-11-14 00:00:00	Yes	2011-08-19 00:00:00	2011-08-02 00:00:00	AA	A	80000	65000	0	65000	0	None	3TC411	Y	CA00249178	B	SFY2010-11
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-01-18 00:00:00	070007830	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-19 00:00:00	2010-12-19 00:00:00	Yes	2011-02-08 00:00:00	2011-01-19 00:00:00	B	B	700	455	0	455	0	None	360M11	N	CA00252963	B	SFY2010-11
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-02-16 00:00:00	070007919	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-01-16 00:00:00	2011-01-16 00:00:00	Yes	2011-03-10 00:00:00	2011-02-22 00:00:00	B	B	750	487.5	0	487.5	0	None	EJUF11	N	CA00255715, CA00257038	B, B	SFY2010-11
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-02-18 00:00:00	070007952	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-02-01 00:00:00	2011-02-01 00:00:00	No	2011-03-14 00:00:00	None	B	None	500	500	0	500	0	None	YZRH11	N	None	None	SFY2010-11
070001106	SHINRAI - CROYDON	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-03-25 00:00:00	070008059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-05 00:00:00	2011-03-05 00:00:00	No	2011-04-18 00:00:00	None	B	None	700	700	0	700	0	None	XNJE11	N	CA00261247	B	SFY2010-11
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-04-25 00:00:00	070008060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-11-12 00:00:00	2010-11-12 00:00:00	No	2011-05-16 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	B21J11	N	CA00262441	B	SFY2010-11
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-06-01 00:00:00	070008240	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-04-10 00:00:00	2011-04-10 00:00:00	Yes	2011-06-22 00:00:00	2011-06-07 00:00:00	B	B	600	390	0	390	0	None	L9E411	N	CA00265556	B	SFY2010-11
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-05-19 00:00:00	070008260	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-04-28 00:00:00	2011-04-28 00:00:00	No	2011-06-10 00:00:00	None	B	None	700	700	-245	455	0	None	6S2811	N	CA00268147	B	SFY2010-11
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-07-13 00:00:00	070008349	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-05-07 00:00:00	2011-05-07 00:00:00	No	2011-08-03 00:00:00	None	B	None	600	600	-210	390	0	None	IFRX11	N	CA00274224	A	SFY2011-12
630012069	SHINRAI-WHITE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2011-07-13 00:00:00	070008375	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-07-02 00:00:00	2011-07-02 00:00:00	No	2011-08-03 00:00:00	None	B	None	600	600	-210	390	0	None	H5SE11	N	CA00274825	A	SFY2011-12
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2011-08-30 00:00:00	070008444	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-08-02 00:00:00	2011-08-02 00:00:00	Yes	2011-09-21 00:00:00	2011-09-20 00:00:00	B	B	700	455	0	455	0	None	YFEV11	N	CA00277298	B	SFY2011-12
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2012-01-18 00:00:00	070008820	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-11-18 00:00:00	2011-11-18 00:00:00	No	2012-02-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	RE4E11	N	CA00290592, CA00290640, CA00290740	B, B, B	SFY2011-12
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2012-01-23 00:00:00	070008934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-19 00:00:00	2011-02-19 00:00:00	No	2012-02-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	EWHR11	N	CA00293862	B	SFY2011-12
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-02-14 00:00:00	070008994	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-01-26 00:00:00	2012-01-26 00:00:00	Yes	2012-03-07 00:00:00	2012-02-29 00:00:00	B	B	800	800	0	800	0	None	XSNY11	N	CA00297781	B	SFY2011-12
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-12-18 00:00:00	070009683	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	2012-10-30 08:00:00	2012-10-30 08:00:00	No	2013-01-10 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	VFHW11	None	CA00335214	C	SFY2012-13
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2012-12-18 00:00:00	070009684	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	2012-10-30 08:00:00	2012-10-30 08:00:00	No	2013-01-10 00:00:00	None	FTR RES	None	800	800	-200	600	0	None	VFHW11	None	CA00335214	C	SFY2012-13
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2013-11-15 00:00:00	070010263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-04 00:00:00	2013-11-04 00:00:00	No	2013-12-10 00:00:00	None	B	None	800	800	0	800	0	None	O1O611	N	CA00375841	A	SFY2013-14
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2013-12-04 00:00:00	070010287	Closed	Citation	Citation B (HSC 1424)	Medication	None	2013-11-18 00:00:00	2013-11-18 00:00:00	No	2013-12-26 00:00:00	None	B	None	1500	1500	-525	975	0	None	82LS11	N	CA00377639	A	SFY2013-14
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-05-12 00:00:00	070010708	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-02-16 00:00:00	2014-02-16 00:00:00	No	2014-06-03 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	L3C011	N	CA00396608	B	SFY2013-14
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-08-28 00:00:00	070010942	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-01 00:00:00	2014-08-01 00:00:00	No	2014-09-19 00:00:00	None	B	None	1000	3000	0	3000	0	None	J6DS11	N	CA00408809	B	SFY2014-15
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-11-04 00:00:00	070011107	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2014-11-26 00:00:00	None	FTR BR	None	6900	6900	-1725	5175	0	None	IKUE11	None	CA00416785	C	SFY2014-15
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2014-11-04 00:00:00	070011108	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2014-11-26 00:00:00	None	FTR RES	None	6900	6900	-1725	5175	0	None	IKUE11	None	CA00416785	C	SFY2014-15
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-09-01 00:00:00	070011667	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-06-24 00:00:00	2015-06-24 00:00:00	No	2015-09-23 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	9EJW11	N	CA00452255	B	SFY2015-16
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-09-01 00:00:00	070011668	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-08-07 00:00:00	2015-08-07 00:00:00	No	2015-09-23 00:00:00	None	B	None	500	500	-175	325	0	None	9EJW11	N	CA00454341	C	SFY2015-16
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2015-11-25 00:00:00	070011682	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-20 00:00:00	2015-07-20 00:00:00	No	2015-12-18 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	9OZZ11	N	CA00451417	B	SFY2015-16
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2015-11-13 00:00:00	070011840	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-10-19 00:00:00	2015-10-19 00:00:00	No	2015-12-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	L4TC11	N	CA00461238	B	SFY2015-16
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2015-12-31 00:00:00	070011928	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-06 00:00:00	2015-11-06 00:00:00	No	2016-01-25 00:00:00	None	B	None	1000	3000	0	3000	0	None	K1BR11	N	CA00464833	B	SFY2015-16
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-03-09 00:00:00	070012020	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-26 00:00:00	2016-01-26 00:00:00	No	2016-03-30 00:00:00	None	B	None	500	500	-175	325	0	None	YXYL11	N	None	None	SFY2015-16
630012069	SHINRAI-WHITE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-04-22 00:00:00	070012173	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-19 00:00:00	2016-03-19 00:00:00	No	2016-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	N72C11	N	CA00480852	B	SFY2015-16
630012069	SHINRAI-WHITE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-04-22 00:00:00	070012212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-03-19 00:00:00	2016-03-19 00:00:00	No	2016-05-13 00:00:00	None	B	None	500	500	-175	325	0	None	N72C11	N	CA00480852	B	SFY2015-16
630012069	SHINRAI-WHITE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2016-05-16 00:00:00	070012251	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-18 00:00:00	2016-04-18 00:00:00	No	2016-06-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	UWHB11	N	None	None	SFY2015-16
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2016-06-30 00:00:00	070012318	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-04-22 00:00:00	2016-04-22 00:00:00	Yes	2016-07-22 00:00:00	2016-07-25 00:00:00	A	A	5000	5000	0	5000	0	None	R1Y211	N	CA00485618	B	SFY2015-16
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-06-28 00:00:00	070012345	Closed	Citation	Citation B (HSC 1424)	Other	UNUSUAL OCCURENCES	2016-06-11 00:00:00	2016-06-11 00:00:00	No	2016-07-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	D5PL11	N	CA00491930	B	SFY2015-16
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-26 00:00:00	070012422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-06-18 00:00:00	2016-06-18 00:00:00	No	2016-08-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B7WZ11	N	CA00492464	B	SFY2016-17
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-09-15 00:00:00	070012574	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-08-15 00:00:00	2016-08-15 00:00:00	No	2016-10-06 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	LTLC11	N	CA00499290	B	SFY2016-17
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-10-14 00:00:00	070012641	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-20 00:00:00	2015-11-20 00:00:00	No	2016-11-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	54CZ11	N	None	None	SFY2016-17
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2016-11-23 00:00:00	070012751	Closed	Citation	Citation B (HSC 1424)	Medication	None	2016-11-08 00:00:00	2016-11-08 00:00:00	No	2016-12-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	GB3R11	N	None	None	SFY2016-17
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-12-05 00:00:00	070012788	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-12 00:00:00	2016-10-12 00:00:00	No	2016-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	W80L11	N	CA00506646	B	SFY2016-17
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-04-26 00:00:00	070013097	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-24 00:00:00	2017-02-24 00:00:00	No	2017-05-17 00:00:00	None	B	None	2000	6000	0	6000	0	None	SCVX11	N	CA00527047	B	SFY2016-17
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-05-31 00:00:00	070013208	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-04-29 00:00:00	2017-04-29 00:00:00	No	2017-06-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2F7911	N	None	None	SFY2016-17
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-05-31 00:00:00	070013236	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-24 00:00:00	2017-05-24 00:00:00	No	2017-06-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2F7911	N	None	None	SFY2016-17
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-06-16 00:00:00	070013287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-05-14 00:00:00	2017-05-14 00:00:00	No	2017-07-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8OI611	N	CA00535491	B	SFY2016-17
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2017-07-06 00:00:00	070013321	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-19 00:00:00	2017-06-19 00:00:00	No	2017-07-27 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	3JNY11	N	CA00540040	B	SFY2017-18
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2017-08-18 00:00:00	070013420	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-02 00:00:00	2017-08-02 00:00:00	No	2017-09-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	OPY411	N	CA00546605	B	SFY2017-18
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2017-09-07 00:00:00	070013463	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-06-27 00:00:00	2017-06-27 00:00:00	No	2017-09-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y04F11	N	CA00548128	B	SFY2017-18
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-02-23 00:00:00	070013840	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-01-29 00:00:00	2018-01-29 00:00:00	No	2018-03-16 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	Y9OW11	N	CA00571506	B	SFY2017-18
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2018-10-05 00:00:00	070014461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-09-13 00:00:00	2018-09-13 00:00:00	No	2018-10-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	8X3911	N	None	None	SFY2018-19
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2018-10-16 00:00:00	070014497	Closed	Citation	Citation B (HSC 1424)	Administration	None	2018-06-15 00:00:00	2018-06-15 00:00:00	No	2018-11-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	9FXH11	N	CA00605005	B	SFY2018-19
220001027	SARATOGA RETIREMENT COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2018-11-28 00:00:00	070014543	Closed	Citation	Citation AA (HSC 1424)	Medication	None	2018-08-30 00:00:00	2018-08-30 00:00:00	Yes	2018-12-19 00:00:00	2018-12-18 00:00:00	AA	AA	100000	75000	0	75000	0	None	U5UC11	Y	CA00602315	B	SFY2018-19
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2018-11-30 00:00:00	070014567	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-10-10 00:00:00	2018-10-10 00:00:00	No	2018-12-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MQDQ11	N	CA00608411, CA00608613	B, B	SFY2018-19
070001060	SHINRAI-FLINTDALE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2018-12-11 00:00:00	070014617	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-02 00:00:00	2018-11-02 00:00:00	No	2019-01-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	LLNP11	N	CA00610734	B	SFY2018-19
070000026	STONEBROOK HEALTH AND REHABILITATION	LTC	SNF	Skilled Nursing Facility	San Jose	2018-12-19 00:00:00	070014642	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-12-04 00:00:00	2018-12-04 00:00:00	No	2019-01-10 00:00:00	None	B	None	2000	2000	0	2000	0	None	CL5T11	N	None	None	SFY2018-19
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-01-24 00:00:00	070014728	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-01-02 00:00:00	2019-01-02 00:00:00	No	2019-02-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4TQ211	N	CA00618198	B	SFY2018-19
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-05-16 00:00:00	070015082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-11-09 00:00:00	2018-11-09 00:00:00	Yes	2019-06-06 00:00:00	2019-06-03 00:00:00	B	B	2000	1600	0	1600	0	None	7YTW11	Y	CA00614514	B	SFY2018-19
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-05-16 00:00:00	070015086	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-09 00:00:00	2018-11-09 00:00:00	Yes	2019-06-06 00:00:00	2019-06-04 00:00:00	A	A	20000	4000	0	4000	0	None	7YTW11	Y	CA00614514	B	SFY2018-19
220001027	SARATOGA RETIREMENT COMMUNITY HEALTH CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-07-03 00:00:00	070015159	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-05-11 00:00:00	2019-05-11 00:00:00	No	2019-07-24 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N8T611	N	CA00637398	B	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-19 00:00:00	070015282	Closed	Citation	Citation B (HSC 1424)	Other	Pharmacy Services	2018-10-27 00:00:00	2018-10-27 00:00:00	No	2019-09-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MCKX11	N	CA00647579, CA00647579	B, B	SFY2019-20
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-08-15 00:00:00	070015305	Closed	Citation	Citation B (HSC 1424)	Other	REFUSED TO READMIT	2019-07-05 00:00:00	2019-07-05 00:00:00	No	2019-09-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	NL1111	N	CA00644580, CA00644619, CA00649781	A, A, A	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-09-03 00:00:00	070015357	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-08-15 00:00:00	2019-08-15 00:00:00	No	2019-09-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KRXY11	N	CA00650758, CA00650855, CA00651120	B, B, B	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2019-10-29 00:00:00	070015481	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-29 00:00:00	2019-07-29 00:00:00	No	2019-11-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P4JY11	N	None	None	SFY2019-20
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2019-11-05 00:00:00	070015493	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-10-22 00:00:00	2019-10-22 00:00:00	No	2019-11-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	82SE11	N	None	None	SFY2019-20
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2019-11-05 00:00:00	070015494	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-04-29 00:00:00	2019-04-29 00:00:00	No	2019-11-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	82SE11	N	None	None	SFY2019-20
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2019-12-05 00:00:00	070015545	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-15 00:00:00	2019-11-15 00:00:00	No	2019-12-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	EN3411	N	CA00663688	A	SFY2019-20
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-03 00:00:00	070015709	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-01-10 00:00:00	2020-01-10 00:00:00	No	2020-02-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2DCM11	N	CA00671048	A	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-02-26 00:00:00	070015746	Closed	Citation	Citation B (HSC 1424)	Other	Laboratory Services	2020-01-25 00:00:00	2020-01-25 00:00:00	No	2020-03-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	YO5E11	N	CA00675548	B	SFY2019-20
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-07-22 00:00:00	070015943	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-07-15 00:00:00	2020-07-15 00:00:00	No	2020-08-12 00:00:00	None	B	None	1000	1050	0	1050	0	None	GHCL11	N	None	None	SFY2020-21
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-05 00:00:00	070016138	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-13 00:00:00	2020-10-13 00:00:00	No	2020-12-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	J4ER11	N	None	None	SFY2020-21
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-11-10 00:00:00	070016145	Closed	Citation	Citation B (HSC 1424)	Other	Reporting Of Outbreaks	2020-10-09 00:00:00	2020-10-09 00:00:00	No	2020-12-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	W0FR11	N	None	None	SFY2020-21
070001028	SHINRAI - CAMINO VERDE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2021-03-19 00:00:00	070016208	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-11-18 00:00:00	2020-11-18 00:00:00	No	2021-04-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	7TB911	N	CA00712324	B	SFY2020-21
070001362	SHINRAI-ARAM	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2021-04-13 00:00:00	070016417	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrences	2021-01-07 00:00:00	2021-01-07 00:00:00	No	2021-05-04 00:00:00	None	B	None	1000	1000	0	1000	0	None	DCM111	N	CA00719417	B	SFY2020-21
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-10-06 00:00:00	070016986	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-30 00:00:00	2020-12-30 00:00:00	Yes	2021-10-27 00:00:00	2021-10-27 00:00:00	A	A	20000	14000	0	14000	0	None	YPL211	N	CA00721730, CA00721809	B, B	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2021-11-23 00:00:00	070017124	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-03-31 00:00:00	2021-03-31 00:00:00	No	2021-12-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	ZZX111	N	CA00741174, CA00753919, CA00753996, CA00754040	B, A, A, A	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-01-27 00:00:00	070017295	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-09-01 00:00:00	2021-09-01 00:00:00	No	2022-02-17 00:00:00	None	B	None	2000	2000	0	2000	0	None	TMGT11	N	CA00731510	B	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-05-23 00:00:00	070017654	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-04-26 00:00:00	2022-04-26 00:00:00	No	2022-06-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	T7PX11	N	None	None	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-05-23 00:00:00	070017656	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-04-18 00:00:00	2022-04-18 00:00:00	No	2022-06-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	T7PX11	N	None	None	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-05-23 00:00:00	070017657	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-04-12 00:00:00	2022-04-12 00:00:00	No	2022-06-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	T7PX11	N	CA00780455, CA00780455, CA00781096, CA00781096	B, B, A, A	SFY2021-22
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-07-19 00:00:00	070017792	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-06-27 00:00:00	2022-06-27 00:00:00	No	2022-08-09 00:00:00	None	B	None	3000	9000	0	9000	0	None	C5BH11	N	CA00766500, CA00791116	B, A	SFY2022-23
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-08-02 00:00:00	070017866	Closed	Citation	Citation B (HSC 1424)	Medication	None	2022-07-14 00:00:00	2022-07-14 00:00:00	No	2022-08-23 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8RQ011	N	None	None	SFY2022-23
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-08-03 00:00:00	070017870	Closed	Citation	Citation B (HSC 1424)	Other	accidents	2022-07-14 00:00:00	2022-07-14 00:00:00	No	2022-08-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8RQ011	N	CA00793897, CA00794373, CA00794412	B, B, B	SFY2022-23
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2022-12-05 00:00:00	070018196	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-11-07 00:00:00	2022-11-07 00:00:00	No	2022-12-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	7DTP11	N	CA00811561	A	SFY2022-23
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2023-01-19 00:00:00	070018212	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-17 00:00:00	2022-02-17 00:00:00	Yes	2023-02-09 00:00:00	2022-12-20 00:00:00	A	None	25000	25000	-8750	16250	0	None	C19N11	Y	CA00797582	B	SFY2022-23
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-03-06 00:00:00	070018410	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-01-21 00:00:00	2023-01-21 00:00:00	No	2023-03-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	TVJ111	N	CA00822459, CA00822793	B, B	SFY2022-23
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2023-12-07 00:00:00	070019198	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-03-19 00:00:00	2023-03-19 00:00:00	No	2023-12-29 00:00:00	None	AA	None	120000	120000	0	120000	0	None	NES511	Y	CA00843156	B	SFY2023-24
070000061	SAN JOSE HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2023-10-26 00:00:00	070019256	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-08-08 00:00:00	2023-08-08 00:00:00	No	2023-11-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	162411	N	CA00857900	B	SFY2023-24
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-02-14 00:00:00	070019654	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-08 00:00:00	2023-09-08 00:00:00	No	2024-03-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	99ZV11	N	CA00859829	B	SFY2023-24
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-01 00:00:00	070019722	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-26 00:00:00	2024-01-26 00:00:00	No	2024-03-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DT0C11	N	None	None	SFY2023-24
070000089	SKYLINE HEALTHCARE CENTER - SAN JOSE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-02-27 00:00:00	070019723	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2024-01-23 00:00:00	2024-01-23 00:00:00	No	2024-03-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DT0C11	N	None	None	SFY2023-24
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-10 00:00:00	070020041	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-11 00:00:00	2023-12-11 00:00:00	Yes	2024-06-03 00:00:00	2024-05-30 00:00:00	A	None	60000	60200	0	0	60200	None	7IM411	Y	CA00875255, CA00875268	A, A	SFY2023-24
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-05-29 00:00:00	070020151	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-08 00:00:00	2024-03-08 00:00:00	No	2024-06-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DR6E11	N	CA00888801, CA00891006	B, B	SFY2023-24
070001025	SHINRAI-GRIDLEY	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Jose	2024-06-06 00:00:00	070020226	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2024-05-19 00:00:00	2024-05-19 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	43O411	N	CA00901380	B	SFY2023-24
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-05-23 00:00:00	080002750	Closed	Citation	Citation B (HSC 1424)	Other	ANTS AND SPRAY	1999-08-05 00:00:00	None	No	2000-06-13 00:00:00	None	B	None	750	750	-262.5	487.5	0	080021785	A99999	N	None	None	SFY1999-00
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-05-23 00:00:00	080002751	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-08-25 00:00:00	None	No	2000-06-14 00:00:00	None	B	None	500	500	-175	325	0	080021786	A99999	N	None	None	SFY1999-00
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-05-23 00:00:00	080002752	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-08-14 00:00:00	1999-08-20 00:00:00	No	2000-06-15 00:00:00	None	B	None	500	500	-175	325	0	080021787	A99999	N	None	None	SFY1999-00
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2000-06-30 00:00:00	080002758	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-03-07 00:00:00	None	No	2000-07-24 00:00:00	None	B	None	1000	1000	-350	650	0	080021921	A99999	N	None	None	SFY1999-00
080000987	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2001-01-12 00:00:00	080002771	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-12-16 00:00:00	None	No	2001-02-08 00:00:00	None	A	None	5000	5000	0	5000	0	080022693	A99999	N	None	None	SFY2000-01
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-02-01 00:00:00	080002773	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-13 00:00:00	None	No	2001-02-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	080022786	A99999	N	None	None	SFY2000-01
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2001-06-01 00:00:00	080002784	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-20 00:00:00	None	No	2001-06-25 00:00:00	None	B	None	900	900	0	900	0	080023179	A99999	N	None	None	SFY2000-01
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-08-29 00:00:00	080002792	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-07 00:00:00	2001-07-07 00:00:00	No	2001-09-24 00:00:00	None	B	None	950	950	-332.5	617.5	0	080023457	A99999	N	None	None	SFY2001-02
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-12-07 00:00:00	080002805	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN, CARE & RECORD	2001-01-13 00:00:00	None	No	2001-12-31 00:00:00	None	B	None	925	925	-323.75	601.25	0	080023135	A99999	N	None	None	SFY2001-02
080000987	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2002-07-03 00:00:00	080002825	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE/FAC SELF REPOR	2002-05-31 00:00:00	None	No	2002-07-30 00:00:00	None	B	None	1000	1000	-350	650	0	080024386	A99999	N	None	None	SFY2002-03
080000987	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2004-05-28 00:00:00	080002855	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-05-01 00:00:00	None	No	2004-06-22 00:00:00	None	B	None	1000	1000	0	1000	0	080027031	A99999	N	None	None	SFY2003-04
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2007-06-15 00:00:00	080004004	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-24 00:00:00	2007-05-24 00:00:00	Yes	2008-02-26 00:00:00	2008-02-08 00:00:00	A	B	15000	13000	0	13000	0	None	R6X011	Y	CA00112903	C	SFY2006-07
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2007-06-01 00:00:00	080004005	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-09 00:00:00	2007-05-09 00:00:00	No	2007-06-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	3QUS11	N	CA00114325	C	SFY2006-07
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2007-10-19 00:00:00	080004374	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-10-02 00:00:00	2007-10-02 00:00:00	No	2007-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	DBBE11	N	CA00128212	A	SFY2007-08
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-04-11 00:00:00	080004915	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-02 00:00:00	2008-04-02 00:00:00	Yes	2008-05-02 00:00:00	2008-04-14 00:00:00	B	None	1000	1000	0	1000	0	None	DTMQ11	N	CA00145646	C	SFY2007-08
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-07-30 00:00:00	080005272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-06-28 00:00:00	2008-06-28 00:00:00	No	2008-08-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	S81R11	N	CA00155347	A	SFY2008-09
080000617	STANFORD COURT SKILLED NURSING & REHAB CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2009-05-14 00:00:00	080006186	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-04-11 00:00:00	2009-04-11 00:00:00	Yes	2009-06-09 00:00:00	2009-05-14 00:00:00	B	None	750	800	-262.5	537.5	0	None	X6U211	N	CA00184720	C	SFY2008-09
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-06-19 00:00:00	080006307	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2008-02-27 00:00:00	2008-02-27 00:00:00	No	2009-07-10 00:00:00	None	B	None	1000	1050	0	1050	0	None	CKBB11	N	CA00188626	C	SFY2008-09
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-09-25 00:00:00	080006571	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	Call light system	2009-08-13 00:00:00	2009-08-13 00:00:00	No	2009-10-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	S2EN11	N	CA00197043	C	SFY2009-10
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-07-20 00:00:00	080007384	Closed	Citation	Citation A (HSC 1424)	Medication	None	2010-03-21 00:00:00	2010-03-21 00:00:00	Yes	2010-08-10 00:00:00	2010-07-28 00:00:00	A	A	20000	20000	0	20000	0	None	5G2S11	N	CA00222619	C	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-10-12 00:00:00	080007624	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-09-25 00:00:00	2010-09-25 00:00:00	No	2010-11-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	1ONS11	N	CA00243937	B	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-01-11 00:00:00	080007837	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-10-13 00:00:00	2010-10-13 00:00:00	No	2011-02-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	RIIQ11	N	CA00246813	B	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-02-04 00:00:00	080007920	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-09 00:00:00	2010-11-09 00:00:00	No	2011-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	K9I811	N	CA00249905	B	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-06-29 00:00:00	080008340	Closed	Citation	Citation A (HSC 1424)	Other	Accidents	2010-03-21 00:00:00	2010-03-21 00:00:00	Yes	2011-07-21 00:00:00	2013-03-19 00:00:00	A	A	20000	20000	0	20000	0	None	9P3I11	N	CA00249801	B	SFY2010-11
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-11-01 00:00:00	080008689	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-04 00:00:00	2011-08-04 00:00:00	Yes	2013-02-13 00:00:00	2013-01-23 00:00:00	A	A	20000	10000	0	10000	0	None	WHD311	N	CA00278325	A	SFY2011-12
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2012-02-17 00:00:00	080009028	Closed	Citation	Citation B (HSC 1424)	Medication	None	2012-02-08 00:00:00	2012-02-08 00:00:00	No	2012-03-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	RKZW11	N	CA00298999	A	SFY2011-12
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2013-12-19 00:00:00	080010344	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-07-21 00:00:00	2013-07-21 00:00:00	No	2014-01-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	HL8W11	N	CA00362772, CA00363169	C, B	SFY2013-14
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2015-12-29 00:00:00	080011922	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-10-09 00:00:00	2015-10-09 00:00:00	No	2016-01-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	4Y6B11	N	CA00462089	A	SFY2015-16
090000105	SOMERSET SUBACUTE AND CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2000-02-25 00:00:00	090002744	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-12-07 00:00:00	None	No	2000-03-20 00:00:00	None	B	None	900	900	-315	585	0	090021421	A99999	N	None	None	SFY1999-00
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2001-09-14 00:00:00	090002777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-29 00:00:00	2001-06-29 00:00:00	No	2001-10-10 00:00:00	None	B	None	1000	1000	-350	650	0	090023172	A99999	N	None	None	SFY2001-02
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2002-09-26 00:00:00	090002813	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-28 00:00:00	2002-08-28 00:00:00	No	2002-10-18 00:00:00	None	B	None	900	900	-315	585	0	090024408	A99999	N	None	None	SFY2002-03
090000139	SWEDELIUS GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-10-22 00:00:00	090002818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-02 00:00:00	None	No	2002-11-19 00:00:00	None	B	None	950	950	0	950	0	090024485	A99999	N	None	None	SFY2002-03
090000139	SWEDELIUS GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2002-12-26 00:00:00	090002823	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-21 00:00:00	None	No	2003-01-17 00:00:00	None	B	None	1000	1000	-350	650	0	090024637	A99999	N	None	None	SFY2002-03
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2003-04-10 00:00:00	090002828	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-14 00:00:00	2003-04-10 00:00:00	No	2003-05-01 00:00:00	None	B	None	900	900	-315	585	0	090025167	A99999	N	None	None	SFY2002-03
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2003-05-20 00:00:00	090002831	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-23 00:00:00	None	No	2003-06-11 00:00:00	None	B	None	900	900	-315	585	0	090025333	A99999	N	None	None	SFY2002-03
090000139	SWEDELIUS GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2004-03-26 00:00:00	090002834	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-02-21 00:00:00	2004-03-26 00:00:00	No	2004-04-19 00:00:00	None	B	None	950	950	0	950	0	090026396	A99999	N	None	None	SFY2003-04
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2005-03-07 00:00:00	090002848	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-05 00:00:00	2005-01-05 00:00:00	No	2005-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	090027462	A99999	N	None	None	SFY2004-05
090000218	SANTANA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2006-06-13 00:00:00	090003156	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-05-17 00:00:00	2006-05-17 00:00:00	No	2006-07-05 00:00:00	None	B	None	950	950	-332.5	617.5	0	None	NGG411	N	CA00081023	B	SFY2005-06
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2006-11-17 00:00:00	090003495	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-03 00:00:00	2006-10-03 00:00:00	No	2006-12-12 00:00:00	None	B	None	850	850	-297.5	552.5	0	None	06XV11	N	CA00094984	B	SFY2006-07
090000218	SANTANA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2008-05-30 00:00:00	090005092	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2008-06-20 00:00:00	None	B	None	900	900	-315	585	0	None	898G11	N	CA00147618	C	SFY2007-08
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-10-30 00:00:00	090005564	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-25 00:00:00	2008-08-25 00:00:00	No	2008-12-02 00:00:00	None	B	None	1000	1250	0	1250	0	None	VM1H11	N	CA00162432	C	SFY2008-09
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-12-03 00:00:00	090005658	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2009-01-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	91V611	Y	CA00148208	C	SFY2008-09
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2008-12-03 00:00:00	090005659	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2008-04-24 00:00:00	2008-04-24 00:00:00	No	2008-12-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	91V611	N	CA00148208	C	SFY2008-09
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2009-05-22 00:00:00	090006207	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-03-13 00:00:00	2009-03-13 00:00:00	No	2009-06-15 00:00:00	None	B	None	800	800	-280	520	0	None	E8M911	N	CA00181188	B	SFY2008-09
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-05-10 00:00:00	090007195	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-09 00:00:00	2010-02-09 00:00:00	No	2010-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	L38D11	N	CA00218281, CA00218299, CA00218807	C, C, C	SFY2009-10
090000117	SAN DIEGO INTERMEDIATE CARE CENTER	LTC	ICF	Intermediate Care Facility	San Diego	2010-07-16 00:00:00	090007390	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2010-06-09 00:00:00	2010-06-09 00:00:00	No	2010-08-09 00:00:00	None	B	None	1000	1500	-350	1150	0	None	CZ8U11	N	None	None	SFY2010-11
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2010-07-16 00:00:00	090007395	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-26 00:00:00	2009-12-26 00:00:00	No	2010-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	XHTQ11	N	CA00212754	B	SFY2010-11
090000416	SHARP CHULA VISTA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2010-09-07 00:00:00	090007548	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-04-23 00:00:00	2010-04-23 00:00:00	No	2010-09-28 00:00:00	None	B	None	500	500	-175	325	0	None	0F7V11	N	CA00226467	C	SFY2010-11
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2011-12-29 00:00:00	090008861	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-02 00:00:00	2011-03-02 00:00:00	No	2012-01-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	HWJR11	N	CA00261124	C	SFY2011-12
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2012-06-07 00:00:00	090009355	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-02 00:00:00	2011-03-02 00:00:00	No	2012-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	UNR811	N	CA00261153	C	SFY2011-12
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2012-06-07 00:00:00	090009356	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-03-04 00:00:00	2011-03-04 00:00:00	No	2012-06-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	YX2211	N	CA00263177	C	SFY2011-12
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2012-09-06 00:00:00	090009478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-29 00:00:00	2011-12-29 00:00:00	No	2012-09-27 00:00:00	None	B	None	1500	1500	0	1500	0	None	M9RZ11	N	CA00294597	B	SFY2012-13
090000107	SOUTH BAY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2013-11-07 00:00:00	090010183	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-01-09 00:00:00	2013-01-09 00:00:00	No	2013-12-03 00:00:00	None	B	None	1600	1900	-560	1340	0	None	FKDW11	N	CA00339708, CA00340037	B, B	SFY2013-14
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2016-12-21 00:00:00	090012723	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-18 00:00:00	2014-10-18 00:00:00	No	2017-01-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	KMB011	N	CA00417388	A	SFY2016-17
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2017-01-13 00:00:00	090012881	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-17 00:00:00	2016-06-17 00:00:00	No	2017-02-06 00:00:00	None	B	None	800	800	-280	520	0	None	83Y211	N	None	None	SFY2016-17
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2017-01-13 00:00:00	090012882	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-04-06 00:00:00	2016-04-06 00:00:00	No	2017-02-06 00:00:00	None	B	None	700	700	-245	455	0	None	83Y211	N	None	None	SFY2016-17
090000218	SANTANA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2018-07-24 00:00:00	090014263	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-27 00:00:00	2017-01-27 00:00:00	No	2018-08-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	85FG11	N	CA00565177	B	SFY2018-19
100000097	SAYLOR LANE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2000-07-19 00:00:00	100002030	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-03-29 00:00:00	None	No	2000-08-11 00:00:00	None	A	B	5000	6000	0	6000	0	100014333	A99999	N	None	None	SFY2000-01
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-06-04 00:00:00	100002161	Closed	Citation	Citation B (HSC 1424)	Administration	None	2002-01-31 00:00:00	None	Yes	2002-06-28 00:00:00	2002-06-19 00:00:00	B	B	900	1	0	1	0	100016354	A99999	N	None	None	SFY2001-02
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2002-11-01 00:00:00	100002186	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-04-03 00:00:00	None	Yes	2002-12-02 00:00:00	2002-11-20 00:00:00	A	A	18000	10000	0	10000	0	100016507	A99999	N	None	None	SFY2002-03
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2005-04-14 00:00:00	100002287	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-24 00:00:00	None	No	2005-05-05 00:00:00	None	B	None	900	900	-315	585	0	100019942	A99999	N	None	None	SFY2004-05
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2005-05-16 00:00:00	100002292	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE-NOT REPORTED	2004-11-24 00:00:00	None	No	2005-06-07 00:00:00	None	B	None	800	800	-280	520	0	100019950	A99999	N	None	None	SFY2004-05
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-02-15 00:00:00	100014821	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-04-06 00:00:00	2018-04-06 00:00:00	No	2019-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MMEK11	N	CA00587851, CA00587851	B, B	SFY2018-19
090000107	SOUTH BAY POST ACUTE CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-06-12 00:00:00	100015125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-14 00:00:00	2018-05-14 00:00:00	No	2019-07-03 00:00:00	None	B	None	1500	1900	-525	1375	0	None	89NE11	N	CA00587473	B	SFY2018-19
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2020-01-09 00:00:00	100015634	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-07-27 00:00:00	2019-07-27 00:00:00	No	2020-01-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6GQF11	N	CA00631673, CA00631673	A, A	SFY2019-20
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2021-05-18 00:00:00	100016510	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-06-19 00:00:00	2019-06-19 00:00:00	No	2021-06-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4CFS11	N	CA00643512	A	SFY2020-21
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-06-13 00:00:00	100017706	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-11-19 00:00:00	2021-11-19 00:00:00	No	2022-07-05 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	QZO611	Y	CA00762107, CA00762107	B, B	SFY2021-22
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-05-09 00:00:00	100018727	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-02-01 00:00:00	2023-02-01 00:00:00	No	2023-05-31 00:00:00	None	B	None	2400	2400	-840	1560	0	None	QNO811	N	CA00824692	B	SFY2022-23
090000105	SOMERSET SUBACUTE AND CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-06-30 00:00:00	100018916	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-03-26 00:00:00	2023-03-26 00:00:00	No	2023-07-24 00:00:00	None	A	None	51000	51200	-17850	33350	0	None	JSFX11	N	CA00835079, CA00835079, CA00835079	B, B, B	SFY2022-23
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2023-09-15 00:00:00	100019157	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-07-30 00:00:00	2023-07-30 00:00:00	No	2023-10-06 00:00:00	None	B	None	2700	2700	-945	1755	0	None	4H5111	N	CA00853135	B	SFY2023-24
630003961	SAVA HOME	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Diego	2023-10-26 00:00:00	100019297	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-05-16 00:00:00	2021-05-16 00:00:00	No	2023-11-17 00:00:00	None	B	None	1200	1200	0	1200	0	None	PJRY11	N	CA00737519, CA00737522, CA00737837	A, A, B	SFY2023-24
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2023-10-31 00:00:00	100019319	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-08-24 00:00:00	2023-08-24 00:00:00	No	2023-11-22 00:00:00	None	AA	None	96000	97200	0	0	97200	None	4S4T11	Y	CA00857677, CA00857677, CA00857677	B, B, B	SFY2023-24
090000416	SHARP CHULA VISTA MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Diego	2023-12-01 00:00:00	100019406	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-09 00:00:00	2023-11-09 00:00:00	No	2023-12-22 00:00:00	None	B	None	2100	2100	-735	1365	0	None	GCLN11	N	None	None	SFY2023-24
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-08 00:00:00	100020115	Closed	Citation	Citation A (HSC 1424)	Patient Record	None	2022-07-20 00:00:00	2022-07-20 00:00:00	No	2024-05-30 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	KBSV11	N	CA00794706	B	SFY2023-24
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-24 00:00:00	100020229	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-04-13 00:00:00	2024-04-13 00:00:00	No	2024-06-17 00:00:00	None	B	None	3000	3000	0	3000	0	None	JCMD11	N	None	None	SFY2023-24
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-01-13 00:00:00	110001430	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-10 00:00:00	1999-11-10 00:00:00	No	2000-02-04 00:00:00	None	B	None	1000	1000	-350	650	0	110010638	A99999	N	None	None	SFY1999-00
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-21 00:00:00	110001728	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-06 00:00:00	2000-01-08 00:00:00	No	2000-04-11 00:00:00	None	A	None	7000	7000	-2450	4550	0	110012336	A99999	N	None	None	SFY1999-00
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-03-21 00:00:00	110001729	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-01-11 00:00:00	None	No	2000-04-11 00:00:00	None	A	None	5000	5000	-1750	3250	0	110012336	A99999	N	None	None	SFY1999-00
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-07-25 00:00:00	110001765	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-07 00:00:00	1999-10-08 00:00:00	Yes	2000-08-17 00:00:00	2000-08-07 00:00:00	A	A	10000	7500	0	7500	0	110012890	A99999	N	None	None	SFY2000-01
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-07-31 00:00:00	110001767	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-16 00:00:00	None	Yes	2000-08-21 00:00:00	2000-08-07 00:00:00	A	A	5000	5000	0	5000	0	110012911	A99999	N	None	None	SFY2000-01
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-12-08 00:00:00	110001808	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-14 00:00:00	2000-04-14 00:00:00	Yes	2000-12-29 00:00:00	2000-12-15 00:00:00	B	None	1000	1000	-1000	0	0	110013587	A99999	N	None	None	SFY2000-01
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-02-08 00:00:00	110001829	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-05-24 00:00:00	2000-05-27 00:00:00	Yes	2001-03-05 00:00:00	2001-02-20 00:00:00	A	A	14500	10875	0	10875	0	110013969	A99999	N	None	None	SFY2000-01
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-03-22 00:00:00	110001832	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-20 00:00:00	2000-06-20 00:00:00	Yes	2001-04-12 00:00:00	2001-03-23 00:00:00	A	A	12000	7500	0	7500	0	110014095	A99999	N	None	None	SFY2000-01
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001867	Closed	Citation	Citation B (HSC 1424)	Other	ADMIN, PATIENT CARE	2001-07-16 00:00:00	2001-08-30 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	Dismissed by Court	1000	0	0	0	0	110015293	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001868	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-07-18 00:00:00	2001-07-20 00:00:00	No	2001-11-09 00:00:00	None	B	None	1000	1000	-350	650	0	110015294	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001869	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-17 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015295	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001870	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-17 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015296	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001871	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-17 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015297	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001872	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-18 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015298	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001873	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-18 00:00:00	Yes	2001-11-21 00:00:00	2001-10-30 00:00:00	B	B	1000	579	0	579	0	110015299	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001874	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-18 00:00:00	Yes	2002-01-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015300	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001875	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-23 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015301	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001876	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-18 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015302	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001877	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-16 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015304	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001878	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-17 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015305	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001879	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-20 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015303	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001880	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-19 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015307	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001881	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-18 00:00:00	2001-07-19 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015308	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001882	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-19 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015309	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001883	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-23 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015310	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-23 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015311	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001885	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-20 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015312	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-20 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	579	0	579	0	110015313	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-19 00:00:00	110001887	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-16 00:00:00	2001-07-20 00:00:00	Yes	2001-11-09 00:00:00	2001-10-31 00:00:00	B	B	1000	578	0	578	0	110015314	A99999	N	None	None	SFY2001-02
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-10-25 00:00:00	110001889	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-08 00:00:00	2001-01-08 00:00:00	Yes	2001-11-20 00:00:00	2001-11-09 00:00:00	B	B	1000	650	0	650	0	110015339	A99999	N	None	None	SFY2001-02
110000686	SUTTER MEDICAL CENTER OF SANTA ROSA-CHANATE CAMPUS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-16 00:00:00	110001893	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-06 00:00:00	1999-11-02 00:00:00	No	2001-12-11 00:00:00	None	A	None	10000	10000	-3500	6500	0	110014670	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-11-29 00:00:00	110001898	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-17 00:00:00	2000-11-16 00:00:00	No	2001-12-24 00:00:00	None	A	None	8000	8000	-2800	5200	0	110014473	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2001-12-07 00:00:00	110001959	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-11 00:00:00	1999-12-09 00:00:00	No	2001-12-31 00:00:00	None	A	None	18000	18000	-6300	11700	0	110014896	A99999	N	None	None	SFY2001-02
110000739	SERENO CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110001998	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-24 00:00:00	2000-02-24 00:00:00	No	2002-09-26 00:00:00	None	B	None	800	800	-280	520	0	110015150	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-05 00:00:00	110002002	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-30 00:00:00	2000-10-30 00:00:00	Yes	2002-09-26 00:00:00	2002-09-17 00:00:00	B	B	800	600	0	600	0	110014602	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-13 00:00:00	110002003	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-08-02 00:00:00	2001-08-02 00:00:00	Yes	2002-10-04 00:00:00	2002-09-25 00:00:00	B	B	800	500	0	500	0	110014873	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-09-13 00:00:00	110002004	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-08-27 00:00:00	2001-08-27 00:00:00	Yes	2002-10-04 00:00:00	2002-09-25 00:00:00	A	A	18000	10000	0	10000	0	110015181	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2002-10-04 00:00:00	110002008	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-07-15 00:00:00	2002-07-15 00:00:00	Yes	2002-10-28 00:00:00	2002-10-14 00:00:00	B	B	1000	500	0	500	0	110016389	A99999	N	None	None	SFY2002-03
110000686	SUTTER MEDICAL CENTER OF SANTA ROSA-CHANATE CAMPUS	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-03 00:00:00	110002012	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-06 00:00:00	2001-02-06 00:00:00	No	2003-01-27 00:00:00	None	B	None	750	750	-262.5	487.5	0	110013988	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-14 00:00:00	110002015	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-10-21 00:00:00	2001-10-21 00:00:00	Yes	2003-02-10 00:00:00	2003-01-21 00:00:00	B	B	1000	600	0	600	0	110015576	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-17 00:00:00	110002021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-01 00:00:00	2002-06-01 00:00:00	Yes	2003-02-11 00:00:00	2003-01-17 00:00:00	B	B	1000	650	0	650	0	110015998	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-01-17 00:00:00	110002022	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-06-01 00:00:00	2002-06-01 00:00:00	Yes	2003-02-11 00:00:00	2003-01-29 00:00:00	B	B	1000	650	0	650	0	110015998	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-21 00:00:00	110002046	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-10 00:00:00	2002-01-19 00:00:00	Yes	2003-05-12 00:00:00	2003-04-24 00:00:00	A	A	20000	10000	0	10000	0	110015790	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-04-24 00:00:00	110002047	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-02-03 00:00:00	2001-02-03 00:00:00	Yes	2003-05-19 00:00:00	2003-05-02 00:00:00	A	B	10000	6000	0	6000	0	110016971	A99999	N	None	None	SFY2002-03
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2003-12-12 00:00:00	110002146	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-25 00:00:00	2003-09-25 00:00:00	Yes	2004-01-07 00:00:00	2003-12-17 00:00:00	B	B	1000	500	0	500	0	110017715	A99999	N	None	None	SFY2003-04
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-01-22 00:00:00	110002176	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-22 00:00:00	2003-10-07 00:00:00	Yes	2004-02-18 00:00:00	2004-02-09 00:00:00	B	B	1000	750	0	750	0	110017766	A99999	N	None	None	SFY2003-04
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-27 00:00:00	110002206	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2004-05-27 00:00:00	2004-05-27 00:00:00	Yes	2004-09-23 00:00:00	2004-09-03 00:00:00	B	B	1000	650	0	650	0	110018546	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-08-27 00:00:00	110002207	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-05-24 00:00:00	2004-05-24 00:00:00	Yes	2004-09-23 00:00:00	2004-09-03 00:00:00	B	B	1000	500	0	500	0	110018548	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-10-28 00:00:00	110002219	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-05-24 00:00:00	2004-05-24 00:00:00	Yes	2004-12-01 00:00:00	2004-11-08 00:00:00	B	B	1000	400	0	400	0	110018647	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2004-12-20 00:00:00	110002225	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-01-11 00:00:00	2004-01-16 00:00:00	Yes	2005-01-18 00:00:00	2005-01-03 00:00:00	AA	AA	80000	20000	0	20000	0	110018443	A99999	Y	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-01-06 00:00:00	110002226	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2004-12-02 00:00:00	2004-12-02 00:00:00	Yes	2005-02-01 00:00:00	2005-01-11 00:00:00	B	B	1000	550	0	550	0	110018718	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-02-18 00:00:00	110002230	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-02 00:00:00	2004-09-02 00:00:00	Yes	2005-03-14 00:00:00	2005-03-01 00:00:00	B	B	1000	600	0	600	0	110018559	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-03-25 00:00:00	110002233	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-07-09 00:00:00	2004-07-09 00:00:00	Yes	2005-04-18 00:00:00	2005-03-28 00:00:00	A	A	20000	7500	0	7500	0	110018808	A99999	N	None	None	SFY2004-05
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2005-08-01 00:00:00	110002237	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-12-31 00:00:00	2004-12-31 00:00:00	Yes	2005-08-25 00:00:00	2005-08-16 00:00:00	B	B	800	600	0	600	0	110018746	A99999	N	None	None	SFY2005-06
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-06-23 00:00:00	110003061	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-17 00:00:00	2005-07-17 00:00:00	No	2006-07-17 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	S87Q11	N	CA00055847	B	SFY2005-06
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-10-12 00:00:00	110003266	Closed	Citation	Citation B (HSC 1424)	Other	C, P	2006-07-18 00:00:00	2006-07-18 00:00:00	No	2006-11-02 00:00:00	None	B	None	800	800	-280	520	0	None	3ZYF11	N	CA00087030	A	SFY2006-07
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-11-15 00:00:00	110003267	Closed	Citation	Citation B (HSC 1424)	Other	pr, c	2006-06-11 00:00:00	2006-06-11 00:00:00	Yes	2006-12-08 00:00:00	2006-11-22 00:00:00	B	None	1000	1000	-1000	0	0	None	F8G011	N	CA00083311	A	SFY2006-07
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-01 00:00:00	110003276	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-04-18 00:00:00	2006-04-18 00:00:00	No	2006-12-22 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	U0EJ11	N	CA00078887, CA00080681	B, B	SFY2006-07
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-12-01 00:00:00	110003421	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-25 00:00:00	2006-01-25 00:00:00	No	2006-12-22 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	YLL511	N	CA00071254	B	SFY2006-07
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2006-10-20 00:00:00	110003433	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-24 00:00:00	2006-07-24 00:00:00	Yes	2006-11-13 00:00:00	2006-11-08 00:00:00	B	B	900	450	0	450	0	None	4FN711	N	CA00087961	B	SFY2006-07
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2006-12-08 00:00:00	110003449	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-21 00:00:00	2006-10-21 00:00:00	No	2007-01-02 00:00:00	None	B	None	800	800	-280	520	0	None	WBKB11	N	CA00096405	A	SFY2006-07
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-06 00:00:00	110003576	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-24 00:00:00	2006-10-24 00:00:00	No	2007-06-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	E5BM11	N	CA00097833	A	SFY2006-07
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-02-01 00:00:00	110003615	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-12 00:00:00	2006-12-12 00:00:00	Yes	2008-05-28 00:00:00	2007-02-12 00:00:00	A	A	10000	6500	0	6500	0	None	ZW1H11	N	CA00101055	B	SFY2006-07
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-26 00:00:00	110003648	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2006-05-24 00:00:00	2006-05-24 00:00:00	No	2007-02-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	925B11	N	None	None	SFY2006-07
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-01-26 00:00:00	110003652	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-01-17 00:00:00	2006-01-17 00:00:00	Yes	2011-10-03 00:00:00	2011-09-19 00:00:00	A	A	18000	6000	-2500	3500	0	None	925B11	N	None	None	SFY2006-07
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-02-09 00:00:00	110003670	Closed	Citation	Citation A (HSC 1424)	Other	c, m	2005-10-13 00:00:00	2005-10-13 00:00:00	Yes	2011-11-18 00:00:00	2011-10-28 00:00:00	A	A	18000	6000	-2500	3500	0	None	2UQ911	N	CA00065376	A	SFY2006-07
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-16 00:00:00	110003782	Closed	Citation	Citation A (HSC 1424)	Other	pc, m	2006-06-01 00:00:00	2006-06-01 00:00:00	No	2007-04-06 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	HE0911	N	CA00082370	B	SFY2006-07
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-06-29 00:00:00	110003789	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-03-05 00:00:00	2007-03-05 00:00:00	No	2007-07-23 00:00:00	None	B	None	900	900	0	900	0	None	LJSD11	N	CA00108963	B	SFY2006-07
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-03-14 00:00:00	110003802	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
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-25 00:00:00	110003937	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-06-04 00:00:00	2006-06-04 00:00:00	Yes	2011-10-03 00:00:00	2011-09-19 00:00:00	A	A	18000	6000	-2500	3500	0	None	XUOZ11	N	CA00082614	A	SFY2006-07
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-07-12 00:00:00	110003999	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-05-11 00:00:00	2007-05-11 00:00:00	No	2007-08-02 00:00:00	None	B	None	900	900	-315	585	0	None	LFZE11	N	CA00114673	B	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2007-06-06 00:00:00	110004017	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-10-01 00:00:00	2006-10-01 00:00:00	No	2007-06-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	6HCL11	N	CA00094585	A	SFY2006-07
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-29 00:00:00	110004059	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-06 00:00:00	2007-06-06 00:00:00	No	2008-02-22 00:00:00	None	A	None	18000	18000	0	18000	0	None	LHRM11	N	CA00116852	B	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-13 00:00:00	110004060	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-25 00:00:00	2007-06-25 00:00:00	Yes	2011-08-19 00:00:00	2011-08-12 00:00:00	A	B	18000	10800	0	10800	0	None	D7WF11	N	CA00118706	B	SFY2007-08
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2007-08-09 00:00:00	110004138	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-07-12 00:00:00	2007-07-12 00:00:00	No	2007-08-30 00:00:00	None	B	None	1000	1000	-1000	0	0	None	4V7R11	N	None	None	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-31 00:00:00	110004140	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-19 00:00:00	2007-07-19 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	0	1000	0	None	YC4T11	N	CA00121034	B	SFY2007-08
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-21 00:00:00	110004327	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2007-09-18 00:00:00	2007-09-18 00:00:00	No	2008-03-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y5NQ11	N	None	None	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-25 00:00:00	110004339	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-07-13 00:00:00	2007-07-13 00:00:00	Yes	2011-10-03 00:00:00	2008-03-13 00:00:00	A	A	18000	4000	0	4000	0	None	3ECY11	N	CA00120306	B	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-02-25 00:00:00	110004406	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-05-19 00:00:00	2007-05-19 00:00:00	Yes	2011-11-07 00:00:00	2011-10-21 00:00:00	A	B	18000	6850	0	6850	0	None	O2CL11	N	CA00115210	B	SFY2007-08
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-06-09 00:00:00	110004439	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-23 00:00:00	2007-10-23 00:00:00	No	2008-07-02 00:00:00	None	B	None	900	900	0	900	0	None	IT5911	N	CA00130384, CA00130642	B, B	SFY2007-08
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-01-31 00:00:00	110004628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-04 00:00:00	2007-06-04 00:00:00	No	2008-02-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	PZZN11	N	CA00116771	B	SFY2007-08
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-05 00:00:00	110004692	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-11 00:00:00	2007-12-11 00:00:00	Yes	2009-04-01 00:00:00	2009-03-13 00:00:00	A	A	20000	8000	0	8000	0	None	HBVN11	Y	CA00134384	A	SFY2008-09
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-11-21 00:00:00	110004742	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-18 00:00:00	2008-02-18 00:00:00	Yes	2008-12-26 00:00:00	2008-11-26 00:00:00	A	None	18000	18000	0	18000	0	None	IO9111	N	CA00141484	B	SFY2008-09
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-09-04 00:00:00	110004810	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-09 00:00:00	2008-03-09 00:00:00	No	2008-09-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	QRQ311	N	CA00143422	A	SFY2008-09
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-04-24 00:00:00	110004957	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-08 00:00:00	2006-03-08 00:00:00	No	2008-05-15 00:00:00	None	B	None	500	500	-175	325	0	None	268L11	N	CA00074405, CA00074408	A, A	SFY2007-08
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-05-08 00:00:00	110005004	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-13 00:00:00	2008-03-13 00:00:00	No	2008-05-30 00:00:00	None	B	None	800	800	-280	520	0	None	CTES11	N	CA00143837	A	SFY2007-08
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-21 00:00:00	110005047	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-04-17 00:00:00	2008-04-17 00:00:00	No	2008-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	4PC311	N	CA00154031	A	SFY2008-09
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-30 00:00:00	110005359	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-08-21 00:00:00	2008-08-21 00:00:00	Yes	2009-02-27 00:00:00	2009-02-05 00:00:00	A	A	12000	7000	0	7000	0	None	SVZQ11	N	CA00160779	A	SFY2008-09
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-05 00:00:00	110005410	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-12-11 00:00:00	2007-12-11 00:00:00	Yes	2009-04-01 00:00:00	2009-03-13 00:00:00	A	A	20000	8000	0	8000	0	None	N3C311	Y	CA00161995	A	SFY2008-09
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-01-13 00:00:00	110005420	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-23 00:00:00	2008-01-23 00:00:00	No	2009-02-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	BYNT11	N	CA00138653	A	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2008-10-21 00:00:00	110005434	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-03-25 00:00:00	2008-03-25 00:00:00	No	2008-11-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	4PC311	N	CA00148975	A	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-01 00:00:00	110005450	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-21 00:00:00	2008-06-21 00:00:00	Yes	2011-12-06 00:00:00	2011-11-10 00:00:00	A	A	18000	11700	0	11700	0	None	SCQ611	N	CA00154383, CA00154587, CA00162708	B, B, B	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-02-12 00:00:00	110005541	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-08-07 00:00:00	2008-08-07 00:00:00	No	2009-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	C1GN11	N	CA00156220	B	SFY2008-09
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-05-08 00:00:00	110005759	Closed	Citation	Citation B (HSC 1424)	Other	Patient Care/Medication	2008-12-25 00:00:00	2008-12-25 00:00:00	No	2009-06-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	ELRB11	N	CA00173032	B	SFY2008-09
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-13 00:00:00	110005766	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-06 00:00:00	2008-12-06 00:00:00	Yes	2010-02-08 00:00:00	2010-01-25 00:00:00	B	B	1000	650	0	650	0	None	Q1VX11	N	CA00171368	A	SFY2009-10
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-05 00:00:00	110005784	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-12-25 00:00:00	2008-12-25 00:00:00	No	2009-06-29 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	B8KJ11	N	CA00173798	B	SFY2008-09
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-06 00:00:00	110005860	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-31 00:00:00	2007-01-31 00:00:00	No	2009-03-30 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	2XGK11	N	CA00105687	B	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-03-04 00:00:00	110005923	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2009-01-26 00:00:00	2009-01-26 00:00:00	Yes	2009-03-26 00:00:00	2009-03-10 00:00:00	B	B	1000	500	0	500	0	None	11DW11	N	CA00176440	B	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-09 00:00:00	110005983	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-18 00:00:00	2009-02-18 00:00:00	Yes	2011-11-21 00:00:00	2011-11-03 00:00:00	A	A	20000	13000	0	13000	0	None	VGMT11	Y	CA00178957, CA00178957	B, B	SFY2008-09
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-21 00:00:00	110005984	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-12 00:00:00	2008-10-12 00:00:00	Yes	2009-08-11 00:00:00	2009-07-27 00:00:00	B	B	1000	500	0	500	0	None	PE6311	N	CA00178744	B	SFY2009-10
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-06-09 00:00:00	110005985	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-27 00:00:00	2009-01-27 00:00:00	Yes	2011-11-18 00:00:00	2011-10-28 00:00:00	A	A	20000	13000	0	13000	0	None	VGMT11	N	CA00178957	B	SFY2008-09
010000166	SUMMERSIDE #2	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2009-04-20 00:00:00	110006000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-18 00:00:00	2009-03-18 00:00:00	No	2009-05-11 00:00:00	None	B	None	1000	2100	-2100	0	0	None	DDN411	N	CA00177025	B	SFY2008-09
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-13 00:00:00	110006036	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-28 00:00:00	2008-12-28 00:00:00	No	2010-02-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	IE6G11	N	CA00176854	B	SFY2009-10
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-23 00:00:00	110006047	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-06-16 00:00:00	2008-06-16 00:00:00	No	2009-05-14 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	QBXF11	N	CA00158691	B	SFY2008-09
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-24 00:00:00	110006098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-15 00:00:00	2008-05-15 00:00:00	No	2009-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	O8G911	Y	CA00156087	B	SFY2008-09
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-04-24 00:00:00	110006099	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-15 00:00:00	2008-05-15 00:00:00	No	2009-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	O8G911	N	CA00156087	B	SFY2008-09
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-30 00:00:00	110006233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-07 00:00:00	2008-11-07 00:00:00	No	2009-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	H93U11	N	CA00164464, CA00169153, CA00169290	B, A, A	SFY2009-10
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2009-07-30 00:00:00	110006234	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-07 00:00:00	2008-11-07 00:00:00	No	2009-08-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	H93U11	N	CA00164464, CA00169153, CA00169290, CA00169290	B, A, A, A	SFY2009-10
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-01-22 00:00:00	110006657	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-04-14 00:00:00	2009-04-14 00:00:00	No	2010-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	XY9511	N	CA00185002	B	SFY2009-10
010000622	SARATOGA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-01-27 00:00:00	110006694	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-01 00:00:00	2009-11-01 00:00:00	No	2010-02-17 00:00:00	None	B	None	1000	1000	0	1000	0	None	2WIC11	N	CA00206777	B	SFY2009-10
010000622	SARATOGA HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2010-01-27 00:00:00	110006895	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-10-09 00:00:00	2009-10-09 00:00:00	No	2010-02-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	ES5F11	N	CA00204647	B	SFY2009-10
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-21 00:00:00	110006900	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-06-07 00:00:00	2009-06-07 00:00:00	Yes	2012-10-10 00:00:00	2012-09-19 00:00:00	A	A	18000	12000	0	12000	0	None	EBED11	N	CA00191184	B	SFY2009-10
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-19 00:00:00	110006930	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-23 00:00:00	2009-10-23 00:00:00	Yes	2012-10-26 00:00:00	2012-10-15 00:00:00	A	B	20000	15000	0	15000	0	None	EHF911	Y	CA00206130	A	SFY2009-10
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-17 00:00:00	110006993	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-08-21 00:00:00	2009-08-21 00:00:00	Yes	2010-03-10 00:00:00	2010-02-18 00:00:00	B	B	1000	500	0	500	0	None	0NPZ11	N	CA00199847, CA00199847, CA00199929, CA00199929	B, B, C, C	SFY2009-10
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-02-17 00:00:00	110006994	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-21 00:00:00	2009-08-21 00:00:00	Yes	2010-03-10 00:00:00	2010-02-23 00:00:00	B	B	1000	500	0	500	0	None	0NPZ11	N	CA00199847, CA00199929	B, C	SFY2009-10
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-04-20 00:00:00	110007001	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-29 00:00:00	2009-12-29 00:00:00	No	2010-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	E58C11	N	CA00214139	B	SFY2009-10
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-08-18 00:00:00	110007159	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-12-03 00:00:00	2009-12-03 00:00:00	No	2010-09-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y75F11	N	CA00210242	B	SFY2010-11
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-06-21 00:00:00	110007227	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-28 00:00:00	2009-12-28 00:00:00	No	2010-07-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZWNI11	N	CA00213458	A	SFY2009-10
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2010-09-14 00:00:00	110007549	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-17 00:00:00	2010-02-17 00:00:00	No	2010-10-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	43BI11	N	CA00218642	A	SFY2010-11
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-13 00:00:00	110007849	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-01-08 00:00:00	2011-01-08 00:00:00	No	2011-05-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	0QBC11	N	CA00255094	A	SFY2010-11
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-19 00:00:00	110007851	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-28 00:00:00	2009-10-28 00:00:00	No	2011-05-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	W98L11	N	CA00208376	B	SFY2010-11
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-05 00:00:00	110007912	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-11-02 00:00:00	2010-11-02 00:00:00	No	2011-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	DPPZ11	N	CA00248099	A	SFY2010-11
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-04-27 00:00:00	110007996	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-25 00:00:00	2010-10-25 00:00:00	No	2011-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	EWJK11	N	CA00247433	B	SFY2010-11
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-09-20 00:00:00	110008445	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-16 00:00:00	2010-08-16 00:00:00	No	2011-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	X4NL11	N	CA00239673	A	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-09-20 00:00:00	110008446	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-14 00:00:00	2010-08-14 00:00:00	No	2011-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	X8XZ11	N	CA00239725	A	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2011-09-20 00:00:00	110008479	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-08-15 00:00:00	2010-08-15 00:00:00	No	2011-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	RMV411	N	CA00239525	A	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-01-12 00:00:00	110008655	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-12-17 00:00:00	2010-12-17 00:00:00	No	2012-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	RR4C11	N	CA00252921, CA00286841	A, B	SFY2011-12
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-01-12 00:00:00	110008786	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-12-17 00:00:00	2010-12-17 00:00:00	No	2012-02-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	RR4C11	N	CA00252921, CA00286841	A, B	SFY2011-12
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-19 00:00:00	110009291	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2012-07-11 00:00:00	None	B	None	1000	1000	-1000	0	0	None	N7V911	N	None	None	SFY2011-12
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-19 00:00:00	110009294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2012-07-11 00:00:00	None	B	None	1000	1000	-1000	0	0	None	N7V911	N	None	None	SFY2011-12
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-19 00:00:00	110009295	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2012-07-11 00:00:00	None	B	None	1000	1000	-1000	0	0	None	N7V911	N	None	None	SFY2011-12
010000065	SONOMA ACRES CARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-19 00:00:00	110009296	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2012-04-30 00:00:00	2012-04-30 00:00:00	No	2012-07-11 00:00:00	None	B	None	1000	1000	-1000	0	0	None	N7V911	N	None	None	SFY2011-12
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2012-06-04 00:00:00	110009311	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-15 00:00:00	2011-02-15 00:00:00	No	2012-06-25 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6Y7F11	N	CA00259335	A	SFY2011-12
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2013-02-06 00:00:00	110009712	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-01-08 00:00:00	2013-01-08 00:00:00	No	2013-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	VHOX11	N	None	None	SFY2012-13
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-06-16 00:00:00	110010758	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-01-23 00:00:00	2013-01-23 00:00:00	No	2014-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	UX6F11	N	CA00341128, CA00341144	B, B	SFY2013-14
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2014-10-13 00:00:00	110011047	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-09-21 00:00:00	2014-09-21 00:00:00	No	2014-11-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	G6HR11	N	CA00326850, CA00327530	B, B	SFY2014-15
010000976	SUNRISE II	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2015-03-27 00:00:00	110011332	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-12 00:00:00	2015-02-12 00:00:00	Yes	2015-04-20 00:00:00	2015-04-14 00:00:00	B	B	2000	1300	0	1300	0	None	I7EZ11	N	CA00431401	A	SFY2014-15
010000076	SUMMERFIELD HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-05-05 00:00:00	110011361	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-09-02 00:00:00	2014-09-02 00:00:00	No	2015-05-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	WOY611	N	CA00411904	B	SFY2014-15
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-06-16 00:00:00	110011503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-21 00:00:00	2015-03-21 00:00:00	No	2015-07-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NJHS11	N	CA00436041, CA00436463	B, B	SFY2014-15
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-07-02 00:00:00	110011588	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-05-31 00:00:00	2013-05-31 00:00:00	No	2015-07-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CVSN11	N	CA00357111, CA00357317	B, B	SFY2015-16
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-09-09 00:00:00	110011594	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-01-02 00:00:00	2015-01-02 00:00:00	No	2015-09-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	813011	N	CA00427099	A	SFY2015-16
010000974	SUNRISE I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2016-10-20 00:00:00	110011695	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-28 00:00:00	2015-04-28 00:00:00	No	2016-11-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O5TP11	N	CA00440917	C	SFY2016-17
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2015-11-16 00:00:00	110011800	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-11 00:00:00	2015-09-11 00:00:00	Yes	2015-12-09 00:00:00	2015-11-20 00:00:00	B	B	2000	1300	0	1300	0	None	1XT011	N	CA00458076	B	SFY2015-16
630001741	SANTA LUCIA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2015-11-16 00:00:00	110011801	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-09-11 00:00:00	2015-09-11 00:00:00	Yes	2015-12-09 00:00:00	2015-11-20 00:00:00	B	B	2000	1300	0	1300	0	None	1XT011	N	CA00458076	B	SFY2015-16
010000208	SPRING LAKE VILLAGE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2015-12-18 00:00:00	110011872	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2013-06-23 00:00:00	2013-06-23 00:00:00	Yes	2016-01-11 00:00:00	2015-12-21 00:00:00	A	None	18000	18000	0	0	18000	None	2KNW11	Y	CA00356817	B	SFY2015-16
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-04-05 00:00:00	110011899	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-10-03 00:00:00	2015-10-03 00:00:00	No	2016-04-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KNNB11	N	None	None	SFY2015-16
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-08-16 00:00:00	110012467	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-02 00:00:00	2015-12-02 00:00:00	Yes	2016-09-07 00:00:00	2016-08-19 00:00:00	A	A	20000	14000	0	14000	0	None	95ZV11	N	CA00468724	B	SFY2016-17
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-08-16 00:00:00	110012472	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-12-05 00:00:00	2015-12-05 00:00:00	Yes	2016-09-07 00:00:00	2016-08-22 00:00:00	A	A	20000	14000	0	14000	0	None	95ZV11	N	CA00468724	B	SFY2016-17
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2016-12-28 00:00:00	110012744	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-08-26 00:00:00	2016-08-26 00:00:00	Yes	2017-01-20 00:00:00	2017-01-06 00:00:00	A	A	20000	14000	0	14000	0	None	LSI111	N	CA00501015, CA00501261, CA00501261	B, B, B	SFY2016-17
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-12-27 00:00:00	110013047	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-06-30 00:00:00	2016-06-30 00:00:00	No	2018-01-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6DUC11	N	CA00495503	H	SFY2017-18
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-08-03 00:00:00	110013449	Closed	Citation	Citation A (HSC 1424)	Medication	None	2017-02-01 00:00:00	2017-02-01 00:00:00	Yes	2018-08-24 00:00:00	2018-08-20 00:00:00	A	A	20000	15000	0	15000	0	None	E1WP11	Y	CA00526940, CA00526940, CA00526940	B, B, B	SFY2018-19
010001031	STONEHAVEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Santa Rosa	2017-11-14 00:00:00	110013592	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-01-16 00:00:00	2014-01-16 00:00:00	No	2017-12-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	LQFN11	N	CA00384510	B	SFY2017-18
010000938	SOUTH MARIN HEALTH & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-06-05 00:00:00	110013978	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-04 00:00:00	2018-03-04 00:00:00	No	2018-06-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O8ON11	N	CA00576466, CA00576466	B, B	SFY2017-18
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-07-05 00:00:00	110014173	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-07-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	QSWF11	N	CA00580409	B	SFY2018-19
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-07-05 00:00:00	110014174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-03-16 00:00:00	2018-03-16 00:00:00	No	2018-07-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	QSWF11	N	CA00580409, CA00580409	B, B	SFY2018-19
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2018-12-11 00:00:00	110014363	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-30 00:00:00	2017-01-30 00:00:00	No	2019-01-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	T2VD11	N	CA00519197	B	SFY2018-19
010001037	SMITH RANCH SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-01-29 00:00:00	110014366	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-18 00:00:00	2016-05-18 00:00:00	Yes	2019-02-19 00:00:00	2019-02-15 00:00:00	A	B	20000	15000	0	15000	0	None	0WG111	Y	CA00489444	B	SFY2018-19
010000060	SEAVIEW REHABILITATION & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-02-15 00:00:00	110014797	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-06-14 00:00:00	2018-06-14 00:00:00	No	2019-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	NHUL11	N	CA00590999	A	SFY2018-19
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-08 00:00:00	110014877	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-08-17 00:00:00	2018-08-17 00:00:00	No	2021-04-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	E9CK11	N	CA00556925, CA00594648, CA00594648	B, B, B	SFY2020-21
110000074	SPRINGS ROAD HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-04-08 00:00:00	110014878	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-08-16 00:00:00	2018-08-16 00:00:00	No	2021-04-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	E9CK11	N	CA00556925, CA00556925, CA00594648, CA00594648	B, B, B, B	SFY2020-21
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-12-23 00:00:00	110015276	Closed	Citation	Citation B (HSC 1424)	Administration	None	2019-03-28 00:00:00	2019-03-28 00:00:00	No	2020-01-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	POMP11	N	None	None	SFY2019-20
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-11-14 00:00:00	110015440	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-12 00:00:00	2018-12-12 00:00:00	Yes	2019-12-05 00:00:00	2019-12-04 00:00:00	A	A	20000	14000	6000	20000	0	None	EM0Z11	N	None	None	SFY2019-20
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-10-22 00:00:00	110015441	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-23 00:00:00	2019-03-23 00:00:00	No	2019-11-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	C75411	N	CA00630522, CA00630522, CA00630522, CA00630522	B, B, B, B	SFY2019-20
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-11-14 00:00:00	110015499	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2019-03-08 00:00:00	2019-03-08 00:00:00	No	2019-12-05 00:00:00	None	B	None	1000	1000	0	1000	0	None	EM0Z11	N	None	None	SFY2019-20
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-03-26 00:00:00	110016361	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-11-21 00:00:00	2019-11-21 00:00:00	No	2021-04-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	Y09W11	N	CA00672007, CA00672007	B, B	SFY2020-21
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-03-26 00:00:00	110016362	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-06-29 00:00:00	2020-06-29 00:00:00	No	2021-04-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	EMWQ11	N	CA00695149	B	SFY2020-21
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-28 00:00:00	110016434	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-10 00:00:00	2021-01-10 00:00:00	No	2022-03-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZDGV11	Y	CA00721043, CA00721048	B, B	SFY2021-22
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-18 00:00:00	110017056	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-03-18 00:00:00	2021-03-18 00:00:00	No	2022-03-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	R0PG11	N	CA00746731	B	SFY2021-22
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017392	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-11-30 00:00:00	2020-11-30 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	GT2C11	N	CA00715300	B	SFY2023-24
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017393	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-12-05 00:00:00	2020-12-05 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	GT2C11	N	CA00715300	B	SFY2023-24
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-12-18 00:00:00	110017394	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2020-11-13 00:00:00	2020-11-13 00:00:00	No	2024-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	GT2C11	N	CA00715300	B	SFY2023-24
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-11-22 00:00:00	110018082	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2022-03-01 00:00:00	2022-03-01 00:00:00	No	2022-12-15 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y4D511	N	CA00782592, CA00782592	A, A	SFY2022-23
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-09-06 00:00:00	120001394	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-06 00:00:00	2000-05-06 00:00:00	No	2000-10-06 00:00:00	None	B	None	900	900	0	900	0	120014280	A99999	N	None	None	SFY2000-01
120000573	SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-12-01 00:00:00	120001401	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-12 00:00:00	None	No	2001-01-10 00:00:00	None	B	None	600	650	0	650	0	120014507	A99999	N	None	None	SFY2000-01
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-05-22 00:00:00	120001453	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-16 00:00:00	None	No	2001-06-13 00:00:00	None	B	B	1000	1000	0	1000	0	120015088	A99999	N	None	None	SFY2000-01
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-06-15 00:00:00	120001529	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-07 00:00:00	None	Yes	2001-07-09 00:00:00	2001-06-22 00:00:00	A	B	20000	20000	0	20000	0	120015509	A99999	Y	None	None	SFY2000-01
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-02-13 00:00:00	120001637	Closed	Citation	Citation A (HSC 1424)	Other	REQUIRED SERVICES	2000-07-09 00:00:00	2000-07-09 00:00:00	Yes	2001-05-31 00:00:00	2001-02-15 00:00:00	A	A	10000	10000	0	10000	0	120017111	A99999	Y	None	None	SFY2000-01
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2002-09-26 00:00:00	120001638	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-11 00:00:00	2002-07-11 00:00:00	No	2002-10-18 00:00:00	None	B	None	1000	1000	-350	650	0	120017132	A99999	N	None	None	SFY2002-03
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-06-13 00:00:00	120001705	Closed	Citation	Citation B (HSC 1424)	Other	NURSING SERVICE	2000-07-01 00:00:00	None	Yes	2002-05-08 00:00:00	2002-04-25 00:00:00	B	B	1000	1000	0	1000	0	120017962	A99999	N	None	None	SFY2000-01
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2000-01-13 00:00:00	120001720	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-29 00:00:00	1999-12-29 00:00:00	Yes	2000-02-04 00:00:00	2000-01-31 00:00:00	B	None	1000	1000	0	1000	0	120018067	A99999	N	None	None	SFY1999-00
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-02-13 00:00:00	120001721	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-08 00:00:00	2000-09-08 00:00:00	No	2001-03-08 00:00:00	None	B	None	500	500	0	500	0	120018074	A99999	N	None	None	SFY2000-01
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2001-04-24 00:00:00	120001722	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-01-16 00:00:00	2001-01-16 00:00:00	No	2001-05-16 00:00:00	None	B	None	1000	1000	0	1000	0	120018077	A99999	N	None	None	SFY2000-01
120001544	SIERRA VISTA RESIDENTIAL CARE HOME #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2003-01-23 00:00:00	120001748	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-11-10 00:00:00	None	Yes	2003-02-18 00:00:00	2003-02-13 00:00:00	A	B	10000	5000	0	5000	0	120019214	A99999	N	None	None	SFY2002-03
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2003-04-22 00:00:00	120001753	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-18 00:00:00	None	No	2003-05-15 00:00:00	None	B	None	1000	1000	-350	650	0	120019408	A99999	N	None	None	SFY2002-03
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-05-06 00:00:00	120001782	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-03-12 00:00:00	None	No	2004-05-27 00:00:00	None	B	None	1000	1000	0	1000	0	120020526	A99999	N	None	None	SFY2003-04
120000573	SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-11 00:00:00	120001789	Closed	Citation	Citation B (HSC 1424)	Administration	None	2003-08-27 00:00:00	None	No	2004-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	120019878	A99999	N	None	None	SFY2004-05
120000573	SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-11 00:00:00	120001790	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT CARE/RIGHTS	2003-08-27 00:00:00	None	No	2004-09-01 00:00:00	None	A	None	10000	10000	-3500	6500	0	120019878	A99999	N	None	None	SFY2004-05
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-19 00:00:00	120001791	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-22 00:00:00	None	No	2004-09-10 00:00:00	None	B	None	500	500	0	500	0	120020667	A99999	N	None	None	SFY2004-05
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-08-20 00:00:00	120001792	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-07-30 00:00:00	None	Yes	2006-11-28 00:00:00	2004-08-25 00:00:00	A	A	16000	16000	0	16000	0	120019865	A99999	N	None	None	SFY2004-05
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-14 00:00:00	120001804	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-03-11 00:00:00	None	Yes	2005-01-11 00:00:00	2004-12-16 00:00:00	B	B	1000	500	0	500	0	120020810	A99999	N	None	None	SFY2004-05
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-14 00:00:00	120001805	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-03-11 00:00:00	None	Yes	2005-01-11 00:00:00	2004-12-16 00:00:00	B	B	1000	500	0	500	0	120020810	A99999	N	None	None	SFY2004-05
120000573	SAN JOAQUIN COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Bakersfield	2004-12-28 00:00:00	120001811	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-17 00:00:00	None	No	2005-01-19 00:00:00	None	B	None	1000	1000	-350	650	0	120020337	A99999	N	None	None	SFY2004-05
120001544	SIERRA VISTA RESIDENTIAL CARE HOME #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2005-04-12 00:00:00	120001819	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-12-19 00:00:00	None	No	2005-05-03 00:00:00	None	B	None	1000	1000	-350	650	0	120020910	A99999	N	None	None	SFY2004-05
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2005-04-25 00:00:00	120001821	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-02-09 00:00:00	None	Yes	2005-05-17 00:00:00	2005-05-02 00:00:00	B	None	1000	1000	0	1000	0	120020913	A99999	N	None	None	SFY2004-05
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-07-11 00:00:00	120003075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-06 00:00:00	2005-10-06 00:00:00	Yes	2006-08-01 00:00:00	2006-07-11 00:00:00	B	None	400	400	0	400	0	None	SLO211	N	CA00054218	C	SFY2006-07
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-05-18 00:00:00	120003076	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-07-06 00:00:00	2005-07-06 00:00:00	Yes	2006-06-09 00:00:00	2006-05-18 00:00:00	A	None	5000	5000	0	5000	0	None	SLO211	N	CA00063739	B	SFY2005-06
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-10-04 00:00:00	120003119	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-04-21 00:00:00	2006-04-21 00:00:00	No	2006-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	KM4211	N	CA00078911	C	SFY2006-07
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-08-04 00:00:00	120003203	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-10-18 00:00:00	2005-10-18 00:00:00	No	2006-08-25 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	F3FL11	Y	CA00064070	B	SFY2006-07
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2006-11-08 00:00:00	120003423	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-09-02 00:00:00	2005-09-02 00:00:00	Yes	2006-12-04 00:00:00	2006-11-08 00:00:00	B	B	1000	500	0	500	0	None	JXKW11	N	CA00060750, CA00062716	C, B	SFY2006-07
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-01-17 00:00:00	120003621	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-19 00:00:00	2006-12-19 00:00:00	Yes	2007-02-07 00:00:00	2007-01-17 00:00:00	B	None	1000	1000	0	1000	0	None	NRFE11	N	CA00101983	B	SFY2006-07
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-03-28 00:00:00	120003844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-06 00:00:00	2006-11-06 00:00:00	No	2007-04-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	BL1L11	N	CA00104533	A	SFY2006-07
630003241	STEELE'S VISIONS - HATCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2007-06-21 00:00:00	120003929	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-03-26 00:00:00	2007-03-26 00:00:00	No	2007-07-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y9FB11	N	CA00110620	C	SFY2006-07
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-06-12 00:00:00	120004018	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-17 00:00:00	2006-07-17 00:00:00	No	2007-07-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	T74K11	N	CA00086849	B	SFY2006-07
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-08-02 00:00:00	120004110	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-04-06 00:00:00	2007-04-06 00:00:00	No	2007-08-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	KZ3R11	N	CA00111310	A	SFY2007-08
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-02-23 00:00:00	120004220	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-29 00:00:00	2007-07-29 00:00:00	No	2011-03-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	QJ5411	N	CA00121754, CA00121771	B, B	SFY2010-11
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-10-31 00:00:00	120004359	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-20 00:00:00	2006-09-20 00:00:00	No	2007-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	PIMT11	N	CA00093606	B	SFY2007-08
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2007-10-31 00:00:00	120004403	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-09-02 00:00:00	2007-09-02 00:00:00	No	2007-11-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	IQ9U11	N	CA00125387	C	SFY2007-08
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-09-18 00:00:00	120004436	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-08-04 00:00:00	2006-08-04 00:00:00	Yes	2008-10-10 00:00:00	2008-10-03 00:00:00	A	B	20000	5000	0	5000	0	None	KN2W11	N	CA00089242	C	SFY2008-09
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-01-24 00:00:00	120004550	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-01-12 00:00:00	2007-01-12 00:00:00	Yes	2008-02-25 00:00:00	2008-02-15 00:00:00	A	A	20000	10000	0	10000	0	None	9UW211	N	CA00103782	B	SFY2007-08
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2008-10-28 00:00:00	120005345	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-16 00:00:00	2007-12-16 00:00:00	No	2008-11-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	84UK11	N	CA00135154	B	SFY2008-09
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2009-07-07 00:00:00	120005523	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-28 00:00:00	2008-04-28 00:00:00	No	2009-07-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	GG6E11	N	CA00148452	A	SFY2009-10
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-03-02 00:00:00	120006570	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2008-10-19 00:00:00	2008-10-19 00:00:00	Yes	2010-09-16 00:00:00	2010-08-16 00:00:00	AA	A	100000	40000	0	40000	0	None	FZ5911	Y	CA00166813	C	SFY2009-10
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-07-29 00:00:00	120007380	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-01-19 00:00:00	2009-01-19 00:00:00	Yes	2013-03-08 00:00:00	2013-02-21 00:00:00	A	A	20000	15000	0	15000	0	None	0IKT11	N	CA00178330	B	SFY2010-11
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-27 00:00:00	120007551	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-30 00:00:00	2010-01-30 00:00:00	No	2011-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	1PS711	N	CA00216694	B	SFY2010-11
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2010-10-04 00:00:00	120007559	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-04-20 00:00:00	2010-04-20 00:00:00	No	2010-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	N62C11	N	CA00226140	B	SFY2010-11
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-01-25 00:00:00	120007779	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-07-27 00:00:00	2010-07-27 00:00:00	Yes	2013-03-08 00:00:00	2011-01-25 00:00:00	A	B	20000	1000	0	1000	0	None	I2FK11	N	CA00237202	C	SFY2010-11
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2011-04-27 00:00:00	120007784	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-10-21 00:00:00	2010-10-21 00:00:00	No	2011-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	V81E11	N	CA00246933	B	SFY2010-11
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-02-21 00:00:00	120008976	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-12-13 00:00:00	2011-12-13 00:00:00	No	2012-03-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	XGKD11	N	CA00292912	B	SFY2011-12
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-09-16 00:00:00	120008991	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-02-05 00:00:00	2011-02-05 00:00:00	No	2013-10-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	GLXZ11	N	CA00258263	B	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-07-18 00:00:00	120009044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-08-30 00:00:00	2011-08-30 00:00:00	Yes	2013-08-08 00:00:00	2013-08-07 00:00:00	A	B	20000	20000	0	20000	0	None	DS0U11	N	CA00283688	B	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2012-11-28 00:00:00	120009512	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-01-30 00:00:00	2010-01-30 00:00:00	Yes	2012-12-19 00:00:00	2013-02-03 00:00:00	B	None	1000	1900	0	1900	0	None	06DQ11	N	CA00216661	B	SFY2012-13
630011298	STEELE'S QUALITY LIVING - VASSAR	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2013-10-23 00:00:00	120010125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-09 00:00:00	2012-08-09 00:00:00	No	2013-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	WSFX11	N	CA00321104	B	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2013-09-16 00:00:00	120010127	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-12-12 00:00:00	2012-12-12 00:00:00	Yes	2013-10-07 00:00:00	2013-09-16 00:00:00	B	None	2000	2000	0	2000	0	None	W98B11	N	CA00335158	B	SFY2013-14
630003241	STEELE'S VISIONS - HATCH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2013-10-23 00:00:00	120010168	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-04-28 00:00:00	2012-04-28 00:00:00	No	2013-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	GIXF11	N	CA00308658	B	SFY2013-14
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-05 00:00:00	120010404	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-10-19 00:00:00	2011-10-19 00:00:00	No	2014-02-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MG1511	N	CA00301662	B	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-05 00:00:00	120010412	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2012-07-16 00:00:00	2012-07-16 00:00:00	No	2014-02-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SV8N11	N	CA00318142	B	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-05 00:00:00	120010416	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-09-28 00:00:00	2012-09-28 00:00:00	No	2014-02-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QDNV11	N	CA00327509	A	SFY2013-14
120001544	SIERRA VISTA RESIDENTIAL CARE HOME #3	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2014-02-06 00:00:00	120010423	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-05-13 00:00:00	2012-05-13 00:00:00	No	2014-02-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	SD3Z11	N	CA00310408	B	SFY2013-14
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-02-25 00:00:00	120010491	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-12-04 00:00:00	2013-12-04 00:00:00	Yes	2014-03-18 00:00:00	2014-02-25 00:00:00	B	None	2000	2000	-700	1300	0	None	3QQT11	N	CA00379540, CA00379701	B, B	SFY2013-14
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-03-20 00:00:00	120010542	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-09-22 00:00:00	2012-09-22 00:00:00	Yes	2014-04-11 00:00:00	2014-03-28 00:00:00	B	None	2000	2000	0	2000	0	None	RYG211	N	CA00326858	A	SFY2013-14
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-03-02 00:00:00	120011037	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-12 00:00:00	2014-07-12 00:00:00	No	2015-03-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	5CS411	N	CA00405318	B	SFY2014-15
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2014-10-08 00:00:00	120011044	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-07-14 00:00:00	2014-07-14 00:00:00	Yes	2014-10-29 00:00:00	2014-10-08 00:00:00	A	B	20000	10000	0	10000	0	None	06T811	N	CA00405695	B	SFY2014-15
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-02-03 00:00:00	120011240	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-12-17 00:00:00	2014-12-17 00:00:00	Yes	2015-02-25 00:00:00	2015-02-03 00:00:00	A	B	20000	17500	0	17500	0	None	FIU511	N	CA00423606	A	SFY2014-15
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-08-25 00:00:00	120011622	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-06-24 00:00:00	2015-06-24 00:00:00	Yes	2015-09-16 00:00:00	2015-08-25 00:00:00	A	B	20000	7000	0	7000	0	None	KNSN11	N	CA00448272	B	SFY2015-16
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2015-11-02 00:00:00	120011778	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-08-18 00:00:00	2015-08-18 00:00:00	Yes	2015-11-24 00:00:00	2015-11-20 00:00:00	A	B	20000	12000	0	12000	0	None	FW0U11	N	CA00455206	B	SFY2015-16
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-03-14 00:00:00	120012066	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-02-10 00:00:00	2016-02-10 00:00:00	Yes	2016-04-05 00:00:00	2016-04-01 00:00:00	B	None	2000	2000	0	2000	0	None	H82C11	N	CA00476049, CA00476497	A, A	SFY2015-16
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-05-23 00:00:00	120012180	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-02-16 00:00:00	2016-02-16 00:00:00	Yes	2016-06-14 00:00:00	2016-05-23 00:00:00	A	B	20000	15000	0	15000	0	None	TS5C12	N	None	None	SFY2015-16
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-05-06 00:00:00	120012222	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-02 00:00:00	2016-04-02 00:00:00	No	2016-05-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	UM9G11	N	CA00484180	A	SFY2015-16
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-07-06 00:00:00	120012372	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-05-01 00:00:00	2016-05-01 00:00:00	No	2016-07-27 00:00:00	None	B	None	2000	2000	0	2000	0	None	4QWX11	N	CA00486563	A	SFY2016-17
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2016-07-18 00:00:00	120012379	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-24 00:00:00	2016-05-24 00:00:00	No	2016-08-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T5HJ11	N	CA00489707	B	SFY2016-17
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2017-06-27 00:00:00	120013271	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-11 00:00:00	2017-04-11 00:00:00	Yes	2017-07-19 00:00:00	2017-07-10 00:00:00	A	A	20000	18000	0	18000	0	None	474M11	N	CA00530757	B	SFY2016-17
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2018-10-16 00:00:00	120014455	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-20 00:00:00	2018-08-20 00:00:00	No	2018-11-06 00:00:00	None	B	None	2000	2000	0	2000	0	None	WHJ811	N	CA00600423, CA00600423, CA00600423, CA00600423, CA00602053, CA00602053	B, B, B, B, B, B	SFY2018-19
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-02-08 00:00:00	120014723	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-11-14 00:00:00	2018-11-14 00:00:00	No	2019-03-01 00:00:00	None	A	None	20000	20000	0	20000	0	None	IT1C11	N	CA00612202, CA00612202, CA00612222, CA00612358	B, B, B, B	SFY2018-19
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-03-26 00:00:00	120014729	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-09 00:00:00	2018-12-09 00:00:00	No	2019-04-16 00:00:00	None	A	None	20000	20000	0	20000	0	None	SM2R11	N	CA00615148, CA00615148, CA00615651, CA00615651	B, B, B, B	SFY2018-19
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2019-02-22 00:00:00	120014774	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-10-04 00:00:00	2018-10-04 00:00:00	No	2019-03-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VS8Z11	N	CA00615328	B	SFY2018-19
630013061	STEELE'S VISIONS - TERRACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2021-01-11 00:00:00	120016199	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-03-04 00:00:00	2020-03-04 00:00:00	No	2021-02-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6XUU11	N	CA00679678	A	SFY2020-21
630013061	STEELE'S VISIONS - TERRACE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	Bakersfield	2021-01-11 00:00:00	120016200	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-03-04 00:00:00	2020-03-04 00:00:00	No	2021-02-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6XUU11	N	CA00679678, CA00679678	A, A	SFY2020-21
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-03-12 00:00:00	120016228	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-05 00:00:00	2020-11-05 00:00:00	No	2021-04-05 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	NB8011	N	CA00712466, CA00712466, CA00714047, CA00714047, CA00714047, CA00714047, CA00719040	B, B, B, B, B, B, B	SFY2020-21
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-03-26 00:00:00	120016315	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-11-05 00:00:00	2020-11-05 00:00:00	Yes	2021-04-19 00:00:00	2021-03-31 00:00:00	A	B	20000	50000	0	50000	0	None	O3EA11	N	CA00712071	B	SFY2020-21
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-07 00:00:00	120016320	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2020-07-01 00:00:00	2020-07-01 00:00:00	No	2021-04-28 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	N5FE11	N	CA00699266, CA00699266, CA00699960, CA00699960, CA00699960	B, B, A, A, A	SFY2020-21
120001466	SIERRA VIEW MEDICAL CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-07 00:00:00	120016350	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-11-21 00:00:00	2019-11-21 00:00:00	No	2021-04-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0I3U11	N	CA00723189, CA00724065	A, B	SFY2020-21
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-04-08 00:00:00	120016364	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2020-04-16 00:00:00	2020-04-16 00:00:00	Yes	2021-04-29 00:00:00	2021-04-29 00:00:00	A	None	20000	20000	0	0	20000	None	JD6V11	Y	CA00685016, CA00685016, CA00686073, CA00686073, CA00686073	A, A, B, B, B	SFY2020-21
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-15 00:00:00	120016452	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-06-25 00:00:00	2020-06-25 00:00:00	Yes	2021-11-05 00:00:00	2021-10-19 00:00:00	A	B	20000	20000	0	20000	0	None	47SN11	N	None	None	SFY2021-22
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-25 00:00:00	120016850	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-13 00:00:00	2021-07-13 00:00:00	No	2021-11-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FZXN11	N	CA00744035, CA00744035	A, A	SFY2021-22
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-25 00:00:00	120016851	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-13 00:00:00	2021-07-13 00:00:00	No	2021-11-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	FZXN11	N	CA00744035, CA00744035, CA00744035	A, A, A	SFY2021-22
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-08 00:00:00	120016906	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-13 00:00:00	2021-06-13 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	M8FO11	N	CA00740116, CA00740329	B, B	SFY2021-22
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-08 00:00:00	120016907	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2021-06-13 00:00:00	2021-06-13 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	M8FO11	N	CA00740116, CA00740116, CA00740329, CA00740329	B, B, B, B	SFY2021-22
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-08 00:00:00	120016909	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-13 00:00:00	2021-06-13 00:00:00	No	2021-10-29 00:00:00	None	B	None	2000	2000	0	2000	0	None	M8FO11	N	CA00740116, CA00740116, CA00740329, CA00740329	B, B, B, B	SFY2021-22
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-10-15 00:00:00	120016964	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-07-06 00:00:00	2021-07-06 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	MPKO11	N	CA00743118, CA00743118, CA00743831	B, B, B	SFY2021-22
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2021-12-28 00:00:00	120017102	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-10 00:00:00	2021-09-10 00:00:00	No	2022-01-19 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TWH911	N	CA00752497	B	SFY2021-22
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-03-18 00:00:00	120017357	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-08-29 00:00:00	2021-08-29 00:00:00	Yes	2022-04-11 00:00:00	2022-04-11 00:00:00	A	None	20000	20000	0	0	20000	None	Y6EC11	N	CA00750496	B	SFY2021-22
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-06-03 00:00:00	120017626	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-16 00:00:00	2021-12-16 00:00:00	No	2022-06-24 00:00:00	None	A	None	20000	20000	0	20000	0	None	7KLE11	N	CA00763582	B	SFY2021-22
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-06-23 00:00:00	120017652	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-02-02 00:00:00	2022-02-02 00:00:00	Yes	2022-07-15 00:00:00	2022-06-24 00:00:00	A	None	25000	25000	0	0	25000	None	PK7Q11	N	CA00772623, CA00772623, CA00772717, CA00772717	B, B, B, B	SFY2021-22
120001472	SEQUOIA VISTA	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-07-28 00:00:00	120017720	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-03-20 00:00:00	2022-03-20 00:00:00	No	2022-08-18 00:00:00	None	B	None	3000	3000	0	3000	0	None	4I5111	N	CA00777573	B	SFY2022-23
120001442	SIERRA VALLEY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-26 00:00:00	120018449	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-21 00:00:00	2022-10-21 00:00:00	No	2023-05-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	HMMF11	N	CA00808725, CA00808725	B, B	SFY2022-23
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-12 00:00:00	120018555	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-04 00:00:00	2022-12-04 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2K0Z11	N	CA00814769, CA00814769, CA00814769, CA00815127, CA00815127, CA00815190, CA00815190	A, A, A, B, B, A, A	SFY2022-23
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-12 00:00:00	120018556	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-11-20 00:00:00	2022-11-20 00:00:00	No	2023-05-03 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	XX2511	N	CA00813512, CA00813768	A, A	SFY2022-23
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-10-17 00:00:00	120018958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-10 00:00:00	2023-04-10 00:00:00	No	2023-11-07 00:00:00	None	B	None	3000	3000	0	3000	0	None	0MJI11	N	CA00839572	B	SFY2023-24
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-11-08 00:00:00	120019150	Closed	Citation	Citation A (HSC 1424)	Other	Inappropriate Discharge	2023-07-22 00:00:00	2023-07-22 00:00:00	No	2023-12-04 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	QXI211	N	CA00852144	B	SFY2023-24
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2024-05-29 00:00:00	120020184	Closed	Citation	Citation B (HSC 1424)	Other	Admission, Discharge, Tra	2024-02-08 00:00:00	2024-02-08 00:00:00	No	2024-06-19 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Z58Q11	N	CA00883849	A	SFY2023-24
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-08-25 00:00:00	140002409	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-04-16 00:00:00	1999-05-18 00:00:00	No	1999-09-21 00:00:00	None	B	None	1000	1000	-1000	0	0	140010353	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-08-25 00:00:00	140002410	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-04-29 00:00:00	1999-05-18 00:00:00	No	1999-09-21 00:00:00	None	B	None	1000	1000	-1000	0	0	140010353	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	1999-12-03 00:00:00	140002461	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-04-06 00:00:00	1999-08-01 00:00:00	No	2000-01-03 00:00:00	None	A	None	8000	8000	-8000	0	0	140010857	A99999	N	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-05 00:00:00	140002507	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-06-28 00:00:00	1999-10-08 00:00:00	No	2000-05-01 00:00:00	None	A	None	8000	24000	-24000	0	0	140011550	A99999	N	None	None	SFY1999-00
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-04-14 00:00:00	140002511	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2000-01-09 00:00:00	None	Yes	2000-05-09 00:00:00	2000-04-21 00:00:00	AA	A	25000	14000	0	14000	0	140011598	A99999	Y	None	None	SFY1999-00
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-05-31 00:00:00	140002527	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-03-13 00:00:00	None	No	2000-06-27 00:00:00	None	B	None	1000	1000	-1000	0	0	140011771	A99999	N	None	None	SFY1999-00
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2000-09-21 00:00:00	140002562	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-03-17 00:00:00	2000-05-04 00:00:00	Yes	2000-10-20 00:00:00	2000-10-19 00:00:00	A	A	7500	3500	0	3500	0	140012274	A99999	N	None	None	SFY2000-01
140001277	SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-04-11 00:00:00	140002612	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/ABUSE	2000-03-12 00:00:00	None	Yes	2000-05-02 00:00:00	2000-04-27 00:00:00	B	B	1000	1000	0	1000	0	140013895	A99999	N	None	None	SFY1999-00
140001277	SANTA ROSA MEMORIAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2000-12-15 00:00:00	140002613	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-16 00:00:00	None	No	2001-01-05 00:00:00	None	A	None	5000	5000	-1750	3250	0	140013897	A99999	N	None	None	SFY2000-01
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2002-08-22 00:00:00	140002630	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-22 00:00:00	None	No	2002-09-18 00:00:00	None	B	None	500	500	-500	0	0	140014789	A99999	N	None	None	SFY2002-03
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-02-14 00:00:00	140002660	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-21 00:00:00	None	Yes	2003-03-18 00:00:00	2003-02-25 00:00:00	B	None	700	700	0	700	0	140015297	A99999	N	None	None	SFY2002-03
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-21 00:00:00	140002666	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-20 00:00:00	None	Yes	2003-04-16 00:00:00	2003-04-08 00:00:00	B	None	700	1800	0	1800	0	140015394	A99999	N	None	None	SFY2002-03
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-03-21 00:00:00	140002667	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2002-06-13 00:00:00	None	No	2003-04-16 00:00:00	None	B	None	1000	1000	-350	650	0	140015395	A99999	N	None	None	SFY2002-03
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-04-11 00:00:00	140002672	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-12-16 00:00:00	None	No	2003-05-07 00:00:00	None	B	None	600	600	-210	390	0	140015435	A99999	N	None	None	SFY2002-03
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2003-05-06 00:00:00	140002676	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-11-05 00:00:00	None	Yes	2003-09-16 00:00:00	2003-05-19 00:00:00	B	B	500	500	0	500	0	140015515	A99999	N	None	None	SFY2002-03
140001352	SAN JUAN ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-09-02 00:00:00	140002729	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-08-12 00:00:00	None	No	2003-09-26 00:00:00	None	B	None	800	800	-280	520	0	140016992	A99999	N	None	None	SFY2003-04
140001352	SAN JUAN ICF	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	East Bay	2003-11-03 00:00:00	140002730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-09-09 00:00:00	None	Yes	2003-11-25 00:00:00	2003-11-14 00:00:00	B	B	650	650	0	650	0	140016993	A99999	N	None	None	SFY2003-04
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-06-07 00:00:00	140002732	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-10-13 00:00:00	2003-11-09 00:00:00	No	2004-06-30 00:00:00	None	A	None	5000	5000	-1750	3250	0	140017163	A99999	N	None	None	SFY2003-04
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-12-31 00:00:00	140002736	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-10 00:00:00	2004-09-10 00:00:00	No	2005-01-26 00:00:00	None	B	None	1000	1000	0	1000	0	140017374	A99999	N	None	None	SFY2004-05
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2004-12-31 00:00:00	140002737	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/ABUSE	2004-04-10 00:00:00	None	Yes	2005-01-26 00:00:00	2005-01-20 00:00:00	B	B	1000	1000	0	1000	0	140017376	A99999	N	None	None	SFY2004-05
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-05-11 00:00:00	140002746	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-09-16 00:00:00	2004-09-18 00:00:00	No	2005-06-09 00:00:00	None	B	None	1000	1000	0	1000	0	140017423	A99999	N	None	None	SFY2004-05
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-05-11 00:00:00	140002748	Closed	Citation	Citation B (HSC 1424)	Medication	None	2004-05-24 00:00:00	None	No	2005-06-09 00:00:00	None	B	None	1000	1000	0	1000	0	140017425	A99999	N	None	None	SFY2004-05
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-07-29 00:00:00	140002749	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-11 00:00:00	2004-11-11 00:00:00	Yes	2005-08-19 00:00:00	2005-08-10 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	140017426	A99999	N	CA00034570	A	SFY2005-06
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-07-29 00:00:00	140002750	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2004-05-14 00:00:00	None	Yes	2005-08-19 00:00:00	2005-08-04 00:00:00	A	Drop>Deficiency	10000	0	0	0	0	140017427	A99999	N	None	None	SFY2005-06
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-08-10 00:00:00	140002752	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-11-26 00:00:00	None	No	2005-09-08 00:00:00	None	B	None	1000	1000	-350	650	0	140017429	A99999	N	None	None	SFY2005-06
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-10-20 00:00:00	140002760	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-11-22 00:00:00	2004-11-22 00:00:00	Yes	2005-11-10 00:00:00	2005-10-26 00:00:00	AA	A	90000	50000	0	50000	0	140017437	A99999	Y	None	None	SFY2005-06
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2005-10-20 00:00:00	140002761	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-06-18 00:00:00	2005-07-03 00:00:00	Yes	2005-11-23 00:00:00	2005-10-26 00:00:00	A	B	10000	750	0	750	0	140017438	A99999	N	None	None	SFY2005-06
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-05 00:00:00	150001427	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-08-11 00:00:00	1999-08-12 00:00:00	No	2000-01-27 00:00:00	None	A	None	10000	30000	-30000	0	0	150010612	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-06 00:00:00	150001428	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-09-30 00:00:00	None	No	2000-01-28 00:00:00	None	B	None	1000	1000	-1000	0	0	150010613	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-10 00:00:00	150001429	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-05 00:00:00	1999-10-13 00:00:00	No	2000-02-11 00:00:00	None	B	None	1000	1000	-1000	0	0	150010623	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-20 00:00:00	150001431	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-10-30 00:00:00	None	No	2000-02-17 00:00:00	None	B	None	800	2400	-2400	0	0	150010641	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-20 00:00:00	150001432	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-10-05 00:00:00	1999-10-13 00:00:00	No	2000-02-17 00:00:00	None	B	None	1000	1000	-1000	0	0	150010642	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-01-20 00:00:00	150001433	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-08-01 00:00:00	1999-12-05 00:00:00	No	2000-02-17 00:00:00	None	B	None	1000	3000	-3000	0	0	150010645	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-03-21 00:00:00	150001730	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-07 00:00:00	None	No	2000-06-05 00:00:00	None	B	None	1000	1000	-1000	0	0	150012338	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-04-03 00:00:00	150001735	Closed	Citation	Citation AA (HSC 1424)	Other	PT. CARE/MEDICATIONS	1999-06-14 00:00:00	None	No	2000-04-24 00:00:00	None	AA	None	25000	25000	-25000	0	0	150012368	A99999	Y	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-04-03 00:00:00	150001736	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/ADMIN	2000-02-17 00:00:00	None	No	2000-04-24 00:00:00	None	B	None	1000	3000	-3000	0	0	150012370	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-04-19 00:00:00	150001740	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-07-20 00:00:00	None	No	2000-06-05 00:00:00	None	A	None	7500	7500	-7500	0	0	150012451	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-05-18 00:00:00	150001743	Closed	Citation	Citation A (HSC 1424)	Administration	None	2000-01-22 00:00:00	2000-05-11 00:00:00	No	2000-06-12 00:00:00	None	A	None	10000	10000	-10000	0	0	150012599	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-05-18 00:00:00	150001745	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	1999-01-22 00:00:00	2000-05-11 00:00:00	No	2000-06-12 00:00:00	None	A	None	10000	30000	-30000	0	0	150012609	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-06-02 00:00:00	150001752	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-05-07 00:00:00	2000-05-08 00:00:00	No	2000-06-23 00:00:00	None	A	None	7500	22500	0	22500	0	150012665	A99999	N	None	None	SFY1999-00
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-07-05 00:00:00	150001760	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-15 00:00:00	2000-05-16 00:00:00	No	2000-07-26 00:00:00	None	B	None	800	2400	-840	1560	0	150012795	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-07-10 00:00:00	150001761	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-01 00:00:00	None	No	2000-08-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	150012813	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-07-14 00:00:00	150001762	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-16 00:00:00	None	No	2000-08-09 00:00:00	None	B	None	800	2400	-840	1560	0	150012851	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-07-21 00:00:00	150001763	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-03-22 00:00:00	2000-03-23 00:00:00	No	2000-08-16 00:00:00	None	A	None	5000	15000	-5250	9750	0	150012864	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-09-25 00:00:00	150001782	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-21 00:00:00	None	No	2000-10-19 00:00:00	None	B	None	600	1800	-630	1170	0	150013142	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-10-20 00:00:00	150001785	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-08-26 00:00:00	2000-08-26 00:00:00	Yes	2001-07-19 00:00:00	2000-10-24 00:00:00	A	A Trebled	8500	25500	0	25500	0	150013251	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-11-30 00:00:00	150001801	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-07 00:00:00	2000-01-07 00:00:00	No	2000-12-26 00:00:00	None	B	None	600	1800	-630	1170	0	150013558	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001802	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/CARE	2000-08-02 00:00:00	None	No	2001-01-02 00:00:00	None	B	None	600	1800	-630	1170	0	150013570	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001803	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-08 00:00:00	None	No	2001-01-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	150013570	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001804	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2000-10-14 00:00:00	None	No	2001-01-02 00:00:00	None	A	None	5000	15000	-5250	9750	0	150013579	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001805	Closed	Citation	Citation A (HSC 1424)	Other	PATIENT RIGHTS/CARE	2000-01-23 00:00:00	None	No	2001-01-02 00:00:00	None	A	None	6000	6000	-2100	3900	0	150013580	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-06 00:00:00	150001806	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-27 00:00:00	None	No	2001-01-02 00:00:00	None	B	None	500	1500	-525	975	0	150013581	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-12-11 00:00:00	150001810	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT RIGHTS/CARE	2000-08-06 00:00:00	None	No	2001-01-08 00:00:00	None	B	None	600	1800	-630	1170	0	150013590	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-05 00:00:00	150001818	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-04 00:00:00	2000-12-05 00:00:00	No	2001-01-30 00:00:00	None	B	None	600	1800	-630	1170	0	150013762	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-19 00:00:00	150001819	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-04-17 00:00:00	2000-12-04 00:00:00	Yes	2001-11-08 00:00:00	2001-01-23 00:00:00	B	Dismissed by Court	1000	0	0	0	0	150013783	A99999	N	None	None	SFY2000-01
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-01-17 00:00:00	150001820	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-30 00:00:00	None	No	2001-02-06 00:00:00	None	A	None	14000	14000	-4900	9100	0	150013821	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-25 00:00:00	150001822	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE/RIGHTS	2000-09-22 00:00:00	None	No	2001-02-16 00:00:00	None	B	None	800	2400	-840	1560	0	150013867	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-25 00:00:00	150001823	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-10-24 00:00:00	None	No	2001-02-16 00:00:00	None	A	None	8000	24000	-8400	15600	0	150013868	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-25 00:00:00	150001824	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-11-08 00:00:00	None	No	2001-02-16 00:00:00	None	B	None	500	1500	-525	975	0	150013869	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-25 00:00:00	150001825	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-04 00:00:00	2000-08-03 00:00:00	No	2001-02-16 00:00:00	None	A	None	8000	24000	-8400	15600	0	150013872	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-02-22 00:00:00	150001830	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-01-17 00:00:00	2001-01-17 00:00:00	No	2001-03-15 00:00:00	None	A	None	5000	15000	-5250	9750	0	150014017	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-04-16 00:00:00	150001836	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-01-20 00:00:00	2001-01-20 00:00:00	Yes	2001-11-09 00:00:00	2001-04-26 00:00:00	A	A	8000	24000	0	24000	0	150014167	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-04-16 00:00:00	150001837	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-03-14 00:00:00	None	No	2001-05-11 00:00:00	None	B	None	500	1500	-525	975	0	150014168	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-06-13 00:00:00	150001844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-31 00:00:00	None	No	2001-07-10 00:00:00	None	B	None	700	2100	-735	1365	0	150014635	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-06-27 00:00:00	150001847	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-04 00:00:00	None	No	2001-07-23 00:00:00	None	B	None	400	1200	0	1200	0	150014668	A99999	N	None	None	SFY2000-01
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-08-14 00:00:00	150001854	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-06-06 00:00:00	2001-06-06 00:00:00	No	2001-09-07 00:00:00	None	B	None	900	2700	-945	1755	0	150014863	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-08-14 00:00:00	150001855	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-02-17 00:00:00	2001-02-17 00:00:00	No	2001-09-07 00:00:00	None	B	None	800	2400	-840	1560	0	150014864	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-08-23 00:00:00	150001863	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2001-02-10 00:00:00	2001-02-10 00:00:00	No	2001-09-18 00:00:00	None	A	None	10000	30000	-10500	19500	0	150015117	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-10-03 00:00:00	150001864	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-03 00:00:00	2001-05-03 00:00:00	No	2001-10-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	150014584	A99999	N	None	None	SFY2001-02
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2000-09-19 00:00:00	150001867	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-20 00:00:00	None	No	2000-10-11 00:00:00	None	B	None	900	900	-315	585	0	150015262	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-01-23 00:00:00	150001868	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-09-21 00:00:00	None	No	2001-02-15 00:00:00	None	B	None	1000	3000	-1050	1950	0	150015276	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-02-21 00:00:00	150001869	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-30 00:00:00	None	No	2001-03-16 00:00:00	None	B	None	950	950	-332.5	617.5	0	150015285	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-03-05 00:00:00	150001870	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-12 00:00:00	None	No	2001-03-29 00:00:00	None	B	None	800	2400	-840	1560	0	150015288	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-05-24 00:00:00	150001871	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-04-26 00:00:00	None	No	2001-06-18 00:00:00	None	B	None	450	1350	-472.5	877.5	0	150015294	A99999	N	None	None	SFY2000-01
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-06-12 00:00:00	150001872	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-12 00:00:00	None	No	2001-07-06 00:00:00	None	B	None	600	600	-210	390	0	150015296	A99999	N	None	None	SFY2000-01
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2001-10-25 00:00:00	150001873	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-09-18 00:00:00	2001-09-18 00:00:00	No	2001-11-16 00:00:00	None	B	None	700	700	-245	455	0	150015328	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2001-12-13 00:00:00	150001874	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-09-30 00:00:00	2001-09-30 00:00:00	No	2002-01-07 00:00:00	None	B	None	1950	1950	-682.5	1267.5	0	150015344	A99999	N	None	None	SFY2001-02
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-11-12 00:00:00	150001958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-08 00:00:00	2002-04-08 00:00:00	No	2002-12-05 00:00:00	None	B	None	900	2700	0	2700	0	150016397	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2002-12-06 00:00:00	150001961	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-04 00:00:00	2002-05-04 00:00:00	No	2002-12-30 00:00:00	None	B	None	1000	1000	-350	650	0	150016552	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-01-22 00:00:00	150001964	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-05 00:00:00	2002-05-05 00:00:00	No	2003-02-18 00:00:00	None	B	None	800	800	-280	520	0	150016659	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-02-13 00:00:00	150001966	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2002-04-19 00:00:00	2002-04-19 00:00:00	No	2003-03-11 00:00:00	None	A	None	8000	8000	-2800	5200	0	150016668	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-04-18 00:00:00	150001972	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-09-10 00:00:00	2002-09-10 00:00:00	No	2003-05-12 00:00:00	None	B	None	800	800	-280	520	0	150016758	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-04-23 00:00:00	150001976	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-17 00:00:00	2003-03-18 00:00:00	No	2003-05-14 00:00:00	None	B	None	900	900	-315	585	0	150016894	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-07-09 00:00:00	150002017	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-05-17 00:00:00	2002-05-19 00:00:00	No	2003-07-30 00:00:00	None	B	None	800	800	-280	520	0	150015414	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-06-13 00:00:00	150002018	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-30 00:00:00	2003-05-30 00:00:00	No	2003-09-08 00:00:00	None	B	None	600	600	-210	390	0	150017663	A99999	N	None	None	SFY2002-03
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-10-07 00:00:00	150002021	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-05-29 00:00:00	2003-05-29 00:00:00	No	2003-11-04 00:00:00	None	B	None	600	600	-210	390	0	150017862	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2003-11-25 00:00:00	150002023	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-28 00:00:00	2003-04-28 00:00:00	No	2003-12-18 00:00:00	None	B	None	600	600	-210	390	0	150017906	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-02-18 00:00:00	150002029	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-11-21 00:00:00	2003-11-21 00:00:00	No	2004-03-12 00:00:00	None	B	None	500	1500	-525	975	0	150017987	A99999	N	None	None	SFY2003-04
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2004-03-08 00:00:00	150002030	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-01-21 00:00:00	2004-01-21 00:00:00	No	2004-04-01 00:00:00	None	B	None	900	900	-315	585	0	150018063	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-05-04 00:00:00	150002031	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-07-24 00:00:00	2003-07-24 00:00:00	No	2004-05-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	150018112	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-05-26 00:00:00	150002229	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-04-08 00:00:00	2004-04-08 00:00:00	No	2004-06-17 00:00:00	None	B	None	1000	3000	-1050	1950	0	150020034	A99999	N	None	None	SFY2003-04
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-08-17 00:00:00	150002232	Closed	Citation	Citation A (HSC 1424)	Other	MEDICATION	2004-01-01 00:00:00	2004-01-03 00:00:00	No	2004-09-08 00:00:00	None	A	None	10000	10000	-3500	6500	0	150018021	A99999	N	None	None	SFY2004-05
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-08-26 00:00:00	150002233	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-07-01 00:00:00	2004-07-01 00:00:00	No	2004-09-17 00:00:00	None	B	None	800	800	-280	520	0	150020216	A99999	N	None	None	SFY2004-05
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-09-29 00:00:00	150002234	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-17 00:00:00	2004-07-17 00:00:00	No	2004-10-21 00:00:00	None	B	None	700	700	-245	455	0	150020253	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-11-04 00:00:00	150002237	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-07-22 00:00:00	2004-07-22 00:00:00	No	2004-12-02 00:00:00	None	B	None	800	2400	-840	1560	0	150020211	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2004-11-04 00:00:00	150002238	Closed	Citation	Citation B (HSC 1424)	Other	PATIENT CARE	2004-08-11 00:00:00	2004-08-11 00:00:00	No	2004-12-02 00:00:00	None	B	None	800	2400	-840	1560	0	150020272	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-01-26 00:00:00	150002242	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-08-01 00:00:00	2004-08-01 00:00:00	No	2005-02-16 00:00:00	None	B	None	700	2100	-735	1365	0	150020299	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-03-08 00:00:00	150002245	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-01-12 00:00:00	2005-01-12 00:00:00	No	2005-03-29 00:00:00	None	B	None	900	2700	-945	1755	0	150020303	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-06-24 00:00:00	150002250	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-02 00:00:00	2005-05-02 00:00:00	No	2005-07-18 00:00:00	None	B	None	700	2100	-735	1365	0	150020313	A99999	N	None	None	SFY2004-05
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2005-11-04 00:00:00	150002256	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-07-04 00:00:00	2005-07-04 00:00:00	No	2005-12-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	150020328	A99999	N	None	None	SFY2005-06
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-03-22 00:00:00	150002960	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-01-24 00:00:00	2006-01-24 00:00:00	No	2006-04-13 00:00:00	None	B	None	700	700	-245	455	0	None	TEHM11	N	CA00070959	D	SFY2005-06
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-08-23 00:00:00	150003046	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-11-26 00:00:00	2005-11-26 00:00:00	No	2006-09-14 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	3S6L11	N	CA00066920	D	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-05-02 00:00:00	150003074	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-02-06 00:00:00	2006-02-06 00:00:00	No	2006-05-23 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	D65M11	N	CA00071852	D	SFY2005-06
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-05-18 00:00:00	150003089	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-09-07 00:00:00	2005-09-07 00:00:00	No	2006-06-09 00:00:00	None	B	None	800	800	-280	520	0	None	OPS211	N	CA00060748	D	SFY2005-06
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2007-08-13 00:00:00	150003148	Closed	Citation	Citation AA (HSC 1424)	Patient Rights	None	2005-10-22 00:00:00	2005-10-22 00:00:00	No	2007-09-04 00:00:00	None	AA	None	90000	90000	-31500	58500	0	None	6VZE11	Y	CA00064672	D	SFY2007-08
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-06-29 00:00:00	150003171	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-26 00:00:00	2006-05-26 00:00:00	Yes	2006-07-21 00:00:00	2006-07-25 00:00:00	B	None	800	800	-280	520	0	None	BF0N11	N	CA00082180	C	SFY2005-06
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-06-13 00:00:00	150003172	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-03-24 00:00:00	2007-03-24 00:00:00	No	2007-07-05 00:00:00	None	B	None	700	2100	-735	1365	0	None	4TD711	N	CA00110359	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-07-12 00:00:00	150003193	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-08 00:00:00	2006-05-08 00:00:00	No	2006-08-02 00:00:00	None	B	None	900	900	-315	585	0	None	122L11	N	CA00080434	D	SFY2006-07
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-08-24 00:00:00	150003306	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-15 00:00:00	2006-07-15 00:00:00	No	2006-09-15 00:00:00	None	B	None	800	800	-280	520	0	None	U98B11	N	CA00087005	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-08-24 00:00:00	150003308	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-02 00:00:00	2006-05-02 00:00:00	No	2006-09-15 00:00:00	None	B	None	600	600	-210	390	0	None	UUVL11	N	CA00079909	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-10-12 00:00:00	150003404	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-10 00:00:00	2006-08-10 00:00:00	No	2006-11-02 00:00:00	None	B	None	600	600	-210	390	0	None	PLD511	N	CA00089913	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-10-12 00:00:00	150003418	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-07-18 00:00:00	2006-07-18 00:00:00	No	2006-11-02 00:00:00	None	B	None	600	600	-210	390	0	None	3KIJ11	N	CA00087409	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2006-11-17 00:00:00	150003485	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-12 00:00:00	2006-09-12 00:00:00	No	2006-12-12 00:00:00	None	B	None	700	700	-245	455	0	None	A9U911	N	CA00092870	C	SFY2006-07
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-10-10 00:00:00	150003538	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-10-04 00:00:00	2005-10-04 00:00:00	No	2007-11-02 00:00:00	None	B	None	800	800	-280	520	0	None	TR6V11	N	CA00090692, CA00161856	C, C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2006-12-12 00:00:00	150003560	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-23 00:00:00	2006-04-23 00:00:00	No	2007-01-04 00:00:00	None	B	None	300	300	-105	195	0	None	3NF511	N	CA00079423	D	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-01-10 00:00:00	150003625	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-06-30 00:00:00	2006-06-30 00:00:00	No	2007-01-31 00:00:00	None	B	None	1000	1000	-350	650	0	None	UPMA11	N	CA00083935	D	SFY2006-07
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2007-02-20 00:00:00	150003693	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-15 00:00:00	2006-11-15 00:00:00	No	2007-03-13 00:00:00	None	B	None	700	700	-245	455	0	None	SWYW11	N	CA00098845	C	SFY2006-07
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-03-08 00:00:00	150003779	Closed	Citation	Citation B (HSC 1424)	Other	pc, pr	2006-07-25 00:00:00	2006-07-25 00:00:00	No	2007-03-29 00:00:00	None	B	None	700	700	-245	455	0	None	YXCF11	N	CA00088220	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-06-05 00:00:00	150003996	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-03-14 00:00:00	2007-03-14 00:00:00	No	2007-06-26 00:00:00	None	B	None	700	700	-245	455	0	None	W6RV11	N	CA00109210	C	SFY2006-07
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-08-13 00:00:00	150004103	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2007-07-02 00:00:00	2007-07-02 00:00:00	No	2007-09-04 00:00:00	None	B	None	900	900	-315	585	0	None	E1UP11	N	CA00119362	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-09-11 00:00:00	150004239	Closed	Citation	Citation B (HSC 1424)	Other	pr,c	2007-08-17 00:00:00	2007-08-17 00:00:00	No	2007-10-02 00:00:00	None	B	None	700	2100	-735	1365	0	None	JUDH11	N	CA00123954	C	SFY2007-08
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-10-10 00:00:00	150004333	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-08-14 00:00:00	2007-08-14 00:00:00	No	2007-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	FT1Y11	N	CA00123872	D	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2007-10-30 00:00:00	150004381	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-05 00:00:00	2007-10-05 00:00:00	No	2007-11-21 00:00:00	None	B	None	600	600	-210	390	0	None	4T3J11	N	CA00128735	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-10-30 00:00:00	150004409	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-12 00:00:00	2007-05-12 00:00:00	No	2007-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	O1NP11	N	CA00114870	C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-04-01 00:00:00	150004422	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-23 00:00:00	2007-10-23 00:00:00	No	2008-04-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	07ZF11	N	CA00130169	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2007-12-27 00:00:00	150004532	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-23 00:00:00	2007-10-23 00:00:00	No	2008-01-18 00:00:00	None	B	None	500	500	-175	325	0	None	PBH111	N	CA00130553	D	SFY2007-08
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-03-06 00:00:00	150004734	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-09-01 00:00:00	2007-09-01 00:00:00	No	2008-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	9MY411	N	CA00125434	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-07 00:00:00	150004848	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-24 00:00:00	2007-10-24 00:00:00	No	2008-04-28 00:00:00	None	B	None	800	800	-280	520	0	None	JUUQ11	N	CA00130310	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-04-11 00:00:00	150004879	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-30 00:00:00	2007-12-30 00:00:00	No	2008-05-02 00:00:00	None	B	None	900	2700	-945	1755	0	None	GY7F11	N	CA00136835	C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-04-16 00:00:00	150004906	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-22 00:00:00	2008-01-22 00:00:00	No	2008-05-07 00:00:00	None	B	None	700	700	-245	455	0	None	PU5T11	N	CA00138959	C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-04-16 00:00:00	150004909	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-22 00:00:00	2008-01-22 00:00:00	No	2008-05-07 00:00:00	None	B	None	700	700	-245	455	0	None	PU5T11	N	CA00138963	C	SFY2007-08
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2008-05-27 00:00:00	150005037	Closed	Citation	Citation B (HSC 1424)	Medication	None	2008-02-08 00:00:00	2008-02-08 00:00:00	No	2008-06-17 00:00:00	None	B	None	800	1000	-280	720	0	None	CD9I11	N	CA00140385	C	SFY2007-08
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-11-19 00:00:00	150005350	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-22 00:00:00	2008-05-22 00:00:00	No	2008-12-12 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	P5R111	N	CA00151707	C	SFY2008-09
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-10-02 00:00:00	150005351	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-23 00:00:00	2008-07-23 00:00:00	No	2008-10-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	102911	N	CA00158555	D	SFY2008-09
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2008-11-20 00:00:00	150005614	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-02 00:00:00	2008-10-02 00:00:00	No	2008-12-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	CEF011	N	CA00165601	D	SFY2008-09
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-01-05 00:00:00	150006070	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-16 00:00:00	2009-02-16 00:00:00	No	2010-01-28 00:00:00	None	B	None	1000	1100	-350	750	0	None	PCI311	N	CA00179705	D	SFY2009-10
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-30 00:00:00	150006100	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-10-23 00:00:00	2008-10-23 00:00:00	No	2009-05-21 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	0T0N11	N	CA00169241	D	SFY2008-09
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-27 00:00:00	150006111	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-12-02 00:00:00	2008-12-02 00:00:00	No	2009-05-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	3H2X11	N	CA00171764	E	SFY2008-09
150001214	SIERRA VISTA	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2009-04-27 00:00:00	150006118	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-28 00:00:00	2008-08-28 00:00:00	No	2009-05-18 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	1DQ411	N	CA00161856	C	SFY2008-09
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2009-11-17 00:00:00	150006679	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-16 00:00:00	2009-08-16 00:00:00	No	2009-12-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	K9NG11	N	CA00200891	D	SFY2009-10
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2010-02-02 00:00:00	150006691	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-03 00:00:00	2009-08-03 00:00:00	No	2010-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	BC5311	N	CA00196715	D	SFY2009-10
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-10-06 00:00:00	150006816	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-09-08 00:00:00	2009-09-08 00:00:00	No	2010-10-27 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	OK5611	Y	CA00201352	D	SFY2010-11
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2010-01-06 00:00:00	150006817	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-10-11 00:00:00	2009-10-11 00:00:00	No	2010-01-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	009J11	N	CA00206988	D	SFY2009-10
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-07-23 00:00:00	150007149	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-02-16 00:00:00	2010-02-16 00:00:00	No	2010-08-16 00:00:00	None	B	None	1000	1000	-350	650	0	None	BRIR11	N	CA00218646	D	SFY2010-11
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2010-05-20 00:00:00	150007152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-21 00:00:00	2010-03-21 00:00:00	No	2010-06-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	8SI411	N	CA00223529	D	SFY2009-10
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-02-02 00:00:00	150007257	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-09-08 00:00:00	2009-09-08 00:00:00	No	2011-02-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	J28011	N	CA00203136	D	SFY2010-11
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-05-25 00:00:00	150007258	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2011-06-16 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	UKY311	Y	CA00151714	D	SFY2010-11
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2012-03-15 00:00:00	150007383	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-14 00:00:00	2010-03-14 00:00:00	No	2012-04-05 00:00:00	None	B	None	750	2250	-787.5	1462.5	0	None	37CY11	Y	CA00221777	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-04-05 00:00:00	150007628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-22 00:00:00	2010-06-22 00:00:00	No	2011-04-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	JLQZ11	N	CA00234685	D	SFY2010-11
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-04-08 00:00:00	150007781	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-02 00:00:00	2010-08-02 00:00:00	No	2011-04-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	AXVX11	N	CA00238251	D	SFY2010-11
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-11-29 00:00:00	150008130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-17 00:00:00	2010-07-17 00:00:00	No	2011-12-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	2UJV11	N	CA00237321	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-04-13 00:00:00	150008152	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-10-16 00:00:00	2010-10-16 00:00:00	No	2012-05-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	YSDN11	N	CA00246812	D	SFY2011-12
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2011-11-29 00:00:00	150008366	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-09 00:00:00	2010-12-09 00:00:00	No	2011-12-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	0G6N11	N	CA00253173	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-12-15 00:00:00	150008458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-07-13 00:00:00	2011-07-13 00:00:00	No	2012-01-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	90IW11	N	CA00274298	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-06-04 00:00:00	150008629	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-09-26 00:00:00	2011-09-26 00:00:00	No	2012-06-25 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	1YFO11	N	CA00285658	A	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2011-11-23 00:00:00	150008658	Closed	Citation	Citation B (HSC 1424)	Administration	None	2011-05-25 00:00:00	2011-05-25 00:00:00	No	2011-12-16 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	XNFM11	N	CA00272291	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-04-10 00:00:00	150008724	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-06-09 00:00:00	2011-06-09 00:00:00	No	2012-05-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	Q2JM11	N	CA00274314	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150008849	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-07-25 00:00:00	2011-07-25 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	J0DT11	N	CA00277548	D	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-03-07 00:00:00	150008930	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-02 00:00:00	2011-10-02 00:00:00	No	2012-03-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	R5RF11	N	CA00265459	D	SFY2011-12
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009262	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-25 00:00:00	2011-10-25 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HQ9111	N	CA00283444	D	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009314	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-29 00:00:00	2011-10-29 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	CQ3J11	N	CA00290249	D	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-03 00:00:00	150009315	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-03-28 00:00:00	2012-03-28 00:00:00	No	2014-02-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	0PL811	N	CA00305360	B	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-02-11 00:00:00	150009318	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-16 00:00:00	2012-01-16 00:00:00	No	2014-03-05 00:00:00	None	B	None	800	800	-280	520	0	None	FRIR11	N	CA00296690	D	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2013-07-22 00:00:00	150009431	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-11-22 00:00:00	2011-11-22 00:00:00	No	2013-08-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	173S11	Y	CA00291840	C	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009497	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-06-13 00:00:00	2012-06-13 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6711	N	CA00311982, CA00314985	C, C	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009498	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2012-05-09 00:00:00	2012-05-09 00:00:00	No	2013-01-04 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	HJ6711	Y	CA00322951	A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009501	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-05-25 00:00:00	2012-05-25 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6711	N	CA00298801, CA00312003	D, A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009503	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-06-12 00:00:00	2012-06-12 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6711	N	CA00314599	A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009606	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-11-11 00:00:00	2012-11-11 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	T8MH11	N	CA00332704	A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-21 00:00:00	150009607	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-11-09 00:00:00	2012-11-09 00:00:00	No	2014-03-14 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	CEJL11	N	CA00306099, CA00331305, CA00332710	C, C, A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-21 00:00:00	150009611	Closed	Citation	Citation B (HSC 1424)	Administration	None	2012-05-16 00:00:00	2012-05-16 00:00:00	No	2014-03-14 00:00:00	None	B	None	800	800	-280	520	0	None	LJWW11	N	CA00310066	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009622	Closed	Citation	Citation A (HSC 1424)	Other	Pharmacy	2012-09-19 00:00:00	2012-09-19 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6712	N	CA00327237	A	SFY2012-13
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2012-12-12 00:00:00	150009623	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-09-20 00:00:00	2012-09-20 00:00:00	No	2013-01-04 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	HJ6712	N	CA00334122	E	SFY2012-13
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-02-03 00:00:00	150009702	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-11-05 00:00:00	2011-11-05 00:00:00	No	2014-02-25 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	8T7Z11	N	CA00289566	C	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-11 00:00:00	150009703	Closed	Citation	Citation A (HSC 1424)	Dietary	None	2012-11-28 00:00:00	2012-11-28 00:00:00	No	2014-03-05 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	7FQC11	N	CA00334861	C	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-08 00:00:00	150009749	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2012-12-01 00:00:00	2012-12-01 00:00:00	No	2014-04-29 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	0X8111	N	CA00335329	A	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-03-06 00:00:00	150009750	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-07-14 00:00:00	2012-07-14 00:00:00	No	2014-03-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	85LY11	N	CA00318376	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	150009861	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-04-16 00:00:00	2013-04-16 00:00:00	No	2014-04-23 00:00:00	None	A	None	10000	30000	-10500	19500	0	None	1Z9R11	N	CA00351241	A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-03-14 00:00:00	150009862	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-04-24 00:00:00	2013-04-24 00:00:00	No	2014-04-07 00:00:00	None	B	None	1000	1000	0	1000	0	None	PQMO11	N	CA00352217	B	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-03-14 00:00:00	150009935	Closed	Citation	Citation B (HSC 1424)	Other	Failure to report timely	2013-02-15 00:00:00	2013-02-15 00:00:00	No	2014-04-07 00:00:00	None	B	None	800	800	0	800	0	None	ZF5311	N	CA00349050	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	150009937	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-05-14 00:00:00	2013-05-14 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	O4Y111	N	CA00355044	A	SFY2013-14
150000229	SONOMA DEVELOPMENTAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	State Facilities Section	2014-04-10 00:00:00	150010016	Closed	Citation	Citation A (HSC 1424)	Medication	None	2013-06-01 00:00:00	2013-06-01 00:00:00	No	2014-05-01 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	3TKR11	N	CA00358901	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-03-21 00:00:00	150010135	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2013-01-20 00:00:00	2013-01-20 00:00:00	No	2014-04-14 00:00:00	None	A	None	10000	30000	-10500	19500	0	None	7JRT11	N	CA00341231, CA00342860, CA00346807, CA00359544, CA00362958, CA00363050	C, C, B, A, D, A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-03-21 00:00:00	150010136	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-03-28 00:00:00	2013-03-28 00:00:00	No	2014-04-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	EVU711	N	CA00349453, CA00349989, CA00351058, CA00356106, CA00359524, CA00360971	C, C, C, C, C, B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-27 00:00:00	150010151	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-06-05 00:00:00	2013-06-05 00:00:00	No	2014-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	SI5G11	N	CA00358226	B	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-02-27 00:00:00	150010293	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-04-18 00:00:00	2013-04-18 00:00:00	No	2014-03-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	BDSK11	N	CA00351571, CA00352754, CA00353118, CA00353537	B, B, A, A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-04-02 00:00:00	150010294	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-06-27 00:00:00	2013-06-27 00:00:00	No	2014-04-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	P2JN11	N	CA00360084	A	SFY2013-14
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-10-31 00:00:00	150010888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-05 00:00:00	2014-04-05 00:00:00	No	2014-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	38A511	N	CA00406612	B	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-11-19 00:00:00	150010923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-06-26 00:00:00	2014-06-26 00:00:00	No	2014-12-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	EV8I11	N	CA00403600, CA00408451	B, C	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-10-31 00:00:00	150010924	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-07-05 00:00:00	2014-07-05 00:00:00	No	2014-11-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	JDOZ11	N	CA00404525	A	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2014-10-30 00:00:00	150010982	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-04-28 00:00:00	2014-04-28 00:00:00	No	2014-11-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	CZ4O11	N	CA00396967	A	SFY2014-15
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-02-25 00:00:00	150011100	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-27 00:00:00	2014-08-27 00:00:00	No	2015-03-18 00:00:00	None	B	None	1000	1000	-350	650	0	None	6U4V11	N	CA00412109	C	SFY2014-15
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-07-16 00:00:00	150011369	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-09-29 00:00:00	2013-09-29 00:00:00	No	2015-08-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	N7OJ11	N	CA00371568	A	SFY2015-16
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-10-21 00:00:00	150011633	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Neglect	2015-07-05 00:00:00	2015-07-05 00:00:00	No	2015-11-12 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	HZON11	N	CA00449299	B	SFY2015-16
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-07-29 00:00:00	150011638	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-10 00:00:00	2014-11-10 00:00:00	No	2015-08-19 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	VZHM11	N	CA00423853, CA00429731, CA00431786, CA00433095	C, B, B, C	SFY2015-16
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-10-29 00:00:00	150011694	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-02-23 00:00:00	2015-02-23 00:00:00	No	2015-11-20 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	CDCH11	N	CA00433638, CA00433659	C, C	SFY2015-16
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-06-30 00:00:00	150011986	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-12-23 00:00:00	2015-12-23 00:00:00	No	2016-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	Q51S11	N	CA00472258	B	SFY2015-16
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-03-09 00:00:00	150012012	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-07-23 00:00:00	2015-07-23 00:00:00	No	2016-03-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	4DLH11	N	CA00452799	B	SFY2015-16
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-07-14 00:00:00	150012333	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-04-18 00:00:00	2016-04-18 00:00:00	No	2016-08-04 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	87FL11	N	CA00484866	C	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-11 00:00:00	150012490	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-01 00:00:00	2016-01-01 00:00:00	No	2016-09-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	L5F311	N	CA00471215	B	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-12 00:00:00	150012491	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-12-23 00:00:00	2015-12-23 00:00:00	No	2016-09-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	6DWC11	N	CA00471637	B	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-11 00:00:00	150012492	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-08 00:00:00	2016-01-08 00:00:00	No	2016-09-01 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	69EJ11	N	CA00472242	B	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-12 00:00:00	150012493	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-01-23 00:00:00	2016-01-23 00:00:00	No	2016-09-02 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	MDN111	N	CA00473928	A	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2016-08-16 00:00:00	150012501	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2015-10-13 00:00:00	2015-10-13 00:00:00	No	2016-09-07 00:00:00	None	A	None	10000	30000	-10500	19500	0	None	TS3U11	N	CA00462074	B	SFY2016-17
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2017-12-12 00:00:00	150013430	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-07-12 00:00:00	2017-07-12 00:00:00	No	2018-01-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	DY8V11	N	CA00543752	B	SFY2017-18
150000230	SONOMA DEVELOPMENTAL CENTER D/P ICFDD	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2017-11-07 00:00:00	150013452	Closed	Citation	Citation B (HSC 1424)	Other	safeguarding client funds	2016-03-30 00:00:00	2016-03-30 00:00:00	No	2017-12-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	IG1G11	N	CA00481634	C	SFY2017-18
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2018-10-09 00:00:00	150014427	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-09-11 00:00:00	2018-09-11 00:00:00	No	2018-10-30 00:00:00	None	B	None	1000	1000	0	1000	0	None	G6RQ11	N	CA00603605	B	SFY2018-19
630015624	SONOMA DEVELOPMENTAL CENTER	LTC	ICFDD	Intermediate Care Facility-DD/H/N/CN/IID	State Facilities Section	2015-02-12 00:00:00	170011244	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-12-30 00:00:00	2014-12-30 00:00:00	No	2015-03-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	SJPR11	N	CA00425902	A	SFY2014-15
220000303	ST. MARY'S MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-03-28 00:00:00	220001038	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-14 00:00:00	None	No	2000-04-18 00:00:00	None	B	None	600	600	0	600	0	220006923	A99999	N	None	None	SFY1999-00
220000303	ST. MARY'S MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-03-29 00:00:00	220001040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-21 00:00:00	None	No	2000-04-19 00:00:00	None	B	None	600	600	0	600	0	220006923	A99999	N	None	None	SFY1999-00
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-06-01 00:00:00	220001046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-12 00:00:00	None	No	2000-06-22 00:00:00	None	B	None	900	900	-315	585	0	220006972	A99999	N	None	None	SFY1999-00
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-06-01 00:00:00	220001047	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-12 00:00:00	None	No	2000-06-22 00:00:00	None	B	None	900	900	-315	585	0	220006972	A99999	N	None	None	SFY1999-00
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2000-11-01 00:00:00	220001069	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-04 00:00:00	None	Yes	2000-11-27 00:00:00	2000-11-13 00:00:00	B	B	1000	1000	0	1000	0	220007224	A99999	N	None	None	SFY2000-01
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-09-11 00:00:00	220001208	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-14 00:00:00	2000-09-11 00:00:00	Yes	2000-10-10 00:00:00	2000-10-02 00:00:00	A	A	9000	2000	0	2000	0	220008114	A99999	N	None	None	SFY2000-01
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-15 00:00:00	220001209	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-11-09 00:00:00	None	Yes	2001-01-18 00:00:00	2000-12-28 00:00:00	B	None	800	800	0	800	0	220008118	A99999	N	None	None	SFY2000-01
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2000-12-01 00:00:00	220001273	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-04-20 00:00:00	None	No	2001-01-23 00:00:00	None	A	None	6000	6000	0	6000	0	220008817	A99999	N	None	None	SFY2000-01
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2000-08-21 00:00:00	220001289	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-04-06 00:00:00	None	No	2000-09-13 00:00:00	None	B	None	800	800	0	800	0	220008927	A99999	N	None	None	SFY2000-01
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2000-09-06 00:00:00	220001471	Closed	Citation	Citation B (HSC 1424)	Medication	None	2000-02-23 00:00:00	None	No	2000-10-02 00:00:00	None	B	None	600	600	-210	390	0	220009984	A99999	N	None	None	SFY2000-01
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-02-02 00:00:00	220001478	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2000-09-14 00:00:00	2000-11-30 00:00:00	No	2001-02-27 00:00:00	None	B	None	1000	1000	-350	650	0	220010097	A99999	N	None	None	SFY2000-01
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-09 00:00:00	220001486	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-08-30 00:00:00	None	Yes	2001-04-03 00:00:00	2001-03-12 00:00:00	A	None	15000	15000	0	15000	0	220010277	A99999	N	None	None	SFY2000-01
220001039	SUNNY VIEW MANOR	LTC	SNF	Skilled Nursing Facility	San Jose	2001-03-09 00:00:00	220001487	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-22 00:00:00	None	No	2001-04-03 00:00:00	None	B	None	800	800	-280	520	0	220010278	A99999	N	None	None	SFY2000-01
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-11-16 00:00:00	220001492	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-08 00:00:00	None	Yes	2001-12-07 00:00:00	2001-12-19 00:00:00	A	A	20000	11245	0	11245	0	220010685	A99999	N	None	None	SFY2001-02
220000080	S F COMMUNITY CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-11-16 00:00:00	220001493	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-05-10 00:00:00	2000-05-30 00:00:00	No	2001-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	220010516	A99999	N	None	None	SFY2001-02
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2001-11-16 00:00:00	220001494	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2001-05-17 00:00:00	None	No	2001-12-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	220010754	A99999	N	None	None	SFY2001-02
220000084	SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-05-07 00:00:00	220001511	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-01-10 00:00:00	None	No	2002-06-04 00:00:00	None	B	None	1000	1900	-350	1550	0	220010882	A99999	N	None	None	SFY2001-02
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-08-26 00:00:00	220001525	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-15 00:00:00	None	No	2002-09-19 00:00:00	None	B	None	1000	1000	-350	650	0	220010929	A99999	N	None	None	SFY2002-03
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-08-28 00:00:00	220001526	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-02-20 00:00:00	None	Yes	2002-09-19 00:00:00	2002-09-13 00:00:00	A	A	20000	5200	-200	5000	0	220011357	A99999	N	None	None	SFY2002-03
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2002-08-28 00:00:00	220001527	Closed	Citation	Citation A (HSC 1424)	Physical Environment	None	2002-02-20 00:00:00	None	Yes	2002-09-19 00:00:00	2002-09-13 00:00:00	A	A	20000	5200	-200	5000	0	220011357	A99999	N	None	None	SFY2002-03
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2003-05-29 00:00:00	220001541	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-04-01 00:00:00	None	No	2003-06-23 00:00:00	None	B	None	1000	1000	-350	650	0	220011742	A99999	N	None	None	SFY2002-03
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-09-09 00:00:00	220001542	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-05-08 00:00:00	None	Yes	2004-09-27 00:00:00	2004-09-21 00:00:00	A	A	20000	21050	0	21050	0	220011803	A99999	N	None	None	SFY2004-05
220000048	SAN FRANCISCO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2004-12-29 00:00:00	220001547	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-01-02 00:00:00	None	No	2005-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	220012688	A99999	N	None	None	SFY2004-05
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-03-29 00:00:00	220001552	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-08-31 00:00:00	2004-08-31 00:00:00	Yes	2005-04-22 00:00:00	2010-09-23 00:00:00	B	Dismissed by Court	1000	0	0	0	0	220012523	A99999	N	CA00031065	B	SFY2004-05
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2005-04-19 00:00:00	220001553	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2004-11-22 00:00:00	None	No	2005-05-12 00:00:00	None	B	None	1000	1000	0	1000	0	220012641	A99999	N	None	None	SFY2004-05
220000235	SHARON HEIGHTS CARE & REHAB	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-05-10 00:00:00	220003094	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2005-10-04 00:00:00	2005-10-04 00:00:00	No	2006-06-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	BVMJ11	N	CA00062922	B	SFY2005-06
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-06-23 00:00:00	220003174	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-09-21 00:00:00	2004-09-21 00:00:00	No	2006-07-18 00:00:00	None	B	None	1000	1000	0	1000	0	None	RVJV11	N	CA00032120	B	SFY2005-06
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-10-11 00:00:00	220003406	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-16 00:00:00	2006-05-16 00:00:00	No	2006-11-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	B8J911	N	CA00081058	A	SFY2006-07
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2006-10-20 00:00:00	220003436	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-10-18 00:00:00	2005-10-18 00:00:00	No	2006-11-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	CWLM11	N	CA00064092	A	SFY2006-07
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-02-21 00:00:00	220003734	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-01-02 00:00:00	2007-01-02 00:00:00	Yes	2007-03-14 00:00:00	2007-03-13 00:00:00	B	None	1000	3000	0	3000	0	None	IDUT11	N	CA00102779	B	SFY2006-07
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-02-28 00:00:00	220003748	Closed	Citation	Citation B (HSC 1424)	Patient Care	Physical Environment	2006-03-19 00:00:00	2006-03-19 00:00:00	No	2007-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	91SV11	N	CA00076016, CA00077227, CA00077227, CA00077859	B, A, A, B	SFY2006-07
220000084	SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-04-30 00:00:00	220003928	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-04 00:00:00	2004-10-04 00:00:00	Yes	2007-05-21 00:00:00	2007-05-10 00:00:00	B	B	1000	500	0	500	0	None	ITKP11	N	CA00032719	C	SFY2006-07
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-07-24 00:00:00	220004120	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-03-27 00:00:00	2007-03-27 00:00:00	Yes	2007-08-14 00:00:00	2007-07-24 00:00:00	B	B	1000	1000	0	1000	0	None	MCYH11	N	CA00110461, CA00110461	A, A	SFY2007-08
220000083	SAN MATEO CONVALESCENT HOSPITAL, INC.	LTC	SNF	Skilled Nursing Facility	San Francisco	2007-08-22 00:00:00	220004200	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-19 00:00:00	2007-02-19 00:00:00	No	2007-09-13 00:00:00	None	B	None	1000	1400	0	1400	0	None	JPEI11	N	CA00113256	B	SFY2007-08
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2007-12-17 00:00:00	220004524	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2007-05-23 00:00:00	2007-05-23 00:00:00	Yes	2008-01-09 00:00:00	2007-12-17 00:00:00	B	B	1000	1000	0	1000	0	None	L9WD11	N	CA00115662	A	SFY2007-08
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2008-01-08 00:00:00	220004566	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-26 00:00:00	2007-07-26 00:00:00	Yes	2008-01-30 00:00:00	2013-11-06 00:00:00	B	B	1000	1000	0	1000	0	None	P99F11	N	CA00121565	B	SFY2007-08
220001162	SUSAN MANOR ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2008-03-06 00:00:00	220004756	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2007-09-20 00:00:00	2007-09-20 00:00:00	No	2008-03-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	8NBY11	N	CA00127038	A	SFY2007-08
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-04-02 00:00:00	220004838	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2006-12-17 00:00:00	2006-12-17 00:00:00	Yes	2008-04-23 00:00:00	2008-04-21 00:00:00	A	A	20000	20900	-900	20000	0	None	CKNN11	N	CA00103569	A	SFY2007-08
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-04-08 00:00:00	220004868	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-01-24 00:00:00	2008-01-24 00:00:00	Yes	2008-04-29 00:00:00	2008-04-08 00:00:00	B	B	1000	1000	0	1000	0	None	7FL111	N	CA00138180	B	SFY2007-08
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-04-21 00:00:00	220004949	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-26 00:00:00	2008-01-26 00:00:00	No	2008-05-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	8XZF11	N	CA00142953	B	SFY2007-08
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-05-22 00:00:00	220005065	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-01-10 00:00:00	2008-01-10 00:00:00	No	2008-06-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	1P0L11	N	CA00137430	B	SFY2007-08
220001127	SEACLIFF ICF/DD-H, INC.	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2008-06-05 00:00:00	220005107	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-05-01 00:00:00	2008-05-01 00:00:00	No	2008-06-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	13NJ11	N	CA00148743	B	SFY2007-08
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-06-18 00:00:00	220005152	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-05-15 00:00:00	2008-05-15 00:00:00	Yes	2008-07-11 00:00:00	2008-06-20 00:00:00	A	B	20000	50000	0	50000	0	None	6NP711	N	CA00150793	B	SFY2007-08
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-10-31 00:00:00	220005565	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-29 00:00:00	2008-07-29 00:00:00	Yes	2008-11-24 00:00:00	2008-11-18 00:00:00	B	None	1000	1000	-1000	0	0	None	N3ZF11	N	CA00158559	B	SFY2008-09
220000971	SAN FRANCISCO TOWERS	LTC	SNF	Skilled Nursing Facility	San Francisco	2008-11-14 00:00:00	220005596	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-18 00:00:00	2008-07-18 00:00:00	No	2008-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	U6Q911	N	CA00160589	C	SFY2008-09
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2008-11-26 00:00:00	220005623	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-04-13 00:00:00	2008-04-13 00:00:00	Yes	2008-12-19 00:00:00	2008-12-08 00:00:00	A	A	14000	9000	0	9000	0	None	UUPC11	N	CA00147151	C	SFY2008-09
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-02-10 00:00:00	220005821	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-16 00:00:00	2008-02-16 00:00:00	No	2009-03-05 00:00:00	None	A	None	20000	20000	0	20000	0	None	Q0UG11	N	CA00141477	A	SFY2008-09
220000083	SAN MATEO CONVALESCENT HOSPITAL, INC.	LTC	SNF	Skilled Nursing Facility	San Francisco	2009-03-19 00:00:00	220005990	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-07 00:00:00	2008-10-07 00:00:00	No	2009-04-10 00:00:00	None	B	None	1000	1550	-350	1200	0	None	P5YH11	N	CA00165844	A	SFY2008-09
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-22 00:00:00	220006113	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-11-04 00:00:00	2008-11-04 00:00:00	Yes	2009-05-13 00:00:00	2009-05-07 00:00:00	B	None	1000	1000	0	1000	0	None	XJRU11	N	CA00169685	C	SFY2008-09
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-22 00:00:00	220006115	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2008-12-17 00:00:00	2008-12-17 00:00:00	Yes	2009-05-15 00:00:00	2009-05-07 00:00:00	B	None	1000	1000	0	1000	0	None	WQJQ11	N	CA00173217	C	SFY2008-09
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-04-22 00:00:00	220006116	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-01-05 00:00:00	2009-01-05 00:00:00	Yes	2009-05-13 00:00:00	2009-05-07 00:00:00	B	None	1000	1000	0	1000	0	None	D18R11	N	CA00173793	A	SFY2008-09
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2009-08-07 00:00:00	220006442	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-01-24 00:00:00	2008-01-24 00:00:00	Yes	2009-09-01 00:00:00	2009-08-10 00:00:00	B	B	1000	500	0	500	0	None	R8HK11	N	CA00139647, CA00140543, CA00140716	C, B, B	SFY2009-10
220000527	SOUTH GRANT ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2009-08-24 00:00:00	220006480	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-07-18 00:00:00	2009-07-18 00:00:00	No	2009-09-15 00:00:00	None	B	None	700	700	-245	455	0	None	T6KZ11	N	CA00196570	C	SFY2009-10
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-02-03 00:00:00	220006958	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-03-19 00:00:00	2009-03-19 00:00:00	No	2010-03-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	I2M311	N	CA00182079	C	SFY2009-10
220001041	SUNNYVALE POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Jose	2010-03-18 00:00:00	220007059	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-14 00:00:00	2008-09-14 00:00:00	Yes	2010-04-21 00:00:00	2010-03-29 00:00:00	B	B	1000	1000	0	1000	0	None	FSN911	N	CA00163602	B	SFY2009-10
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2010-06-09 00:00:00	220007280	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2009-11-30 00:00:00	2009-11-30 00:00:00	Yes	2010-06-30 00:00:00	2010-06-09 00:00:00	B	None	1000	3000	0	3000	0	None	NXW011	N	CA00209649	C	SFY2009-10
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-06-16 00:00:00	220007304	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-01-24 00:00:00	2010-01-24 00:00:00	No	2010-07-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	XKR611	N	CA00216094	C	SFY2009-10
220000048	SAN FRANCISCO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-09-14 00:00:00	220007568	Closed	Citation	Citation AA (HSC 1424)	Immediate Jeopardy	None	2010-03-22 00:00:00	2010-03-22 00:00:00	Yes	2010-10-05 00:00:00	2010-10-01 00:00:00	AA	AA	100000	25000	-25000	0	0	None	G7M511	Y	CA00222459	A	SFY2010-11
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2010-12-24 00:00:00	220007795	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-09-16 00:00:00	2010-09-16 00:00:00	No	2011-01-14 00:00:00	None	B	None	1000	1000	0	1000	0	None	3B9D11	N	CA00242213	C	SFY2010-11
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-01 00:00:00	220007895	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-19 00:00:00	2010-11-19 00:00:00	No	2011-02-23 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZU2Z11	N	CA00250285	C	SFY2010-11
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-16 00:00:00	220007936	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-12-29 00:00:00	2010-12-29 00:00:00	No	2011-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	H3W711	N	CA00253995	C	SFY2010-11
220000048	SAN FRANCISCO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-02-28 00:00:00	220007947	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-09 00:00:00	2010-06-09 00:00:00	No	2011-03-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	0F2G11	N	CA00231927	C	SFY2010-11
220000888	SAN FRANCISCO GENERAL HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-09-29 00:00:00	220008599	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-04-01 00:00:00	2011-04-01 00:00:00	No	2011-10-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	NSU311	N	CA00264075	C	SFY2011-12
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-10-04 00:00:00	220008613	Closed	Citation	Citation B (HSC 1424)	Medication	None	2011-02-08 00:00:00	2011-02-08 00:00:00	No	2011-10-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	HFQC11	N	CA00260312	B	SFY2011-12
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2011-11-01 00:00:00	220008683	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-12-24 00:00:00	2010-12-24 00:00:00	Yes	2011-11-23 00:00:00	2011-11-04 00:00:00	A	None	20000	20000	0	20000	0	None	RRQB11	N	CA00253367	B	SFY2011-12
220000955	STEPHANIE HOME, INC.	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2012-05-15 00:00:00	220009302	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-19 00:00:00	2010-07-19 00:00:00	No	2012-06-06 00:00:00	None	B	None	1000	1000	-350	650	0	None	DWW311	N	CA00238742	C	SFY2011-12
220000084	SEQUOIAS SAN FRANCISCO CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2013-09-17 00:00:00	220010147	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-03-22 00:00:00	2012-03-22 00:00:00	No	2013-10-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	ULUI11	N	CA00304072, CA00304949, CA00307084, CA00312538	B, C, C, C	SFY2013-14
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2016-07-15 00:00:00	220012393	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-01-26 00:00:00	2016-01-26 00:00:00	No	2016-08-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	H7LN11	N	None	None	SFY2016-17
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-02-07 00:00:00	220013796	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2016-10-27 00:00:00	2016-10-27 00:00:00	No	2018-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0UWJ11	N	CA00511870	C	SFY2017-18
220000086	SHEFFIELD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-02-08 00:00:00	220013798	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2017-10-18 00:00:00	2017-10-18 00:00:00	No	2018-03-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	2JQI11	N	CA00562151	C	SFY2017-18
220000804	SHANNON ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2018-07-26 00:00:00	220014101	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-07-23 00:00:00	2015-07-23 00:00:00	No	2018-08-16 00:00:00	None	A	None	20000	20900	-7000	13900	0	None	DHBL11	Y	CA00450150	C	SFY2018-19
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2018-09-26 00:00:00	220014436	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-06 00:00:00	2017-01-06 00:00:00	No	2018-10-17 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RJCQ11	N	CA00517454	B	SFY2018-19
630011677	SHOREVIEW ICF-DDH	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2018-11-08 00:00:00	220014572	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-06-04 00:00:00	2018-06-04 00:00:00	No	2018-12-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	D1IH11	N	CA00589991	A	SFY2018-19
220000039	SAN FRANCISCO HEALTH CARE	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-03-14 00:00:00	220014880	Closed	Citation	Citation B (HSC 1424)	Medication	None	2018-10-07 00:00:00	2018-10-07 00:00:00	Yes	2019-04-04 00:00:00	2019-03-28 00:00:00	B	B	2000	2250	0	2250	0	None	CLU311	N	CA00608528, CA00608528, CA00610468, CA00610468, CA00610468, CA00610498, CA00610498, CA00610498	A, A, B, B, B, B, B, B	SFY2018-19
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2019-09-27 00:00:00	220015419	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2019-01-01 00:00:00	2019-01-01 00:00:00	Yes	2019-10-18 00:00:00	2019-10-01 00:00:00	AA	AA	100000	100000	0	0	100000	None	MT2Z11	Y	CA00618234, CA00618234, CA00618552, CA00618552, CA00618552	B, B, B, B, B	SFY2019-20
220001162	SUSAN MANOR ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2020-11-24 00:00:00	220016165	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-20 00:00:00	2016-12-20 00:00:00	No	2020-12-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	75XF11	Y	CA00515616	B	SFY2020-21
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-01-07 00:00:00	220017257	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-11-02 00:00:00	2021-11-02 00:00:00	No	2022-01-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KQJZ11	N	CA00759948, CA00759948, CA00760039	C, C, C	SFY2021-22
220001162	SUSAN MANOR ICF/DD-H	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Francisco	2022-01-20 00:00:00	220017276	Closed	Citation	Citation B (HSC 1424)	Administration	None	2019-11-29 00:00:00	2019-11-29 00:00:00	No	2022-02-10 00:00:00	None	B	None	2000	2000	-700	1300	0	None	U8Q211	N	CA00767171	B	SFY2021-22
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-08-25 00:00:00	220017929	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2022-08-10 00:00:00	2022-08-10 00:00:00	No	2022-09-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	XB9G11	N	CA00778375, CA00778375, CA00781166, CA00781166, CA00781166, CA00781166	B, B, B, B, B, B	SFY2022-23
220000218	SAN MATEO MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-08-25 00:00:00	220017930	Open	Citation	Citation B (HSC 1424)	Patient Record	None	2022-08-10 00:00:00	2022-08-10 00:00:00	No	2022-09-16 00:00:00	None	B	None	2000	2000	0	2000	0	None	XB9G11	N	None	None	SFY2022-23
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2000-02-17 00:00:00	230000881	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-12-21 00:00:00	None	Yes	2000-07-19 00:00:00	2000-02-18 00:00:00	B	B	900	1650	0	1650	0	230006279	A99999	N	None	None	SFY1999-00
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2000-04-13 00:00:00	230000887	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	1999-09-28 00:00:00	None	Yes	2000-05-08 00:00:00	2000-04-13 00:00:00	B	None	800	800	0	800	0	230006349	A99999	N	None	None	SFY1999-00
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2002-04-26 00:00:00	230000981	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-09 00:00:00	None	Yes	2002-08-23 00:00:00	2002-04-26 00:00:00	B	B	700	700	0	700	0	230007246	A99999	N	None	None	SFY2001-02
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2002-08-21 00:00:00	230000993	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-20 00:00:00	None	No	2002-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	230008323	A99999	N	None	None	SFY2002-03
230000282	SPRING HILL MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2003-04-23 00:00:00	230001025	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-20 00:00:00	2002-04-20 00:00:00	Yes	2003-05-20 00:00:00	2003-04-23 00:00:00	B	None	850	850	0	850	0	230008853	A99999	N	None	None	SFY2002-03
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2005-08-11 00:00:00	230001147	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-05-08 00:00:00	2005-05-08 00:00:00	No	2005-09-01 00:00:00	None	B	None	1000	1000	-350	650	0	230011621	A99999	N	None	None	SFY2005-06
230000282	SPRING HILL MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-07 00:00:00	230003751	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2006-07-28 00:00:00	2006-07-28 00:00:00	Yes	2013-10-07 00:00:00	2007-03-07 00:00:00	B	B	900	900	0	900	0	None	92V511	N	CA00088685	B	SFY2006-07
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2007-03-23 00:00:00	230003753	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-06-19 00:00:00	2006-06-19 00:00:00	Yes	2007-04-13 00:00:00	2007-03-23 00:00:00	B	B	1000	500	0	500	0	None	2ESJ11	N	CA00084139	B	SFY2006-07
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2007-06-06 00:00:00	230004001	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-10 00:00:00	2006-11-10 00:00:00	No	2007-06-27 00:00:00	None	B	None	500	500	0	500	0	None	OJ2V11	N	CA00098492, CA00098494	B, B	SFY2006-07
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-05 00:00:00	230004052	Closed	Citation	Citation B (HSC 1424)	Administration	None	2007-04-08 00:00:00	2007-04-08 00:00:00	No	2007-07-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	B62P11	N	CA00111697	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-05 00:00:00	230004053	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-08 00:00:00	2007-04-08 00:00:00	No	2007-07-26 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	B62P11	N	CA00111697	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-18 00:00:00	230004077	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-19 00:00:00	2006-12-19 00:00:00	No	2007-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	G0CE11	N	CA00101413	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-07-18 00:00:00	230004078	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-06 00:00:00	2006-12-06 00:00:00	No	2007-08-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	G0CE11	N	CA00101413	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2007-12-05 00:00:00	230004476	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-11-08 00:00:00	2007-11-08 00:00:00	No	2007-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	VMP811	N	CA00131772	B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2008-01-17 00:00:00	230004577	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-12-19 00:00:00	2007-12-19 00:00:00	No	2008-02-08 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	37DX11	N	CA00135685, CA00135702, CA00136597, CA00136602	B, B, B, B	SFY2007-08
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2008-02-05 00:00:00	230004648	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-01-01 00:00:00	2008-01-01 00:00:00	No	2008-02-28 00:00:00	None	B	None	750	750	-262.5	487.5	0	None	QT4J11	N	CA00137862	B	SFY2007-08
230000227	SENECA DISTRICT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-12 00:00:00	230005307	Closed	Citation	Citation B (HSC 1424)	Other	ACCIDENTS	2008-07-13 00:00:00	2008-07-13 00:00:00	No	2008-09-03 00:00:00	None	B	None	800	800	0	800	0	None	N0R111	N	CA00156805	C	SFY2008-09
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2008-08-14 00:00:00	230005322	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2008-06-17 00:00:00	2008-06-17 00:00:00	No	2008-09-05 00:00:00	None	B	None	800	800	-280	520	0	None	MC5F11	N	None	None	SFY2008-09
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2008-09-05 00:00:00	230005380	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-07-24 00:00:00	2008-07-24 00:00:00	No	2008-09-26 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	G93L11	N	CA00158141	C	SFY2008-09
230000227	SENECA DISTRICT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-17 00:00:00	230006546	Closed	Citation	Citation B (HSC 1424)	Other	Flr to rprt/24	2009-08-11 00:00:00	2009-08-11 00:00:00	No	2009-10-08 00:00:00	None	B	None	500	500	0	500	0	None	VH4711	N	CA00198766	C	SFY2009-10
230000227	SENECA DISTRICT HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2009-09-17 00:00:00	230006547	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-08-11 00:00:00	2009-08-11 00:00:00	No	2009-10-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	VH4711	N	CA00198766	C	SFY2009-10
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2010-03-25 00:00:00	230007056	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-12-15 00:00:00	2009-12-15 00:00:00	No	2010-04-16 00:00:00	None	B	None	1000	1000	0	1000	0	None	O7ES11	N	CA00211754	C	SFY2009-10
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-21 00:00:00	230007125	Closed	Citation	Citation B (HSC 1424)	Other	Health and Safety	2010-03-08 00:00:00	2010-03-08 00:00:00	No	2010-05-12 00:00:00	None	B	None	800	800	0	800	0	None	914311	N	CA00221314	C	SFY2009-10
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2010-04-21 00:00:00	230007139	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-03-08 00:00:00	2010-03-08 00:00:00	No	2010-05-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	914311	N	CA00221154	C	SFY2009-10
230000282	SPRING HILL MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-01 00:00:00	230007340	Closed	Citation	Citation B (HSC 1424)	Other	FTR within 24 hours	2010-05-14 00:00:00	2010-05-14 00:00:00	Yes	2014-03-12 00:00:00	2010-07-13 00:00:00	B	B	1000	1000	0	1000	0	None	UZDN11	N	CA00229115	C	SFY2010-11
230000282	SPRING HILL MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Chico	2010-07-01 00:00:00	230007342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-05-13 00:00:00	2010-05-13 00:00:00	Yes	2014-03-12 00:00:00	2010-07-09 00:00:00	B	B	1000	1000	0	1000	0	None	UZDN11	N	CA00229115	C	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2010-08-25 00:00:00	230007490	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2010-05-22 00:00:00	2010-05-22 00:00:00	No	2010-09-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	RROG11	N	CA00231113	C	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2011-03-08 00:00:00	230007997	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-10 00:00:00	2010-11-10 00:00:00	No	2011-03-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	XZ6F11	N	CA00248915	B	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-20 00:00:00	230008162	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-08-14 00:00:00	2010-08-14 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	UE4Y11	N	CA00239437	B	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-20 00:00:00	230008164	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-02-03 00:00:00	2011-02-03 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	DZVG11	N	CA00257905	B	SFY2010-11
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2011-04-20 00:00:00	230008166	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2010-07-08 00:00:00	2010-07-08 00:00:00	No	2011-05-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	0P3S11	N	CA00235157	B	SFY2010-11
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2011-10-12 00:00:00	230008638	Closed	Citation	Citation B (HSC 1424)	Other	Policies/Procedures	2011-09-02 00:00:00	2011-09-02 00:00:00	No	2011-11-02 00:00:00	None	B	None	1000	1000	0	1000	0	None	EKZK11	N	CA00284199	B	SFY2011-12
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2012-04-05 00:00:00	230009200	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2011-10-21 00:00:00	2011-10-21 00:00:00	No	2012-04-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	4IVI11	N	CA00287298, CA00287471	B, B	SFY2011-12
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2013-04-29 00:00:00	230009590	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-10-26 00:00:00	2012-10-26 00:00:00	Yes	2013-05-20 00:00:00	2013-04-29 00:00:00	B	None	1000	1000	0	1000	0	None	JB9P11	N	CA00331247	B	SFY2012-13
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2013-07-09 00:00:00	230010002	Closed	Citation	Citation B (HSC 1424)	Patient Rights	Abuse	2012-07-19 00:00:00	2012-07-19 00:00:00	No	2013-07-30 00:00:00	None	B	None	2000	2000	0	2000	0	None	CI2111	N	CA00318845	D	SFY2013-14
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2017-02-13 00:00:00	230012762	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-11-09 00:00:00	2016-11-09 00:00:00	No	2017-03-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	P9HN11	N	CA00503904	B	SFY2016-17
230000144	SURPRISE VALLEY COMMUNITY HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	Chico	2017-02-13 00:00:00	230012763	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-10-27 00:00:00	2016-10-27 00:00:00	No	2017-03-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	P9HN11	Y	CA00508618	B	SFY2016-17
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2024-05-29 00:00:00	230020205	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-03-13 00:00:00	2024-03-13 00:00:00	No	2024-06-19 00:00:00	None	B	None	2000	2000	0	0	2000	None	9RN411	N	CA00889668	A	SFY2023-24
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-09-18 00:00:00	240001732	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-18 00:00:00	2002-05-18 00:00:00	No	2002-10-09 00:00:00	None	B	None	1000	1000	-350	650	0	240016448	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-10-02 00:00:00	240001734	Closed	Citation	Citation B (HSC 1424)	Other	PT. CARE & PT. RIGHT	2002-06-26 00:00:00	2002-06-26 00:00:00	No	2002-10-29 00:00:00	None	B	None	1000	3000	-1050	1950	0	240016559	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-10-09 00:00:00	240001735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-05-31 00:00:00	2002-05-31 00:00:00	No	2002-10-30 00:00:00	None	B	None	1000	3050	-1050	2000	0	240016601	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-05 00:00:00	240001737	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-06-22 00:00:00	2002-06-22 00:00:00	Yes	2002-12-05 00:00:00	2002-11-24 00:00:00	A	A	15000	8607	0	8607	0	240015959	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-05 00:00:00	240001738	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-01 00:00:00	2002-07-01 00:00:00	No	2002-12-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	240015958	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-05 00:00:00	240001739	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-15 00:00:00	2002-07-15 00:00:00	No	2002-12-05 00:00:00	None	B	None	1000	3000	-1050	1950	0	240016048	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2002-11-07 00:00:00	240001740	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-08-06 00:00:00	2002-08-06 00:00:00	Yes	2002-12-09 00:00:00	2002-11-21 00:00:00	A	A Trebled	18000	30987	0	30987	0	240016814	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-02-06 00:00:00	240001749	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-07-13 00:00:00	2002-07-13 00:00:00	Yes	2003-03-05 00:00:00	2003-02-18 00:00:00	A	A	18000	10329	0	10329	0	240016049	A99999	N	None	None	SFY2002-03
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-02-06 00:00:00	240001750	Closed	Citation	Citation B (HSC 1424)	Patient Care	PT CARE/RIGHTS,MEDIC	2002-08-18 00:00:00	2002-08-18 00:00:00	No	2003-02-27 00:00:00	None	B	None	1000	3000	-1050	1950	0	240016310	A99999	N	None	None	SFY2002-03
240001102	SOUTHERN INYO HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2003-12-19 00:00:00	240001785	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-01-04 00:00:00	None	No	2004-01-13 00:00:00	None	A	None	10000	10000	-3500	6500	0	240018940	A99999	N	None	None	SFY2003-04
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-02-19 00:00:00	240001793	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2003-09-19 00:00:00	None	No	2004-03-11 00:00:00	None	A	None	5000	5000	-1750	3250	0	240018635	A99999	N	None	None	SFY2003-04
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-03-25 00:00:00	240001798	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-11 00:00:00	2003-10-11 00:00:00	No	2004-04-15 00:00:00	None	B	None	500	500	0	500	0	240018700	A99999	N	None	None	SFY2003-04
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2004-06-01 00:00:00	240001807	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2003-04-27 00:00:00	2003-04-27 00:00:00	Yes	2004-06-22 00:00:00	2004-06-14 00:00:00	A	B	10000	10000	0	10000	0	240017904	A99999	N	None	None	SFY2003-04
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2005-02-07 00:00:00	240001845	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2004-04-30 00:00:00	2004-04-30 00:00:00	Yes	2005-03-01 00:00:00	2005-03-02 00:00:00	AA	A	50000	30000	0	30000	0	240019983	A99999	Y	CA00023380	B	SFY2004-05
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-08 00:00:00	240003085	Closed	Citation	Citation B (HSC 1424)	Other	AB-Abuse	2005-12-16 00:00:00	2005-12-16 00:00:00	No	2006-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	87Q911	N	CA00068271	B	SFY2005-06
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-05-08 00:00:00	240003086	Closed	Citation	Citation B (HSC 1424)	Other	AB-Abuse	2005-11-16 00:00:00	2005-11-16 00:00:00	No	2006-05-30 00:00:00	None	B	None	1000	1000	-350	650	0	None	CK8211	N	CA00065795	C	SFY2005-06
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-08-03 00:00:00	240003217	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2004-10-04 00:00:00	2004-10-04 00:00:00	Yes	2006-08-24 00:00:00	2006-08-04 00:00:00	B	None	1000	1000	0	1000	0	None	DNXE11	N	CA00033229	B	SFY2006-07
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-27 00:00:00	240003362	Closed	Citation	Citation A (HSC 1424)	Other	AB-ABUSE	2005-10-17 00:00:00	2005-10-17 00:00:00	Yes	2006-10-19 00:00:00	2006-09-28 00:00:00	A	A	20000	20000	0	20000	0	None	Q7DB11	N	CA00063923	C	SFY2006-07
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-09-27 00:00:00	240003363	Closed	Citation	Citation A (HSC 1424)	Other	Abuse/Facility Not Report	2005-06-14 00:00:00	2005-06-14 00:00:00	Yes	2006-10-19 00:00:00	2006-10-19 00:00:00	A	B	20000	1000	0	1000	0	None	WMPT11	N	CA00054343	C	SFY2006-07
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2006-10-19 00:00:00	240003435	Closed	Citation	Citation B (HSC 1424)	Other	AB-Abuse	2006-02-08 00:00:00	2006-02-08 00:00:00	No	2006-11-09 00:00:00	None	B	None	500	500	-175	325	0	None	OGG111	N	CA00075185	B	SFY2006-07
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2008-03-05 00:00:00	240004735	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-28 00:00:00	2007-07-28 00:00:00	No	2008-03-26 00:00:00	None	B	None	1000	1000	0	1000	0	None	4NRK11	N	CA00121859	B	SFY2007-08
240001673	SHEPHERD DIVISION	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2008-09-03 00:00:00	240005370	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-01-08 00:00:00	2007-01-08 00:00:00	No	2008-09-24 00:00:00	None	B	None	900	900	-315	585	0	None	94H711	N	CA00103512	B	SFY2008-09
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-03-24 00:00:00	240006004	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-06-12 00:00:00	2006-06-12 00:00:00	No	2009-04-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	HRH811	N	CA00092958	B	SFY2008-09
240000136	SYCAMORE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2009-08-13 00:00:00	240006466	Closed	Citation	Citation B (HSC 1424)	Medication	None	2007-03-01 00:00:00	2007-03-01 00:00:00	Yes	2009-09-03 00:00:00	2009-08-13 00:00:00	B	B	500	250	0	250	0	None	D9D011	N	CA00107575, CA00108061	C, C	SFY2009-10
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-12-31 00:00:00	240006866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-08-06 00:00:00	2008-08-06 00:00:00	Yes	2014-04-10 00:00:00	2010-01-11 00:00:00	B	B	700	700	0	700	0	None	XEXV11	Y	CA00161203	C	SFY2009-10
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2009-12-31 00:00:00	240006867	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-05-31 00:00:00	2009-05-31 00:00:00	Yes	2010-01-26 00:00:00	2010-01-11 00:00:00	B	B	700	455	0	455	0	None	MVT311	N	CA00190300	C	SFY2009-10
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-02-22 00:00:00	240007007	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-16 00:00:00	2009-02-16 00:00:00	No	2010-03-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	7RJ111	N	CA00178218	B	SFY2009-10
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-01 00:00:00	240007090	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-09-15 00:00:00	2006-09-15 00:00:00	No	2010-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	HRH811	N	CA00093345	B	SFY2009-10
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-01 00:00:00	240007093	Closed	Citation	Citation B (HSC 1424)	Administration	None	2006-05-17 00:00:00	2006-05-17 00:00:00	No	2010-04-22 00:00:00	None	B	None	900	900	-315	585	0	None	TIUR11	N	CA00081143	B	SFY2009-10
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-01 00:00:00	240007096	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-22 00:00:00	2006-08-22 00:00:00	No	2010-04-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZLI211	N	CA00090844	C	SFY2009-10
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2010-04-22 00:00:00	240007147	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-04-16 00:00:00	2008-04-16 00:00:00	No	2010-05-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	O96F11	N	CA00147254	B	SFY2009-10
240000854	SEVENTEENTH STREET HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2010-10-15 00:00:00	240007642	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2009-07-26 00:00:00	2009-07-26 00:00:00	Yes	2010-11-05 00:00:00	2012-10-15 00:00:00	AA	AA	25000	25000	0	0	25000	None	S5T711	Y	CA00196392	A	SFY2010-11
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-02-09 00:00:00	240007921	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-05-31 00:00:00	2010-05-31 00:00:00	Yes	2011-03-03 00:00:00	2011-02-09 00:00:00	A	A	20000	20000	0	20000	0	None	BRJY11	N	CA00210721	C	SFY2010-11
240001102	SOUTHERN INYO HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-05-20 00:00:00	240008258	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-11-03 00:00:00	2008-11-03 00:00:00	No	2011-06-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	KH1111	N	CA00168713	B	SFY2010-11
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-07-19 00:00:00	240008390	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-10-31 00:00:00	2007-10-31 00:00:00	No	2011-08-09 00:00:00	None	B	None	1000	1000	-350	650	0	None	MGHX11	N	CA00131282	B	SFY2011-12
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2011-09-08 00:00:00	240008474	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-03-21 00:00:00	2011-03-21 00:00:00	Yes	2011-09-30 00:00:00	2011-09-14 00:00:00	B	B	1000	1000	0	1000	0	None	51FV11	N	CA00263550	C	SFY2011-12
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-03-23 00:00:00	240009177	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-11-04 00:00:00	2010-11-04 00:00:00	No	2012-04-13 00:00:00	None	B	None	1000	1000	-350	650	0	None	4ICJ11	N	CA00248892	C	SFY2011-12
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-04-19 00:00:00	240009228	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-06-08 00:00:00	2010-06-08 00:00:00	Yes	2012-05-10 00:00:00	2012-04-24 00:00:00	B	B	1000	1000	-1000	0	0	None	NC6U11	N	CA00233389	E	SFY2011-12
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2012-10-24 00:00:00	240009569	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-07-10 00:00:00	2007-07-10 00:00:00	No	2012-11-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	73QL11	N	CA00120004	H	SFY2012-13
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2014-02-05 00:00:00	240010442	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-10-09 00:00:00	2011-10-09 00:00:00	No	2014-02-27 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	65KZ11	N	CA00286608	H	SFY2013-14
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2015-08-13 00:00:00	240011653	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-31 00:00:00	2014-10-31 00:00:00	No	2015-09-03 00:00:00	None	B	None	1000	1000	-350	650	0	None	H7MU11	N	CA00419020	B	SFY2015-16
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2015-11-24 00:00:00	240011786	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-09-29 00:00:00	2014-09-29 00:00:00	No	2015-12-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	JZCE11	N	CA00415188	A	SFY2015-16
240000136	SYCAMORE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	San Bernardino	2016-04-07 00:00:00	240012170	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-03-17 00:00:00	2013-03-17 00:00:00	Yes	2016-04-28 00:00:00	2016-04-08 00:00:00	B	B	1500	1000	0	1000	0	None	3RZH11	N	CA00348051	E	SFY2015-16
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2016-09-08 00:00:00	240012565	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-21 00:00:00	2013-02-21 00:00:00	No	2016-09-29 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	Z5N011	N	CA00344608	A	SFY2016-17
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2018-07-02 00:00:00	240014210	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2018-04-07 00:00:00	2018-04-07 00:00:00	No	2018-07-24 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	YTFI11	N	CA00582114, CA00582114	A, A	SFY2018-19
240000099	SIERRA VISTA	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-02-08 00:00:00	240014810	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2018-12-17 00:00:00	2018-12-17 00:00:00	No	2019-03-01 00:00:00	None	B	None	1500	1500	0	1500	0	None	TGUZ11	N	CA00616285	A	SFY2018-19
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2019-05-23 00:00:00	240015096	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2019-04-02 00:00:00	2019-04-02 00:00:00	No	2019-06-13 00:00:00	None	B	None	1000	1000	0	1000	0	None	207B11	N	None	None	SFY2018-19
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2022-04-05 00:00:00	240017545	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-06-26 00:00:00	2021-06-26 00:00:00	Yes	2022-04-26 00:00:00	2022-04-11 00:00:00	AA	AA	25000	21500	-1000	20500	0	None	93U211	Y	CA00742547, CA00742547	A, A	SFY2021-22
240000143	SHANDIN HILLS BEHAVIOR THERAPY CENTER	LTC	SNF	Skilled Nursing Facility	San Bernardino	2023-05-18 00:00:00	240018752	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-02-06 00:00:00	2023-02-06 00:00:00	No	2023-06-09 00:00:00	None	B	None	150	150	0	150	0	None	47LB11	N	CA00825728	A	SFY2022-23
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2000-10-24 00:00:00	250001485	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-23 00:00:00	None	Yes	2000-11-15 00:00:00	2000-11-13 00:00:00	B	None	1000	1000	0	1000	0	250012181	A99999	N	None	None	SFY2000-01
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2002-05-23 00:00:00	250001499	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-27 00:00:00	None	No	2002-06-17 00:00:00	None	B	None	1000	1000	-350	650	0	250013707	A99999	N	None	None	SFY2001-02
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2003-05-02 00:00:00	250001510	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-03-15 00:00:00	None	Yes	2003-11-12 00:00:00	2003-05-15 00:00:00	B	B	1000	3000	0	3000	0	250015022	A99999	N	None	None	SFY2002-03
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2005-08-24 00:00:00	250001561	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-21 00:00:00	None	No	2005-09-16 00:00:00	None	B	None	500	500	-175	325	0	250016835	A99999	N	None	None	SFY2005-06
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2005-09-28 00:00:00	250001564	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-08-17 00:00:00	None	No	2005-10-20 00:00:00	None	B	None	1000	1000	-350	650	0	250016838	A99999	N	None	None	SFY2005-06
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-05-22 00:00:00	250003073	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2005-03-10 00:00:00	2005-03-10 00:00:00	Yes	2011-03-30 00:00:00	2006-05-31 00:00:00	A	A	20000	20450	-20450	0	0	None	9I9H11	N	CA00073896	C	SFY2005-06
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-06-09 00:00:00	250003101	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2005-11-03 00:00:00	2005-11-03 00:00:00	Yes	2006-06-30 00:00:00	2006-06-26 00:00:00	A	A	6000	3150	0	3150	0	None	71RR11	N	CA00065065	C	SFY2005-06
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2006-11-02 00:00:00	250003432	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-29 00:00:00	2005-11-29 00:00:00	No	2006-11-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	50TN11	N	CA00067017	C	SFY2006-07
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2008-02-14 00:00:00	250004591	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-08-16 00:00:00	2006-08-16 00:00:00	No	2008-03-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	HO1V11	N	CA00090368	C	SFY2007-08
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2008-03-28 00:00:00	250004761	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2005-09-02 00:00:00	2005-09-02 00:00:00	No	2008-05-16 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	1Q0F11	None	CA00092876	C	SFY2007-08
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-06-29 00:00:00	250008337	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2011-07-21 00:00:00	None	B	None	1000	1000	-1000	0	0	None	2PHL11	N	CA00150225	C	SFY2010-11
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-10-25 00:00:00	250008650	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	2011-11-16 00:00:00	None	B	None	1000	1000	-1000	0	0	None	KDHY11	N	CA00274279	C	SFY2011-12
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-12-06 00:00:00	250008772	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-18 00:00:00	2010-11-18 00:00:00	No	2011-12-28 00:00:00	None	B	None	1000	1000	-1000	0	0	None	UVKC11	N	CA00253109	C	SFY2011-12
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2011-12-06 00:00:00	250008779	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2010-11-18 00:00:00	2010-11-18 00:00:00	No	2011-12-28 00:00:00	None	B	None	1000	1000	-1000	0	0	None	UVKC11	N	CA00253109	C	SFY2011-12
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-02-20 00:00:00	250010470	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-08-30 00:00:00	2013-08-30 00:00:00	Yes	2014-03-13 00:00:00	2014-02-24 00:00:00	A	A	10000	6500	0	6500	0	None	8O2D11	N	CA00368127	C	SFY2013-14
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2014-07-24 00:00:00	250010881	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-01-19 00:00:00	2012-01-19 00:00:00	No	2014-08-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DQIE11	N	None	None	SFY2014-15
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-02-23 00:00:00	250012953	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-03-20 00:00:00	2015-03-20 00:00:00	No	2017-03-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CQMM11	N	CA00436968	C	SFY2016-17
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-03-01 00:00:00	250012954	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-11-28 00:00:00	2015-11-28 00:00:00	No	2017-03-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P4RB11	N	CA00466981	C	SFY2016-17
250000283	SAN JACINTO VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-06-21 00:00:00	250013294	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-21 00:00:00	2017-02-21 00:00:00	No	2017-07-13 00:00:00	None	B	None	200	200	-70	130	0	None	HDMO11	N	CA00531716	B	SFY2016-17
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-11-14 00:00:00	250013612	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-12-12 00:00:00	2016-12-12 00:00:00	No	2017-12-07 00:00:00	None	B	None	2000	2000	0	2000	0	None	QG3211	N	CA00513944	B	SFY2017-18
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2017-11-29 00:00:00	250013627	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-05-25 00:00:00	2017-05-25 00:00:00	No	2017-12-20 00:00:00	None	B	None	2000	2000	-700	1300	0	None	WECU11	N	CA00555005, CA00555005	B, B	SFY2017-18
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2018-12-17 00:00:00	250014521	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-05-27 00:00:00	2018-05-27 00:00:00	No	2019-01-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KSU411	N	CA00588791	B	SFY2018-19
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-06-14 00:00:00	250014973	Closed	Citation	Citation B (HSC 1424)	Medication	None	2019-03-14 00:00:00	2019-03-14 00:00:00	No	2019-07-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QINN11	N	None	None	SFY2018-19
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2019-10-24 00:00:00	250015404	Closed	Citation	Citation B (HSC 1424)	Other	Refusal to Re-admit	2019-06-21 00:00:00	2019-06-21 00:00:00	No	2019-11-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	140O11	N	CA00643342, CA00643342	B, B	SFY2019-20
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2023-12-28 00:00:00	250019514	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-10-13 00:00:00	2023-10-13 00:00:00	No	2024-01-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZG6K11	N	CA00864392	B	SFY2023-24
910000070	SANTA MONICA PAVILION	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-14 00:00:00	910001266	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-04 00:00:00	2000-02-14 00:00:00	No	2000-03-07 00:00:00	None	B	Drop>Deficiency	1000	500	0	500	0	910005137	A99999	N	None	None	SFY1999-00
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-14 00:00:00	910001268	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-11-14 00:00:00	2000-02-14 00:00:00	Yes	2000-03-07 00:00:00	2000-03-01 00:00:00	A	A	4000	3000	0	3000	0	910005125	A99999	N	None	None	SFY1999-00
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-08-25 00:00:00	910001283	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	2000-07-13 00:00:00	2000-08-25 00:00:00	Yes	2001-06-05 00:00:00	2001-05-21 00:00:00	A	A	10000	7500	0	7500	0	910005406	A99999	N	None	None	SFY2000-01
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-09-26 00:00:00	910001285	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	2000-06-06 00:00:00	2000-09-26 00:00:00	Yes	2000-10-18 00:00:00	2000-10-06 00:00:00	A	B	10000	5000	0	5000	0	910005454	A99999	N	None	None	SFY2000-01
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-03-30 00:00:00	910001384	Closed	Citation	Citation A (HSC 1424)	Other	ABUSE	1999-10-15 00:00:00	None	Yes	2000-04-20 00:00:00	2000-05-12 00:00:00	A	Dismissed by Court	8000	0	0	0	0	910006359	A99999	N	None	None	SFY1999-00
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-03-02 00:00:00	910001445	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-01-19 00:00:00	None	Yes	2001-03-23 00:00:00	2001-03-09 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	910006592	A99999	N	None	None	SFY2000-01
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-04-17 00:00:00	910001466	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-02-09 00:00:00	2002-02-09 00:00:00	Yes	2002-05-17 00:00:00	2002-04-29 00:00:00	B	B	1000	1000	0	1000	0	910007157	A99999	N	None	None	SFY2001-02
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-01-23 00:00:00	910001490	Closed	Citation	Citation B (HSC 1424)	Medication	None	2002-12-04 00:00:00	None	No	2003-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	910007566	A99999	N	None	None	SFY2002-03
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-01-23 00:00:00	910001491	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2002-12-04 00:00:00	None	No	2003-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	910007566	A99999	N	None	None	SFY2002-03
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-07-30 00:00:00	910001504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-07 00:00:00	None	No	2003-09-09 00:00:00	None	B	None	850	850	-297.5	552.5	0	910007710	A99999	N	None	None	SFY2003-04
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-08-13 00:00:00	910001506	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-23 00:00:00	None	No	2003-09-04 00:00:00	None	B	None	1000	3000	0	3000	0	910007762	A99999	N	None	None	SFY2003-04
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-08-13 00:00:00	910001507	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-23 00:00:00	None	No	2003-09-04 00:00:00	None	B	None	1000	1000	0	1000	0	910007762	A99999	N	None	None	SFY2003-04
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-07-06 00:00:00	910001521	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-01-07 00:00:00	None	No	2005-07-27 00:00:00	None	B	None	800	800	-280	520	0	910008506	A99999	N	None	None	SFY2005-06
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-12-22 00:00:00	910001531	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-12-08 00:00:00	None	Yes	2006-03-23 00:00:00	2006-01-03 00:00:00	B	B	1000	500	0	500	0	910008575	A99999	N	None	None	SFY2005-06
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-01-11 00:00:00	910001532	Closed	Citation	Citation A (HSC 1424)	Medication	None	2006-01-11 00:00:00	None	Yes	2006-02-02 00:00:00	2006-01-30 00:00:00	A	A	9000	3500	0	3500	0	910008596	A99999	N	None	None	SFY2005-06
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-07-12 00:00:00	910003204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-04-09 00:00:00	2006-04-09 00:00:00	No	2006-08-02 00:00:00	None	B	None	1000	1000	-1000	0	0	None	HRBI11	N	CA00078535	A	SFY2006-07
910000082	ST. ERNE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-07-12 00:00:00	910003205	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2006-04-09 00:00:00	2006-04-09 00:00:00	No	2006-08-02 00:00:00	None	B	None	1000	1000	-1000	0	0	None	HRBI11	N	CA00078535	A	SFY2006-07
910000074	SANTA MONICA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-12-05 00:00:00	910005639	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2008-07-03 00:00:00	2008-07-03 00:00:00	No	2008-12-29 00:00:00	None	B	None	1000	1000	0	1000	0	None	YBZU11	N	CA00115685	B	SFY2008-09
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2011-12-27 00:00:00	910008825	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-25 00:00:00	2010-04-25 00:00:00	No	2012-01-19 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	18DV11	N	CA00234808	C	SFY2011-12
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-11-13 00:00:00	910009559	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-06-14 00:00:00	2012-06-14 00:00:00	No	2012-12-06 00:00:00	None	B	None	1500	1500	-525	975	0	None	E7CT11	N	CA00314603	B	SFY2012-13
910000074	SANTA MONICA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-14 00:00:00	910009748	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-01-17 00:00:00	2013-01-17 00:00:00	No	2013-03-08 00:00:00	None	B	None	1000	6250	0	6250	0	None	RX6L11	N	CA00339821	C	SFY2012-13
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-03-07 00:00:00	910009779	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Patient Record	None	2012-12-15 00:00:00	2012-12-15 00:00:00	No	2013-03-28 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	TRWS11	None	None	None	SFY2012-13
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-04-19 00:00:00	910009825	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-01-11 00:00:00	2010-01-11 00:00:00	No	2013-05-10 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	913811	N	CA00214573	C	SFY2012-13
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-05-01 00:00:00	910009864	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-18 00:00:00	2010-08-18 00:00:00	No	2013-05-22 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4DG011	N	CA00239822	B	SFY2012-13
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-08-20 00:00:00	910010099	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-26 00:00:00	2011-03-26 00:00:00	No	2013-09-11 00:00:00	None	A	None	16000	16000	-5600	10400	0	None	P9JD11	N	CA00266041	C	SFY2013-14
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-10-21 00:00:00	910010201	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-05-26 00:00:00	2013-05-26 00:00:00	Yes	2013-11-12 00:00:00	2013-10-24 00:00:00	A	A	16000	10400	0	10400	0	None	4PX711	N	CA00356275	C	SFY2013-14
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2013-11-07 00:00:00	910010242	Closed	Citation	Citation A (HSC 1424)	Medication	None	2012-08-30 00:00:00	2012-08-30 00:00:00	Yes	2013-12-03 00:00:00	2013-11-13 00:00:00	A	Dismissed by Court	20000	0	0	0	0	None	1Z1T11	N	CA00328062	C	SFY2013-14
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-02-05 00:00:00	910011246	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-01-15 00:00:00	2013-01-15 00:00:00	No	2015-02-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	P9JD11	N	CA00340811	B	SFY2014-15
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-02-18 00:00:00	910011274	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2011-10-09 00:00:00	2011-10-09 00:00:00	No	2015-03-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TPDP11	N	CA00286323, CA00286611	C, C	SFY2014-15
910000076	SUNSET PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-05-26 00:00:00	910011439	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-01-04 00:00:00	2014-01-04 00:00:00	No	2015-06-16 00:00:00	None	B	None	1800	1800	-630	1170	0	None	I8Y411	N	CA00384147	B	SFY2014-15
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2015-07-07 00:00:00	910011600	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-03 00:00:00	2015-02-03 00:00:00	No	2015-07-28 00:00:00	None	B	None	1400	1450	-490	960	0	None	PNDP11	N	CA00412815, CA00412863	B, B	SFY2015-16
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-10-16 00:00:00	910011687	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-14 00:00:00	2015-05-14 00:00:00	No	2015-11-06 00:00:00	None	B	None	1800	1800	-1800	0	0	None	NWZY11	N	None	None	SFY2015-16
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-10-29 00:00:00	910011802	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-05-14 00:00:00	2015-05-14 00:00:00	No	2015-11-20 00:00:00	None	B	None	1800	1800	-630	1170	0	None	NWZY11	N	None	None	SFY2015-16
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-06-16 00:00:00	910012328	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2011-03-05 00:00:00	2011-03-05 00:00:00	No	2016-07-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	J0TU11	N	CA00261532	C	SFY2015-16
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-08-02 00:00:00	910013371	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2017-08-23 00:00:00	2017-08-09 00:00:00	B	None	1000	1000	0	0	1000	None	P8CI11	N	CA00524125	B	SFY2017-18
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-11-22 00:00:00	910013610	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-03-17 00:00:00	2017-03-17 00:00:00	Yes	2017-12-15 00:00:00	2017-12-07 00:00:00	AA	A	100000	19900	0	19900	0	None	56PU11	Y	CA00537461, CA00537461, CA00537461	A, A, A	SFY2017-18
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-15 00:00:00	910013617	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-29 00:00:00	2017-04-29 00:00:00	No	2017-12-08 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	ZVCR11	N	CA00544321	B	SFY2017-18
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-28 00:00:00	910013924	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-09 00:00:00	2017-11-09 00:00:00	No	2018-04-18 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T8SU11	N	CA00560624, CA00560624	A, A	SFY2017-18
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-06 00:00:00	910014386	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-04-18 00:00:00	2018-04-18 00:00:00	No	2018-09-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	O01P11	N	CA00583542, CA00586665, CA00586665	B, A, A	SFY2018-19
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-29 00:00:00	910014846	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-08-13 00:00:00	2014-08-13 00:00:00	No	2019-04-19 00:00:00	None	B	None	2000	2000	0	2000	0	None	B4PZ11	N	CA00420815, CA00420815, CA00421924, CA00421924, CA00421924	C, C, B, B, B	SFY2018-19
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-03-14 00:00:00	910014883	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-17 00:00:00	2018-12-17 00:00:00	No	2019-04-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	U9J911	N	CA00616615	A	SFY2018-19
970000052	ST. ANDREWS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-14 00:00:00	910015161	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-08-31 00:00:00	2018-08-31 00:00:00	No	2019-07-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MYW111	N	None	None	SFY2018-19
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-06-21 00:00:00	910015175	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-05 00:00:00	2019-03-05 00:00:00	Yes	2019-07-12 00:00:00	2019-07-16 00:00:00	A	B	20000	16500	0	16500	0	None	0F5411	N	CA00630495	B	SFY2018-19
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-08-23 00:00:00	910015324	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2019-05-17 00:00:00	2019-05-17 00:00:00	No	2019-09-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	987H11	N	CA00640495, CA00640495, CA00641560, CA00641560	B, B, B, B	SFY2019-20
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-05 00:00:00	910015370	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-06-11 00:00:00	2019-06-11 00:00:00	No	2019-09-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CR8C11	N	CA00640932, CA00640932, CA00640932	A, A, A	SFY2019-20
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-13 00:00:00	910015383	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-04-09 00:00:00	2019-04-09 00:00:00	Yes	2019-10-04 00:00:00	2019-10-03 00:00:00	A	A	20000	15000	0	15000	0	None	O6IF11	N	CA00635698	B	SFY2019-20
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-09-12 00:00:00	910015384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-05-28 00:00:00	2019-05-28 00:00:00	No	2019-10-03 00:00:00	None	B	None	2000	2200	-700	1500	0	None	563X11	N	CA00641635, CA00641635, CA00641635	B, B, B	SFY2019-20
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-11-08 00:00:00	910015526	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-02 00:00:00	2019-09-02 00:00:00	Yes	2019-12-04 00:00:00	2019-11-27 00:00:00	A	A	20000	13000	0	13000	0	None	WK1E11	Y	CA00653053, CA00653053, CA00653053, CA00653053	A, A, A, A	SFY2019-20
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-01-09 00:00:00	910015673	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-09-07 00:00:00	2019-09-07 00:00:00	No	2020-01-30 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	14F511	N	CA00653789, CA00653789, CA00658612, CA00658612, CA00658612	B, B, B, B, B	SFY2019-20
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-05-21 00:00:00	910015886	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-10-03 00:00:00	2019-10-03 00:00:00	No	2020-06-12 00:00:00	None	B	None	2000	2000	-700	1300	0	None	LH3011	N	CA00659151	A	SFY2019-20
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-09-25 00:00:00	910016062	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-11-13 00:00:00	2019-11-13 00:00:00	No	2020-10-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	7LHS11	N	CA00694556, CA00694556	A, A	SFY2020-21
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-16 00:00:00	910016100	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2020-08-27 00:00:00	2020-08-27 00:00:00	Yes	2020-11-06 00:00:00	2020-11-06 00:00:00	B	None	2000	2250	0	0	2250	None	T6FB11	N	CA00702320	A	SFY2020-21
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-10-16 00:00:00	910016103	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-06-25 00:00:00	2019-06-25 00:00:00	Yes	2020-11-06 00:00:00	2020-11-06 00:00:00	A	B	20000	15250	-250	15000	0	None	T6FB11	Y	CA00702320	A	SFY2020-21
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-11-18 00:00:00	910016151	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-02-22 00:00:00	2020-02-22 00:00:00	No	2020-12-11 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	BJ2S11	N	CA00677690	A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-11 00:00:00	910016193	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-06-30 00:00:00	2020-06-30 00:00:00	No	2021-01-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	0NCS11	N	CA00705109, CA00705109	A, A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2020-12-11 00:00:00	910016194	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2020-06-30 00:00:00	2020-06-30 00:00:00	No	2021-01-05 00:00:00	None	WF	None	2000	2000	0	2000	0	None	0NCS11	None	CA00705109, CA00705109, CA00705109	A, A, A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-02-04 00:00:00	910016265	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-11-09 00:00:00	2020-11-09 00:00:00	No	2021-02-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	QT4X11	N	CA00712165, CA00712165	B, B	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-05 00:00:00	910016326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-09 00:00:00	2020-12-09 00:00:00	No	2021-03-26 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	6KVO11	Y	CA00715583, CA00715583, CA00715588, CA00715597, CA00715694, CA00715716, CA00716027, CA00716027, CA00716071	B, B, B, B, B, B, B, B, A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-05 00:00:00	910016327	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2020-12-09 00:00:00	2020-12-09 00:00:00	Yes	2021-03-26 00:00:00	2021-03-26 00:00:00	AA	A	100000	30000	0	30000	0	None	6KVO11	Y	CA00715583, CA00715583, CA00715588, CA00715597, CA00715694, CA00715716, CA00716027, CA00716027, CA00716071	B, B, B, B, B, B, B, B, A	SFY2020-21
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-05 00:00:00	910016329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-31 00:00:00	2020-12-31 00:00:00	No	2021-03-26 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TXFB11	N	CA00719297	A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-18 00:00:00	910016341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-09-01 00:00:00	2020-09-01 00:00:00	No	2021-04-09 00:00:00	None	B	None	2000	2000	0	2000	0	None	RR9711	N	CA00707125	B	SFY2020-21
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-03-17 00:00:00	910016363	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-11 00:00:00	2020-12-11 00:00:00	No	2021-04-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	0M0L11	N	CA00716544	A	SFY2020-21
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-02 00:00:00	910016396	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-07 00:00:00	2019-09-07 00:00:00	No	2021-04-23 00:00:00	None	B	None	2000	2000	0	2000	0	None	KIG511	N	CA00653734	B	SFY2020-21
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-23 00:00:00	910016437	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-20 00:00:00	2021-02-20 00:00:00	No	2021-05-14 00:00:00	None	B	None	2000	6000	0	6000	0	None	UXL811	N	CA00726980, CA00726980, CA00727071, CA00727071, CA00727230, CA00727230, CA00727608, CA00727608, CA00727902, CA00727902, CA00727922, CA00727922	B, B, B, B, B, B, A, A, B, B, B, B	SFY2020-21
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-23 00:00:00	910016438	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-03 00:00:00	2020-10-03 00:00:00	No	2021-05-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	4BP311	N	CA00708278	B	SFY2020-21
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-23 00:00:00	910016439	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-28 00:00:00	2021-01-28 00:00:00	No	2021-05-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9OOY11	N	CA00723212	B	SFY2020-21
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-04-26 00:00:00	910016440	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-04 00:00:00	2021-01-04 00:00:00	No	2021-05-17 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	9OOY11	Y	CA00723212, CA00723212	B, B	SFY2020-21
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-17 00:00:00	910016617	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-25 00:00:00	2021-03-25 00:00:00	No	2021-07-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	D6JQ11	N	CA00730628, CA00730693	A, A	SFY2020-21
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-14 00:00:00	910016716	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-09-01 00:00:00	2019-09-01 00:00:00	No	2021-08-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6VM911	N	CA00652931, CA00652931	A, A	SFY2021-22
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-07-16 00:00:00	910016730	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-25 00:00:00	2021-05-25 00:00:00	No	2021-08-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	457711	N	None	None	SFY2021-22
970000052	ST. ANDREWS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-18 00:00:00	910017022	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-08-18 00:00:00	2021-08-18 00:00:00	Yes	2021-11-08 00:00:00	2021-11-01 00:00:00	AA	AA	100000	100000	0	100000	0	None	62HS11	Y	CA00749038	A	SFY2021-22
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-10-29 00:00:00	910017057	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-10-17 00:00:00	2020-10-17 00:00:00	Yes	2021-11-22 00:00:00	2021-11-18 00:00:00	A	A	12000	12000	0	12000	0	None	YXVN11	N	CA00709893	A	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-12-03 00:00:00	910017150	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-15 00:00:00	2021-10-15 00:00:00	No	2021-12-24 00:00:00	None	B	None	2000	6000	-2100	3900	0	None	6JTL11	N	CA00756647	A	SFY2021-22
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-17 00:00:00	910017505	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-16 00:00:00	2022-02-16 00:00:00	No	2022-04-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ODP811	N	CA00765523	B	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-04-15 00:00:00	910017578	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-12-09 00:00:00	2021-12-09 00:00:00	No	2022-05-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	0JXD11	N	CA00764350	B	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-05-12 00:00:00	910017638	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-27 00:00:00	2022-03-27 00:00:00	Yes	2022-06-03 00:00:00	2022-05-18 00:00:00	B	B	3000	7000	0	9000	-2000	None	CDJ711	N	CA00778358	B	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-22 00:00:00	910017717	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-06 00:00:00	2022-05-06 00:00:00	Yes	2022-07-14 00:00:00	2022-07-14 00:00:00	B	Drop>Deficiency	1500	4500	-4500	0	0	None	2GNO11	N	None	None	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-22 00:00:00	910017724	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-01-28 00:00:00	2021-01-28 00:00:00	Yes	2022-07-14 00:00:00	2022-07-14 00:00:00	B	B	2000	1700	0	1700	0	None	2GNO11	N	None	None	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-06-22 00:00:00	910017726	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-02-14 00:00:00	2022-02-14 00:00:00	Yes	2022-07-14 00:00:00	2022-07-14 00:00:00	B	B	1500	3825	0	3825	0	None	2GNO11	N	None	None	SFY2021-22
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-07-08 00:00:00	910017767	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-01 00:00:00	2022-01-01 00:00:00	No	2022-07-29 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	2UCY11	N	CA00773609	B	SFY2022-23
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-04 00:00:00	910017875	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-14 00:00:00	2022-04-14 00:00:00	No	2022-08-25 00:00:00	None	A	None	25000	25000	0	25000	0	None	CU4Q11	N	CA00781011	B	SFY2022-23
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-08-25 00:00:00	910017933	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-05 00:00:00	2022-06-05 00:00:00	No	2022-09-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	NGX811	N	CA00788768, CA00788768	A, A	SFY2022-23
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-09-29 00:00:00	910018027	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-08-19 00:00:00	2022-08-19 00:00:00	No	2022-10-20 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	8YM611	N	CA00797082	A	SFY2022-23
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-10-21 00:00:00	910018110	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-17 00:00:00	2021-12-17 00:00:00	Yes	2022-11-14 00:00:00	2022-11-04 00:00:00	A	None	20000	20000	0	0	20000	None	PCTR11	N	CA00796927, CA00796927, CA00796927	B, B, B	SFY2022-23
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-12-29 00:00:00	910018271	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-08 00:00:00	2022-10-08 00:00:00	Yes	2023-01-23 00:00:00	2023-01-20 00:00:00	A	None	25000	25000	0	0	25000	None	JWY711	N	CA00809171, CA00809171	A, A	SFY2022-23
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-12 00:00:00	910018300	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-05-09 00:00:00	2022-05-09 00:00:00	No	2023-02-03 00:00:00	None	B	None	1500	4500	-1575	2925	0	None	JH1E11	N	CA00809816, CA00809816, CA00809816, CA00809816, CA00809816, CA00809816, CA00809816	B, B, B, B, B, B, B	SFY2022-23
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-08 00:00:00	910018387	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2022-11-09 00:00:00	2022-11-09 00:00:00	No	2023-03-02 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	T45511	N	CA00813080, CA00813080	B, B	SFY2022-23
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-10 00:00:00	910018402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-03-23 00:00:00	2020-03-23 00:00:00	No	2023-03-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BQ7311	Y	None	None	SFY2022-23
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-02-14 00:00:00	910018407	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-02 00:00:00	2021-12-02 00:00:00	No	2023-03-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	SBJB11	N	CA00820087	B	SFY2022-23
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-02 00:00:00	910018465	Open	Citation	Citation B (HSC 1424)	Refusal to Readmit	None	2023-01-06 00:00:00	2023-01-06 00:00:00	Yes	2023-03-23 00:00:00	2023-03-20 00:00:00	B	B	3000	2000	0	0	2000	None	F78B11	N	CA00820723, CA00820723	A, A	SFY2022-23
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-24 00:00:00	910018568	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-26 00:00:00	2022-12-26 00:00:00	No	2023-04-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	Q9Z511	N	CA00819510, CA00819510, CA00819510	B, B, B	SFY2022-23
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-24 00:00:00	910018573	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-06 00:00:00	2022-09-06 00:00:00	No	2023-04-17 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1N1M11	N	CA00801868	B	SFY2022-23
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-03-24 00:00:00	910018574	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-11 00:00:00	2022-10-11 00:00:00	No	2023-04-17 00:00:00	None	B	None	3000	3000	0	0	3000	None	4G6M11	N	CA00807429	A	SFY2022-23
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-04-21 00:00:00	910018663	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-15 00:00:00	2023-02-15 00:00:00	No	2023-05-12 00:00:00	None	A	None	60000	60000	-21000	39000	0	None	YV2I11	Y	CA00827373, CA00827373, CA00827373, CA00827373, CA00827373, CA00827373, CA00827373	B, B, B, B, B, B, B	SFY2022-23
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-24 00:00:00	910018791	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-11 00:00:00	2023-03-11 00:00:00	No	2023-06-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	R3CZ11	N	CA00831584	B	SFY2022-23
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-24 00:00:00	910018793	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-11 00:00:00	2023-03-11 00:00:00	No	2023-06-15 00:00:00	None	B	None	3000	3000	0	0	3000	None	TQKV11	N	CA00834197, CA00834197, CA00834197, CA00834352, CA00834352, CA00834352, CA00834460, CA00834460, CA00834460, CA00837123	B, B, B, B, B, B, A, A, A, A	SFY2022-23
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-05-26 00:00:00	910018807	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-03-26 00:00:00	2023-03-26 00:00:00	No	2023-06-19 00:00:00	None	AA	None	120000	120000	-42000	78000	0	None	XQT511	Y	CA00834850	B	SFY2022-23
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-09 00:00:00	910018838	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-10 00:00:00	2023-03-10 00:00:00	No	2023-06-30 00:00:00	None	B	None	3000	3000	0	3000	0	None	QA2E11	N	CA00830617, CA00830617, CA00830617, CA00830617, CA00831620	B, B, B, B, A	SFY2022-23
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-07-05 00:00:00	910018925	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-10-07 00:00:00	2022-10-07 00:00:00	No	2023-07-26 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	K9W511	N	CA00808776	B	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-08-23 00:00:00	910019092	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-26 00:00:00	2023-07-26 00:00:00	No	2023-09-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	GJMT11	N	None	None	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-08 00:00:00	910019142	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-06-06 00:00:00	2023-06-06 00:00:00	No	2023-09-29 00:00:00	None	A	None	25000	25000	0	25000	0	None	B6KK11	N	CA00849839, CA00849839, CA00849839	B, B, B	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-14 00:00:00	910019162	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-09 00:00:00	2023-07-09 00:00:00	No	2023-10-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	78JP11	N	CA00852982, CA00852982, CA00852982, CA00852982, CA00852982, CA00852985, CA00852985, CA00852985, CA00852985, CA00852985	A, A, A, A, A, B, B, B, B, B	SFY2023-24
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-20 00:00:00	910019182	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-22 00:00:00	2023-04-22 00:00:00	Yes	2023-10-11 00:00:00	2023-09-25 00:00:00	A	None	25000	25000	0	0	25000	None	7K5O11	N	CA00852584, CA00852584, CA00852584	A, A, A	SFY2023-24
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-10-31 00:00:00	910019323	Open	Citation	Citation B (HSC 1424)	Other	Failure to Report	2023-09-04 00:00:00	2023-09-04 00:00:00	No	2023-11-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	CDJV11	N	CA00860474	A	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-03 00:00:00	910019341	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-30 00:00:00	2023-09-30 00:00:00	No	2023-11-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	SK5311	N	None	None	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-08 00:00:00	910019345	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-11 00:00:00	2023-09-11 00:00:00	No	2023-12-04 00:00:00	None	A	None	25000	25000	0	25000	0	None	8BI011	N	CA00864395, CA00864395, CA00864395, CA00864395	A, A, A, A	SFY2023-24
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-08 00:00:00	910019350	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-08-21 00:00:00	2023-08-21 00:00:00	No	2023-12-04 00:00:00	None	B	None	3000	3000	0	3000	0	None	67VN11	N	CA00860621, CA00860621, CA00860621, CA00860621	B, B, B, B	SFY2023-24
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-17 00:00:00	910019382	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-09-21 00:00:00	2023-09-21 00:00:00	No	2023-12-12 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	N0T411	N	CA00863649, CA00863649, CA00863649, CA00863649, CA00863649	A, A, A, A, A	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-11-17 00:00:00	910019383	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-10-03 00:00:00	2023-10-03 00:00:00	No	2023-12-12 00:00:00	None	B	None	3000	3000	0	0	3000	None	4KO111	N	CA00863843	B	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-01 00:00:00	910019432	Open	Citation	Citation B (HSC 1424)	Other	ABUSE SELF REPORTED	2023-10-09 00:00:00	2023-10-09 00:00:00	No	2023-12-22 00:00:00	None	B	None	3000	3000	0	3000	0	None	0YS111	N	CA00864800	B	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-06 00:00:00	910019447	Open	Citation	Citation A (HSC 1424)	Medication	None	2023-10-27 00:00:00	2023-10-27 00:00:00	No	2023-12-28 00:00:00	None	A	None	25000	75000	0	75000	0	None	OR4011	N	CA00867514, CA00867514	A, A	SFY2023-24
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-27 00:00:00	910019536	Open	Citation	Citation B (HSC 1424)	Other	Infection Control	2023-10-24 00:00:00	2023-10-24 00:00:00	No	2024-01-17 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VW0I11	N	CA00866634, CA00867959, CA00867959, CA00867959, CA00867959, CA00868410, CA00868410	B, B, B, B, B, A, A	SFY2023-24
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-12-29 00:00:00	910019545	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-10-18 00:00:00	2023-10-18 00:00:00	No	2024-01-19 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	NHL911	N	CA00866358, CA00866358, CA00866358	B, B, B	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-03 00:00:00	910019565	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-13 00:00:00	2023-11-13 00:00:00	No	2024-01-24 00:00:00	None	A	None	20000	20300	-7000	13300	0	None	0I8111	N	None	None	SFY2023-24
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-10 00:00:00	910019582	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-02 00:00:00	2023-11-02 00:00:00	No	2024-01-31 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DGSW11	N	CA00871276, CA00871402, CA00871402, CA00871402, CA00871402	B, B, B, B, B	SFY2023-24
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-12 00:00:00	910019598	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-15 00:00:00	2023-11-15 00:00:00	No	2024-02-05 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	5IHF11	N	CA00870702, CA00870702	B, B	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-01-25 00:00:00	910019639	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-02-15 00:00:00	None	B	None	3000	3000	0	3000	0	None	T5VB11	N	CA00877923	A	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-06 00:00:00	910019700	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-02-27 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	T5VB11	N	CA00877019, CA00877019	B, B	SFY2023-24
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-16 00:00:00	910019756	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-12 00:00:00	2023-12-12 00:00:00	No	2024-03-08 00:00:00	None	A	None	25000	25000	0	0	25000	None	VLS111	N	CA00874938, CA00874938	B, B	SFY2023-24
970000052	ST. ANDREWS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-02-16 00:00:00	910019757	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-12-23 00:00:00	2023-12-23 00:00:00	No	2024-03-08 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	P0J011	N	CA00876397, CA00876397	B, B	SFY2023-24
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-01 00:00:00	910019808	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-10 00:00:00	2024-01-10 00:00:00	No	2024-03-22 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	2VTP11	N	None	None	SFY2023-24
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-03-19 00:00:00	910019882	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-03 00:00:00	2024-02-03 00:00:00	No	2024-04-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	NSEB11	N	CA00883357	B	SFY2023-24
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-03 00:00:00	910019943	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-01-18 00:00:00	2024-01-18 00:00:00	No	2024-04-24 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	EEET11	N	None	None	SFY2023-24
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-04 00:00:00	910019961	Open	Citation	Citation A (HSC 1424)	Other	Resident Elopement	2024-02-09 00:00:00	2024-02-09 00:00:00	No	2024-04-25 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	ZUNH11	N	CA00884604, CA00884604, CA00884604	A, A, A	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-12 00:00:00	910020001	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-14 00:00:00	2024-02-14 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	DDZM11	N	CA00889610, CA00889610, CA00889610	A, A, A	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-12 00:00:00	910020003	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-02-14 00:00:00	2024-02-14 00:00:00	No	2024-05-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	DDZM11	N	CA00889610, CA00889610, CA00889610, CA00889610	A, A, A, A	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-04-19 00:00:00	910020046	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-02-09 00:00:00	2024-02-09 00:00:00	No	2024-05-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	9NPI11	N	CA00885894, CA00885894, CA00885894, CA00885894	B, B, B, B	SFY2023-24
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-08 00:00:00	910020139	Open	Citation	Citation A (HSC 1424)	Physical Environment	None	2024-03-10 00:00:00	2024-03-10 00:00:00	No	2024-05-30 00:00:00	None	A	None	25000	25000	0	0	25000	None	MNFA11	N	CA00889306, CA00889306, CA00889306, CA00889306	B, B, B, B	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020149	Closed	Citation	Citation B (HSC 1424)	Other	Failure to Report	2024-03-18 00:00:00	2024-03-18 00:00:00	No	2024-05-31 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1YJ611	N	None	None	SFY2023-24
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020150	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-19 00:00:00	2024-03-19 00:00:00	No	2024-05-31 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	ITRS11	N	CA00890916, CA00890916, CA00890916, CA00891191	B, B, B, B	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020154	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2024-03-19 00:00:00	2024-03-19 00:00:00	No	2024-05-31 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1YJ611	N	None	None	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-09 00:00:00	910020158	Closed	Citation	Citation A (HSC 1424)	Patient Record	None	2024-03-19 00:00:00	2024-03-19 00:00:00	No	2024-05-31 00:00:00	None	A	None	25000	25100	-8750	16350	0	None	1YJ611	N	None	None	SFY2023-24
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-10 00:00:00	910020173	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-13 00:00:00	2024-03-13 00:00:00	No	2024-06-03 00:00:00	None	B	None	3000	3000	0	0	3000	None	X5LD11	N	CA00889723, CA00889723	A, A	SFY2023-24
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-05-15 00:00:00	910020190	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-12 00:00:00	2024-03-12 00:00:00	No	2024-06-06 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	OP7G11	N	CA00891145, CA00891145, CA00891145, CA00891145, CA00891187, CA00891187, CA00891221	A, A, A, A, B, B, B	SFY2023-24
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2024-06-06 00:00:00	910020282	Open	Citation	Citation B (HSC 1424)	Medication	None	2024-03-28 00:00:00	2024-03-28 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	SPLL11	N	CA00894695, CA00894695	B, B	SFY2023-24
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-01-05 00:00:00	920001059	Closed	Citation	Citation B (HSC 1424)	Administration	None	1999-11-22 00:00:00	1999-11-22 00:00:00	Yes	2001-05-30 00:00:00	2000-01-19 00:00:00	B	B	1000	1000	0	1000	0	920005469	A99999	N	None	None	SFY1999-00
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-04-28 00:00:00	920001075	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-04-13 00:00:00	2000-04-13 00:00:00	No	2000-05-19 00:00:00	None	B	None	800	800	-280	520	0	920005578	A99999	N	None	None	SFY1999-00
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-05-26 00:00:00	920001079	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-02-07 00:00:00	2000-02-07 00:00:00	No	2000-06-16 00:00:00	None	A	None	10000	10000	0	10000	0	920005617	A99999	N	None	None	SFY1999-00
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-12-19 00:00:00	920001098	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-12-15 00:00:00	2000-12-19 00:00:00	Yes	2001-02-02 00:00:00	2001-01-08 00:00:00	B	Drop>Deficiency	1000	1050	0	1050	0	920005897	A99999	N	None	None	SFY2000-01
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-01 00:00:00	920001125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-05-16 00:00:00	None	No	2001-06-29 00:00:00	None	B	None	700	700	-245	455	0	920006170	A99999	N	None	None	SFY2000-01
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-06-13 00:00:00	920001126	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-03-25 00:00:00	None	Yes	2001-10-04 00:00:00	2001-06-20 00:00:00	B	B	1000	1000	0	1000	0	920006120	A99999	N	None	None	SFY2000-01
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-12-12 00:00:00	920001134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-11-03 00:00:00	2001-12-12 00:00:00	No	2002-01-04 00:00:00	None	B	None	1000	1000	-350	650	0	920006348	A99999	N	None	None	SFY2001-02
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-02-22 00:00:00	920001143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-14 00:00:00	2002-02-14 00:00:00	Yes	2002-03-21 00:00:00	2002-03-06 00:00:00	B	B	1000	400	0	400	0	920006444	A99999	N	None	None	SFY2001-02
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-06-14 00:00:00	920001153	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-26 00:00:00	2002-06-14 00:00:00	No	2002-07-17 00:00:00	None	B	None	900	900	-315	585	0	920006502	A99999	N	None	None	SFY2001-02
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2002-09-16 00:00:00	920001160	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-08-28 00:00:00	2002-09-16 00:00:00	No	2002-10-16 00:00:00	None	B	None	900	2700	-945	1755	0	920006717	A99999	N	None	None	SFY2002-03
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-03-12 00:00:00	920001178	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-02-20 00:00:00	2003-02-21 00:00:00	Yes	2003-08-20 00:00:00	2003-08-14 00:00:00	B	B	1000	1500	0	1500	0	920007006	A99999	N	None	None	SFY2002-03
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-06-23 00:00:00	920001182	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-04-21 00:00:00	None	Yes	2003-07-21 00:00:00	2003-06-27 00:00:00	B	B	1000	600	0	600	0	920007096	A99999	N	None	None	SFY2002-03
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-09-19 00:00:00	920001186	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-06-13 00:00:00	2003-06-13 00:00:00	Yes	2003-10-17 00:00:00	2003-10-06 00:00:00	B	None	1000	1000	0	1000	0	920007340	A99999	N	None	None	SFY2003-04
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2003-11-12 00:00:00	920001192	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-22 00:00:00	2003-10-22 00:00:00	No	2003-12-10 00:00:00	None	B	None	900	900	-315	585	0	920007425	A99999	N	None	None	SFY2003-04
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-05-28 00:00:00	920001204	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-04-17 00:00:00	2004-04-17 00:00:00	Yes	2004-06-24 00:00:00	2004-06-04 00:00:00	B	None	1000	1000	0	1000	0	920007717	A99999	N	None	None	SFY2003-04
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2004-10-20 00:00:00	920001207	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2004-05-03 00:00:00	2004-05-03 00:00:00	No	2004-11-17 00:00:00	None	A	None	20000	20000	0	20000	0	920007902	A99999	N	None	None	SFY2004-05
920000066	SHERMAN OAKS HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-07-12 00:00:00	920001213	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-06-05 00:00:00	2005-06-05 00:00:00	Yes	2005-08-08 00:00:00	2005-07-27 00:00:00	B	None	1000	1000	0	1000	0	920008171	A99999	N	None	None	SFY2005-06
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-09-09 00:00:00	920001214	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2005-06-12 00:00:00	2005-06-12 00:00:00	No	2005-09-30 00:00:00	None	B	None	600	600	-210	390	0	920008186	A99999	N	None	None	SFY2005-06
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2006-05-25 00:00:00	920003123	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-05-06 00:00:00	2006-05-06 00:00:00	Yes	2006-06-22 00:00:00	2006-06-08 00:00:00	B	None	900	900	0	900	0	None	8DSN11	N	CA00080132	A	SFY2005-06
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-05-04 00:00:00	920003941	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-22 00:00:00	2007-04-22 00:00:00	Yes	2007-05-25 00:00:00	2007-05-30 00:00:00	B	B	1000	600	0	600	0	None	PKEX11	N	CA00112751	A	SFY2006-07
920000066	SHERMAN OAKS HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-05-15 00:00:00	920003961	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-04-04 00:00:00	2007-04-04 00:00:00	Yes	2007-06-05 00:00:00	2007-05-30 00:00:00	B	None	1000	1000	0	1000	0	None	I4S911	N	CA00105982	A	SFY2006-07
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2007-07-09 00:00:00	920004079	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-06-18 00:00:00	2007-06-18 00:00:00	No	2007-07-30 00:00:00	None	B	None	800	800	0	800	0	None	Z1FW11	N	CA00117958	A	SFY2007-08
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-04-02 00:00:00	920004821	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-02-21 00:00:00	2008-02-21 00:00:00	Yes	2008-04-23 00:00:00	2008-04-02 00:00:00	A	B	15000	5000	0	5000	0	None	L0MI11	N	CA00141583	A	SFY2007-08
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-04-06 00:00:00	920006048	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2009-01-09 00:00:00	2009-01-09 00:00:00	Yes	2009-04-27 00:00:00	2009-04-17 00:00:00	B	None	1000	1000	0	0	1000	None	249611	N	CA00174782	D	SFY2008-09
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2009-05-29 00:00:00	920006227	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-02-18 00:00:00	2009-02-18 00:00:00	No	2009-06-19 00:00:00	None	A	None	12000	12000	-4200	7800	0	None	KXME11	N	CA00178372	B	SFY2008-09
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-11-23 00:00:00	920007691	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-03 00:00:00	2010-08-03 00:00:00	Yes	2010-12-16 00:00:00	2010-12-07 00:00:00	A	B	10000	10000	0	10000	0	None	KOKK11	N	CA00238183	B	SFY2010-11
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2010-11-23 00:00:00	920007692	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-07-24 00:00:00	2010-07-24 00:00:00	Yes	2010-12-16 00:00:00	2010-12-07 00:00:00	A	B	10000	10000	0	10000	0	None	KOKK11	N	CA00238414	B	SFY2010-11
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-29 00:00:00	920008996	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-06-16 00:00:00	2011-06-16 00:00:00	No	2012-03-21 00:00:00	None	A	None	15000	15000	-5250	9750	0	None	LOI511	N	CA00278295	B	SFY2011-12
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-04-11 00:00:00	920009222	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2012-03-05 00:00:00	2012-03-05 00:00:00	No	2012-05-02 00:00:00	None	B	None	750	750	0	750	0	None	ERVG11	N	CA00273021	B	SFY2011-12
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-08-10 00:00:00	920009224	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-08-10 00:00:00	2010-08-10 00:00:00	No	2012-08-31 00:00:00	None	A	None	19000	19000	-6650	12350	0	None	NZUM11	N	CA00238817	B	SFY2012-13
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2013-02-14 00:00:00	920009740	Closed	Citation	Citation B (HSC 1424)	Patient Care	Accidents	2012-10-15 00:00:00	2012-10-15 00:00:00	No	2013-03-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	R9U411	N	CA00329617	B	SFY2012-13
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-01-21 00:00:00	920009923	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-05 00:00:00	2011-03-05 00:00:00	Yes	2014-02-11 00:00:00	2014-01-27 00:00:00	A	A	7000	3500	0	0	3500	None	A11R11	N	CA00273033	B	SFY2013-14
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-05-22 00:00:00	920010739	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-01-26 00:00:00	2013-01-26 00:00:00	No	2014-06-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	2IOY11	N	CA00341181	A	SFY2013-14
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2014-12-17 00:00:00	920011186	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2014-11-06 00:00:00	2014-11-06 00:00:00	No	2015-01-08 00:00:00	None	B	None	1500	1500	-525	975	0	None	OVZY11	N	None	None	SFY2014-15
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-07-15 00:00:00	920011839	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2013-02-23 00:00:00	2013-02-23 00:00:00	Yes	2016-08-05 00:00:00	2016-08-01 00:00:00	AA	AA	75000	43750	0	43750	0	None	FNKM11	Y	CA00344709, CA00344709	A, A	SFY2016-17
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-05-04 00:00:00	920012214	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-02-20 00:00:00	2014-02-20 00:00:00	No	2016-05-25 00:00:00	None	B	None	2000	2050	0	2050	0	None	UDDK11	N	CA00390090	A	SFY2015-16
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-02-08 00:00:00	920012307	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2011-03-04 00:00:00	2011-03-04 00:00:00	Yes	2017-03-02 00:00:00	2017-02-15 00:00:00	AA	A	100000	70000	0	70000	0	None	IVLG11	Y	CA00259236	C	SFY2016-17
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-01-18 00:00:00	920012679	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2014-08-10 00:00:00	2014-08-10 00:00:00	Yes	2017-02-08 00:00:00	2017-02-03 00:00:00	A	A	20000	18750	0	18750	0	None	ODDW11	N	CA00409183	A	SFY2016-17
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2016-12-28 00:00:00	920012844	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-08-18 00:00:00	2016-08-18 00:00:00	No	2017-01-20 00:00:00	None	B	None	1000	1000	-350	650	0	None	F2LX11	N	CA00499860	B	SFY2016-17
970000099	SOLHEIM SENIOR COMMUNITY	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-01-09 00:00:00	920012856	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-05-18 00:00:00	2016-05-18 00:00:00	No	2017-01-31 00:00:00	None	A	None	10000	10000	0	10000	0	None	YP7Z11	N	CA00489193	B	SFY2016-17
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-05-24 00:00:00	920013220	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-02-20 00:00:00	2017-02-20 00:00:00	No	2017-06-15 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ZZI111	N	CA00523454	A	SFY2016-17
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-07-14 00:00:00	920013336	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-01-05 00:00:00	2017-01-05 00:00:00	No	2017-08-04 00:00:00	None	A	None	18000	18000	-6300	11700	0	None	BOD711	N	CA00517195	B	SFY2017-18
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-11-09 00:00:00	920013605	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2017-12-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	W8ZQ11	N	CA00421186	B	SFY2017-18
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-02-13 00:00:00	920013811	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-08-05 00:00:00	2016-08-05 00:00:00	No	2018-03-07 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E08W21	N	None	None	SFY2017-18
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-06-25 00:00:00	920014159	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2018-07-17 00:00:00	None	B	None	1800	1800	-630	1170	0	None	J56C11	N	CA00576669	B	SFY2017-18
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-07-27 00:00:00	920014291	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-04-24 00:00:00	2018-04-24 00:00:00	Yes	2018-08-17 00:00:00	2018-08-10 00:00:00	A	A	20000	15000	0	15000	0	None	CDKR11	N	CA00581886, CA00581886, CA00585441	B, B, B	SFY2018-19
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-25 00:00:00	920014365	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2018-04-25 00:00:00	2018-04-25 00:00:00	Yes	2018-09-17 00:00:00	2018-09-14 00:00:00	AA	AA	100000	55000	0	55000	0	None	XYU511	Y	CA00584869, CA00584869, CA00584869, CA00584869	A, A, A, A	SFY2018-19
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-09-14 00:00:00	920014414	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	2018-10-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4BPP11	N	CA00540548	B	SFY2018-19
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-03 00:00:00	920015034	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2019-05-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	TBZY11	N	CA00625056, CA00625056, CA00625056	B, B, B	SFY2018-19
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-16 00:00:00	920015080	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-04-05 00:00:00	2019-04-05 00:00:00	No	2019-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	96UH11	N	None	None	SFY2018-19
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-05-16 00:00:00	920015083	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2019-04-09 00:00:00	2019-04-09 00:00:00	No	2019-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	96UH11	N	None	None	SFY2018-19
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-09-18 00:00:00	920015395	Closed	Citation	Citation Willful Material Falsification (HSC 1424(f)(1))	Willful Material Falsification	None	2019-08-01 00:00:00	2019-08-01 00:00:00	No	2019-10-09 00:00:00	None	WF	None	2000	2000	-700	1300	0	None	FIIC11	None	None	None	SFY2019-20
910000076	SUNSET PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-10-31 00:00:00	920015503	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-12-30 00:00:00	2013-12-30 00:00:00	No	2019-11-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	M8NS11	N	CA00384155, CA00384155	B, B	SFY2019-20
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2019-12-24 00:00:00	920015635	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2019-09-29 00:00:00	2019-09-29 00:00:00	No	2020-01-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	0VS111	N	CA00657273	B	SFY2019-20
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-01-30 00:00:00	920015707	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-04 00:00:00	2019-11-04 00:00:00	Yes	2020-02-20 00:00:00	2020-02-10 00:00:00	A	A	20000	11500	0	11500	0	None	UKJZ11	Y	CA00662458	B	SFY2019-20
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-04-17 00:00:00	920015856	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-01-08 00:00:00	2020-01-08 00:00:00	No	2020-05-08 00:00:00	None	B	None	1500	1500	0	1500	0	None	C87G11	N	CA00672560, CA00672560, CA00672560, CA00672560	A, A, A, A	SFY2019-20
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-05-18 00:00:00	920015884	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-15 00:00:00	2020-02-15 00:00:00	No	2020-06-08 00:00:00	None	B	None	2000	2000	0	2000	0	None	U8O511	N	CA00676946	B	SFY2019-20
910000074	SANTA MONICA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2020-09-10 00:00:00	920016025	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-10-17 00:00:00	2019-10-17 00:00:00	Yes	2020-10-01 00:00:00	2020-09-22 00:00:00	A	A	20000	13000	0	13000	0	None	SPMB11	N	CA00659851	B	SFY2020-21
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-10 00:00:00	920016336	Closed	Citation	Citation B (HSC 1424)	Other	Infection Control	2020-11-21 00:00:00	2020-11-21 00:00:00	No	2021-04-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	91B411	N	None	None	SFY2020-21
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-12 00:00:00	920016344	Closed	Citation	Citation B (HSC 1424)	Other	Transfer-Discharge	2020-12-21 00:00:00	2020-12-21 00:00:00	No	2021-04-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y0YW11	N	CA00717908	A	SFY2020-21
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-06-17 00:00:00	920016611	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-12-22 00:00:00	2020-12-22 00:00:00	No	2021-07-08 00:00:00	None	B	None	2000	2000	-700	1300	0	None	N63S11	N	CA00730654	B	SFY2020-21
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-07-23 00:00:00	920016755	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-08-19 00:00:00	2017-08-19 00:00:00	Yes	2021-08-13 00:00:00	2021-08-13 00:00:00	A	A	20000	14700	-700	14000	0	None	K08K11	N	CA00549038	A	SFY2021-22
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-13 00:00:00	920016808	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-06-28 00:00:00	2021-06-28 00:00:00	No	2021-09-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	394V11	N	CA00741974	A	SFY2021-22
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-24 00:00:00	920016941	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-12-15 00:00:00	2020-12-15 00:00:00	No	2021-10-15 00:00:00	None	A	None	20000	20000	0	20000	0	None	3USY11	N	CA00735603	B	SFY2021-22
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-09-23 00:00:00	920016953	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-04-21 00:00:00	2021-04-21 00:00:00	No	2021-10-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	6JTK11	N	CA00734244	B	SFY2021-22
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-10-07 00:00:00	920016992	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2020-12-23 00:00:00	2020-12-23 00:00:00	No	2021-10-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	CLLS11	N	CA00743454, CA00744281	A, A	SFY2021-22
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-11-15 00:00:00	920017075	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-07-22 00:00:00	2021-07-22 00:00:00	No	2021-12-08 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	LF9T11	N	CA00749019	B	SFY2021-22
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-02 00:00:00	920017143	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-07-20 00:00:00	2020-07-20 00:00:00	No	2021-12-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ITEQ11	N	CA00751706	B	SFY2021-22
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-07 00:00:00	920017160	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-11-29 00:00:00	2021-11-29 00:00:00	No	2021-12-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	16IO11	N	CA00755908	B	SFY2021-22
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-21 00:00:00	920017211	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-25 00:00:00	2021-10-25 00:00:00	No	2022-01-11 00:00:00	None	B	None	2000	2350	0	2350	0	None	J33X11	N	CA00759012	A	SFY2021-22
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-12-21 00:00:00	920017212	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-25 00:00:00	2021-10-25 00:00:00	No	2022-01-11 00:00:00	None	B	None	2000	2350	0	2350	0	None	J33X11	N	CA00759012	A	SFY2021-22
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-05 00:00:00	920017249	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-11-18 00:00:00	2021-11-18 00:00:00	No	2022-01-27 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B3Q011	N	CA00761496	B	SFY2021-22
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-01-13 00:00:00	920017264	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-10-15 00:00:00	2021-10-15 00:00:00	No	2022-02-04 00:00:00	None	B	None	2000	2000	0	2000	0	None	QIRE11	N	CA00757215, CA00757215, CA00757215	B, B, B	SFY2021-22
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-07 00:00:00	920017556	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2022-02-26 00:00:00	2022-02-26 00:00:00	No	2022-04-28 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	V7PL11	N	None	None	SFY2021-22
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-15 00:00:00	920017576	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-04-11 00:00:00	2021-04-11 00:00:00	Yes	2022-05-06 00:00:00	2022-05-03 00:00:00	A	A	15000	11500	0	11500	0	None	DCMU11	N	CA00774468	B	SFY2021-22
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-15 00:00:00	920017579	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-12-15 00:00:00	2021-12-15 00:00:00	Yes	2022-05-06 00:00:00	2022-05-03 00:00:00	A	A	15000	10000	0	10000	0	None	DCMU11	N	None	None	SFY2021-22
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-04-22 00:00:00	920017584	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-02-24 00:00:00	2022-02-24 00:00:00	No	2022-05-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	79C511	N	CA00774841	B	SFY2021-22
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-05-13 00:00:00	920017636	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2021-12-10 00:00:00	2021-12-10 00:00:00	No	2022-06-06 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JE1W11	N	CA00775122	A	SFY2021-22
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-23 00:00:00	920017727	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-29 00:00:00	2022-04-29 00:00:00	No	2022-07-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ECKH11	N	CA00778612, CA00778612, CA00778612	B, B, B	SFY2021-22
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-06-23 00:00:00	920017728	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-03-20 00:00:00	2022-03-20 00:00:00	No	2022-07-15 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	ECKH11	N	CA00778612, CA00778612, CA00778612	B, B, B	SFY2021-22
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-15 00:00:00	920017775	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-01-29 00:00:00	2022-01-29 00:00:00	No	2022-08-05 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	W6CW11	N	CA00771270, CA00771270	A, A	SFY2022-23
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-07-22 00:00:00	920017817	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-04-15 00:00:00	2022-04-15 00:00:00	Yes	2022-08-12 00:00:00	2022-08-12 00:00:00	A	A	15000	11250	0	11250	0	None	DV5G11	N	CA00781769, CA00781769	B, B	SFY2022-23
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-19 00:00:00	920017905	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-01-01 00:00:00	2021-01-01 00:00:00	No	2022-09-12 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	8CXT11	N	CA00720338	A	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-02 00:00:00	920017926	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-09 00:00:00	2022-06-09 00:00:00	No	2022-09-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	4XK511	N	CA00789134, CA00789134, CA00789134, CA00789144, CA00789144, CA00789144, CA00789144, CA00789782, CA00789782	B, B, B, B, B, B, B, B, B	SFY2022-23
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-08-26 00:00:00	920017931	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-03-18 00:00:00	2022-03-18 00:00:00	No	2022-09-19 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	1D4C11	N	CA00777632	B	SFY2022-23
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-02 00:00:00	920017948	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-19 00:00:00	2022-07-19 00:00:00	Yes	2022-09-26 00:00:00	2022-09-21 00:00:00	A	None	25000	75000	0	0	75000	None	Z2V511	N	CA00794378	A	SFY2022-23
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-09 00:00:00	920017981	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-07-15 00:00:00	2022-07-15 00:00:00	No	2022-09-30 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	NL9V11	N	CA00795191, CA00795191, CA00795191, CA00795191, CA00795537, CA00795537	A, A, A, A, A, A	SFY2022-23
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-10-06 00:00:00	920018054	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-07-03 00:00:00	2022-07-03 00:00:00	No	2022-10-27 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7ISM11	N	CA00791771, CA00791771, CA00791771	B, B, B	SFY2022-23
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-22 00:00:00	920018258	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-12-10 00:00:00	2022-12-10 00:00:00	No	2023-01-13 00:00:00	None	A	None	20000	60000	0	60000	0	None	KM7211	N	CA00806850, CA00809985	B, A	SFY2022-23
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-12-28 00:00:00	920018265	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2022-09-13 00:00:00	2022-09-13 00:00:00	No	2023-01-20 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	9LIO11	N	CA00805475, CA00805475, CA00805475	B, B, B	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-15 00:00:00	920018508	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-03 00:00:00	2023-01-03 00:00:00	No	2023-04-06 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	5BW911	Y	CA00818458, CA00818458, CA00818458, CA00818458, CA00818458, CA00818974	B, B, B, B, B, A	SFY2022-23
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-17 00:00:00	920018524	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-01-01 00:00:00	2023-01-01 00:00:00	No	2023-04-10 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	SSH811	N	None	None	SFY2022-23
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-03-17 00:00:00	920018525	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-11-22 00:00:00	2019-11-22 00:00:00	No	2023-04-10 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	SSH811	N	None	None	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-13 00:00:00	920018628	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-23 00:00:00	2023-02-23 00:00:00	No	2023-05-04 00:00:00	None	B	None	3000	3350	-1050	2300	0	None	8U1N11	N	CA00828659, CA00828659	B, B	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-13 00:00:00	920018629	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-02-23 00:00:00	2023-02-23 00:00:00	No	2023-05-04 00:00:00	None	B	None	3000	3350	-1050	2300	0	None	8U1N11	N	CA00828659, CA00828659, CA00828659	B, B, B	SFY2022-23
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-25 00:00:00	920018687	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-15 00:00:00	2023-03-15 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BP5511	N	CA00829759, CA00829759, CA00829759	B, B, B	SFY2022-23
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-04-25 00:00:00	920018694	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-03-15 00:00:00	2023-03-15 00:00:00	No	2023-05-16 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	BP5511	N	CA00829759, CA00829759, CA00829759, CA00829759	B, B, B, B	SFY2022-23
930001552	SHERMAN OAKS HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-05-12 00:00:00	920018751	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-31 00:00:00	2023-03-31 00:00:00	No	2023-06-05 00:00:00	None	B	None	3000	3000	0	3000	0	None	I3ZW11	N	None	None	SFY2022-23
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-13 00:00:00	920018850	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-12 00:00:00	2023-04-12 00:00:00	No	2023-07-05 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	7QNW11	N	CA00836963, CA00836963	B, B	SFY2022-23
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-24 00:00:00	920018993	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-06-26 00:00:00	2023-06-26 00:00:00	No	2023-08-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	625I11	N	CA00845240	B	SFY2023-24
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-28 00:00:00	920019006	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-06-16 00:00:00	2023-06-16 00:00:00	No	2023-08-18 00:00:00	None	B	None	3000	4000	-1050	1950	1000	None	NC6P11	N	CA00847031	A	SFY2023-24
920000008	SHERMAN VILLAGE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-10-06 00:00:00	920019240	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2023-07-05 00:00:00	2023-07-05 00:00:00	Yes	2023-10-27 00:00:00	2023-10-11 00:00:00	AA	None	120000	120000	0	0	120000	None	RVW111	Y	CA00851408, CA00852892	B, B	SFY2023-24
910000076	SUNSET PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-09 00:00:00	920019357	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-01 00:00:00	2023-10-01 00:00:00	No	2023-12-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	787V11	N	CA00862242, CA00862242	B, B	SFY2023-24
910000330	SHARON CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-13 00:00:00	920019362	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-07-05 00:00:00	2023-07-05 00:00:00	Yes	2023-12-06 00:00:00	2023-12-01 00:00:00	A	None	25000	25000	0	0	25000	None	P67F11	N	CA00861634, CA00861634, CA00861634	B, B, B	SFY2023-24
920000066	SHERMAN OAKS HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-11-15 00:00:00	920019366	Open	Citation	Citation A (HSC 1424)	Other	Nursing Services-IC	2020-07-26 00:00:00	2020-07-26 00:00:00	Yes	2023-12-08 00:00:00	2023-11-16 00:00:00	A	None	20000	20000	0	0	20000	None	Z5OX11	Y	CA00804958, CA00804958	B, B	SFY2023-24
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-11 00:00:00	920019460	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2023-11-20 00:00:00	2023-11-20 00:00:00	No	2024-01-02 00:00:00	None	B	None	3000	3000	0	3000	0	None	OEWN11	N	CA00871134	A	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-12-28 00:00:00	920019530	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-07-03 00:00:00	2023-07-03 00:00:00	No	2024-01-18 00:00:00	None	B	None	3000	3350	0	3350	0	None	LS3R11	N	CA00870706, CA00870706, CA00870706	B, B, B	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-02 00:00:00	920019554	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-10-30 00:00:00	2023-10-30 00:00:00	No	2024-01-23 00:00:00	None	B	None	3000	3000	0	3000	0	None	OBVV11	N	CA00868328, CA00868328, CA00868328, CA00868328, CA00868328	B, B, B, B, B	SFY2023-24
920000066	SHERMAN OAKS HEALTH & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-01-25 00:00:00	920019630	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-21 00:00:00	2023-11-21 00:00:00	Yes	2024-02-15 00:00:00	2024-02-14 00:00:00	A	None	20000	20000	0	0	20000	None	NHE211	N	CA00869798, CA00871164	B, B	SFY2023-24
910000074	SANTA MONICA HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-09 00:00:00	920019719	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-12-14 00:00:00	2023-12-14 00:00:00	No	2024-03-01 00:00:00	None	B	None	3000	3000	0	3000	0	None	OJG411	N	CA00876006	B	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-14 00:00:00	920019742	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-10 00:00:00	2024-01-10 00:00:00	No	2024-03-06 00:00:00	None	B	None	3000	9100	-3150	5850	100	None	LS3R12	N	None	None	SFY2023-24
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-22 00:00:00	920019768	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-04 00:00:00	2023-12-04 00:00:00	No	2024-03-14 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	K9ED11	N	CA00873258, CA00873258, CA00873302	B, B, B	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-02-29 00:00:00	920019805	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-11-23 00:00:00	2023-11-23 00:00:00	No	2024-03-21 00:00:00	None	A	None	20000	60000	0	0	60000	None	3ZLD11	N	CA00879116, CA00879116, CA00879116, CA00879228, CA00879228, CA00879228, CA00879228, CA00879228	B, B, B, A, A, A, A, A	SFY2023-24
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-03-27 00:00:00	920019921	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-26 00:00:00	2023-12-26 00:00:00	Yes	2024-04-18 00:00:00	2024-04-02 00:00:00	A	None	25000	25000	0	0	25000	None	K21S11	N	CA00883490, CA00883490, CA00883490, CA00883490	A, A, A, A	SFY2023-24
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-04-23 00:00:00	920020053	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2024-03-02 00:00:00	2024-03-02 00:00:00	No	2024-05-14 00:00:00	None	B	None	3000	9500	-3150	5850	500	None	0AGO11	N	CA00887790, CA00887790	A, A	SFY2023-24
920000289	SYLMAR HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-05-31 00:00:00	920020255	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-07 00:00:00	2024-04-07 00:00:00	No	2024-06-21 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	IV5L11	N	CA00893971	B	SFY2023-24
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2024-06-28 00:00:00	920020369	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-05-04 00:00:00	2024-05-04 00:00:00	Yes	2024-07-22 00:00:00	2024-07-02 00:00:00	AA	None	120000	120200	0	0	120200	None	2J8W11	Y	CA00898449, CA00898449	A, A	SFY2023-24
930000609	SANTA TERESITA HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-09-11 00:00:00	930000332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-04-25 00:00:00	None	Yes	2002-12-10 00:00:00	2002-11-27 00:00:00	B	B	700	700	0	700	0	930013349	A99999	N	None	None	SFY2002-03
930000564	SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-08-20 00:00:00	930000339	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-18 00:00:00	None	Yes	2004-01-22 00:00:00	2004-01-12 00:00:00	B	B	1000	1000	0	1000	0	930014271	A99999	N	None	None	SFY2003-04
930000564	SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-10-09 00:00:00	930000341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-05-26 00:00:00	2003-05-26 00:00:00	Yes	2004-01-22 00:00:00	2004-01-12 00:00:00	B	B	1000	1000	0	1000	0	930014449	A99999	N	None	None	SFY2003-04
930000609	SANTA TERESITA HOSPITAL D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-11-14 00:00:00	930000342	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-09-19 00:00:00	None	No	2003-12-22 00:00:00	None	B	None	1000	1000	-350	650	0	930014607	A99999	N	None	None	SFY2003-04
930000564	SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-22 00:00:00	930013930	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-10-28 00:00:00	2016-10-28 00:00:00	No	2018-04-12 00:00:00	None	B	None	2000	2000	0	2000	0	None	ERD011	N	CA00509562	B	SFY2017-18
930000564	SAN GABRIEL VALLEY MEDICAL CENTER D/P SNF	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-22 00:00:00	930013931	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-02-28 00:00:00	2016-02-28 00:00:00	No	2018-04-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	ERD011	N	CA00509562	B	SFY2017-18
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-02-09 00:00:00	940001384	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-02-09 00:00:00	None	Yes	2000-03-01 00:00:00	2000-02-21 00:00:00	B	None	750	750	0	750	0	940005057	A99999	N	None	None	SFY1999-00
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-03-16 00:00:00	940001390	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2000-03-16 00:00:00	None	No	2000-04-06 00:00:00	None	B	None	1000	3000	-1050	1950	0	940005098	A99999	N	None	None	SFY1999-00
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-09-20 00:00:00	940001402	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-07-10 00:00:00	None	No	2000-10-11 00:00:00	None	B	None	1000	1000	-350	650	0	940005273	A99999	N	None	None	SFY2000-01
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2000-12-21 00:00:00	940001406	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-12-01 00:00:00	None	Yes	2001-05-11 00:00:00	2001-01-04 00:00:00	B	B	800	800	0	800	0	940005412	A99999	N	None	None	SFY2000-01
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-04-13 00:00:00	940001415	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-04-13 00:00:00	None	Yes	2001-06-25 00:00:00	2001-04-25 00:00:00	B	None	1000	1000	0	1000	0	940005530	A99999	N	None	None	SFY2000-01
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-06-11 00:00:00	940001421	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-14 00:00:00	None	No	2001-07-19 00:00:00	None	B	None	800	800	-280	520	0	940005594	A99999	N	None	None	SFY2000-01
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-20 00:00:00	940001423	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-07-17 00:00:00	None	No	2001-08-30 00:00:00	None	B	None	800	2400	-840	1560	0	940005711	A99999	N	None	None	SFY2001-02
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-09-17 00:00:00	940001435	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-07-16 00:00:00	None	Yes	2002-02-21 00:00:00	2001-09-21 00:00:00	B	B	1000	1000	0	1000	0	940005712	A99999	N	None	None	SFY2001-02
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-03-15 00:00:00	940001454	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-27 00:00:00	None	No	2002-05-10 00:00:00	None	B	None	800	800	0	800	0	940005996	A99999	N	None	None	SFY2001-02
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-08-07 00:00:00	940001469	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-07-31 00:00:00	None	No	2002-08-28 00:00:00	None	B	None	700	700	-245	455	0	940006200	A99999	N	None	None	SFY2002-03
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-10-11 00:00:00	940001472	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-09 00:00:00	None	No	2002-11-15 00:00:00	None	B	None	1000	1000	-350	650	0	940006278	A99999	N	None	None	SFY2002-03
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-10-11 00:00:00	940001473	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-03-09 00:00:00	2002-03-09 00:00:00	No	2002-11-15 00:00:00	None	B	None	800	800	-280	520	0	940006278	A99999	N	None	None	SFY2002-03
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-05 00:00:00	940001475	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-07-31 00:00:00	None	Yes	2003-03-18 00:00:00	2002-12-13 00:00:00	B	Dismissed by Court	350	0	0	0	0	940006388	A99999	N	None	None	SFY2002-03
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2002-12-19 00:00:00	940001478	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-09-16 00:00:00	None	No	2003-01-16 00:00:00	None	B	None	800	800	-280	520	0	940006426	A99999	N	None	None	SFY2002-03
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-08-25 00:00:00	940001504	Closed	Citation	Citation B (HSC 1424)	Other	FIDUCIARY ABUSE	2005-05-23 00:00:00	None	No	2005-09-16 00:00:00	None	B	None	1000	1000	-350	650	0	940007587	A99999	N	None	None	SFY2005-06
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-09-29 00:00:00	940001506	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-11 00:00:00	None	No	2005-10-21 00:00:00	None	B	None	1000	1000	0	1000	0	940007539	A99999	N	None	None	SFY2005-06
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-11-02 00:00:00	940001510	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2004-11-16 00:00:00	None	No	2006-01-24 00:00:00	None	B	None	1000	1000	-350	650	0	940007660	A99999	N	None	None	SFY2005-06
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2005-11-10 00:00:00	940001511	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-05-31 00:00:00	None	No	2006-01-25 00:00:00	None	B	None	1000	3000	-1050	1950	0	940007605	A99999	N	None	None	SFY2005-06
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-02-03 00:00:00	940001519	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-03-31 00:00:00	2005-03-31 00:00:00	No	2006-02-28 00:00:00	None	B	None	1000	1000	0	1000	0	940007731	A99999	N	None	None	SFY2005-06
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-03-21 00:00:00	940002934	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-02 00:00:00	2005-08-02 00:00:00	No	2006-04-12 00:00:00	None	B	None	1000	1000	-350	650	0	None	AE8W11	N	CA00058081	C	SFY2005-06
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-03-21 00:00:00	940002939	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-12 00:00:00	2005-11-12 00:00:00	Yes	2006-04-20 00:00:00	2006-03-29 00:00:00	B	None	1000	1000	-1000	0	0	None	AE8W11	N	CA00066569	C	SFY2005-06
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-04-21 00:00:00	940003054	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-18 00:00:00	2005-09-18 00:00:00	Yes	2006-05-26 00:00:00	2006-04-28 00:00:00	B	None	1000	1000	-1000	0	0	None	AE8W11	N	CA00061797	C	SFY2005-06
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-10-19 00:00:00	940003434	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-12-12 00:00:00	2005-12-12 00:00:00	No	2006-11-28 00:00:00	None	B	None	1000	3000	-1050	1950	0	None	JZ6N11	N	CA00072004	C	SFY2006-07
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-13 00:00:00	940003570	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-11-16 00:00:00	2005-11-16 00:00:00	Yes	2007-01-31 00:00:00	2006-12-22 00:00:00	B	B	1000	550	0	550	0	None	XNZJ11	N	CA00066521	B	SFY2006-07
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-14 00:00:00	940003571	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-05-03 00:00:00	2006-05-03 00:00:00	No	2007-01-08 00:00:00	None	B	None	1000	1000	0	1000	0	None	QDSG11	N	CA00080920	B	SFY2006-07
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2006-12-14 00:00:00	940003578	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-08-21 00:00:00	2005-08-21 00:00:00	No	2007-01-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	5HPT11	N	CA00066815	B	SFY2006-07
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-01-24 00:00:00	940003629	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-18 00:00:00	2006-11-18 00:00:00	No	2007-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	F3QK11	N	CA00101266, CA00101266	C, C	SFY2006-07
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-01-24 00:00:00	940003630	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-11-18 00:00:00	2006-11-18 00:00:00	No	2007-02-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	F3QK11	N	CA00101266	C	SFY2006-07
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-02-05 00:00:00	940003653	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-11-18 00:00:00	2006-11-18 00:00:00	No	2007-02-26 00:00:00	None	B	None	1000	1000	-350	650	0	None	F3QK11	N	CA00101266	C	SFY2006-07
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-08-31 00:00:00	940004216	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-07-11 00:00:00	2007-07-11 00:00:00	No	2007-09-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	WUOC11	N	CA00119748	B	SFY2007-08
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2007-08-31 00:00:00	940004234	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2007-01-28 00:00:00	2007-01-28 00:00:00	No	2007-09-24 00:00:00	None	B	None	800	800	-280	520	0	None	3L1P11	N	None	None	SFY2007-08
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-04-16 00:00:00	940004938	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2008-01-11 00:00:00	2008-01-11 00:00:00	Yes	2008-05-07 00:00:00	2008-04-17 00:00:00	B	B	800	460	0	460	0	None	RSMS11	N	CA00138840	B	SFY2007-08
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-07-29 00:00:00	940006426	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-05-26 00:00:00	2009-05-26 00:00:00	No	2009-08-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	DLMF11	N	CA00189927	C	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2009-10-07 00:00:00	940006511	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2007-06-01 00:00:00	2007-06-01 00:00:00	Yes	2009-10-29 00:00:00	2009-10-22 00:00:00	A	A	20000	11600	0	11600	0	None	XP4R11	N	CA00137036	C	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-11 00:00:00	940006832	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-22 00:00:00	2009-10-22 00:00:00	Yes	2010-02-03 00:00:00	2010-01-29 00:00:00	A	A	16000	9280	0	9280	0	None	K8KO11	N	None	None	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-11 00:00:00	940006855	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-20 00:00:00	2009-10-20 00:00:00	Yes	2010-02-03 00:00:00	2010-01-29 00:00:00	A	A	20000	11600	0	11600	0	None	K8KO11	N	None	None	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-11 00:00:00	940006856	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-19 00:00:00	2009-10-19 00:00:00	Yes	2010-02-03 00:00:00	2010-01-29 00:00:00	A	A	16000	9280	0	9280	0	None	K8KO11	N	None	None	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2010-01-15 00:00:00	940006860	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-10-23 00:00:00	2009-10-23 00:00:00	Yes	2010-02-08 00:00:00	2010-01-29 00:00:00	A	A	16000	9280	0	9280	0	None	K8KO11	N	None	None	SFY2009-10
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-02-09 00:00:00	940008589	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-04-18 00:00:00	2010-04-18 00:00:00	Yes	2012-03-02 00:00:00	2012-02-23 00:00:00	A	A	20000	11600	0	11600	0	None	W0HL11	N	CA00226262, CA00226612, CA00227613	C, C, C	SFY2011-12
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-04-27 00:00:00	940009244	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-12-01 00:00:00	2011-12-01 00:00:00	No	2012-05-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P6UD11	N	CA00297004	B	SFY2011-12
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-04-27 00:00:00	940009245	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-12-17 00:00:00	2011-12-17 00:00:00	No	2012-05-18 00:00:00	None	B	None	2000	2000	-700	1300	0	None	P6UD11	N	CA00297004	B	SFY2011-12
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-07-02 00:00:00	940009384	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-02-25 00:00:00	2012-02-25 00:00:00	No	2012-07-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	XEER11	N	CA00301239	B	SFY2012-13
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2012-09-11 00:00:00	940009471	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2011-03-09 00:00:00	2011-03-09 00:00:00	Yes	2012-10-02 00:00:00	2012-09-24 00:00:00	A	B	18000	18000	0	18000	0	None	CMIK11	N	CA00264641	B	SFY2012-13
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-01-10 00:00:00	940010371	Closed	Citation	Citation B (HSC 1424)	Medication	None	2013-12-06 00:00:00	2013-12-06 00:00:00	No	2014-02-03 00:00:00	None	B	None	2000	2000	-700	1300	0	None	B9QR11	N	CA00379346	B	SFY2013-14
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-05-06 00:00:00	940010703	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-06-08 00:00:00	2013-06-08 00:00:00	No	2014-05-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	E1U611	N	CA00391699	C	SFY2013-14
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-12-10 00:00:00	940011129	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2012-09-25 00:00:00	2012-09-25 00:00:00	No	2015-01-02 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	21M911	N	CA00327335	C	SFY2014-15
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2014-12-10 00:00:00	940011134	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2013-11-08 00:00:00	2013-11-08 00:00:00	No	2015-01-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	RKWZ11	N	CA00376515	A	SFY2014-15
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2015-05-13 00:00:00	940011470	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2015-01-15 00:00:00	2015-01-15 00:00:00	No	2015-06-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	V3K111	N	None	None	SFY2014-15
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-03-02 00:00:00	940012049	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-09 00:00:00	2014-10-09 00:00:00	No	2016-03-23 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	2NOL11	N	CA00417029	B	SFY2015-16
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-08-11 00:00:00	940012432	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-03-10 00:00:00	2016-03-10 00:00:00	Yes	2016-09-01 00:00:00	2016-08-19 00:00:00	A	A	20000	14000	0	14000	0	None	4NLR11	N	CA00480034, CA00480082	B, B	SFY2016-17
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2016-11-16 00:00:00	940012755	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-23 00:00:00	2014-11-23 00:00:00	No	2016-12-09 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	V8CM11	N	CA00421454	A	SFY2016-17
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-01-10 00:00:00	940012877	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2016-04-28 00:00:00	2016-04-28 00:00:00	No	2017-02-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	KW5W11	N	CA00493830	B	SFY2016-17
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-02-24 00:00:00	940012984	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-09-04 00:00:00	2014-09-04 00:00:00	Yes	2017-03-17 00:00:00	2017-03-01 00:00:00	A	B	15000	10000	0	10000	0	None	L4HV11	N	CA00411926	B	SFY2016-17
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-03-03 00:00:00	940013013	Closed	Citation	Citation B (HSC 1424)	Administration	None	2017-01-23 00:00:00	2017-01-23 00:00:00	No	2017-03-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	2I1B11	N	None	None	SFY2016-17
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013379	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2017-08-17 00:00:00	2017-08-16 00:00:00	A	A	20000	14000	0	14000	0	None	C2UH11	N	CA00524093	A	SFY2017-18
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013389	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2017-08-17 00:00:00	2017-08-17 00:00:00	A	A	20000	14000	0	14000	0	None	C2UH11	N	CA00524093, CA00524093	A, A	SFY2017-18
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2017-07-27 00:00:00	940013390	Open	Citation	Citation B (HSC 1424)	Patient Rights	None	2017-02-08 00:00:00	2017-02-08 00:00:00	Yes	2017-08-17 00:00:00	2017-08-16 00:00:00	B	None	2000	2000	0	0	2000	None	C2UH11	N	CA00524093	A	SFY2017-18
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-04-27 00:00:00	940014014	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-20 00:00:00	2017-11-20 00:00:00	Yes	2018-05-18 00:00:00	2018-05-10 00:00:00	A	B	20000	6000	0	6000	0	None	GQN311	N	CA00562088, CA00562088, CA00562381, CA00562381	B, B, B, B	SFY2017-18
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-11 00:00:00	940014068	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-31 00:00:00	2018-01-31 00:00:00	Yes	2018-06-01 00:00:00	2018-05-10 00:00:00	A	A	20000	17500	0	17500	0	None	8N7W11	N	CA00569608	B	SFY2017-18
940000037	SANTA FE HEIGHTS HEALTHCARE CENTER LLC	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-05-25 00:00:00	940014095	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-03-15 00:00:00	2018-03-15 00:00:00	No	2018-06-18 00:00:00	None	B	None	2000	2000	0	2000	0	None	RDU811	N	CA00579272	A	SFY2017-18
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-13 00:00:00	940014231	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-29 00:00:00	2018-01-29 00:00:00	Yes	2018-08-03 00:00:00	2018-08-01 00:00:00	A	A	20000	17500	0	17500	0	None	81RM11	N	CA00568999	B	SFY2018-19
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-07-13 00:00:00	940014232	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-29 00:00:00	2018-01-29 00:00:00	Yes	2018-08-03 00:00:00	2018-08-01 00:00:00	A	B	20000	2000	0	2000	0	None	81RM11	N	CA00568999, CA00568999	B, B	SFY2018-19
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-17 00:00:00	940014333	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-12-21 00:00:00	2017-12-21 00:00:00	Yes	2018-09-10 00:00:00	2018-08-20 00:00:00	B	B	2000	1700	0	1700	0	None	ONR111	N	CA00566090	B	SFY2018-19
940000070	SOUTHLAND	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-08-23 00:00:00	940014354	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-01-28 00:00:00	2017-01-28 00:00:00	No	2018-09-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	FE8Z11	N	CA00584476	B	SFY2018-19
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-09-04 00:00:00	940014376	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-05-07 00:00:00	2018-05-07 00:00:00	No	2018-09-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	NZ6I11	N	CA00585896	A	SFY2018-19
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-24 00:00:00	940014526	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-06-27 00:00:00	2018-06-27 00:00:00	No	2018-11-15 00:00:00	None	B	None	1500	1500	-525	975	0	None	251T11	N	None	None	SFY2018-19
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-12-07 00:00:00	940014628	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-08-28 00:00:00	2018-08-28 00:00:00	No	2018-12-31 00:00:00	None	B	None	2000	2000	-700	1300	0	None	EMC511	N	CA00603264, CA00603264, CA00603264	B, B, B	SFY2018-19
940000001	SUNNY HILLS POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2019-01-11 00:00:00	940014713	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	A	16000	12000	0	12000	0	None	BFCB11	N	CA00606213	A	SFY2018-19
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-01-20 00:00:00	950001322	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2000-01-12 00:00:00	None	No	2000-02-10 00:00:00	None	B	None	500	500	-175	325	0	950006222	A99999	N	None	None	SFY1999-00
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-05-25 00:00:00	950001341	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-02-14 00:00:00	None	No	2001-05-11 00:00:00	None	B	B	600	600	0	600	0	950006384	A99999	N	None	None	SFY1999-00
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-09-06 00:00:00	950001358	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-15 00:00:00	None	Yes	2000-09-27 00:00:00	2000-09-18 00:00:00	B	None	500	500	0	500	0	950006528	A99999	N	None	None	SFY2000-01
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-11-30 00:00:00	950001374	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2000-06-06 00:00:00	None	No	2000-12-21 00:00:00	None	A	None	8000	8000	-2800	5200	0	950006677	A99999	N	None	None	SFY2000-01
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-12-15 00:00:00	950001379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-15 00:00:00	None	No	2001-01-05 00:00:00	None	B	None	1000	1000	-350	650	0	950006714	A99999	N	None	None	SFY2000-01
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-03-29 00:00:00	950001411	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-02-25 00:00:00	None	No	2002-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	950007284	A99999	N	None	None	SFY2001-02
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-07-12 00:00:00	950001416	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-04-11 00:00:00	None	No	2002-08-02 00:00:00	None	B	None	950	950	-332.5	617.5	0	950007337	A99999	N	None	None	SFY2002-03
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-07-25 00:00:00	950001418	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2002-03-31 00:00:00	2002-07-25 00:00:00	No	2002-10-08 00:00:00	None	B	None	950	950	-332.5	617.5	0	950007335	A99999	N	None	None	SFY2002-03
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2003-02-12 00:00:00	950001424	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2002-12-07 00:00:00	None	No	2003-03-17 00:00:00	None	B	None	650	650	0	650	0	950007695	A99999	N	None	None	SFY2002-03
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2009-03-03 00:00:00	950005899	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-02-19 00:00:00	2009-02-19 00:00:00	No	2009-03-24 00:00:00	None	B	None	1000	1000	-350	650	0	None	5WQC11	N	CA00178034	B	SFY2008-09
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-12-22 00:00:00	950005996	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2008-10-31 00:00:00	2008-10-31 00:00:00	Yes	2012-01-17 00:00:00	2012-01-09 00:00:00	A	A	10000	10000	0	10000	0	None	V1GW11	N	CA00168000	H	SFY2011-12
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2010-05-25 00:00:00	950007248	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2009-12-19 00:00:00	2009-12-19 00:00:00	Yes	2010-06-16 00:00:00	2010-06-16 00:00:00	B	B	1000	650	0	650	0	None	PBTY11	N	CA00212432	B	SFY2009-10
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2011-06-02 00:00:00	950007574	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2009-04-28 00:00:00	2009-04-28 00:00:00	Yes	2013-01-14 00:00:00	2012-12-20 00:00:00	A	A	20000	20000	0	20000	0	None	MU5611	N	CA00186536	H	SFY2010-11
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-01 00:00:00	950008966	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-07-11 00:00:00	2011-07-11 00:00:00	No	2012-02-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	36GN11	N	CA00275397	B	SFY2011-12
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-02-01 00:00:00	950008968	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2011-07-11 00:00:00	2011-07-11 00:00:00	No	2012-02-23 00:00:00	None	B	None	2000	2000	-700	1300	0	None	36GN11	N	CA00275397	B	SFY2011-12
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-06-15 00:00:00	950009365	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-08-24 00:00:00	2010-08-24 00:00:00	No	2012-07-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	IC4M11	N	CA00240050	B	SFY2011-12
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-06-27 00:00:00	950009379	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2008-10-23 00:00:00	2008-10-23 00:00:00	Yes	2012-07-19 00:00:00	2012-07-10 00:00:00	B	None	2000	6000	0	0	6000	None	56LI11	N	CA00166896	H	SFY2011-12
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-11-21 00:00:00	950009616	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2011-08-31 00:00:00	2011-08-31 00:00:00	Yes	2012-12-14 00:00:00	2012-12-12 00:00:00	B	None	2000	2000	0	0	2000	None	H9G411	N	CA00281630	A	SFY2012-13
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-26 00:00:00	950009824	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2013-02-14 00:00:00	2013-02-14 00:00:00	Yes	2013-05-17 00:00:00	2013-05-06 00:00:00	A	None	10000	10000	0	10000	0	None	EZF611	N	None	None	SFY2012-13
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-22 00:00:00	950009850	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2013-01-16 00:00:00	2013-01-16 00:00:00	No	2013-05-13 00:00:00	None	B	None	2000	2000	-700	1300	0	None	4JL511	N	CA00339811	A	SFY2012-13
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-04-30 00:00:00	950009866	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2010-07-06 00:00:00	2010-07-06 00:00:00	No	2013-05-21 00:00:00	None	B	None	2000	2000	-700	1300	0	None	1BSG11	N	CA00233137	B	SFY2012-13
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-07-01 00:00:00	950009988	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-01-23 00:00:00	2013-01-23 00:00:00	No	2013-07-23 00:00:00	None	B	None	1000	1000	0	1000	0	None	LVX921	N	None	None	SFY2013-14
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-07-24 00:00:00	950010023	Closed	Citation	Citation B (HSC 1424)	Medication	None	2010-08-31 00:00:00	2010-08-31 00:00:00	No	2013-08-14 00:00:00	None	B	None	2000	2000	-700	1300	0	None	BO2G11	N	CA00219600, CA00220415	B, B	SFY2013-14
970000167	SAINT VINCENT HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2013-08-20 00:00:00	950010103	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2013-02-22 00:00:00	2013-02-22 00:00:00	No	2013-09-11 00:00:00	None	B	None	2000	2000	0	2000	0	None	KOYV11	N	None	None	SFY2013-14
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-03-13 00:00:00	950010484	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2010-11-30 00:00:00	2010-11-30 00:00:00	No	2014-04-04 00:00:00	None	A	None	20000	20000	-7000	13000	0	None	YN9111	N	CA00249854	B	SFY2013-14
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-11-26 00:00:00	950011142	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-08-15 00:00:00	2014-08-15 00:00:00	No	2014-12-19 00:00:00	None	B	None	2000	2200	-700	1500	0	None	519411	N	CA00362425, CA00362450, CA00363066	B, B, B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-03 00:00:00	950011289	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-11-10 00:00:00	2014-11-10 00:00:00	No	2015-04-24 00:00:00	None	A	None	20000	20100	0	20100	0	None	07IS11	Y	CA00419738, CA00419744	A, A	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-03-05 00:00:00	950011293	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-05-16 00:00:00	2014-05-16 00:00:00	Yes	2015-03-26 00:00:00	2015-03-24 00:00:00	A	A	20000	12500	0	12500	0	None	3MWO11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011326	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-09 00:00:00	2015-02-09 00:00:00	No	2015-05-01 00:00:00	None	A	None	10000	10000	0	10000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011327	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-11 00:00:00	2015-01-11 00:00:00	No	2015-05-01 00:00:00	None	A	None	7500	7500	0	7500	0	None	DM3W11	N	CA00429179	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011328	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-11 00:00:00	2015-02-11 00:00:00	No	2015-05-01 00:00:00	None	A	None	8000	8000	0	8000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011329	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-14 00:00:00	2014-10-14 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	CA00429230	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011330	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-01-27 00:00:00	2015-01-27 00:00:00	No	2015-05-01 00:00:00	None	A	None	12000	12000	0	12000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011334	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2015-05-01 00:00:00	None	B	None	750	750	0	750	0	None	DM3W11	N	CA00429349	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011335	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-06-08 00:00:00	2014-06-08 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	CA00429349	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011336	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-01-17 00:00:00	2014-01-17 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	CA00429199	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011337	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-10-11 00:00:00	2014-10-11 00:00:00	No	2015-05-01 00:00:00	None	B	None	750	750	0	750	0	None	DM3W11	N	CA00429242	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011338	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-10-22 00:00:00	2014-10-22 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	CA00429248	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011349	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2014-12-01 00:00:00	2014-12-01 00:00:00	No	2015-05-01 00:00:00	None	B	None	1500	1500	0	1500	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011350	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-24 00:00:00	2014-05-24 00:00:00	No	2015-05-01 00:00:00	None	B	None	1000	1000	0	1000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011366	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	DM3W11	N	CA00429084	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011367	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2014-05-20 00:00:00	2014-05-20 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2250	0	2250	0	None	3MWO11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011368	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	DM3W11	N	CA00429084	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011370	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2014-11-25 00:00:00	2014-11-25 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	C15011	N	CA00420866	C	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-17 00:00:00	950011371	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011381	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-01 00:00:00	None	A	None	20000	20000	0	20000	0	None	DM3W11	Y	CA00429054	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-10 00:00:00	950011382	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2013-11-05 00:00:00	2013-11-05 00:00:00	No	2015-05-01 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y0FK11	N	CA00375648	B	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-17 00:00:00	950011396	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-04-02 00:00:00	2015-04-02 00:00:00	No	2015-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	DM3W11	N	None	None	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-17 00:00:00	950011399	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2014-10-07 00:00:00	2014-10-07 00:00:00	No	2015-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	MO4S11	N	CA00410156	A	SFY2014-15
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2015-04-17 00:00:00	950011405	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2015-02-13 00:00:00	2015-02-13 00:00:00	No	2015-05-08 00:00:00	None	A	None	20000	20000	0	20000	0	None	DM3W11	N	None	None	SFY2014-15
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-09 00:00:00	950013272	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-03-31 00:00:00	2017-03-31 00:00:00	No	2017-06-30 00:00:00	None	B	None	2000	2000	-700	1300	0	None	S1QZ11	N	CA00527062, CA00527062	B, B	SFY2016-17
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-06-30 00:00:00	950013322	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2017-01-12 00:00:00	2017-01-12 00:00:00	Yes	2017-07-24 00:00:00	2017-07-13 00:00:00	B	B	2000	1200	0	1200	0	None	QVCT11	N	CA00518133	B	SFY2016-17
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-07-10 00:00:00	950013334	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-06-02 00:00:00	2017-06-02 00:00:00	No	2017-07-31 00:00:00	None	B	None	1000	1000	0	1000	0	None	F2G511	N	CA00541319	A	SFY2017-18
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2017-09-18 00:00:00	950013504	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-03 00:00:00	2017-08-03 00:00:00	No	2017-10-09 00:00:00	None	B	None	2000	2000	-700	1300	0	None	M38911	N	None	None	SFY2017-18
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-02-07 00:00:00	950013785	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-08-01 00:00:00	2017-08-01 00:00:00	No	2018-02-28 00:00:00	None	B	None	2000	2000	-700	1300	0	None	MCIU11	N	CA00546891	B	SFY2017-18
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-03 00:00:00	950013874	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-12-20 00:00:00	2016-12-20 00:00:00	Yes	2018-03-23 00:00:00	2018-03-05 00:00:00	A	None	20000	20000	-7000	13000	0	None	J2GM11	N	CA00551527	A	SFY2017-18
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-09 00:00:00	950013882	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-11-09 00:00:00	2017-11-09 00:00:00	Yes	2018-03-30 00:00:00	2018-03-29 00:00:00	A	B	10000	4100	0	4100	0	None	HIOC11	N	None	None	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013911	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-17 00:00:00	2018-01-17 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041	A	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013912	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-22 00:00:00	2018-01-22 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041, CA00571041	A, A	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013913	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-17 00:00:00	2018-01-17 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041, CA00571041	A, A	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013914	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-18 00:00:00	2018-01-18 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041, CA00571041	A, A	SFY2017-18
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-03-21 00:00:00	950013915	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2018-01-22 00:00:00	2018-01-22 00:00:00	No	2018-04-11 00:00:00	None	B	None	2000	2000	-700	1300	0	None	025511	N	CA00571041, CA00571041	A, A	SFY2017-18
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2018-06-12 00:00:00	950014141	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence	2017-10-02 00:00:00	2017-10-02 00:00:00	No	2018-07-03 00:00:00	None	B	None	2000	2000	0	2000	0	None	M7MT11	Y	CA00566931	B	SFY2017-18
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-05-15 00:00:00	950015060	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-12-31 00:00:00	2018-12-31 00:00:00	No	2019-06-05 00:00:00	None	B	None	2000	2000	0	2000	0	None	01LE11	N	CA00624660	A	SFY2018-19
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-07-26 00:00:00	950015247	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2019-03-01 00:00:00	2019-03-01 00:00:00	Yes	2019-08-16 00:00:00	2019-10-01 00:00:00	A	A	20000	14000	0	14000	0	None	9WP411	Y	CA00627215, CA00627215	A, A	SFY2019-20
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-09-03 00:00:00	950015363	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2019-03-02 00:00:00	2019-03-02 00:00:00	No	2019-09-24 00:00:00	None	B	None	2000	2000	0	2000	0	None	L4DM11	N	None	None	SFY2019-20
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2019-10-24 00:00:00	950015474	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2018-11-08 00:00:00	2018-11-08 00:00:00	No	2019-11-14 00:00:00	None	B	None	2000	2000	0	2000	0	None	ERFB11	N	CA00647701	B	SFY2019-20
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-03-12 00:00:00	950015800	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2020-01-09 00:00:00	2020-01-09 00:00:00	No	2020-04-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	I4M311	N	CA00670900	A	SFY2019-20
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-04-03 00:00:00	950015836	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-02-19 00:00:00	2020-02-19 00:00:00	No	2020-04-24 00:00:00	None	B	None	2000	2000	-700	1300	0	None	ML6Z11	N	None	None	SFY2019-20
970000099	SOLHEIM SENIOR COMMUNITY	LTC	SNF	Skilled Nursing Facility	LA Region 1	2020-12-04 00:00:00	950016174	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2020-08-31 00:00:00	2020-08-31 00:00:00	Yes	2020-12-28 00:00:00	2020-12-28 00:00:00	A	A	20000	12600	-100	12500	0	None	47LN11	N	CA00703561	B	SFY2020-21
950000105	SUNSET MANOR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-11 00:00:00	950016339	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2020-12-18 00:00:00	2020-12-18 00:00:00	No	2021-04-02 00:00:00	None	B	None	2000	2000	-700	1300	0	None	DKIF11	N	CA00717995	B	SFY2020-21
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-03-25 00:00:00	950016379	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-02-17 00:00:00	2021-02-17 00:00:00	No	2021-04-16 00:00:00	None	B	None	2000	2000	-700	1300	0	None	X0NP11	N	CA00721496	B	SFY2020-21
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-11 00:00:00	950016577	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-04-29 00:00:00	2021-04-29 00:00:00	No	2021-07-02 00:00:00	None	B	None	2000	2000	0	2000	0	None	Y7TZ11	N	CA00734574, CA00734574	A, A	SFY2020-21
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-06-11 00:00:00	950016579	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-04-29 00:00:00	2021-04-29 00:00:00	No	2021-07-02 00:00:00	None	B	None	2000	3150	0	3150	0	None	NYPM11	N	CA00734724	A	SFY2020-21
950000279	SANTA TERESITA MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-01 00:00:00	950016681	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2021-05-12 00:00:00	2021-05-12 00:00:00	No	2021-07-22 00:00:00	None	AA	None	100000	100000	-35000	65000	0	None	A6ZF11	Y	CA00736584, CA00736584	A, A	SFY2021-22
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-07-23 00:00:00	950016741	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2021-05-01 00:00:00	2021-05-01 00:00:00	No	2021-08-13 00:00:00	None	B	None	2000	2000	0	2000	0	None	8NVA11	N	CA00738564	A	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-03 00:00:00	950016891	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-09 00:00:00	2021-06-09 00:00:00	No	2021-09-27 00:00:00	None	B	None	2000	2000	-700	1700	-400	None	DPYV11	N	CA00743956	B	SFY2021-22
940000117	SOCAL POST-ACUTE CARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-10 00:00:00	950016910	Closed	Citation	Citation B (HSC 1424)	Patient Care	Discharge Planning Proces	2021-06-09 00:00:00	2021-06-09 00:00:00	No	2021-10-01 00:00:00	None	B	None	2000	2000	-700	1300	0	None	JD0111	N	CA00740213, CA00740213	B, B	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-15 00:00:00	950017019	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-15 00:00:00	2021-08-15 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VMN011	N	CA00749120	B	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-10-15 00:00:00	950017020	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2021-08-15 00:00:00	2021-08-15 00:00:00	No	2021-11-05 00:00:00	None	B	None	2000	2000	-700	1300	0	None	VMN011	N	CA00749120	B	SFY2021-22
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-02 00:00:00	950017311	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2021-03-25 00:00:00	2021-03-25 00:00:00	Yes	2022-02-24 00:00:00	2022-02-11 00:00:00	B	None	2000	2000	0	0	2000	None	58XG11	N	CA00752196, CA00752196, CA00752196, CA00752196, CA00752196, CA00752196	A, A, A, A, A, A	SFY2021-22
970000099	SOLHEIM SENIOR COMMUNITY	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-10 00:00:00	950017332	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-12-15 00:00:00	2021-12-15 00:00:00	No	2022-03-04 00:00:00	None	B	None	2000	2000	-700	1300	0	None	5BR011	N	CA00766157	A	SFY2021-22
950000279	SANTA TERESITA MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-04 00:00:00	950017615	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-10-14 00:00:00	2021-10-14 00:00:00	No	2022-05-25 00:00:00	None	B	None	2000	2000	0	2000	0	None	CR6L11	N	CA00757359, CA00757359	B, B	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-05-05 00:00:00	950017625	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2021-09-11 00:00:00	2021-09-11 00:00:00	No	2022-05-26 00:00:00	None	B	None	2000	2000	0	2000	0	None	LGYS11	N	CA00752629	B	SFY2021-22
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-09-02 00:00:00	950017962	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-06-16 00:00:00	2022-06-16 00:00:00	No	2022-09-26 00:00:00	None	B	None	3000	3000	0	3000	0	None	UPCY11	N	CA00790036, CA00790036	A, A	SFY2022-23
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-20 00:00:00	950018101	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2022-09-07 00:00:00	2022-09-07 00:00:00	No	2022-11-10 00:00:00	None	B	None	2500	2500	-875	1625	0	None	DHUL11	N	CA00801697, CA00801697	A, A	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-10-27 00:00:00	950018125	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-07-22 00:00:00	2022-07-22 00:00:00	No	2022-11-18 00:00:00	None	B	None	3000	3000	0	3000	0	None	7KN111	N	CA00798472	B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-11-18 00:00:00	950018160	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-05-15 00:00:00	2022-05-15 00:00:00	No	2022-12-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	UJZK11	N	CA00785508	B	SFY2022-23
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-30 00:00:00	950018279	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-10-07 00:00:00	2022-10-07 00:00:00	No	2023-01-24 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	HWPR11	N	CA00806980	B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-02-17 00:00:00	950018419	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2022-12-02 00:00:00	2022-12-02 00:00:00	No	2023-03-13 00:00:00	None	B	None	3000	3000	0	3000	0	None	HXJ311	N	CA00815862, CA00815862	B, B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-09 00:00:00	950018501	Closed	Citation	Citation B (HSC 1424)	Other	Abuse	2023-02-07 00:00:00	2023-02-07 00:00:00	No	2023-03-30 00:00:00	None	B	None	3000	3000	0	3000	0	None	O4KD11	N	CA00815393, CA00815393	A, A	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-03-17 00:00:00	950018532	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-03-13 00:00:00	2023-03-13 00:00:00	No	2023-04-10 00:00:00	None	B	None	3000	3000	0	3000	0	None	TLDP11	N	CA00830956	A	SFY2022-23
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-05 00:00:00	950018609	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-02-07 00:00:00	2023-02-07 00:00:00	Yes	2023-04-26 00:00:00	2023-04-12 00:00:00	A	None	25000	25000	0	0	25000	None	8DDU11	N	CA00822840, CA00822840	B, B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-07 00:00:00	950018616	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-01-07 00:00:00	2023-01-07 00:00:00	No	2023-04-28 00:00:00	None	B	None	3000	3000	0	3000	0	None	ZHQ711	N	CA00820273	B	SFY2022-23
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-20 00:00:00	950018654	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-03-07 00:00:00	2023-03-07 00:00:00	No	2023-05-11 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	UT1711	N	None	None	SFY2022-23
950000018	SIERRA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-04-28 00:00:00	950018704	Open	Citation	Citation B (HSC 1424)	Patient Care	None	2022-04-05 00:00:00	2022-04-05 00:00:00	No	2023-05-19 00:00:00	None	B	None	3000	3000	0	3000	0	None	F6XQ11	N	CA00829369, CA00830245, CA00830245	B, B, B	SFY2022-23
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-06-30 00:00:00	950018913	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-06 00:00:00	2023-05-06 00:00:00	No	2023-07-24 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	I37311	N	CA00840256, CA00840256	A, A	SFY2022-23
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-04 00:00:00	950019032	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2023-07-25 00:00:00	2023-07-25 00:00:00	No	2023-08-25 00:00:00	None	B	None	3000	3400	-1050	2350	0	None	QGQE11	N	CA00852022, CA00852022, CA00852022	A, A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-17 00:00:00	950019066	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2023-04-30 00:00:00	2023-04-30 00:00:00	No	2023-09-08 00:00:00	None	A	None	25000	25000	-8750	16250	0	None	KSQA11	N	CA00844002, CA00844002, CA00844002	A, A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-08-22 00:00:00	950019087	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-05-25 00:00:00	2023-05-25 00:00:00	No	2023-09-13 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	QK1211	N	CA00842770, CA00843986	B, B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-11 00:00:00	950019144	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-07-22 00:00:00	2023-07-22 00:00:00	No	2023-10-02 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	Z3VM11	N	CA00852580, CA00852580	A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-13 00:00:00	950019156	Open	Citation	Citation AA (HSC 1424)	Patient Record	None	2023-07-25 00:00:00	2023-07-25 00:00:00	Yes	2023-10-04 00:00:00	2023-10-04 00:00:00	AA	None	120000	120000	0	0	120000	None	Z3VM11	Y	CA00852568	A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-10-19 00:00:00	950019277	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-09-03 00:00:00	2023-09-03 00:00:00	No	2023-11-09 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	89NR11	N	CA00859261, CA00859261	A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-09 00:00:00	950019348	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-22 00:00:00	2023-09-22 00:00:00	No	2023-12-05 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	VPX411	N	CA00861581, CA00861581, CA00861581, CA00861581	A, A, A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-11-14 00:00:00	950019363	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2023-09-21 00:00:00	2023-09-21 00:00:00	No	2023-12-07 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	DUNI11	N	CA00861979, CA00861979, CA00861979, CA00861988, CA00861988, CA00861988	B, B, B, B, B, B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-02-07 00:00:00	950019699	Closed	Citation	Citation B (HSC 1424)	Other	Abuse/Investigation w/out	2023-12-28 00:00:00	2023-12-28 00:00:00	No	2024-02-28 00:00:00	None	B	None	3000	9000	-3150	5850	0	None	TDUO11	N	CA00877396, CA00877396, CA00877396	A, A, A	SFY2023-24
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-06 00:00:00	950019828	Open	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-01-18 00:00:00	2024-01-18 00:00:00	No	2024-03-27 00:00:00	None	B	None	3000	3000	0	3000	0	None	3W1111	N	CA00880300, CA00880300, CA00880300	A, A, A	SFY2023-24
950000061	SUNNY VILLAGE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-22 00:00:00	950019898	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-04-29 00:00:00	2023-04-29 00:00:00	No	2024-04-12 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	B6Y811	N	None	None	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-27 00:00:00	950019913	Closed	Citation	Citation B (HSC 1424)	Other	Quality of Care	2024-02-12 00:00:00	2024-02-12 00:00:00	No	2024-04-18 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	E42611	N	CA00882133, CA00882133, CA00882375, CA00882375	B, B, B, B	SFY2023-24
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-29 00:00:00	950019937	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-03-15 00:00:00	2024-03-15 00:00:00	No	2024-04-22 00:00:00	None	B	None	2000	2850	0	2850	0	None	RND511	N	CA00889986	B	SFY2023-24
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-03-29 00:00:00	950019938	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2024-03-15 00:00:00	2024-03-15 00:00:00	No	2024-04-22 00:00:00	None	B	None	2000	2850	0	2850	0	None	RND511	N	CA00889986, CA00889986	B, B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-04-19 00:00:00	950020038	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2024-03-03 00:00:00	2024-03-03 00:00:00	No	2024-05-10 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	C01Q11	N	CA00887768	A	SFY2023-24
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-23 00:00:00	950020227	Closed	Citation	Citation B (HSC 1424)	Other	Nursing Service	2024-03-24 00:00:00	2024-03-24 00:00:00	No	2024-06-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	1D6B11	N	CA00891796	B	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-05-24 00:00:00	950020228	Open	Citation	Citation AA (HSC 1424)	Patient Care	None	2024-04-12 00:00:00	2024-04-12 00:00:00	Yes	2024-06-17 00:00:00	2024-06-07 00:00:00	AA	None	120000	120000	0	0	120000	None	5O3211	Y	CA00892812, CA00892812, CA00893587, CA00893587, CA00894512, CA00894512, CA00894820, CA00894820, CA00894820	B, B, A, A, A, A, A, A, A	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-06 00:00:00	950020281	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-04-16 00:00:00	2024-04-16 00:00:00	No	2024-06-27 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	5ZF711	N	CA00895317, CA00895317, CA00896156, CA00896156, CA00896156, CA00896498, CA00896498	A, A, A, A, A, A, A	SFY2023-24
950000003	SAN GABRIEL CONVALESCENT CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2024-06-07 00:00:00	950020288	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2024-04-10 00:00:00	2024-04-10 00:00:00	Yes	2024-06-28 00:00:00	2024-06-13 00:00:00	A	None	25000	25000	0	0	25000	None	TBUP11	N	CA00894185	B	SFY2023-24
960001677	SPECIAL ADULT CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-01-21 00:00:00	960000827	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	1999-11-03 00:00:00	None	No	2000-02-17 00:00:00	None	B	None	800	800	-280	520	0	960006827	A99999	N	None	None	SFY1999-00
960001366	SCHMIDT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-12 00:00:00	960000862	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2000-07-05 00:00:00	2000-07-05 00:00:00	No	2000-08-02 00:00:00	None	B	None	700	700	0	700	0	960007184	A99999	N	None	None	SFY2000-01
960001677	SPECIAL ADULT CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-07-21 00:00:00	960000864	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-07-10 00:00:00	None	No	2000-08-11 00:00:00	None	B	None	800	800	-280	520	0	960007195	A99999	N	None	None	SFY2000-01
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-08-31 00:00:00	960000871	Closed	Citation	Citation B (HSC 1424)	Dietary	None	2000-08-17 00:00:00	None	Yes	2001-05-09 00:00:00	2000-09-05 00:00:00	B	B	800	850	0	850	0	960007263	A99999	N	None	None	SFY2000-01
960002089	SUNBURST CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-05 00:00:00	960000873	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-06-14 00:00:00	None	No	2000-10-27 00:00:00	None	B	None	600	600	0	600	0	960007321	A99999	N	None	None	SFY2000-01
960002089	SUNBURST CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-10-05 00:00:00	960000874	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-05-05 00:00:00	None	No	2000-10-27 00:00:00	None	B	None	1000	1000	0	1000	0	960007322	A99999	N	None	None	SFY2000-01
960001765	ST. MARY'S HOME ICF - DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2000-12-19 00:00:00	960000882	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-11-30 00:00:00	None	No	2001-01-11 00:00:00	None	B	None	700	700	0	700	0	960007452	A99999	N	None	None	SFY2000-01
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-02-01 00:00:00	960000884	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-01-05 00:00:00	None	No	2001-02-26 00:00:00	None	B	None	600	600	-210	390	0	960007505	A99999	N	None	None	SFY2000-01
960000919	SVS MOUNT WASHINGTON GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-01-24 00:00:00	960000885	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-10-16 00:00:00	None	No	2001-02-15 00:00:00	None	B	None	1000	1000	-350	650	0	960007514	A99999	N	None	None	SFY2000-01
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-05-14 00:00:00	960000898	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-07 00:00:00	None	No	2001-06-20 00:00:00	None	B	None	1000	1000	-350	650	0	960007716	A99999	N	None	None	SFY2000-01
960000930	SVS SAN GABRIEL GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-07-11 00:00:00	960000918	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-05-06 00:00:00	None	No	2001-10-03 00:00:00	None	B	None	500	500	-175	325	0	960007889	A99999	N	None	None	SFY2001-02
960002089	SUNBURST CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-03 00:00:00	960000921	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-07-18 00:00:00	None	No	2001-09-20 00:00:00	None	B	None	500	650	-175	475	0	960007939	A99999	N	None	None	SFY2001-02
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-03 00:00:00	960000922	Closed	Citation	Citation B (HSC 1424)	Administration	None	2001-07-18 00:00:00	None	No	2001-09-20 00:00:00	None	B	None	500	650	-175	475	0	960007940	A99999	N	None	None	SFY2001-02
960002089	SUNBURST CARE CENTER	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-03 00:00:00	960000923	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-07-18 00:00:00	None	No	2001-09-20 00:00:00	None	B	None	500	650	-175	475	0	960007941	A99999	N	None	None	SFY2001-02
960002087	SIERRA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-14 00:00:00	960000924	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2001-07-31 00:00:00	None	No	2001-09-14 00:00:00	None	B	None	800	800	-280	520	0	960007957	A99999	N	None	None	SFY2001-02
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-14 00:00:00	960000925	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-07 00:00:00	None	No	2001-09-17 00:00:00	None	B	None	500	500	-175	325	0	960007958	A99999	N	None	None	SFY2001-02
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-08-14 00:00:00	960000926	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-07 00:00:00	None	No	2001-09-14 00:00:00	None	B	None	500	500	-175	325	0	960007960	A99999	N	None	None	SFY2001-02
960000930	SVS SAN GABRIEL GROUP HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2001-09-20 00:00:00	960000935	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2001-08-31 00:00:00	None	No	2001-10-30 00:00:00	None	B	None	1000	1000	-350	650	0	960008030	A99999	N	None	None	SFY2001-02
960002087	SIERRA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-11-10 00:00:00	960001040	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-10-23 00:00:00	None	No	2003-12-19 00:00:00	None	B	None	1000	1000	0	1000	0	960009458	A99999	N	None	None	SFY2003-04
960002087	SIERRA HOUSE	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2003-11-14 00:00:00	960001041	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2003-10-24 00:00:00	None	No	2003-12-19 00:00:00	None	B	None	1000	1000	0	1000	0	960009457	A99999	N	None	None	SFY2003-04
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-07-29 00:00:00	960001130	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2005-04-12 00:00:00	None	No	2005-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	960010154	A99999	N	None	None	SFY2005-06
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-07-29 00:00:00	960001131	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-04-12 00:00:00	None	No	2005-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	960010154	A99999	N	None	None	SFY2005-06
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-09-09 00:00:00	960001137	Closed	Citation	Citation A (HSC 1424)	Administration	None	2005-09-09 00:00:00	None	No	2005-10-25 00:00:00	None	A	None	5000	5000	-1750	3250	0	960010154	A99999	N	None	None	SFY2005-06
960002874	SGM FOSTER	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-10-27 00:00:00	960001152	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2005-09-19 00:00:00	None	No	2005-12-05 00:00:00	None	B	None	1000	1000	-350	650	0	960010368	A99999	N	None	None	SFY2005-06
960002099	SPRING GABLES ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-16 00:00:00	960001158	Closed	Citation	Citation B (HSC 1424)	Administration	None	2005-11-02 00:00:00	None	No	2005-12-09 00:00:00	None	B	None	1000	1000	-350	650	0	960010387	A99999	N	None	None	SFY2005-06
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2005-11-17 00:00:00	960001159	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2005-10-29 00:00:00	None	No	2006-01-13 00:00:00	None	B	None	1000	1000	-350	650	0	960010390	A99999	N	None	None	SFY2005-06
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-04 00:00:00	960003079	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-28 00:00:00	2006-03-28 00:00:00	No	2006-05-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	BRVO11	N	CA00076156	C	SFY2005-06
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-04 00:00:00	960003080	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-03-28 00:00:00	2006-03-28 00:00:00	Yes	2006-07-07 00:00:00	2006-06-09 00:00:00	B	B	1000	1000	-500	500	0	None	BRVO11	N	None	None	SFY2005-06
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-05-31 00:00:00	960003130	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-02-07 00:00:00	2006-02-07 00:00:00	No	2006-06-21 00:00:00	None	B	None	1000	1000	-350	650	0	None	OYPV11	N	None	None	SFY2005-06
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-07-14 00:00:00	960003209	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-03-31 00:00:00	2006-03-31 00:00:00	No	2006-08-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	OYPV11	N	None	None	SFY2006-07
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-09-12 00:00:00	960003336	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-19 00:00:00	2006-08-19 00:00:00	No	2006-10-31 00:00:00	None	B	None	900	900	-315	585	0	None	2P7511	N	None	None	SFY2006-07
960000925	SILVER SPRAY HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2006-10-02 00:00:00	960003385	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-08-28 00:00:00	2006-08-28 00:00:00	Yes	2006-11-02 00:00:00	2006-10-11 00:00:00	B	B	1000	500	0	500	0	None	GF7W11	N	CA00093445	A	SFY2006-07
960002099	SPRING GABLES ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-01-02 00:00:00	960003612	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2006-12-13 00:00:00	2006-12-13 00:00:00	No	2007-01-23 00:00:00	None	B	None	800	800	-280	520	0	None	RJ6J11	N	None	None	SFY2006-07
960002786	SUNBURST CARE CENTER #3	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-08-10 00:00:00	960004172	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-14 00:00:00	2007-02-14 00:00:00	No	2007-08-31 00:00:00	None	B	None	800	800	-280	520	0	None	2P2H11	N	CA00122805	C	SFY2007-08
960001366	SCHMIDT HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-11-15 00:00:00	960004448	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-08-04 00:00:00	2007-08-04 00:00:00	No	2007-12-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	WYKH11	N	CA00124114	C	SFY2007-08
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-11-16 00:00:00	960004450	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-15 00:00:00	2007-10-15 00:00:00	No	2007-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	WM5M11	N	None	None	SFY2007-08
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-11-16 00:00:00	960004451	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-10-15 00:00:00	2007-10-15 00:00:00	No	2007-12-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	WM5M11	N	None	None	SFY2007-08
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-12-05 00:00:00	960004494	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-14 00:00:00	2007-11-14 00:00:00	No	2007-12-27 00:00:00	None	B	None	1000	1000	-350	650	0	None	Y0JH11	N	None	None	SFY2007-08
960001445	STAHL HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2007-12-05 00:00:00	960004499	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-11-14 00:00:00	2007-11-14 00:00:00	No	2007-12-27 00:00:00	None	B	None	800	800	-280	520	0	None	Y0JH11	N	None	None	SFY2007-08
960001670	STORM INN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-03-03 00:00:00	960004733	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-02-13 00:00:00	2008-02-13 00:00:00	No	2008-03-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	9V1H11	N	None	None	SFY2007-08
960002099	SPRING GABLES ICF/DDH HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-04-11 00:00:00	960004900	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-04-01 00:00:00	2008-04-01 00:00:00	No	2008-05-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	IE3811	N	None	None	SFY2007-08
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-08-04 00:00:00	960005294	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2008-06-25 00:00:00	2008-06-25 00:00:00	No	2008-08-25 00:00:00	None	B	None	1000	1000	-350	650	0	None	RY3D11	N	None	None	SFY2008-09
960001765	ST. MARY'S HOME ICF - DDN	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-08-13 00:00:00	960005325	Closed	Citation	Citation B (HSC 1424)	Administration	None	2008-07-02 00:00:00	2008-07-02 00:00:00	No	2008-09-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	N52811	N	None	None	SFY2008-09
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-11-13 00:00:00	960005600	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-15 00:00:00	2008-09-15 00:00:00	Yes	2008-12-08 00:00:00	2008-11-24 00:00:00	B	B	1000	500	0	500	0	None	PXNN11	N	CA00163609	C	SFY2008-09
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2008-11-13 00:00:00	960005601	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2008-09-07 00:00:00	2008-09-07 00:00:00	No	2008-12-08 00:00:00	None	B	None	1000	1000	-350	650	0	None	PXNN11	N	CA00163609	C	SFY2008-09
630011598	ST. PHILOMENA CARE HOMES - I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-02-18 00:00:00	960005884	Closed	Citation	Citation B (HSC 1424)	Administration	None	2009-02-05 00:00:00	2009-02-05 00:00:00	No	2009-03-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	FDTQ11	N	None	None	SFY2008-09
960002842	STANWIN HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2009-03-18 00:00:00	960005978	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2009-02-25 00:00:00	2009-02-25 00:00:00	No	2009-04-09 00:00:00	None	B	None	1000	1050	-350	700	0	None	NOKG11	N	None	None	SFY2008-09
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2010-02-12 00:00:00	960006989	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2009-11-09 00:00:00	2009-11-09 00:00:00	No	2010-03-05 00:00:00	None	B	None	1000	1000	-350	650	0	None	ZVDE11	N	CA00207159	D	SFY2009-10
960002127	SUTTER HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2012-03-21 00:00:00	960009160	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2012-02-13 00:00:00	2012-02-13 00:00:00	No	2012-04-11 00:00:00	None	B	None	1000	1000	-350	650	0	None	11ZI11	N	None	None	SFY2011-12
630011598	ST. PHILOMENA CARE HOMES - I	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2016-11-15 00:00:00	960012715	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2016-09-27 00:00:00	2016-09-27 00:00:00	No	2016-12-08 00:00:00	None	A	None	5000	5000	-1750	3250	0	None	0PFD11	N	CA00504415	B	SFY2016-17
960001670	STORM INN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-07-21 00:00:00	960013249	Closed	Citation	Citation AA (HSC 1424)	Patient Care	None	2017-01-10 00:00:00	2017-01-10 00:00:00	No	2017-08-11 00:00:00	None	AA	None	25000	25000	-8750	16250	0	None	S9FT11	Y	CA00517918, CA00518127	C, B	SFY2017-18
960002314	SUNDANCE HOUSE	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-07-05 00:00:00	960013250	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-04-20 00:00:00	2017-04-20 00:00:00	No	2017-07-26 00:00:00	None	A	None	4000	4000	-1400	2600	0	None	KJKN11	N	CA00532132	B	SFY2017-18
960001677	SPECIAL ADULT CARE HOME	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-06-20 00:00:00	960013298	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2015-04-09 00:00:00	2015-04-09 00:00:00	No	2017-07-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	651R11	N	CA00438900, CA00439104	A, B	SFY2016-17
630011744	SCOVILLE VILLA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2017-08-31 00:00:00	960013461	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2017-07-19 00:00:00	2017-07-19 00:00:00	No	2017-09-22 00:00:00	None	B	None	1000	1000	-350	650	0	None	FDS611	N	None	None	SFY2017-18
630011599	ST. PHILOMENA CARE HOMES - II	LTC	ICFDDN	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2019-02-27 00:00:00	960014823	Closed	Citation	Citation A (HSC 1424)	Other	Health Care Services	2018-11-22 00:00:00	2018-11-22 00:00:00	No	2019-03-20 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	1IQE11	N	CA00613122, CA00613122, CA00613665	A, A, B	SFY2018-19
960002356	SUNBURST CARE CENTER - WINNETKA	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2021-10-26 00:00:00	960017037	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-05-14 00:00:00	2021-05-14 00:00:00	No	2021-11-17 00:00:00	None	B	None	1000	1000	-350	650	0	None	E6JW11	N	CA00736741, CA00737119	C, B	SFY2021-22
960001793	STORMHAVEN	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-05-30 00:00:00	960018804	Closed	Citation	Citation A (HSC 1424)	Patient Rights	None	2023-03-23 00:00:00	2023-03-23 00:00:00	No	2023-06-20 00:00:00	None	A	None	25000	25000	-25000	0	0	None	N35011	Y	CA00828665, CA00828665, CA00832896, CA00832896, CA00832896	A, A, A, A, A	SFY2022-23
630012978	S & E COMFORT CARE LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2023-11-28 00:00:00	960019394	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2023-09-24 00:00:00	2023-09-24 00:00:00	Yes	2023-12-19 00:00:00	2023-12-13 00:00:00	B	B	2000	2500	-600	1900	0	None	BGQN11	N	CA00860464	B	SFY2023-24
630012978	S & E COMFORT CARE LLC	LTC	ICFDDH	Intermediate Care Facility-DD/H/N/CN/IID	LA ICF/DD/Clinics	2024-04-30 00:00:00	960020082	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2024-01-10 00:00:00	2024-01-10 00:00:00	No	2024-05-21 00:00:00	None	B	None	2000	2000	0	2000	0	None	RJVQ11	N	None	None	SFY2023-24
970000060	SPARR CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-02-10 00:00:00	970001000	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-01-27 00:00:00	None	No	2000-03-02 00:00:00	None	B	None	1000	1000	-1000	0	0	970005027	A99999	N	None	None	SFY1999-00
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-02-18 00:00:00	970001001	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	1999-10-02 00:00:00	None	No	2000-03-10 00:00:00	None	A	None	8000	8000	-2800	5200	0	970005035	A99999	N	None	None	SFY1999-00
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2000-08-22 00:00:00	970001052	Closed	Citation	Citation B (HSC 1424)	Administration	None	2000-08-08 00:00:00	None	Yes	2001-05-18 00:00:00	2000-09-01 00:00:00	B	B	800	800	0	800	0	970005300	A99999	N	None	None	SFY2000-01
970000191	SCRIPPS HOME THE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2000-08-22 00:00:00	970001287	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2000-08-07 00:00:00	None	No	2000-09-13 00:00:00	None	B	None	500	500	-175	325	0	970006494	A99999	N	None	None	SFY2000-01
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-03-09 00:00:00	970001353	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2000-08-08 00:00:00	None	No	2001-03-30 00:00:00	None	B	None	500	500	-175	325	0	970006647	A99999	N	None	None	SFY2000-01
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-04-18 00:00:00	970001354	Closed	Citation	Citation B (HSC 1424)	Other	(ABUSE)	2001-04-10 00:00:00	None	Yes	2001-06-06 00:00:00	2001-08-07 00:00:00	B	B	1000	1000	-900	100	0	970006671	A99999	N	None	None	SFY2000-01
970000097	SKYLINE HEALTHCARE CENTER-LOS ANGELES	LTC	SNF	Skilled Nursing Facility	LA Region 2	2001-04-18 00:00:00	970001355	Closed	Citation	Citation B (HSC 1424)	Other	ABUSE	2001-04-10 00:00:00	None	No	2001-06-11 00:00:00	None	B	B	1000	1000	-900	100	0	970006674	A99999	N	None	None	SFY2000-01
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2001-07-11 00:00:00	970001361	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2001-02-13 00:00:00	None	No	2001-08-13 00:00:00	None	B	None	1000	1000	-350	650	0	970006806	A99999	N	None	None	SFY2001-02
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-10-24 00:00:00	970001382	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2002-05-05 00:00:00	None	Yes	2003-02-13 00:00:00	2002-11-04 00:00:00	B	B	650	650	0	650	0	970007184	A99999	N	None	None	SFY2002-03
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2002-12-13 00:00:00	970001384	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2002-09-29 00:00:00	None	No	2003-01-27 00:00:00	None	A	None	10000	10000	-3500	6500	0	970007455	A99999	N	None	None	SFY2002-03
970000052	ST. ANDREWS HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2003-06-30 00:00:00	970001445	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2003-03-24 00:00:00	None	No	2003-07-22 00:00:00	None	B	None	1000	1000	-350	650	0	970007683	A99999	N	None	None	SFY2002-03
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2005-12-23 00:00:00	970001458	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2004-10-18 00:00:00	None	Yes	2006-04-04 00:00:00	2006-01-11 00:00:00	B	B	1000	500	0	500	0	970008381	A99999	N	None	None	SFY2005-06
970000167	SAINT VINCENT HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2006-06-23 00:00:00	970003090	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2006-05-03 00:00:00	2006-05-03 00:00:00	No	2006-07-17 00:00:00	None	B	None	500	500	-175	325	0	None	9ELC11	N	CA00079622	C	SFY2005-06
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-02-27 00:00:00	970003777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2007-02-16 00:00:00	2007-02-16 00:00:00	No	2008-03-19 00:00:00	None	B	None	1000	1000	-350	650	0	None	RUD811	N	None	None	SFY2007-08
970000167	SAINT VINCENT HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2008-01-10 00:00:00	970004579	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-12-08 00:00:00	2007-12-08 00:00:00	No	2008-02-01 00:00:00	None	B	None	1000	1000	-350	650	0	None	4T3D11	N	CA00134956	B	SFY2007-08
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2008-02-15 00:00:00	970004699	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2006-12-30 00:00:00	2006-12-30 00:00:00	No	2008-03-10 00:00:00	None	B	None	1000	1000	-350	650	0	None	AIQB11	N	CA00103377	B	SFY2007-08
970000017	SUNNYVIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2008-04-29 00:00:00	970004970	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2007-05-09 00:00:00	2007-05-09 00:00:00	Yes	2008-05-20 00:00:00	2008-05-02 00:00:00	B	Drop>Deficiency	1000	1000	0	1000	0	None	LVTE11	N	CA00114470	B	SFY2007-08
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2011-09-12 00:00:00	980008548	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2011-07-12 00:00:00	2011-07-12 00:00:00	No	2011-10-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	9MHD11	N	CA00275659	B	SFY2011-12
630011138	ST. RITA'S HAVEN 2	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2012-10-12 00:00:00	980009553	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2012-08-30 00:00:00	2012-08-30 00:00:00	No	2012-11-02 00:00:00	None	B	None	1000	1000	-350	650	0	None	8V0E11	N	None	None	SFY2012-13
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2012-11-02 00:00:00	980009579	Closed	Citation	Citation B (HSC 1424)	Patient Rights	None	2012-08-30 00:00:00	2012-08-30 00:00:00	No	2012-11-28 00:00:00	None	B	None	1000	1000	-350	650	0	None	TRH311	N	CA00324102	B	SFY2012-13
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-05-24 00:00:00	980012261	Closed	Citation	Citation B (HSC 1424)	Administration	None	2016-04-07 00:00:00	2016-04-07 00:00:00	No	2016-06-15 00:00:00	None	B	None	1000	1000	0	1000	0	None	ZWQP11	N	CA00483377	A	SFY2015-16
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-10-21 00:00:00	980012648	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2016-07-19 00:00:00	2016-07-19 00:00:00	No	2016-11-14 00:00:00	None	B	None	1000	1000	-350	650	0	None	8ZJW11	N	CA00496151	B	SFY2016-17
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-11-29 00:00:00	980012780	Closed	Citation	Citation B (HSC 1424)	Abuse/Facility Not Self Reported	None	2016-09-20 00:00:00	2016-09-20 00:00:00	No	2016-12-20 00:00:00	None	B	None	1000	1000	0	1000	0	None	KPYP11	N	CA00504082	A	SFY2016-17
630013966	STONEBRIDGE MANOR	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2016-12-07 00:00:00	980012797	Closed	Citation	Citation B (HSC 1424)	Physical Environment	None	2016-08-06 00:00:00	2016-08-06 00:00:00	No	2016-12-29 00:00:00	None	B	None	1000	1000	-350	650	0	None	U4UL11	N	CA00496534	B	SFY2016-17
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2017-09-28 00:00:00	980013488	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2017-06-20 00:00:00	2017-06-20 00:00:00	Yes	2017-10-19 00:00:00	2017-10-25 00:00:00	A	None	10000	10000	0	10000	0	None	DP0F11	N	CA00542101	B	SFY2017-18
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-05-30 00:00:00	980014002	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-01-21 00:00:00	2018-01-21 00:00:00	No	2018-06-20 00:00:00	None	A	None	10000	10350	-5000	5350	0	None	U8AG11	Y	CA00570487	B	SFY2017-18
630010951	ST. RITA'S HAVEN	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-04-20 00:00:00	980014007	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2018-02-12 00:00:00	2018-02-12 00:00:00	Yes	2018-05-11 00:00:00	2018-05-07 00:00:00	B	None	1000	1200	-350	850	0	None	DOW011	N	CA00571613	B	SFY2017-18
630013966	STONEBRIDGE MANOR	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-05-25 00:00:00	980014073	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2018-02-23 00:00:00	2018-02-23 00:00:00	Yes	2018-06-15 00:00:00	2018-05-25 00:00:00	B	None	1000	1200	0	1200	0	None	M1VS11	N	CA00576063	B	SFY2017-18
630011138	ST. RITA'S HAVEN 2	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2018-05-16 00:00:00	980014079	Closed	Citation	Citation B (HSC 1424)	Financial Occurrence/Fac Not Self Reported	None	2015-12-10 00:00:00	2015-12-10 00:00:00	No	2018-06-06 00:00:00	None	B	None	1000	1250	-350	900	0	None	FD9Z11	N	CA00584393, CA00584393	A, A	SFY2017-18
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2019-03-13 00:00:00	980014867	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2018-12-14 00:00:00	2018-12-14 00:00:00	No	2019-04-03 00:00:00	None	A	None	10000	10000	-3500	6500	0	None	B9D311	N	CA00616865, CA00617088	B, B	SFY2018-19
630015906	SHERMAN OAKS CONGREGATE CENTER INC	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2020-06-02 00:00:00	980015888	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2020-04-02 00:00:00	2020-04-02 00:00:00	Yes	2020-06-23 00:00:00	2020-06-05 00:00:00	B	None	1000	1300	-350	950	0	None	7RKV11	N	CA00683458	A	SFY2019-20
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-04-13 00:00:00	980016416	Closed	Citation	Citation A (HSC 1424)	Patient Care	None	2021-03-30 00:00:00	2021-03-30 00:00:00	No	2021-05-04 00:00:00	None	A	None	7000	7000	-2450	4550	0	None	9S5H11	N	CA00725367, CA00725367	A, A	SFY2020-21
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-07-14 00:00:00	980016721	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-06-03 00:00:00	2021-06-03 00:00:00	No	2021-08-04 00:00:00	None	B	None	1000	1000	-350	650	0	None	2SQR11	N	CA00730962, CA00730970	B, B	SFY2021-22
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2021-10-18 00:00:00	980017023	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2021-08-20 00:00:00	2021-08-20 00:00:00	No	2021-11-08 00:00:00	None	B	None	1000	1200	0	1200	0	None	UR6811	N	CA00749354	A	SFY2021-22
630019055	SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-24 00:00:00	980018571	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-01-31 00:00:00	2023-01-31 00:00:00	No	2023-04-17 00:00:00	None	B	None	1000	1000	0	0	1000	None	39RI11	N	CA00827132, CA00827132, CA00827132, CA00827132, CA00827132, CA00828165, CA00828165, CA00828165, CA00829024, CA00829024, CA00829024	B, B, B, B, B, B, B, B, A, A, A	SFY2022-23
630019055	SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-24 00:00:00	980018575	Open	Citation	Citation B (HSC 1424)	Medication	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-04-17 00:00:00	None	B	None	1000	1000	0	0	1000	None	39RI11	N	None	None	SFY2022-23
630019055	SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-29 00:00:00	980018589	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-04-20 00:00:00	None	B	None	1000	1000	0	0	1000	None	39RI11	N	CA00827132, CA00827132, CA00827132, CA00827132, CA00827132, CA00828165, CA00828165, CA00828165, CA00829024, CA00829024, CA00829024	B, B, B, B, B, B, B, B, A, A, A	SFY2022-23
630019055	SUNLIGHT CONGREGATE LIVING HEALTH FACILITY, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-03-30 00:00:00	980018596	Open	Citation	Citation B (HSC 1424)	Physical Environment	None	2023-03-01 00:00:00	2023-03-01 00:00:00	No	2023-04-21 00:00:00	None	B	None	1000	1000	0	0	1000	None	39RI11	N	CA00828165, CA00828165, CA00828165	B, B, B	SFY2022-23
630013966	STONEBRIDGE MANOR	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-03 00:00:00	980018714	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-04-20 00:00:00	2023-04-20 00:00:00	No	2023-05-24 00:00:00	None	B	None	1000	1000	0	1000	0	None	OPC611	N	None	None	SFY2022-23
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-19 00:00:00	980018777	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-07 00:00:00	2023-04-07 00:00:00	No	2023-06-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	WR1B11	N	CA00834923, CA00834923, CA00834923	A, A, A	SFY2022-23
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-19 00:00:00	980018778	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-07 00:00:00	2023-04-07 00:00:00	No	2023-06-12 00:00:00	None	B	None	1000	1000	0	1000	0	None	WR1B11	N	CA00834923, CA00834923, CA00834923	A, A, A	SFY2022-23
630014486	SUNNYVIEW HOME	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-05-26 00:00:00	980018805	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-05-14 00:00:00	2023-05-14 00:00:00	No	2023-06-19 00:00:00	None	B	None	1000	1000	0	1000	0	None	1XPY11	N	None	None	SFY2022-23
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-01 00:00:00	980018814	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-05-18 00:00:00	2023-05-18 00:00:00	No	2023-06-22 00:00:00	None	A	None	10000	10000	0	0	10000	None	FGTV11	N	None	None	SFY2022-23
630014670	SENIOR CONGREGATE LIVING, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-01 00:00:00	980018816	Closed	Citation	Citation B (HSC 1424)	Medication	None	2023-05-18 00:00:00	2023-05-18 00:00:00	No	2023-06-22 00:00:00	None	B	None	1000	1000	0	1000	0	None	FGTV11	N	None	None	SFY2022-23
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018874	Open	Citation	Citation B (HSC 1424)	Staffing	None	2023-06-02 00:00:00	2023-06-02 00:00:00	Yes	2023-07-10 00:00:00	2023-06-23 00:00:00	B	None	1000	1000	0	0	1000	None	8PIW11	N	CA00843407, CA00843407, CA00843407	A, A, A	SFY2022-23
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-06-16 00:00:00	980018875	Open	Citation	Citation B (HSC 1424)	Dietary	None	2023-06-02 00:00:00	2023-06-02 00:00:00	No	2023-07-10 00:00:00	None	B	None	1000	1000	0	0	1000	None	8PIW11	N	CA00843407, CA00843407, CA00843407	A, A, A	SFY2022-23
630017463	ST. RITA'S CONGREGATE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-08-24 00:00:00	980019095	Closed	Citation	Citation B (HSC 1424)	Staffing	None	2023-08-10 00:00:00	2023-08-10 00:00:00	No	2023-09-15 00:00:00	None	B	None	1000	1000	-350	650	0	None	5O3C11	N	CA00851924, CA00851924, CA00851924	B, B, B	SFY2023-24
630017463	ST. RITA'S CONGREGATE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-17 00:00:00	980019265	Closed	Citation	Citation B (HSC 1424)	Other	Unusual Occurrence	2023-08-21 00:00:00	2023-08-21 00:00:00	No	2023-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	JMIR11	N	CA00857315, CA00857315, CA00857315, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799	B, B, B, A, A, A, A, A, A	SFY2023-24
630017463	ST. RITA'S CONGREGATE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-17 00:00:00	980019266	Closed	Citation	Citation B (HSC 1424)	Patient Record	None	2023-08-21 00:00:00	2023-08-21 00:00:00	No	2023-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	DQ1J11	N	CA00859429, CA00859429	A, A	SFY2023-24
630017463	ST. RITA'S CONGREGATE, INC.	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2023-10-17 00:00:00	980019267	Closed	Citation	Citation B (HSC 1424)	Other	employee files	2023-08-21 00:00:00	2023-08-21 00:00:00	No	2023-11-07 00:00:00	None	B	None	1000	1000	-350	650	0	None	JMIR11	N	CA00857315, CA00857315, CA00857315, CA00857315, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799, CA00857799	B, B, B, B, A, A, A, A, A, A, A	SFY2023-24
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-02 00:00:00	980019687	Open	Citation	Citation A (HSC 1424)	Patient Care	None	2023-12-09 00:00:00	2023-12-09 00:00:00	Yes	2024-02-23 00:00:00	2024-02-23 00:00:00	A	None	10000	10000	0	0	10000	None	NQVM11	N	CA00873398, CA00873398, CA00873398, CA00873398	B, B, B, B	SFY2023-24
630013454	SORRENTO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-02-02 00:00:00	980019690	Open	Citation	Citation B (HSC 1424)	Administration	None	2023-12-11 00:00:00	2023-12-11 00:00:00	No	2024-02-23 00:00:00	None	B	None	1000	1000	0	0	1000	None	NQVM11	N	CA00873398, CA00873398, CA00873398, CA00873398, CA00873398	B, B, B, B, B	SFY2023-24
630014961	SAN MARINO IN THE DESERT	LTC	CLHF	Congregate Living Health Facility	LA HHA/Hospice	2024-03-29 00:00:00	980019935	Open	Citation	Citation AA (HSC 1424)	Medication	None	2024-01-24 00:00:00	2024-01-24 00:00:00	Yes	2024-04-22 00:00:00	2024-04-01 00:00:00	AA	None	25000	25000	-8750	16250	0	None	JOBQ11	N	CA00882055	A	SFY2023-24
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-11-04 00:00:00	990018123	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2022-09-20 00:00:00	2022-09-20 00:00:00	No	2022-11-29 00:00:00	None	B	None	3000	3000	0	3000	0	None	RQ6711	N	CA00801238, CA00801238, CA00801238	B, B, B	SFY2022-23
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-08-08 00:00:00	990019021	Closed	Citation	Citation B (HSC 1424)	Patient Care	None	2023-04-25 00:00:00	2023-04-25 00:00:00	No	2023-08-29 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	LJWU11	N	CA00841031, CA00841031, CA00841031, CA00841031, CA00841031, CA00841031, CA00841031	B, B, B, B, B, B, B	SFY2023-24
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2023-08-23 00:00:00	990019073	Closed	Citation	Citation B (HSC 1424)	Problem Transfer	None	2023-06-09 00:00:00	2023-06-09 00:00:00	No	2023-09-14 00:00:00	None	B	None	3000	3000	-1050	1950	0	None	MU4F11	N	CA00847173, CA00847173	B, B	SFY2023-24
020000077	SAN LEANDRO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-11-04 00:00:00	020017050	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-11-19 00:00:00	None	AP NHPPD	None	15000	15000	0	0	15000	None	I1Y811	None	None	None	SFY2021-22
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2022-07-27 00:00:00	030017805	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-11 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	VZM711	None	None	None	SFY2022-23
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2013-03-19 00:00:00	050009785	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-05 00:00:00	2012-05-20 00:00:00	No	2013-04-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PLKP11	None	None	None	SFY2012-13
050000068	SANTA PAULA POST ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2018-09-25 00:00:00	050014418	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2017-03-14 00:00:00	2017-06-13 00:00:00	No	2018-10-10 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	M8H011	None	None	None	SFY2018-19
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2021-04-09 00:00:00	050016413	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	MN8D11	None	None	None	SFY2020-21
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-04-19 00:00:00	070017566	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	O7RM11	None	None	None	SFY2021-22
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2012-06-06 00:00:00	080009353	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-03-05 00:00:00	2012-05-20 00:00:00	No	2012-06-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	ZJ6211	None	None	None	SFY2011-12
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2019-04-15 00:00:00	100014926	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-10-01 00:00:00	2017-12-31 00:00:00	No	2019-04-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	Q8QY11	None	None	None	SFY2018-19
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2017-06-08 00:00:00	110013245	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	2017-06-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	U63R11	None	None	None	SFY2016-17
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2019-04-18 00:00:00	110014953	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-02-05 00:00:00	2018-05-07 00:00:00	No	2019-05-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	FOCF11	None	None	None	SFY2018-19
220000971	SAN FRANCISCO TOWERS	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-09-01 00:00:00	220016931	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	BUCP11	None	None	None	SFY2021-22
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2016-07-22 00:00:00	230012395	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2015-09-28 00:00:00	2015-12-28 00:00:00	No	2016-08-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	2BMH11	None	None	None	SFY2016-17
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2019-10-14 00:00:00	810015361	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	2019-10-29 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	M0L111	None	None	None	SFY2019-20
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2020-07-30 00:00:00	810015959	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2019-03-31 00:00:00	2019-06-30 00:00:00	No	2020-08-21 00:00:00	None	AP NHPPD	None	0	0	-15000	0	-15000	None	MKI211	None	None	None	SFY2020-21
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2020-09-29 00:00:00	810016023	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-01-01 00:00:00	2019-03-31 00:00:00	No	2020-10-14 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	T19T11	None	None	None	SFY2020-21
080000761	SANTA FE POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2020-10-06 00:00:00	810016069	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2018-10-01 00:00:00	2018-12-31 00:00:00	No	2020-10-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	IR7311	None	None	None	SFY2020-21
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-09-15 00:00:00	810016075	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	OVMT11	None	None	None	SFY2020-21
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2020-09-15 00:00:00	810016076	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-01 00:00:00	2018-09-30 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	YMUI11	None	None	None	SFY2020-21
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2020-09-17 00:00:00	810016079	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 1 Day (No Penalty)	None	2018-07-16 00:00:00	2018-10-15 00:00:00	No	None	None	AP NHPPD	None	0	0	0	0	0	None	UKWN11	None	None	None	SFY2020-21
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2021-02-17 00:00:00	810016273	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	PHGJ11	None	None	None	SFY2020-21
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-03-02 00:00:00	810016296	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-03-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	3I2311	None	None	None	SFY2020-21
040000037	SIERRA VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2021-03-17 00:00:00	810016333	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	2021-04-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	5PB711	None	None	None	SFY2020-21
090000084	ST. PAUL'S HEALTH CARE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2021-06-08 00:00:00	810016544	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	2021-06-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	VJ7F11	None	None	None	SFY2020-21
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2021-07-06 00:00:00	810016578	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	2021-07-21 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	0RLJ11	None	None	None	SFY2021-22
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2021-06-30 00:00:00	810016606	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	LK3F11	None	None	None	SFY2020-21
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2021-06-18 00:00:00	810016637	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	SPGQ11	None	None	None	SFY2020-21
910000084	SUNNYSIDE NURSING CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-06-30 00:00:00	810016669	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	P5EL11	None	None	None	SFY2020-21
220000048	SAN FRANCISCO POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-07-27 00:00:00	810016739	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	2021-08-11 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	W26M11	None	None	None	SFY2021-22
140000030	SAN PABLO HEALTHCARE & WELLNESS CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-07-27 00:00:00	810016740	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	2021-08-11 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	AREB11	None	None	None	SFY2021-22
250000619	SUNDANCE CREEK POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-02 00:00:00	810016784	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	OTUO11	None	None	None	SFY2021-22
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2021-08-17 00:00:00	810016799	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-09-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	M8DJ11	None	None	None	SFY2021-22
140000396	SHIELDS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2021-08-24 00:00:00	810016895	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	8ZEY11	None	None	None	SFY2021-22
060000029	ST. ELIZABETH HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2021-09-21 00:00:00	810016919	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-06 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	R5YB11	None	None	None	SFY2021-22
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2021-09-21 00:00:00	810016920	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-06 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	7VB511	None	None	None	SFY2021-22
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-09-10 00:00:00	810016954	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	TSII11	None	None	None	SFY2021-22
060000143	SOUTH COAST POST ACUTE	LTC	SNF	Skilled Nursing Facility	Orange	2021-10-07 00:00:00	810016969	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2021-10-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	921411	None	None	None	SFY2021-22
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2021-11-22 00:00:00	810017095	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-07-01 00:00:00	2019-09-30 00:00:00	No	2021-12-07 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	YDPI11	None	None	None	SFY2021-22
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2021-12-15 00:00:00	810017158	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	2021-12-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	PFLR11	None	None	None	SFY2021-22
950000026	SAN MARINO HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-12-15 00:00:00	810017161	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	2021-12-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	1WLV11	None	None	None	SFY2021-22
100000100	STOLLWOOD CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	Sacramento	2022-01-12 00:00:00	810017243	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-01-27 00:00:00	None	AP NHPPD	None	15000	15000	-15000	0	0	None	FUBH11	None	None	None	SFY2021-22
220000081	SAN BRUNO SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Francisco	2022-02-08 00:00:00	810017303	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-02-23 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	94QZ11	None	None	None	SFY2021-22
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-02-15 00:00:00	810017317	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-02 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	JJ5E11	None	None	None	SFY2021-22
940000071	STUDEBAKER HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-02-22 00:00:00	810017355	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	2022-03-09 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	US6P11	None	None	None	SFY2021-22
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-04 00:00:00	810017368	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	2022-03-19 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	M80O11	None	None	None	SFY2021-22
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-02-25 00:00:00	810017369	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-12 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4OLR11	None	None	None	SFY2021-22
970000043	ST. JOHN OF GOD RETIREMENT AND CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2022-03-02 00:00:00	810017377	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-17 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	R4MV11	None	None	None	SFY2021-22
020000076	ST. FRANCIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-03-15 00:00:00	810017458	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-30 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	WHFL11	None	None	None	SFY2021-22
090000020	STILLWATER POST-ACUTE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-03-21 00:00:00	810017490	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	2022-04-05 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	MB8O11	None	None	None	SFY2021-22
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2022-03-24 00:00:00	810017506	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-08 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	VKEO11	None	None	None	SFY2021-22
070000058	SANTA CRUZ POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-03-24 00:00:00	810017507	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-04-08 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	HX6S11	None	None	None	SFY2021-22
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2022-05-17 00:00:00	810017633	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-06-01 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	CXMC11	None	None	None	SFY2021-22
220001076	SUNNYVALE GARDENS POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2022-07-19 00:00:00	810017772	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	2022-08-03 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	QCOE11	None	None	None	SFY2022-23
090000105	SOMERSET SUBACUTE AND CARE	LTC	SNF	Skilled Nursing Facility	San Diego	2022-08-05 00:00:00	810017812	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	2022-08-20 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	3S5Q11	None	None	None	SFY2022-23
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2022-08-02 00:00:00	810017823	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-08-17 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	O7UP11	None	None	None	SFY2022-23
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2021-08-17 00:00:00	810017843	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	PEOL11	None	None	None	SFY2021-22
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2021-09-15 00:00:00	810017849	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	03CO11	None	None	None	SFY2021-22
220000088	ST. ANNE'S HOME	LTC	SNF	Skilled Nursing Facility	San Francisco	2021-08-24 00:00:00	810017857	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	0S2B11	None	None	None	SFY2021-22
970000046	SUNRAY HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-11-02 00:00:00	810018119	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2022-11-28 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	AXAM11	None	None	None	SFY2022-23
020000123	SAGE POST ACUTE	LTC	SNF	Skilled Nursing Facility	East Bay	2022-11-07 00:00:00	810018127	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2022-12-01 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	VZMM11	None	None	None	SFY2022-23
140000080	SHIELDS RICHMOND NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2022-12-20 00:00:00	810018200	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-01-11 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	SGYF11	None	None	None	SFY2022-23
230000027	SHASTA VIEW CARE CENTER	LTC	SNF	Skilled Nursing Facility	Chico	2023-01-24 00:00:00	810018315	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-07-01 00:00:00	2020-09-30 00:00:00	No	2023-02-14 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	ZFPL11	None	None	None	SFY2022-23
940000099	SUNSET VILLA POST ACUTE	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-01-25 00:00:00	810018319	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	2023-02-15 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	4JQA11	None	None	None	SFY2022-23
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-09-28 00:00:00	810018329	Open	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	IGOC11	None	None	None	SFY2022-23
950000027	SANTA FE LODGE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-12-20 00:00:00	810018332	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	0KQ111	None	None	None	SFY2022-23
040000037	SIERRA VISTA HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Fresno	2023-01-12 00:00:00	810018335	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	UTT811	None	None	None	SFY2022-23
010000033	SANTA ROSA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2023-01-31 00:00:00	810018348	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	2023-02-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	FWIN11	None	None	None	SFY2022-23
030000067	SACRAMENTO POST-ACUTE	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-01-05 00:00:00	810018380	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	LKP611	None	None	None	SFY2022-23
060000168	ST. CATHERINE HEALTHCARE	LTC	SNF	Skilled Nursing Facility	Orange	2023-03-01 00:00:00	810018432	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-03-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	N2NW11	None	None	None	SFY2022-23
050001409	SHERWOOD OAKS POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2023-03-14 00:00:00	810018470	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	2023-04-05 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	ILGR11	None	None	None	SFY2022-23
030001605	SIENA SKILLED NURSING & REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Sacramento	2023-01-24 00:00:00	810018472	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	QQ8811	None	None	None	SFY2022-23
070000084	SALINAS VALLEY POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2023-01-20 00:00:00	810018473	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	3MSO11	None	None	None	SFY2022-23
120000322	SAN JOAQUIN NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-04-06 00:00:00	810018585	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	2023-04-27 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	9T8311	None	None	None	SFY2022-23
050000002	SHORELINE CARE CENTER	LTC	SNF	Skilled Nursing Facility	Ventura	2023-05-30 00:00:00	810018783	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	2023-06-20 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	IWBE11	None	None	None	SFY2022-23
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-06-20 00:00:00	810018848	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-10-01 00:00:00	2020-12-31 00:00:00	No	2023-07-12 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	X6WX11	None	None	None	SFY2022-23
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-06-20 00:00:00	810018849	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	2023-07-12 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	J5C011	None	None	None	SFY2022-23
030000096	SAN LUIS CARE CENTER	LTC	SNF	Skilled Nursing Facility	Fresno	2023-07-21 00:00:00	810018885	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	2023-08-11 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	NEEK11	None	None	None	SFY2023-24
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2023-07-25 00:00:00	810018994	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	ZU5Q11	None	None	None	SFY2023-24
060001680	SAN JUAN HILLS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2023-08-02 00:00:00	810019001	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	2023-08-23 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	DXW711	None	None	None	SFY2023-24
140000396	SHIELDS NURSING CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-09-07 00:00:00	810019115	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	2023-09-28 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	RLCL11	None	None	None	SFY2023-24
950000085	SANTA ANITA CONVALESCENT HOSPITAL	LTC	SNF	Skilled Nursing Facility	LA Region 1	2023-09-13 00:00:00	810019131	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	2023-10-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	GOFG11	None	None	None	SFY2023-24
020000076	ST. FRANCIS HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	East Bay	2023-09-26 00:00:00	810019174	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	2020-12-30 00:00:00	No	2023-10-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	OU0911	None	None	None	SFY2023-24
940000042	SHORELINE HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2023-09-26 00:00:00	810019175	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	2020-12-30 00:00:00	No	2023-10-17 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	LPW711	None	None	None	SFY2023-24
120001474	SEQUOIA TRANSITIONAL CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-10-31 00:00:00	810019292	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	2023-11-22 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	Z9QL11	None	None	None	SFY2023-24
120000375	SHAFTER NURSING CARE	LTC	SNF	Skilled Nursing Facility	Bakersfield	2023-12-06 00:00:00	810019416	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	2023-12-28 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	KDN911	None	None	None	SFY2023-24
050000061	SAMARKAND SKILLED NURSING FACILITY	LTC	SNF	Skilled Nursing Facility	Ventura	2023-12-20 00:00:00	810019463	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	CF9I11	None	None	None	SFY2023-24
220000081	SAN BRUNO SKILLED NURSING	LTC	SNF	Skilled Nursing Facility	San Francisco	2023-12-27 00:00:00	810019519	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	2024-01-17 00:00:00	None	AP NHPPD	None	25000	25000	-25000	0	0	None	C5CQ11	None	None	None	SFY2023-24
240000060	SPRING VALLEY POST ACUTE LLC	LTC	SNF	Skilled Nursing Facility	San Bernardino	2024-01-10 00:00:00	810019558	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	2024-01-31 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	0DLM11	None	None	None	SFY2023-24
250000016	SUNRISE POST ACUTE	LTC	SNF	Skilled Nursing Facility	Riverside	2024-01-10 00:00:00	810019560	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-01-31 00:00:00	None	AP NHPPD	None	25000	25000	0	0	25000	None	F2L811	None	None	None	SFY2023-24
050000053	SANTA MARIA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Ventura	2024-01-10 00:00:00	810019561	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	2024-01-31 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	ST8Y11	None	None	None	SFY2023-24
060000026	SEAL BEACH HEALTH AND REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	Orange	2024-01-11 00:00:00	810019570	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	2024-02-01 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	PKS011	None	None	None	SFY2023-24
230000043	SHASTA VIEW ESTATES	LTC	SNF	Skilled Nursing Facility	Chico	2024-06-13 00:00:00	810019783	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	Yes	2024-07-05 00:00:00	2024-04-17 00:00:00	AP NHPPD	None	25000	25000	0	25000	0	None	QQBK11	None	None	None	SFY2023-24
220001018	SANTA CLARA POST ACUTE	LTC	SNF	Skilled Nursing Facility	San Jose	2024-03-14 00:00:00	810019834	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-04-04 00:00:00	None	AP NHPPD	None	25000	25000	0	25000	0	None	WQHQ11	None	None	None	SFY2023-24
010000034	SONOMA POST ACUTE	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-03-26 00:00:00	810019881	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	2024-04-16 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	SMH111	None	None	None	SFY2023-24
010000936	SAN RAFAEL HEALTHCARE & WELLNESS CENTER, LP	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-05-08 00:00:00	810020086	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-30 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	1ZUI11	None	None	None	SFY2023-24
010000062	SHERWOOD OAKS POST ACUTE CARE, LLC	LTC	SNF	Skilled Nursing Facility	Santa Rosa	2024-05-08 00:00:00	810020089	Open	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2020-11-29 00:00:00	2021-02-28 00:00:00	No	2024-05-30 00:00:00	None	AP NHPPD	None	50000	50000	0	0	50000	None	M4QC11	None	None	None	SFY2023-24
090000063	SAN DIEGO POST-ACUTE CENTER	LTC	SNF	Skilled Nursing Facility	San Diego	2024-05-22 00:00:00	810020393	Open	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	2024-06-13 00:00:00	None	AP NHPPD	None	0	0	0	0	0	None	V1SK11	None	None	None	SFY2023-24
910000076	SUNSET PARK HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 2	2012-02-21 00:00:00	910009570	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 12 - 24 Days	None	2010-12-14 00:00:00	2011-03-12 00:00:00	No	2012-03-07 00:00:00	None	AP NHPPD	None	30000	30000	0	30000	0	None	HGFF11	None	None	None	SFY2011-12
910000077	SEACREST POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 3	2018-10-03 00:00:00	910014439	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-17 00:00:00	2017-06-16 00:00:00	Yes	2018-10-18 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	J6WO11	None	None	None	SFY2018-19
920000053	SANTA CLARITA POST-ACUTE CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2017-09-13 00:00:00	920013476	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	2017-09-28 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	43LY11	None	None	None	SFY2017-18
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2018-08-07 00:00:00	920014304	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2017-03-05 00:00:00	2017-06-04 00:00:00	No	2018-08-22 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	4R0211	None	None	None	SFY2018-19
920000092	STONEY POINT HEALTHCARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2021-08-17 00:00:00	920016825	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	GIPI11	None	None	None	SFY2021-22
920000075	STUDIO CITY REHABILITATION CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 2	2022-03-08 00:00:00	920017455	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2019-10-01 00:00:00	2019-12-31 00:00:00	No	2022-03-23 00:00:00	None	AP NHPPD	None	15000	15000	0	15000	0	None	S53F11	None	None	None	SFY2021-22
970000077	SOUTH PASADENA CARE CENTER	LTC	SNF	Skilled Nursing Facility	LA Region 1	2012-12-05 00:00:00	950009517	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2012-02-01 00:00:00	2012-04-17 00:00:00	Yes	2012-12-20 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	QQN711	None	None	None	SFY2012-13
970000167	SAINT VINCENT HEALTHCARE	LTC	SNF	Skilled Nursing Facility	LA Region 1	2014-04-08 00:00:00	950010336	Closed	Administrative Penalty	AP - 3.2 Nursing-Hours-per-Patient-Day AP (HSC 1276.5)	DHPPD: 2 - 11 Days	None	2013-03-18 00:00:00	2013-06-02 00:00:00	Yes	2014-04-23 00:00:00	None	AP NHPPD	UPHELD	15000	15000	0	15000	0	None	4PMU11	None	None	None	SFY2013-14
950000279	SANTA TERESITA MANOR	LTC	SNF	Skilled Nursing Facility	LA Region 1	2022-04-19 00:00:00	950017568	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	887M11	None	None	None	SFY2021-22
100000073	STOCKTON NURSING CENTER	LTC	SNF	Skilled Nursing Facility	Stockton	2024-06-10 00:00:00	990020180	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	2024-07-01 00:00:00	None	AP NHPPD	None	50000	50000	0	50000	0	None	F7XS11	None	None	None	SFY2023-24
140000797	STANFORD HEALTH CARE TRI-VALLEY	Non-LTC	GACH	General Acute Care Hospital	East Bay	2007-08-22 00:00:00	020004196	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2007-08-04 00:00:00	2007-08-04 00:00:00	Yes	2007-09-13 00:00:00	2008-03-26 00:00:00	AP IJ	None	25000	25000	0	25000	0	None	21C211	N	CA00122589	A	SFY2007-08
140000041	ST ROSE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-03-10 00:00:00	020004758	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-12-22 09:15:00	2007-12-22 09:15:00	No	2008-04-01 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	4ICR11	N	CA00138120	B	SFY2007-08
140000041	ST ROSE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-04-17 00:00:00	020004940	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-01 11:50:00	2007-10-01 11:50:00	No	2008-05-12 00:00:00	None	FTR AE	None	14600	14600	0	14600	0	None	KXDH11	N	CA00134817	D	SFY2007-08
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2008-08-15 00:00:00	020005330	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	2008-03-14 19:06:00	2008-03-14 19:06:00	Yes	2008-09-10 00:00:00	2008-08-27 00:00:00	FTR AE	FTR AE	11700	10530	0	10530	0	None	UXKQ11	N	CA00156815	C	SFY2008-09
140000704	SAN RAMON REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-03-12 00:00:00	020005945	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-03-18 11:00:00	2008-03-18 11:00:00	No	2009-04-06 00:00:00	None	FTR AE	None	18300	18300	0	18300	0	None	W14511	N	CA00164414	C	SFY2008-09
140000186	SAN LEANDRO HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-05-15 00:00:00	020006185	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2008-07-26 18:59:00	2008-07-26 18:59:00	No	2009-06-08 00:00:00	None	FTR AE	None	700	700	0	700	0	None	DDHP11	N	CA00158688	B	SFY2008-09
140000186	SAN LEANDRO HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-06-08 00:00:00	020006187	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2008-07-26 00:00:00	2008-07-26 00:00:00	No	2009-06-29 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	DDHP11	N	CA00158688	B	SFY2008-09
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-07-09 00:00:00	020006367	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	2009-05-01 15:40:00	2009-05-01 15:40:00	No	2009-07-31 00:00:00	None	FTR AE	None	3400	3400	0	3400	0	None	GC7B11	N	CA00191490	C	SFY2009-10
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-11-30 00:00:00	020006724	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	2009-06-01 15:15:00	2009-06-01 15:15:00	No	2009-12-22 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	Y1WW11	N	CA00193009, CA00199059	C, C	SFY2009-10
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2009-12-17 00:00:00	020006800	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-04-18 15:55:00	2009-04-18 15:55:00	No	2010-01-11 00:00:00	None	FTR BR	None	3500	3500	0	3500	0	None	PRLH11	None	CA00190965	C	SFY2009-10
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-03-16 00:00:00	020007046	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-09-26 12:00:00	2009-09-26 12:00:00	No	2010-04-07 00:00:00	None	FTR AE	None	600	600	0	600	0	None	7SO211	N	CA00204153	C	SFY2009-10
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-01-13 00:00:00	020007761	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-05-26 00:00:00	2010-05-26 00:00:00	No	2011-09-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	PJC611	N	CA00231608	C	SFY2010-11
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2010-12-13 00:00:00	020007768	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2009-12-31 17:27:00	2009-12-31 17:27:00	No	2011-01-03 00:00:00	None	FTR RES	None	1100	1100	0	1100	0	None	N6O111	None	CA00213437	C	SFY2010-11
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2011-05-05 00:00:00	020008218	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-05-14 00:00:00	2010-05-14 00:00:00	Yes	2011-05-26 00:00:00	2011-05-19 00:00:00	FTR AE	None	5500	5500	0	5500	0	None	FY7M11	N	CA00235279	C	SFY2010-11
140000704	SAN RAMON REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-05-06 00:00:00	020009878	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	2012-12-21 14:00:00	2012-12-21 14:00:00	No	2013-05-28 00:00:00	None	FTR RES	None	600	600	0	600	0	None	F4QC11	None	CA00338866	E	SFY2012-13
140000704	SAN RAMON REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-05-06 00:00:00	020009879	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	2012-12-21 14:00:00	2012-12-21 14:00:00	No	2013-05-28 00:00:00	None	FTR BR	None	700	700	0	700	0	None	F4QC11	None	CA00338866	E	SFY2012-13
140000186	SAN LEANDRO HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	East Bay	2013-06-03 00:00:00	020009922	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	2010-05-31 17:20:00	2010-05-31 17:20:00	No	2013-06-24 00:00:00	None	FTR AE	None	400	400	0	400	0	None	JF1111	N	CA00232747	C	SFY2012-13
140000797	STANFORD HEALTH CARE TRI-VALLEY	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-04-24 00:00:00	020014023	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-04-18 00:00:00	2016-04-18 00:00:00	No	2018-05-15 00:00:00	None	AP NON-IJ	None	13200	13200	0	13200	0	None	HZ3111	N	CA00486430, CA00486430	B, B	SFY2017-18
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2018-12-18 00:00:00	020014668	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-12-11 00:00:00	2017-12-11 00:00:00	No	2019-04-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	MEMQ11	Y	CA00565446, CA00565446, CA00565446, CA00565446, CA00565446	B, B, B, B, B	SFY2018-19
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2023-06-14 00:00:00	020019219	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-08-04 00:00:00	2022-08-04 00:00:00	No	2023-11-16 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	KBLU11	None	CA00804469	D	SFY2022-23
140000016	SUTTER DELTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	East Bay	2023-06-14 00:00:00	020019220	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	2022-08-04 00:00:00	2022-08-04 00:00:00	No	2023-07-06 00:00:00	None	FTR RES	None	100	100	0	100	0	None	KBLU11	None	CA00804469	D	SFY2022-23
030000320	SIERRA VISTA HOSPITAL, INC.	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2008-01-25 00:00:00	030004738	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-03-22 00:00:00	2007-03-22 00:00:00	No	2008-02-19 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	43VJ11	N	None	None	SFY2007-08
030000320	SIERRA VISTA HOSPITAL, INC.	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2008-04-23 00:00:00	030004817	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-02-16 00:00:00	2008-02-16 00:00:00	No	2008-05-15 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	VWJJ11	N	CA00141167, CA00141245	B, A	SFY2007-08
030000108	SUTTER AMADOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2008-04-23 00:00:00	030004959	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-07-17 00:00:00	2007-07-17 00:00:00	No	2008-05-15 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	ZS3911	N	CA00124937	B	SFY2007-08
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-07-16 00:00:00	030006389	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2007-12-17 00:00:00	2007-12-17 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	RMBX11	Y	CA00136701	B	SFY2009-10
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2009-11-12 00:00:00	030006692	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-03-23 00:00:00	2008-03-23 00:00:00	Yes	2009-12-07 00:00:00	2010-04-21 00:00:00	AP IJ	AP IJ	25000	8000	0	8000	0	None	S5XD11	N	CA00145077	B	SFY2009-10
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2010-11-10 00:00:00	030007706	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE15 - Death/disability directly related to hypoglycemia	None	2007-08-10 00:00:00	2007-08-10 00:00:00	No	2010-12-06 00:00:00	None	FTR AE	None	84000	84000	0	84000	0	None	R0JL11	N	CA00211341	B	SFY2010-11
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-02-06 00:00:00	030010446	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2013-03-24 00:00:00	2013-03-24 00:00:00	No	2014-05-22 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	V7F011	Y	CA00349058, CA00352428	D, B	SFY2013-14
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-02-18 00:00:00	030010477	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-07-18 00:00:00	2013-07-18 00:00:00	No	2014-03-11 00:00:00	None	FTR BR	None	400	400	0	400	0	None	D98311	None	CA00364023	E	SFY2013-14
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-03-18 00:00:00	030010554	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2009-01-29 00:00:00	2009-01-29 00:00:00	No	2014-04-09 00:00:00	None	FTR AE	None	900	900	0	900	0	None	I8WU11	N	CA00177805	B	SFY2013-14
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2014-08-07 00:00:00	030010922	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	2008-10-14 00:00:00	2008-10-14 00:00:00	No	2014-08-28 00:00:00	None	FTR AE	None	800	800	0	800	0	None	D9VP11	N	CA00167567	B	SFY2014-15
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-04 00:00:00	030011432	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2012-07-13 00:00:00	2012-07-13 00:00:00	No	2015-05-26 00:00:00	None	FTR AE	None	200	200	0	200	0	None	ELN811	N	CA00318897	C	SFY2014-15
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-05-04 00:00:00	030011434	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-05-07 00:00:00	2013-05-07 00:00:00	No	2015-05-26 00:00:00	None	FTR BR	None	200	200	0	200	0	None	RURL11	None	CA00355059	E	SFY2014-15
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-02 00:00:00	030011510	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2009-03-08 00:00:00	2009-03-08 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	PN3G11	Y	CA00181306	B	SFY2014-15
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-08 00:00:00	030011539	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-05-15 00:00:00	2013-05-15 00:00:00	No	2015-06-29 00:00:00	None	FTR BR	None	900	900	0	900	0	None	CJ8Y11	None	CA00356950	E	SFY2014-15
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-06-08 00:00:00	030011540	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-05-15 00:00:00	2013-05-15 00:00:00	No	2015-06-29 00:00:00	None	FTR RES	None	600	600	0	600	0	None	CJ8Y11	None	CA00356950	E	SFY2014-15
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-09-28 00:00:00	030011754	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	2010-10-27 00:00:00	2010-10-27 00:00:00	No	2015-10-19 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	HGRV11	N	CA00249653	B	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-10-22 00:00:00	030011790	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-08-28 00:00:00	2014-08-28 00:00:00	No	2015-11-13 00:00:00	None	FTR AE	None	300	300	0	300	0	None	3GJO11	N	CA00412168	D	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-10-23 00:00:00	030011796	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-10 00:00:00	2014-06-10 00:00:00	No	2015-11-16 00:00:00	None	FTR AE	None	300	300	0	300	0	None	PLGS11	N	CA00402482	D	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-10-30 00:00:00	030011811	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-01-10 00:00:00	2012-01-10 00:00:00	No	2015-11-23 00:00:00	None	FTR AE	None	6500	6500	0	6500	0	None	VZYC11	N	CA00304124	D	SFY2015-16
030000112	SUTTER MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-11-05 00:00:00	030011833	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	2013-11-18 00:00:00	2013-11-18 00:00:00	No	2015-12-01 00:00:00	None	FTR AE	None	300	300	0	300	0	None	1IN111	N	CA00378532	D	SFY2015-16
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-11-16 00:00:00	030011847	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2013-01-17 00:00:00	2013-01-17 00:00:00	No	2015-12-09 00:00:00	None	FTR AE	None	100	100	0	100	0	None	IK0L11	N	CA00340669	E	SFY2015-16
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2015-12-10 00:00:00	030011888	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-05-18 00:00:00	2009-05-18 00:00:00	No	2016-01-01 00:00:00	None	FTR BR	None	10100	10100	-2525	7575	0	None	NIII11	None	CA00201737	B	SFY2015-16
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-02-24 00:00:00	030012043	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-11-06 00:00:00	2009-11-06 00:00:00	No	2016-03-16 00:00:00	None	FTR AE	None	200	200	0	200	0	None	9GQU11	N	CA00208472	C	SFY2015-16
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-04-05 00:00:00	030012163	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-03-05 00:00:00	2009-03-05 00:00:00	No	2016-04-26 00:00:00	None	FTR AE	None	2600	2600	0	2600	0	None	JO2V11	N	CA00183964	B	SFY2015-16
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-16 00:00:00	030012506	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-01-10 00:00:00	2012-01-10 00:00:00	Yes	2017-05-11 00:00:00	2017-04-28 00:00:00	AP IJ	None	50000	50000	0	0	50000	None	79QU11	N	CA00324171	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-08-30 00:00:00	030012549	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-06-18 00:00:00	2012-06-18 00:00:00	No	2016-09-21 00:00:00	None	FTR AE	None	200	200	0	200	0	None	T3CR11	N	CA00315647	D	SFY2016-17
030000149	SUTTER DAVIS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-09-15 00:00:00	030012579	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-01-10 00:00:00	2012-01-10 00:00:00	No	2016-10-06 00:00:00	None	FTR AE	None	22900	22900	0	22900	0	None	79QU11	N	CA00324171	D	SFY2016-17
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-07 00:00:00	030012635	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-06-29 00:00:00	2011-06-29 00:00:00	No	2016-10-28 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	H5QD11	N	CA00276431	C	SFY2016-17
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-07 00:00:00	030012636	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-05-07 00:00:00	2010-05-07 00:00:00	No	2016-10-28 00:00:00	None	FTR AE	None	200	200	0	200	0	None	ZSHX11	N	CA00228965	B	SFY2016-17
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012701	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2011-03-30 00:00:00	2011-03-30 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	300	300	0	300	0	None	XDBW11	N	CA00265182	B	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012703	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-12-03 00:00:00	2012-12-03 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	600	600	0	600	0	None	WLLS11	N	CA00336298	D	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012704	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-02-23 00:00:00	2012-02-23 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	QJ9L11	N	CA00303868	D	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012708	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-09-06 00:00:00	2013-09-06 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	IOXH11	N	CA00370710	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012709	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE22 - Death associated with a fall	None	2012-01-27 00:00:00	2012-01-27 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	200	200	0	200	0	None	Z52D11	N	CA00298711	C	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-10-31 00:00:00	030012711	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-02-01 00:00:00	2013-02-01 00:00:00	No	2016-11-22 00:00:00	None	FTR AE	None	500	500	0	500	0	None	157D11	N	CA00343180	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-11-04 00:00:00	030012725	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-04-26 00:00:00	2010-04-26 00:00:00	No	2016-11-30 00:00:00	None	FTR AE	None	400	400	0	400	0	None	V8JM11	N	CA00228099	B	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2016-12-29 00:00:00	030012852	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2014-06-13 00:00:00	2014-06-13 00:00:00	No	2017-01-23 00:00:00	None	FTR AE	None	200	200	0	200	0	None	0P6511	N	CA00402815	D	SFY2016-17
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-01 00:00:00	030013244	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	2010-01-18 00:00:00	2010-01-18 00:00:00	No	2017-06-22 00:00:00	None	FTR AE	None	200	200	0	200	0	None	G1HN11	N	CA00215770	B	SFY2016-17
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-06 00:00:00	030013256	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	2013-11-08 00:00:00	2013-11-08 00:00:00	No	2017-06-27 00:00:00	None	FTR AE	None	200	200	0	200	0	None	JJGR11	N	CA00377395	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-06 00:00:00	030013258	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2013-04-29 00:00:00	2013-04-29 00:00:00	No	2017-06-27 00:00:00	None	FTR AE	None	900	900	0	900	0	None	9SDN11	N	CA00354398	D	SFY2016-17
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-06-07 00:00:00	030013265	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-02-04 00:00:00	2013-02-04 00:00:00	No	2017-06-28 00:00:00	None	FTR AE	None	200	200	0	200	0	None	5OU711	N	CA00343161	D	SFY2016-17
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-07-25 00:00:00	030013372	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-08-12 00:00:00	2014-08-12 00:00:00	No	2017-08-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	GCC511	N	CA00410071, CA00414465	C, B	SFY2017-18
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2017-11-20 00:00:00	030013636	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	2016-02-17 00:00:00	2016-02-17 00:00:00	No	2017-12-13 00:00:00	None	FTR AE	None	5800	5800	0	5800	0	None	VI9O11	N	CA00485129	C	SFY2017-18
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-12-14 00:00:00	030014656	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2017-08-28 00:00:00	2017-08-28 00:00:00	No	2019-01-07 00:00:00	None	FTR AE	None	14500	14500	0	14500	0	None	VRSI11	Y	CA00570948, CA00570948, CA00574265, CA00574265, CA00574265, CA00574265	A, A, B, B, B, B	SFY2018-19
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2018-12-14 00:00:00	030014657	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2017-08-28 00:00:00	2017-08-28 00:00:00	Yes	2019-04-11 00:00:00	2019-03-29 00:00:00	AP IJ	AP IJ	75000	60000	0	60000	0	None	VRSI11	Y	CA00570948, CA00574265, CA00574265, CA00574265	A, B, B, B	SFY2018-19
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2020-01-09 00:00:00	030015657	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-03-30 00:00:00	2019-03-30 00:00:00	No	2020-01-30 00:00:00	None	AP NON-IJ	None	13750	13750	0	13750	0	None	TNXO11	N	CA00631482	B	SFY2019-20
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2020-01-09 00:00:00	030015660	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2018-07-20 00:00:00	2018-07-20 00:00:00	No	2020-01-30 00:00:00	None	AP NON-IJ	None	13750	13750	0	13750	0	None	FZNZ11	N	CA00596445, CA00605034, CA00606366, CA00639026, CA00639781	B, B, B, B, B	SFY2019-20
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2020-01-09 00:00:00	030015663	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2019-04-01 00:00:00	2019-04-01 00:00:00	No	2020-01-30 00:00:00	None	AP NON-IJ	None	13750	13750	0	13750	0	None	HNFY11	N	CA00569040, CA00632853, CA00632856, CA00633211, CA00639954, CA00647961, CA00658000	B, B, B, B, C, C, C	SFY2019-20
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2020-08-14 00:00:00	030015979	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	2020-01-03 00:00:00	2020-01-03 00:00:00	No	2020-09-04 00:00:00	None	FTR AE	None	100	100	0	100	0	None	YCPJ11	Y	CA00670821	B	SFY2020-21
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2021-05-24 00:00:00	030016529	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2021-04-07 00:00:00	2021-04-07 00:00:00	No	2021-06-15 00:00:00	None	AP NON-IJ	None	14437.5	14437.5	0	14437.5	0	None	QCK411	N	CA00636304, CA00636304, CA00636337, CA00636337, CA00637686, CA00637686, CA00654838, CA00654838, CA00654843, CA00654851	B, B, B, B, B, B, C, C, C, C	SFY2020-21
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2021-12-23 00:00:00	030017219	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	2021-09-06 00:00:00	2021-09-06 00:00:00	No	2022-01-13 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	D19B11	N	CA00755797	C	SFY2021-22
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-04-21 00:00:00	030017585	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2016-06-22 00:00:00	2016-06-22 00:00:00	No	2022-05-12 00:00:00	None	FTR AE	None	5800	5800	0	5800	0	None	95DO11	Y	CA00500368	B	SFY2021-22
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-08-05 00:00:00	030017877	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE21 - Death/disability due to a burn	None	2020-02-18 00:00:00	2020-02-18 00:00:00	No	2022-08-26 00:00:00	None	FTR AE	None	87800	87800	0	87800	0	None	9L1L11	Y	CA00678340, CA00794544	B, B	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-07 00:00:00	030017966	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	2019-10-03 00:00:00	2019-10-03 00:00:00	No	2022-09-28 00:00:00	None	FTR AE	None	700	700	0	700	0	None	E0K911	N	CA00659202	C	SFY2022-23
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-14 00:00:00	030017968	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	2022-03-03 00:00:00	2022-03-03 00:00:00	No	2022-10-05 00:00:00	None	FTR AE	None	7200	7200	0	7200	0	None	HCNX11	N	CA00785659	B	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-14 00:00:00	030017991	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-12-14 00:00:00	2020-12-14 00:00:00	No	2022-10-05 00:00:00	None	FTR AE	None	400	400	0	400	0	None	VNTP11	N	CA00718261	C	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-15 00:00:00	030017992	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-07-13 00:00:00	2020-07-13 00:00:00	No	2022-10-06 00:00:00	None	FTR AE	None	3800	3800	0	3800	0	None	J5MY11	N	CA00702562	B	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-28 00:00:00	030018019	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	2020-08-11 00:00:00	2020-08-11 00:00:00	No	2022-10-19 00:00:00	None	FTR AE	None	900	900	0	900	0	None	R1YI11	N	CA00702577	B	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-09-30 00:00:00	030018032	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-03-24 00:00:00	2022-03-24 00:00:00	No	2022-10-21 00:00:00	None	FTR AE	None	11500	11500	0	11500	0	None	RFYU11	N	CA00795040	C	SFY2022-23
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-07 00:00:00	030018063	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2019-05-22 00:00:00	2019-05-22 00:00:00	No	2022-10-28 00:00:00	None	FTR AE	None	800	800	0	800	0	None	YQ6F11	N	CA00640304	C	SFY2022-23
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-18 00:00:00	030018093	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	2021-02-22 00:00:00	2021-02-22 00:00:00	No	2022-11-08 00:00:00	None	FTR AE	None	5400	5400	0	5400	0	None	6SDE11	N	CA00733963	B	SFY2022-23
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-10-26 00:00:00	030018103	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	2020-11-23 00:00:00	2020-11-23 00:00:00	No	2022-11-17 00:00:00	None	FTR AE	None	900	900	0	900	0	None	QVME11	N	CA00715528	B	SFY2022-23
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-11-04 00:00:00	030018134	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-09-13 00:00:00	2019-09-13 00:00:00	No	2022-11-30 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	78OX11	N	CA00657681	B	SFY2022-23
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2022-11-10 00:00:00	030018142	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-08-06 00:00:00	2019-08-06 00:00:00	No	2022-12-05 00:00:00	None	FTR AE	None	5300	5300	0	5300	0	None	WJKR11	N	CA00657683	B	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-03-09 00:00:00	030018484	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-10-24 00:00:00	2022-10-24 00:00:00	No	2023-03-30 00:00:00	None	FTR AE	None	600	600	0	600	0	None	1D4X11	N	CA00810396	E	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-03-20 00:00:00	030018536	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	2022-10-28 00:00:00	2022-10-28 00:00:00	No	2023-04-11 00:00:00	None	FTR AE	None	200	200	0	200	0	None	Y3FL11	N	CA00810394	B	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-03-20 00:00:00	030018538	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-12-16 00:00:00	2022-12-16 00:00:00	No	2023-04-11 00:00:00	None	FTR AE	None	2100	2100	0	2100	0	None	UOFS11	N	CA00820803	C	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-04-20 00:00:00	030018649	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-01-12 00:00:00	2023-01-12 00:00:00	No	2023-05-11 00:00:00	None	FTR AE	None	200	200	0	200	0	None	HDXL11	N	CA00822123	E	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-04-20 00:00:00	030018653	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-01-13 00:00:00	2023-01-13 00:00:00	No	2023-05-11 00:00:00	None	FTR AE	None	100	100	0	100	0	None	WYM411	N	CA00822121	E	SFY2022-23
030000135	SAN JOAQUIN GENERAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-04-25 00:00:00	030018682	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2022-10-24 00:00:00	2022-10-24 00:00:00	No	2023-05-16 00:00:00	None	FTR AE	None	600	600	0	600	0	None	B19R11	N	CA00810398	B	SFY2022-23
030000108	SUTTER AMADOR HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-07-14 00:00:00	030018695	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	2021-09-15 00:00:00	2021-09-15 00:00:00	No	2023-08-04 00:00:00	None	FTR AE	None	7000	7000	0	7000	0	None	6X1311	N	CA00762536	B	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-08-21 00:00:00	030019022	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-10-24 00:00:00	2018-10-24 00:00:00	Yes	2023-09-12 00:00:00	2023-09-01 00:00:00	FTR AE	FTR AE	170800	65000	0	65000	0	None	QGG211	N	CA00610260	B	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-08-09 00:00:00	030019031	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2022-02-25 00:00:00	2022-02-25 00:00:00	No	2023-08-30 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	P32111	N	CA00778296	C	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-11-03 00:00:00	030019101	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-05-26 00:00:00	2023-05-26 00:00:00	No	2023-11-29 00:00:00	None	FTR AE	None	5600	5600	0	5600	0	None	51LD11	N	CA00852834, CA00852834	E, E	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-11-03 00:00:00	030019123	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2020-01-20 00:00:00	2020-01-20 00:00:00	No	2023-11-29 00:00:00	None	FTR AE	None	93700	93700	0	93700	0	None	OJU811	N	CA00799186	B	SFY2023-24
030000320	SIERRA VISTA HOSPITAL, INC.	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2023-11-01 00:00:00	030019317	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE27 - Death/injury from a physical assault	None	2021-02-18 00:00:00	2021-02-18 00:00:00	No	2023-11-27 00:00:00	None	FTR AE	None	300	300	0	300	0	None	NX8811	N	CA00727166	B	SFY2023-24
030000134	SUTTER ROSEVILLE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-01-22 00:00:00	030019502	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2022-07-14 00:00:00	2022-07-14 00:00:00	No	2024-02-13 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	SSIJ11	N	CA00794884	B	SFY2023-24
030000151	SUTTER MEDICAL CENTER, SACRAMENTO	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2023-10-17 00:00:00	030019797	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-04-03 00:00:00	2022-04-03 00:00:00	No	2024-04-11 00:00:00	None	AP BR	None	20000	20000	-5000	15000	0	None	U8DN11	None	CA00783291	D	SFY2023-24
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-02-29 00:00:00	030019802	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-06-08 00:00:00	2023-06-08 00:00:00	No	2024-03-21 00:00:00	None	FTR AE	None	700	700	0	700	0	None	8L4I11	N	CA00846560	E	SFY2023-24
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-04-18 00:00:00	030020034	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2023-09-03 00:00:00	2023-09-03 00:00:00	No	2024-05-09 00:00:00	None	FTR AE	None	600	600	0	600	0	None	35MN11	N	CA00860872	E	SFY2023-24
030000862	ST. JOSEPH'S BEHAVIORAL HEALTH CENTER	Non-LTC	APH	Acute Psychiatric Hospital	Sacramento	2024-05-09 00:00:00	030020157	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2023-11-16 00:00:00	2023-11-16 00:00:00	No	2024-05-31 00:00:00	None	FTR AE	None	300	300	0	300	0	None	GOMY11	N	CA00870861	E	SFY2023-24
030000143	ST. JOSEPH'S MEDICAL CENTER OF STOCKTON	Non-LTC	GACH	General Acute Care Hospital	Sacramento	2024-06-06 00:00:00	030020280	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	2023-11-19 00:00:00	2023-11-19 00:00:00	No	2024-06-27 00:00:00	None	FTR AE	None	600	600	0	600	0	None	JJXS11	N	CA00872481	E	SFY2023-24
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2007-08-06 00:00:00	040004136	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-07-24 00:00:00	2007-07-24 00:00:00	Yes	2007-08-27 00:00:00	2007-11-02 00:00:00	AP IJ	AP IJ	25000	15000	0	15000	0	None	CT2G11	N	CA00116315	C	SFY2007-08
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-03-28 00:00:00	040004844	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-02-19 04:15:00	2008-02-19 04:15:00	No	2008-04-21 00:00:00	None	FTR AE	None	3000	3000	0	3000	0	None	5EY611	N	CA00145010	C	SFY2007-08
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-05-02 00:00:00	040004983	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-12-19 18:50:00	2007-12-19 18:50:00	No	2008-05-23 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	YK2L11	N	CA00136807	C	SFY2007-08
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-06-16 00:00:00	040005116	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-06-02 00:00:00	2008-06-02 00:00:00	Yes	2008-07-08 00:00:00	2008-08-26 00:00:00	AP IJ	AP IJ	25000	18500	0	18500	0	None	J9Y511	N	CA00116315, CA00151250	C, B	SFY2007-08
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-08-28 00:00:00	040005339	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	2008-07-24 21:45:00	2008-07-24 21:45:00	No	2008-09-19 00:00:00	None	FTR AE	None	800	800	0	800	0	None	IF7P11	N	CA00159455	C	SFY2008-09
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2008-10-02 00:00:00	040005487	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2008-09-09 00:00:00	2008-09-09 00:00:00	Yes	2008-10-24 00:00:00	2009-05-01 00:00:00	AP IJ	AP IJ	25000	18500	0	18500	0	None	TX0V11	N	CA00161748	A	SFY2008-09
030001661	STANISLAUS SURGICAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Fresno	2011-04-05 00:00:00	040008112	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2010-08-19 00:00:00	2010-08-19 00:00:00	Yes	2011-09-29 00:00:00	2011-09-14 00:00:00	AP IJ	AP IJ	50000	25000	0	25000	0	None	2R0B11	N	CA00240051	D	SFY2010-11
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2012-04-18 00:00:00	040009197	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-10-11 00:00:00	2010-10-11 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	BN0211	N	CA00261250	D	SFY2011-12
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2016-01-25 00:00:00	040011989	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-05-09 00:00:00	2015-05-09 00:00:00	No	2016-02-16 00:00:00	None	AP NON-IJ	None	4750	4750	0	4750	0	None	WR0411	N	CA00442364	B	SFY2015-16
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2017-01-13 00:00:00	040012884	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-05-02 00:00:00	2016-05-02 00:00:00	No	2017-02-06 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	Z40R11	N	CA00487366	C	SFY2016-17
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2018-02-01 00:00:00	040013781	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-03-09 00:00:00	2017-03-09 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	5L5Y11	Y	CA00525763	A	SFY2017-18
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2019-11-06 00:00:00	040015520	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-07-12 00:00:00	2018-07-12 00:00:00	No	2021-05-14 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	YB0O11	N	CA00595961	A	SFY2019-20
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2020-07-03 00:00:00	040015919	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE02 - Wrong patient surgery	None	2019-05-16 00:00:00	2019-05-16 00:00:00	No	2020-07-24 00:00:00	None	AP IJ	None	40000	40000	0	40000	0	None	N5D211	N	CA00638626	B	SFY2020-21
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2020-10-29 00:00:00	040016117	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2018-01-03 00:00:00	2018-01-03 00:00:00	No	2020-11-20 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	10M911	Y	CA00570992	B	SFY2020-21
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-07-29 00:00:00	040017852	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2022-04-11 00:00:00	2022-04-11 00:00:00	No	2022-08-19 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	B3JU11	N	CA00782357	A	SFY2022-23
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2022-11-03 00:00:00	040018131	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2021-06-06 00:00:00	2021-06-06 00:00:00	No	2022-11-29 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	IKTT11	Y	CA00740044	B	SFY2022-23
040000126	SAINT AGNES MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Fresno	2023-07-14 00:00:00	040018953	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-07-25 00:00:00	2019-07-25 00:00:00	No	2023-08-04 00:00:00	None	AP IJ	None	125000	125000	0	125000	0	None	1L4Y11	Y	CA00649173	B	SFY2023-24
050000026	ST. JOHN'S HOSPITAL CAMARILLO	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-04-09 00:00:00	050004882	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2007-09-03 00:00:00	2007-09-03 00:00:00	No	2008-05-05 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	9X7711	N	CA00127369	B	SFY2007-08
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-10-22 00:00:00	050005539	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-12 00:00:00	2008-06-12 00:00:00	No	2008-11-18 00:00:00	None	FTR AE	None	4400	4400	0	4400	0	None	Z44611	N	CA00158890	C	SFY2008-09
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2008-11-06 00:00:00	050005588	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	2008-09-17 00:00:00	2008-09-17 00:00:00	Yes	2008-12-05 00:00:00	2008-11-18 00:00:00	FTR AE	None	300	300	-300	0	0	None	1MDP11	N	CA00164852	C	SFY2008-09
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-03-05 00:00:00	050005932	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	2009-01-29 00:00:00	2009-01-29 00:00:00	No	2009-03-27 00:00:00	None	FTR AE	None	600	600	0	600	0	None	C9R211	N	CA00177418	C	SFY2008-09
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2009-04-08 00:00:00	050006066	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-10-22 00:00:00	2008-10-22 00:00:00	No	2009-04-30 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	27YG11	N	CA00170433	C	SFY2008-09
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2010-05-04 00:00:00	050007189	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-09-02 00:00:00	2009-09-02 00:00:00	No	2010-05-25 00:00:00	None	FTR AE	None	100	100	0	100	0	None	NS5E11	N	CA00201165	C	SFY2009-10
050000030	SANTA YNEZ VALLEY COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2010-06-04 00:00:00	050007290	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	2009-12-07 00:00:00	2009-12-07 00:00:00	No	2010-06-28 00:00:00	None	FTR AE	None	400	400	0	400	0	None	DZG011	N	CA00212168	C	SFY2009-10
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2011-04-27 00:00:00	050008196	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE25 - Abduction of a patient of any age	None	2009-01-17 00:00:00	2009-01-17 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	XEH111	N	CA00179445	B	SFY2010-11
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-04-20 00:00:00	050011624	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2015-01-02 00:00:00	2015-01-02 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	RJ0K11	Y	CA00426645	B	SFY2016-17
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2017-08-07 00:00:00	050011810	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2015-08-07 00:00:00	2015-08-07 00:00:00	No	2017-08-28 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	D5YI11	Y	CA00454294, CA00454294	A, A	SFY2017-18
050000035	ST JOHNS REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2018-08-09 00:00:00	050011879	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-12-19 00:00:00	2014-12-19 00:00:00	No	2018-12-28 00:00:00	None	AP IJ	None	40400	40400	0	40400	0	None	30V911	N	CA00450055	B	SFY2018-19
050000035	ST JOHNS REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2018-02-22 00:00:00	050012274	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2015-11-04 00:00:00	2015-11-04 00:00:00	No	2018-03-15 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	WYM111	Y	CA00465023	B	SFY2017-18
050000280	SANTA BARBARA COTTAGE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Ventura	2022-10-13 00:00:00	050017831	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2019-12-04 00:00:00	2019-12-04 00:00:00	No	2022-11-03 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	BT5611	N	CA00731952	A	SFY2022-23
050000035	ST JOHNS REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Ventura	2022-09-06 00:00:00	050017950	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-01-16 00:00:00	2022-01-16 00:00:00	No	2022-09-27 00:00:00	None	AP NON-IJ	None	12487.5	12487.5	0	12487.5	0	None	V40011	Y	CA00769427, CA00769427	B, B	SFY2022-23
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2008-07-11 00:00:00	060005218	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-05-26 00:00:00	2008-05-26 00:00:00	Yes	2008-08-04 00:00:00	2008-08-27 00:00:00	AP IJ	AP IJ	25000	15625	0	15625	0	None	80UL11	N	CA00152441	B	SFY2008-09
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-06-07 00:00:00	060008289	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2008-01-18 00:00:00	2008-01-18 00:00:00	Yes	2011-09-29 00:00:00	2011-07-11 00:00:00	AP IJ	AP IJ	25000	18750	0	18750	0	None	KSRI11	N	CA00210033	C	SFY2010-11
060000064	SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEMENTE	Non-LTC	GACH	General Acute Care Hospital	Orange	2011-11-29 00:00:00	060008769	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-03-09 19:34:00	2011-03-09 19:34:00	No	2011-12-20 00:00:00	None	FTR BR	None	400	400	0	400	0	None	8IGJ11	None	CA00272297	E	SFY2011-12
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-28 00:00:00	060010238	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-29 00:00:00	2012-07-29 00:00:00	No	2013-11-19 00:00:00	None	FTR RES	None	1700	1700	-425	1275	0	None	RZUD11	None	CA00343513	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-28 00:00:00	060010239	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-29 00:00:00	2012-07-29 00:00:00	No	2013-11-19 00:00:00	None	FTR RES	None	1300	1300	-325	975	0	None	O55Y11	None	CA00343531	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2013-10-28 00:00:00	060010240	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-30 00:00:00	2012-07-30 00:00:00	No	2013-11-19 00:00:00	None	FTR RES	None	1300	1300	-325	975	0	None	SZ4W11	None	CA00343532	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-04 00:00:00	060010425	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-05-15 00:00:00	2011-05-15 00:00:00	No	2014-02-26 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	PR3G11	None	CA00372627	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-04 00:00:00	060010428	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-09 00:00:00	2012-07-09 00:00:00	No	2014-02-26 00:00:00	None	FTR RES	None	3900	3900	-975	2925	0	None	G1ES11	None	CA00343500	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-02-04 00:00:00	060010429	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	2012-07-09 00:00:00	2012-07-09 00:00:00	No	2014-02-26 00:00:00	None	FTR BR	None	1500	1500	-375	1125	0	None	G1ES11	None	CA00343500	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010529	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-22 00:00:00	2012-07-22 00:00:00	No	2014-04-02 00:00:00	None	FTR RES	None	2300	2300	-575	1725	0	None	GRNH11	None	CA00343503	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010530	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	2012-07-22 00:00:00	2012-07-22 00:00:00	No	2014-04-02 00:00:00	None	FTR BR	None	2300	2300	-575	1725	0	None	GRNH11	None	CA00343503	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010534	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	2011-08-09 00:00:00	2011-08-09 00:00:00	No	2014-04-02 00:00:00	None	FTR RES	None	600	600	-150	450	0	None	IUDR11	None	CA00283560	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010535	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	2011-08-09 00:00:00	2011-08-09 00:00:00	No	2014-04-02 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	IUDR11	None	CA00283560	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2014-03-11 00:00:00	060010536	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-07-27 00:00:00	2012-07-27 00:00:00	No	2014-04-02 00:00:00	None	FTR RES	None	1900	1900	-475	1425	0	None	QWVZ11	None	CA00343510	E	SFY2013-14
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2015-12-17 00:00:00	060011900	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2014-01-13 00:00:00	2014-01-13 00:00:00	Yes	2016-01-11 00:00:00	2017-01-13 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	3YBR11	N	CA00384317, CA00403027	B, B	SFY2015-16
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2016-10-05 00:00:00	060012605	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2015-12-18 00:00:00	2015-12-18 00:00:00	No	2016-10-26 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	CULN11	N	CA00470235	B	SFY2016-17
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2022-08-30 00:00:00	060017922	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-01-26 00:00:00	2022-01-26 00:00:00	Yes	2022-09-21 00:00:00	2023-01-09 00:00:00	AP IJ	None	42750	42750	0	0	42750	None	HEGL11	Y	CA00770908	A	SFY2022-23
060000021	SOUTH COAST GLOBAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Orange	2023-05-22 00:00:00	060018770	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2022-09-04 00:00:00	2022-09-04 00:00:00	No	2023-06-13 00:00:00	None	AP IJ	None	66000	66000	0	66000	0	None	QJYX11	Y	CA00831516	B	SFY2022-23
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2008-01-04 00:00:00	070004559	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2007-10-24 08:00:00	2007-10-24 08:00:00	No	2008-01-28 00:00:00	None	FTR AE	None	2300	2300	0	2300	0	None	1IMP11	N	CA00132808	B	SFY2007-08
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-03-13 00:00:00	070005971	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	Privacy Breach	2009-01-15 08:00:00	2009-01-15 08:00:00	No	2009-04-06 00:00:00	None	FTR BR	None	4200	4200	0	4200	0	None	X1VH11	None	CA00180048	B	SFY2008-09
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-06 00:00:00	070006358	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	Privacy Breach	2009-04-23 08:00:00	2009-04-23 08:00:00	No	2009-07-27 00:00:00	None	FTR BR	None	600	600	0	600	0	None	G14511	None	CA00187337	C	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-06 00:00:00	070006363	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach by person other than a h/c worker	None	2009-04-16 08:00:00	2009-04-16 08:00:00	No	2009-07-27 00:00:00	None	FTR BR	None	1400	1400	0	1400	0	None	G14511	None	CA00187125	C	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-06 00:00:00	070006366	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-04-21 08:00:00	2009-04-21 08:00:00	No	2009-07-27 00:00:00	None	FTR BR	None	800	800	0	800	0	None	G14511	None	CA00187328	C	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-13 00:00:00	070006372	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-04-06 00:00:00	2009-04-06 00:00:00	No	2009-08-03 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	TCX511	Y	CA00184152	A	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-20 00:00:00	070006395	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	Failure to Report	2008-11-09 08:00:00	2008-11-09 08:00:00	No	2009-08-10 00:00:00	None	FTR AE	None	7200	7200	0	7200	0	None	R9G211	N	CA00175422	B	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-07-20 00:00:00	070006396	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	Failure to Report	2008-12-22 08:00:00	2008-12-22 08:00:00	No	2009-08-10 00:00:00	None	FTR AE	None	2900	2900	0	2900	0	None	R9G211	N	CA00175008	B	SFY2009-10
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-09-22 00:00:00	070006572	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	Failure to Report	2009-06-11 08:00:00	2009-06-11 08:00:00	No	2009-10-14 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	869011	None	CA00192544	B	SFY2009-10
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-09-22 00:00:00	070006573	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	Failure to Report	2009-06-11 08:00:00	2009-06-11 08:00:00	No	2009-10-14 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	869011	None	CA00192544	B	SFY2009-10
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-10-15 00:00:00	070006625	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-04-02 08:00:00	2008-04-02 08:00:00	Yes	2009-11-05 00:00:00	2009-10-21 00:00:00	FTR AE	FTR AE	52800	45000	0	45000	0	None	1M9G11	N	CA00202129	B	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-12-14 00:00:00	070006772	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-02-15 08:00:00	2009-02-15 08:00:00	No	2010-01-06 00:00:00	None	FTR BR	None	2800	2800	0	2800	0	None	OH9O11	None	CA00202985	B	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2009-12-14 00:00:00	070006773	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-02-15 08:00:00	2009-02-15 08:00:00	No	2010-01-06 00:00:00	None	FTR BR	None	7200	7200	0	7200	0	None	OH9O11	None	CA00202985	B	SFY2009-10
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-02-10 00:00:00	070006981	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	2009-11-18 08:00:00	2009-11-18 08:00:00	No	2010-03-03 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	4KO711	N	CA00211123	E	SFY2009-10
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-02-10 00:00:00	070006982	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	2009-11-17 08:00:00	2009-11-17 08:00:00	No	2010-03-03 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	4KO711	N	CA00211121	E	SFY2009-10
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-04-30 00:00:00	070007181	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-10-26 08:00:00	2009-10-26 08:00:00	Yes	2010-05-21 00:00:00	2010-05-19 00:00:00	FTR BR	None	11700	11700	-11700	0	0	None	WH8T11	None	CA00206153	B	SFY2009-10
070000959	SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-05-25 00:00:00	070007256	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	2010-01-15 08:00:00	2010-01-15 08:00:00	No	2010-06-16 00:00:00	None	FTR AE	None	8600	8600	0	8600	0	None	GEJX11	N	CA00225630	B	SFY2009-10
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-06-04 00:00:00	070007289	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	2009-12-13 08:00:00	2009-12-13 08:00:00	No	2010-06-25 00:00:00	None	FTR AE	None	400	400	0	400	0	None	GYTF11	N	CA00212446	B	SFY2009-10
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-07-13 00:00:00	070007373	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-04-20 08:00:00	2010-04-20 08:00:00	No	2010-08-03 00:00:00	None	FTR AE	None	800	800	0	800	0	None	ET3U11	N	CA00227353	C	SFY2010-11
070000635	ST. LOUISE REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-08-11 00:00:00	070007487	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	2009-12-23 08:00:00	2009-12-23 08:00:00	No	2010-09-01 00:00:00	None	FTR AE	None	800	800	0	800	0	None	52KB11	N	CA00213729	E	SFY2010-11
070000635	ST. LOUISE REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-08-11 00:00:00	070007488	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	2009-12-01 08:00:00	2009-12-01 08:00:00	No	2010-09-01 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	52KB11	N	CA00212916	C	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-09-10 00:00:00	070007564	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	2010-04-26 08:00:00	2010-04-26 08:00:00	No	2010-10-01 00:00:00	None	FTR AE	None	900	900	0	900	0	None	4DFE11	N	CA00228167	E	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-09-10 00:00:00	070007565	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	2010-05-10 08:00:00	2010-05-10 08:00:00	No	2010-10-01 00:00:00	None	FTR AE	None	400	400	0	400	0	None	4DFE11	N	CA00229276	B	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-10-27 00:00:00	070007680	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	2010-09-01 08:00:00	2010-09-01 08:00:00	No	2010-11-18 00:00:00	None	FTR AE	None	100	100	-100	0	0	None	O9CF11	N	CA00241818	C	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-11-19 00:00:00	070007722	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2010-06-10 00:00:00	2010-06-10 00:00:00	Yes	2012-09-21 00:00:00	2012-09-07 00:00:00	AP IJ	AP IJ	50000	25000	0	25000	0	None	ZU9211	N	CA00233606	B	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-11-30 00:00:00	070007738	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	2010-08-25 08:00:00	2010-08-25 08:00:00	No	2010-12-21 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	YMBM11	N	CA00242043	C	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2010-12-13 00:00:00	070007770	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	2010-09-10 08:00:00	2010-09-10 08:00:00	No	2011-01-03 00:00:00	None	FTR AE	None	700	700	0	700	0	None	DTSO11	N	CA00243633	C	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-10 00:00:00	070007834	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-09-21 08:00:00	2010-09-21 08:00:00	No	2011-02-01 00:00:00	None	FTR BR	None	1000	1000	0	1000	0	None	01XE11	None	CA00245471	C	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-01-13 00:00:00	070007856	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-11-11 00:00:00	2010-11-11 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	6WBH11	Y	CA00249262	C	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-03-24 00:00:00	070008068	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2011-01-10 08:00:00	2011-01-10 08:00:00	No	2011-04-15 00:00:00	None	FTR BR	None	3000	3000	0	3000	0	None	1UHF11	None	CA00259032	C	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-05-16 00:00:00	070008248	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-04-01 08:00:00	2011-04-01 08:00:00	No	2011-06-07 00:00:00	None	FTR AE	None	700	700	0	700	0	None	YCFK11	N	CA00265935	C	SFY2010-11
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-06-08 00:00:00	070008297	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	2010-09-29 08:00:00	2010-09-29 08:00:00	No	2011-06-29 00:00:00	None	FTR AE	None	20000	20000	0	20000	0	None	ZQDQ11	N	CA00266947	C	SFY2010-11
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-08-10 00:00:00	070008462	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-02-28 08:00:00	2011-02-28 08:00:00	No	2011-08-31 00:00:00	None	FTR AE	None	2400	2400	0	2400	0	None	99PY11	N	CA00260061	C	SFY2011-12
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-09-06 00:00:00	070008543	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-05-06 08:00:00	2011-05-06 08:00:00	No	2011-09-28 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	T84Y11	N	CA00270246	C	SFY2011-12
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-10-27 00:00:00	070008681	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2011-06-30 08:00:00	2011-06-30 08:00:00	No	2011-11-18 00:00:00	None	FTR BR	None	4400	4400	-1100	3300	0	None	YHDR11	None	CA00283106	C	SFY2011-12
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-11-09 00:00:00	070008738	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-09-08 08:00:00	2011-09-08 08:00:00	No	2011-12-05 00:00:00	None	FTR BR	None	1300	1300	-325	975	0	None	NKCT11	None	CA00284869	C	SFY2011-12
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2011-11-09 00:00:00	070008739	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	2011-09-17 08:00:00	2011-09-17 08:00:00	No	2011-12-05 00:00:00	None	FTR BR	None	800	800	0	800	0	None	0RE111	None	CA00285662	C	SFY2011-12
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-01-05 00:00:00	070008889	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-07-20 00:00:00	2011-07-20 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	XVHK11	N	CA00280742	C	SFY2011-12
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-06-21 00:00:00	070009373	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2012-04-05 00:00:00	2012-04-05 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	GRDT11	N	CA00305889, CA00305893	C, C	SFY2011-12
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-08-27 00:00:00	070009460	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-02-25 08:00:00	2009-02-25 08:00:00	No	2012-09-18 00:00:00	None	FTR AE	None	7800	7800	0	7800	0	None	Y2MJ11	N	CA00306684	C	SFY2012-13
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-09-20 00:00:00	070009516	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	2010-11-23 08:00:00	2010-11-23 08:00:00	No	2012-10-11 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	D4N011	N	CA00314930	C	SFY2012-13
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2012-12-14 00:00:00	070009678	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2009-07-22 00:00:00	2009-07-22 00:00:00	No	2013-07-26 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	VWQV11	None	CA00315460	D	SFY2012-13
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-01-22 00:00:00	070009711	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	2012-08-14 08:00:00	2012-08-14 08:00:00	No	2013-02-12 00:00:00	None	FTR AE	None	200	200	0	200	0	None	DU5F11	N	CA00322804	C	SFY2012-13
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-01-29 00:00:00	070009722	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	2012-09-15 08:00:00	2012-09-15 08:00:00	No	2013-02-20 00:00:00	None	FTR BR	None	200	200	0	200	0	None	TXDV11	None	CA00327178	C	SFY2012-13
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-04-22 00:00:00	070009851	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Patient Care	Retention of Foreign Obje	2012-07-16 08:00:00	2012-07-16 08:00:00	No	2013-05-13 00:00:00	None	FTR RES	None	400	400	0	400	0	None	WMBC11	None	CA00345100, CA00347821	C, C	SFY2012-13
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2013-10-24 00:00:00	070010235	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2012-12-20 08:00:00	2012-12-20 08:00:00	No	2013-11-15 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	48LM11	N	CA00339521	C	SFY2013-14
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-02-06 00:00:00	070010447	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-05-19 00:00:00	2013-05-19 00:00:00	Yes	2015-11-09 00:00:00	2015-10-28 00:00:00	AP BR	AP BR	25000	0	0	0	0	None	TQ4N11	None	CA00355653	C	SFY2013-14
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-02-06 00:00:00	070010448	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2012-11-30 00:00:00	2012-11-30 00:00:00	Yes	2015-06-03 00:00:00	2015-05-22 00:00:00	AP BR	AP BR	50000	0	0	0	0	None	4IQX11	None	CA00335411	C	SFY2013-14
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-03-26 00:00:00	070010689	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2013-10-29 00:00:00	2013-10-29 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	B53O11	None	CA00375470	C	SFY2013-14
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-04-29 00:00:00	070010730	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-02-08 00:00:00	2013-02-08 00:00:00	No	2014-05-20 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	T24011	None	CA00343663	C	SFY2013-14
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-06-11 00:00:00	070010751	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	2013-03-21 08:00:00	2013-03-21 08:00:00	No	2014-07-02 00:00:00	None	FTR AE	None	200	200	0	200	0	None	88BH11	N	CA00348887	C	SFY2013-14
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-06-12 00:00:00	070010836	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2013-02-19 00:00:00	2013-02-19 00:00:00	No	2016-08-01 00:00:00	None	AP BR	None	42500	42500	-10625	31875	0	None	UX7L11	None	CA00344957	C	SFY2013-14
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-07-15 00:00:00	070010866	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	2014-01-29 08:00:00	2014-01-29 08:00:00	No	2014-08-05 00:00:00	None	FTR AE	None	400	400	0	400	0	None	0QMX11	N	CA00387140	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-07-22 00:00:00	070010879	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-04-09 00:00:00	2013-04-09 00:00:00	No	2014-08-12 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	EGUY11	None	CA00352058	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-07-22 00:00:00	070010880	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-04-09 00:00:00	2013-04-09 00:00:00	No	2014-08-12 00:00:00	None	FTR RES	None	700	700	-175	525	0	None	EGUY11	None	CA00352058	C	SFY2014-15
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-08-05 00:00:00	070010912	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	2014-01-15 00:00:00	2014-01-15 00:00:00	No	2014-08-26 00:00:00	None	FTR AE	None	8500	8500	0	8500	0	None	1N7L11	N	CA00395085	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-09-02 00:00:00	070010974	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-06-10 00:00:00	2013-06-10 00:00:00	No	2014-09-23 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	KSC411	None	CA00359188	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-09-02 00:00:00	070010975	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-06-10 00:00:00	2013-06-10 00:00:00	No	2014-09-23 00:00:00	None	FTR RES	None	200	200	-50	150	0	None	KSC411	None	CA00359188	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-10-09 00:00:00	070011065	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-09-28 00:00:00	2013-09-28 00:00:00	No	2014-10-30 00:00:00	None	FTR BR	None	1100	1100	-275	825	0	None	Z2I411	None	CA00373385	C	SFY2014-15
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-10-02 00:00:00	070011070	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-07-30 00:00:00	2013-07-30 00:00:00	No	2014-10-23 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	1OZ711	None	CA00364244	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-10-21 00:00:00	070011124	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2013-08-06 00:00:00	2013-08-06 00:00:00	No	2014-11-12 00:00:00	None	AP BR	None	85000	85000	-21250	63750	0	None	80V211	None	CA00364764	C	SFY2014-15
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-12-04 00:00:00	070011162	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-05-23 00:00:00	2014-05-23 00:00:00	No	2014-12-26 00:00:00	None	FTR BR	None	400	400	0	400	0	None	PDUQ11	None	CA00401141	C	SFY2014-15
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-12-04 00:00:00	070011163	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2014-05-23 00:00:00	2014-05-23 00:00:00	No	2014-12-26 00:00:00	None	FTR RES	None	400	400	0	400	0	None	PDUQ11	None	CA00401141	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2014-11-18 00:00:00	070011167	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2014-06-12 00:00:00	2014-06-12 00:00:00	No	2014-12-11 00:00:00	None	AP BR	None	145000	145000	-36250	108750	0	None	B0DT11	None	CA00402475	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-01-12 00:00:00	070011226	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-12-02 00:00:00	2013-12-02 00:00:00	No	2015-02-03 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	8WRK11	None	CA00380420	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-01-12 00:00:00	070011227	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-12-02 00:00:00	2013-12-02 00:00:00	No	2015-02-03 00:00:00	None	FTR RES	None	400	400	-100	300	0	None	8WRK11	None	CA00380420	C	SFY2014-15
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-03-20 00:00:00	070011480	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2014-10-24 00:00:00	2014-10-24 00:00:00	No	2015-04-13 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	XBJX11	None	CA00418594	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-06-16 00:00:00	070011565	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2014-09-04 00:00:00	2014-09-04 00:00:00	No	2015-07-07 00:00:00	None	FTR AE	None	700	700	0	700	0	None	3QKZ11	N	CA00413752	C	SFY2014-15
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-03-20 00:00:00	070011702	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-08-21 00:00:00	2014-08-21 00:00:00	Yes	2015-11-09 00:00:00	2015-10-28 00:00:00	AP BR	AP BR	42500	42500	0	42500	0	None	YVF311	None	CA00411253	C	SFY2014-15
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-09-10 00:00:00	070011863	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2015-03-25 00:00:00	2015-03-25 00:00:00	No	2015-10-01 00:00:00	None	AP BR	None	55000	55000	-13750	41250	0	None	GG6P11	None	CA00438860, CA00446380	C, C	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2015-12-01 00:00:00	070011878	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-05-02 00:00:00	2015-05-02 00:00:00	No	2015-12-22 00:00:00	None	FTR AE	None	12700	12700	0	12700	0	None	X6QP11	N	CA00457894	B	SFY2015-16
070000635	ST. LOUISE REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-03-08 00:00:00	070012062	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	Surgery-Wrong Body Part	2015-10-06 00:00:00	2015-10-06 00:00:00	No	2016-03-29 00:00:00	None	FTR AE	None	400	400	0	400	0	None	3IHI11	N	CA00462098	C	SFY2015-16
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012188	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	2015-05-26 00:00:00	2015-05-26 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	800	800	0	800	0	None	DH9911	N	CA00445902	C	SFY2015-16
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012189	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	2015-11-05 00:00:00	2015-11-05 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	1500	1500	0	1500	0	None	5RFP11	N	CA00466902	C	SFY2015-16
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012190	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	2015-11-03 00:00:00	2015-11-03 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	1700	1700	0	1700	0	None	3EJY11	N	CA00466897	B	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012191	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	2015-08-06 00:00:00	2015-08-06 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	300	300	0	300	0	None	P0UI11	N	CA00454605	C	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012192	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	2015-08-06 00:00:00	2015-08-06 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	200	200	0	200	0	None	I7CU11	N	CA00454486	C	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-04-14 00:00:00	070012193	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2015-07-27 00:00:00	2015-07-27 00:00:00	No	2016-05-05 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	I7CU11	N	CA00454486	C	SFY2015-16
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2017-01-13 00:00:00	070012964	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2016-02-22 00:00:00	2016-02-22 00:00:00	Yes	2017-02-06 00:00:00	2017-09-11 00:00:00	AP IJ	AP IJ	33390	13515	0	13515	0	None	IGGC11	Y	CA00478561	B	SFY2016-17
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-12-21 00:00:00	070013187	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retention of Foreign Obje	2014-05-06 00:00:00	2014-05-06 00:00:00	No	2017-01-13 00:00:00	None	AP NON-IJ	None	4040	4040	0	4040	0	None	1Q1411	N	CA00397882	C	SFY2016-17
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2016-12-21 00:00:00	070013188	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retention of Foreign Obje	2014-07-11 00:00:00	2014-07-11 00:00:00	No	2017-01-13 00:00:00	None	AP NON-IJ	None	4040	4040	0	4040	0	None	5MBF11	N	CA00405536	C	SFY2016-17
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-02-27 00:00:00	070013856	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retention of Object	2016-06-12 00:00:00	2016-06-12 00:00:00	No	2018-03-20 00:00:00	None	AP NON-IJ	None	11362	11362	0	11362	0	None	986511	N	None	None	SFY2017-18
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-06-06 00:00:00	070014134	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-12-15 00:00:00	2016-12-15 00:00:00	No	2018-06-27 00:00:00	None	AP NON-IJ	None	13515	13515	0	0	13515	None	BZXH11	N	CA00515367	B	SFY2017-18
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2018-11-20 00:00:00	070014597	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2017-09-04 00:00:00	2017-09-04 00:00:00	No	2018-12-13 00:00:00	None	FTR AE	None	38000	38000	0	38000	0	None	MGVR11	N	CA00585565	B	SFY2018-19
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015025	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-23 00:00:00	2018-03-23 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	600	600	0	600	0	None	QWRP11	N	CA00580921	C	SFY2018-19
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-04-30 00:00:00	070015031	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-17 00:00:00	2018-03-17 00:00:00	No	2019-05-21 00:00:00	None	FTR AE	None	600	600	0	600	0	None	8OGR11	N	CA00580305	C	SFY2018-19
070000147	SALINAS VALLEY HEALTH MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-05-10 00:00:00	070015065	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-09-30 00:00:00	2018-09-30 00:00:00	No	2019-05-31 00:00:00	None	FTR AE	None	300	300	0	300	0	None	CRCI11	N	CA00607341	C	SFY2018-19
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-06-28 00:00:00	070015208	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	2018-06-17 00:00:00	2018-06-17 00:00:00	No	2019-07-19 00:00:00	None	FTR AE	None	700	700	0	700	0	None	WDUK11	N	CA00593403	B	SFY2018-19
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2019-07-09 00:00:00	070015222	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2016-04-15 00:00:00	2016-04-15 00:00:00	No	2019-07-30 00:00:00	None	FTR AE	None	33600	33600	0	33600	0	None	CY6N11	N	CA00527895	B	SFY2019-20
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2020-02-10 00:00:00	070015699	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2017-07-09 00:00:00	2017-07-09 00:00:00	No	2020-03-03 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	VPDF11	Y	CA00548968	B	SFY2019-20
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2021-12-13 00:00:00	070017185	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	2020-08-07 00:00:00	2020-08-07 00:00:00	No	2022-01-03 00:00:00	None	FTR AE	None	2700	2700	0	2700	0	None	1TO711	N	CA00704118	C	SFY2021-22
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2022-02-17 00:00:00	070017364	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	2020-09-17 00:00:00	2020-09-17 00:00:00	No	2022-03-11 00:00:00	None	FTR AE	None	8000	8000	0	8000	0	None	S4LU11	N	CA00716437	B	SFY2021-22
070001357	STANFORD HEALTH CARE	Non-LTC	GACH	General Acute Care Hospital	San Jose	2023-12-04 00:00:00	070019439	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2023-02-21 00:00:00	2023-02-21 00:00:00	No	2023-12-26 00:00:00	None	AP NON-IJ	None	3750	3750	0	3750	0	None	077I11	N	CA00829863	B	SFY2023-24
070000149	SANTA CLARA VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Jose	2023-05-02 00:00:00	070019973	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-05-26 00:00:00	2021-05-26 00:00:00	No	2024-05-22 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	VJ7M11	None	CA00740799	C	SFY2022-23
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-03-24 00:00:00	080004300	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE27 - Death/injury from a physical assault	None	2007-08-30 00:00:00	2007-08-30 00:00:00	No	2008-04-15 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	BM3P11	N	CA00124894	A	SFY2007-08
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2007-12-27 00:00:00	080004534	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2007-11-09 11:40:00	2007-11-09 11:40:00	No	2008-01-22 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	VUTV11	N	CA00134159	C	SFY2007-08
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-03-07 00:00:00	080004760	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-11-09 00:00:00	2007-11-09 00:00:00	No	2008-03-28 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1DCK11	N	CA00133082	A	SFY2007-08
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-04-18 00:00:00	080004762	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-11-09 00:00:00	2007-11-09 00:00:00	No	2008-05-09 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1DCK11	N	CA00133082	A	SFY2007-08
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-03-24 00:00:00	080004815	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE06 -Use of contaminated drug, device, or biologic	None	2007-11-20 00:00:00	2007-11-20 00:00:00	No	2008-04-15 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	ZSKG11	N	None	None	SFY2007-08
080000903	SAN DIEGO HOSPICE & PALLIATIVE CARE-ACUTE CARE CTR	Non-LTC	SPHOSP	General Acute Care Hospital	San Diego	2008-05-06 00:00:00	080004985	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2007-11-01 17:00:00	2007-11-01 17:00:00	No	2008-05-29 00:00:00	None	FTR AE	None	12700	12700	0	12700	0	None	11ZN11	Y	CA00139905	C	SFY2007-08
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-09 00:00:00	080005124	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2008-04-15 16:00:00	2008-04-15 16:00:00	No	2008-06-30 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	RXHP11	N	CA00149049	C	SFY2007-08
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-06-20 00:00:00	080005158	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-03-26 00:00:00	2008-03-26 00:00:00	No	2008-07-14 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	HJZE11	N	CA00146060	A	SFY2007-08
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-07-16 00:00:00	080005233	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE12 - Medication error	None	2008-03-11 23:55:00	2008-03-11 23:55:00	No	2008-08-06 00:00:00	None	FTR AE	None	8200	8200	0	8200	0	None	ZHPL11	N	CA00151777	C	SFY2008-09
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-10-16 00:00:00	080005405	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-06-04 00:00:00	2008-06-04 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	PE4311	Y	CA00153342	A	SFY2008-09
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-10-20 00:00:00	080005538	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	2008-07-21 09:30:00	2008-07-21 09:30:00	No	2008-11-12 00:00:00	None	FTR AE	None	6600	6600	0	6600	0	None	ACKC11	N	CA00163894	B	SFY2008-09
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-01-30 00:00:00	080005848	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-12 11:58:00	2008-12-12 11:58:00	No	2009-02-25 00:00:00	None	FTR AE	None	3700	3700	0	3700	0	None	36N811	N	CA00175536	B	SFY2008-09
630008921	SHARP MESA VISTA HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	San Diego	2009-03-12 00:00:00	080005956	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-11-13 00:00:00	2008-11-13 00:00:00	No	2009-04-03 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	ZETD11	N	CA00169617	A	SFY2008-09
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-04-08 00:00:00	080006052	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-01-29 00:00:00	2009-01-29 00:00:00	No	2009-04-29 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	45EN11	N	CA00176590	B	SFY2008-09
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-06-19 00:00:00	080006278	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-03-13 22:50:00	2009-03-13 22:50:00	No	2009-07-08 00:00:00	None	FTR AE	None	2800	2800	0	2800	0	None	6H2M11	N	CA00184962	B	SFY2008-09
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-07-15 00:00:00	080006354	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE03 - Wrong surgical procedure performed on a patient	None	2009-02-13 16:00:00	2009-02-13 16:00:00	No	2009-08-05 00:00:00	None	FTR AE	None	8400	8400	0	8400	0	None	EW4511	N	CA00188300	B	SFY2009-10
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-10-15 00:00:00	080006618	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-07-24 19:59:00	2009-07-24 19:59:00	No	2009-11-09 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	2GBV11	N	CA00198200	B	SFY2009-10
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-11-25 00:00:00	080006733	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-04-29 00:00:00	2009-04-29 00:00:00	No	2009-12-18 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	E9YS11	N	CA00187039	B	SFY2009-10
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-02-03 00:00:00	080006957	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE06 -Use of contaminated drug, device, or biologic	None	2008-08-01 00:00:00	2008-08-01 00:00:00	Yes	2010-02-24 00:00:00	2010-06-01 00:00:00	AP IJ	Drop>Deficiency	75000	40000	0	40000	0	None	ML0U11	Y	CA00197618	B	SFY2009-10
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-07-21 00:00:00	080007414	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-04-16 00:00:00	2010-04-16 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	BHUS11	N	CA00225644	C	SFY2010-11
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-08-10 00:00:00	080007456	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-12-18 00:00:00	2009-12-18 00:00:00	Yes	2010-08-31 00:00:00	2010-11-30 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	GYGH11	N	CA00224687	B	SFY2010-11
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-04-26 00:00:00	080008195	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-04-21 00:00:00	2009-04-21 00:00:00	No	2011-06-24 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	KW5R11	N	CA00189315	B	SFY2010-11
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-07-07 00:00:00	080008437	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Other	Failure to Report	2009-10-19 00:00:00	2009-10-19 00:00:00	No	2011-07-28 00:00:00	None	FTR BR	None	500	500	0	500	0	None	DFIN11	None	CA00262328	C	SFY2011-12
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-08-03 00:00:00	080008440	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-05-13 13:05:00	2011-05-13 13:05:00	No	2011-08-24 00:00:00	None	FTR AE	None	600	600	0	600	0	None	V3FT11	N	CA00270250	B	SFY2011-12
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-08-09 00:00:00	080008456	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-10-28 00:00:00	2010-10-28 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	CZBS11	N	CA00247732	B	SFY2011-12
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2012-08-08 00:00:00	080009432	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-12-08 00:00:00	2011-12-08 00:00:00	No	2013-09-06 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	ZGPR11	N	CA00292560	B	SFY2012-13
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2012-08-17 00:00:00	080009445	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2012-01-19 00:00:00	2012-01-19 00:00:00	No	2013-11-14 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	94UE11	N	CA00296958	A	SFY2012-13
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-03-14 00:00:00	080010539	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	2014-01-08 16:32:00	2014-01-08 16:32:00	No	2014-04-07 00:00:00	None	FTR BR	None	2700	2700	0	2700	0	None	72NW11	None	CA00387750	D	SFY2013-14
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-03-27 00:00:00	080010577	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2012-12-07 00:00:00	2012-12-07 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	MIPH11	N	CA00335919	B	SFY2013-14
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-04-07 00:00:00	080010600	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-26 16:00:00	2013-10-26 16:00:00	No	2014-04-28 00:00:00	None	FTR BR	None	4900	4900	-1225	3675	0	None	NB1F11	None	CA00391653	D	SFY2013-14
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-03-11 00:00:00	080011272	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2014-10-21 00:00:00	2014-10-21 00:00:00	No	2015-04-02 00:00:00	None	FTR BR	None	1500	1500	-375	1125	0	None	I7X411	None	CA00419991	E	SFY2014-15
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-05-21 00:00:00	080011493	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	2014-09-10 00:00:00	2014-09-10 00:00:00	No	2015-06-12 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	QO7G11	None	CA00418163	E	SFY2014-15
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-06-23 00:00:00	080012348	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-05-22 00:00:00	2015-05-22 00:00:00	No	2016-07-15 00:00:00	None	AP NON-IJ	None	11812	11812	0	11812	0	None	W9D311	N	CA00484751	B	SFY2015-16
080000149	SCRIPPS MEMORIAL HOSPITAL - LA JOLLA	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-08-19 00:00:00	080012517	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	Retention Foreign Object	2015-12-29 00:00:00	2015-12-29 00:00:00	No	2016-09-12 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	SI0411	N	CA00473415	B	SFY2016-17
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-12-21 00:00:00	080012830	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2015-12-08 00:00:00	2015-12-08 00:00:00	No	2017-01-13 00:00:00	None	AP NON-IJ	None	12375	12375	0	12375	0	None	OZXK11	N	CA00467466, CA00511168	B, B	SFY2016-17
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-01-05 00:00:00	080012859	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	Retained Foreign Object	2016-04-13 00:00:00	2016-04-13 00:00:00	No	2017-01-27 00:00:00	None	AP NON-IJ	None	4000	4000	0	4000	0	None	XJER11	N	CA00486039	B	SFY2016-17
080000036	SHARP MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-02-01 00:00:00	080012929	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2014-10-08 00:00:00	2014-10-08 00:00:00	No	2017-02-23 00:00:00	None	AP IJ	None	86625	86625	0	86625	0	None	0IGF11	N	CA00424919	B	SFY2016-17
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-11-24 00:00:00	080014506	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-08-13 00:00:00	2016-08-13 00:00:00	No	2021-12-20 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	FS2R11	None	CA00499417, CA00499420	C, C	SFY2021-22
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-08-21 00:00:00	090005348	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-02-29 00:00:00	2008-02-29 00:00:00	No	2008-09-12 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	N64L11	N	CA00142762	B	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2008-12-09 00:00:00	090005669	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE07 - Use of device other than as intended	None	2008-09-01 00:00:00	2008-09-01 00:00:00	No	2008-12-31 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	YI8311	N	CA00162209	A	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-12 00:00:00	090005957	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-27 12:00:00	2008-12-27 12:00:00	No	2009-04-03 00:00:00	None	FTR AE	None	3300	3300	0	3300	0	None	6KNI11	N	CA00176500	B	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-12 00:00:00	090005965	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-23 00:00:00	2008-12-23 00:00:00	No	2009-04-03 00:00:00	None	FTR AE	None	400	400	0	400	0	None	NL7011	N	CA00173429	B	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-03-12 00:00:00	090005966	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-22 00:00:00	2008-12-22 00:00:00	No	2009-04-03 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	IY2S11	N	CA00174554	B	SFY2008-09
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-04-09 00:00:00	090006071	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-12-22 00:00:00	2008-12-22 00:00:00	No	2009-04-30 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	UTL511	N	CA00173475	B	SFY2008-09
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-08-07 00:00:00	090006449	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	2008-06-02 00:00:00	2008-06-02 00:00:00	No	2009-08-28 00:00:00	None	FTR AE	None	36700	36700	0	36700	0	None	P3AI11	N	CA00190784	C	SFY2009-10
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2009-12-01 00:00:00	090006744	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2007-12-14 00:00:00	2007-12-14 00:00:00	No	2009-12-22 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	GXX711	N	CA00190528	B	SFY2009-10
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-11-30 00:00:00	090007664	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-04-17 00:00:00	2009-04-17 00:00:00	Yes	2012-10-01 00:00:00	2012-09-21 00:00:00	AP BR	AP BR	250000	127500	0	127500	0	None	JQ5311	None	CA00185222	B	SFY2010-11
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2010-11-30 00:00:00	090007665	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2009-06-30 00:00:00	2009-06-30 00:00:00	No	2012-10-01 00:00:00	None	AP BR	None	25000	25000	0	25000	0	None	OEFL11	None	CA00193487	B	SFY2010-11
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2011-04-14 00:00:00	090008155	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	BREACH	2009-05-04 00:00:00	2009-05-04 00:00:00	Yes	2012-10-01 00:00:00	2012-09-18 00:00:00	AP BR	AP BR	50000	25000	0	25000	0	None	DN7E11	None	CA00187699	B	SFY2010-11
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2014-10-10 00:00:00	090011048	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2013-07-01 00:00:00	2013-07-01 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	M5S711	Y	CA00360799	B	SFY2014-15
090000159	SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL	Non-LTC	APH	Acute Psychiatric Hospital	San Diego	2015-01-13 00:00:00	090011229	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE23 - Death/disab assoc with use of restraints/bedrails	None	2013-06-25 00:00:00	2013-06-25 00:00:00	No	2015-06-09 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	5LUQ11	N	CA00359931	B	SFY2014-15
090000977	SELECT SPECIALTY HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-03-18 00:00:00	090011343	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2014-05-04 00:00:00	2014-05-04 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	4CDM11	Y	CA00397517	A	SFY2014-15
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-06-22 00:00:00	090011576	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-04-23 00:00:00	2015-04-23 00:00:00	No	2015-07-13 00:00:00	None	FTR AE	None	600	600	0	600	0	None	6VVM11	N	CA00442165	C	SFY2014-15
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2015-09-29 00:00:00	090011626	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2014-05-11 00:00:00	2014-05-11 00:00:00	Yes	2015-10-20 00:00:00	2017-01-13 00:00:00	AP IJ	AP IJ	100000	70000	0	70000	0	None	T9ZQ11	Y	CA00397967	A	SFY2015-16
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2016-02-04 00:00:00	090012014	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2014-07-09 00:00:00	2014-07-09 00:00:00	No	2016-02-26 00:00:00	None	AP BR	None	7500	7500	0	7500	0	None	RX6X11	None	CA00405996	B	SFY2015-16
090000033	SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-01-12 00:00:00	090012800	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2015-09-24 00:00:00	2015-09-24 00:00:00	No	2017-02-03 00:00:00	None	AP IJ	None	47025	47025	0	47025	0	None	QNPJ11	N	CA00459867	A	SFY2016-17
090000977	SELECT SPECIALTY HOSPITAL - SAN DIEGO	Non-LTC	GACH	General Acute Care Hospital	San Diego	2017-02-06 00:00:00	090012927	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2015-09-29 00:00:00	2015-09-29 00:00:00	No	2017-02-28 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	0T6G11	Y	CA00460462, CA00460756	A, B	SFY2016-17
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-01-26 00:00:00	090013937	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-01-16 00:00:00	2016-01-16 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	92TL11	None	CA00473662	D	SFY2017-18
090000033	SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-05-17 00:00:00	090014126	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-07-11 00:00:00	2016-07-11 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	12750	12750	-3187.5	9562.5	0	None	12PC11	None	CA00499366	C	SFY2017-18
090000183	SAN YSIDRO HEALTH CHC - OCEAN VIEW	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2018-09-21 00:00:00	090014505	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach to person/entity outside facility/hc system	None	2017-02-02 00:00:00	2017-02-02 00:00:00	No	2018-10-12 00:00:00	None	AP BR	None	0	0	0	0	0	None	760U11	None	CA00521901	E	SFY2018-19
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-10-29 00:00:00	100014691	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-01-01 00:00:00	2015-01-01 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	BYL311	None	CA00434541	D	SFY2018-19
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-09-10 00:00:00	100014749	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-06-01 00:00:00	2016-06-01 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	0	0	0	0	0	None	BOM511	None	CA00492573, CA00492573	D, D	SFY2018-19
090000021	SHARP CHULA VISTA MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Diego	2018-10-09 00:00:00	100014752	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2015-07-12 00:00:00	2015-07-12 00:00:00	No	2019-04-12 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	EVJC11	None	CA00452824	D	SFY2018-19
090000202	SAN YSIDRO HEALTH NATIONAL CITY	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2022-02-04 00:00:00	100018582	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-08-24 00:00:00	2018-08-24 00:00:00	No	2022-02-28 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	4UMP11	None	CA00676868	D	SFY2021-22
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2021-03-25 00:00:00	100019172	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-08-13 00:00:00	2017-08-13 00:00:00	Yes	2023-10-18 00:00:00	2023-10-04 00:00:00	AP BR	None	10000	10000	0	0	10000	None	QHOD11	None	CA00549571	D	SFY2020-21
090000183	SAN YSIDRO HEALTH CHC - OCEAN VIEW	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2022-12-06 00:00:00	100019423	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-10-11 00:00:00	2019-10-11 00:00:00	No	2024-01-19 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	NJLU11	None	CA00660648	D	SFY2022-23
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-10-03 00:00:00	100019707	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-10-11 00:00:00	2021-10-11 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	S72811	None	CA00771837	D	SFY2023-24
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-08-07 00:00:00	100019709	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-05-18 00:00:00	2022-05-18 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	O7JZ11	None	CA00787594	C	SFY2023-24
090000025	SCRIPPS MERCY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-09-19 00:00:00	100019713	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2022-02-07 00:00:00	2022-02-07 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	LKZR11	None	CA00810345	D	SFY2023-24
080000150	SCRIPPS MEMORIAL HOSPITAL - ENCINITAS	Non-LTC	GACH	General Acute Care Hospital	San Diego	2022-08-23 00:00:00	100019715	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2019-08-29 00:00:00	2019-08-29 00:00:00	No	2024-03-13 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	PO9O11	None	CA00657960	D	SFY2022-23
090000264	SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	San Diego	2022-12-06 00:00:00	100019770	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2019-02-01 00:00:00	2019-02-01 00:00:00	No	2024-04-10 00:00:00	None	AP BR	None	15000	15000	-3750	11250	0	None	YTNX11	None	CA00650815	D	SFY2022-23
080000022	SCRIPPS GREEN HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Diego	2023-10-24 00:00:00	100020132	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach by person other than a h/c worker	None	2021-05-01 00:00:00	2021-05-01 00:00:00	Yes	2024-06-19 00:00:00	2024-06-07 00:00:00	AP BR	None	250000	250000	0	0	250000	None	T0YX11	None	CA00735078	C	SFY2023-24
110000068	SUTTER SOLANO MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-02-11 00:00:00	110005745	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	2008-08-13 19:15:00	2008-08-13 19:15:00	No	2009-03-06 00:00:00	None	FTR AE	None	400	400	0	400	0	None	7ZUI11	N	CA00161112, CA00161112	C, C	SFY2008-09
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-01-28 00:00:00	110005802	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-14 11:30:00	2008-04-14 11:30:00	No	2009-02-20 00:00:00	None	FTR AE	None	700	700	0	700	0	None	F62411	N	CA00147984	B	SFY2008-09
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-01-28 00:00:00	110005829	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-04-17 12:15:00	2008-04-17 12:15:00	No	2009-02-20 00:00:00	None	FTR AE	None	300	300	0	300	0	None	F62411	N	CA00147982, CA00147982	B, B	SFY2008-09
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2009-03-17 00:00:00	110005967	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2009-04-09 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	8JR811	N	CA00152420, CA00152420	B, B	SFY2008-09
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-01-28 00:00:00	110006925	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-07-10 00:00:00	2009-07-10 00:00:00	Yes	2010-02-18 00:00:00	2010-02-03 00:00:00	FTR BR	None	2100	2100	0	2100	0	None	MH0X11	None	CA00202279	C	SFY2009-10
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-01-18 00:00:00	110006939	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-02-24 00:00:00	2009-02-24 00:00:00	No	2010-02-08 00:00:00	None	FTR BR	None	800	800	0	800	0	None	ZT5J11	None	CA00180494, CA00180494	C, C	SFY2009-10
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2010-02-18 00:00:00	110006940	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-02-25 00:00:00	2009-02-25 00:00:00	No	2010-03-12 00:00:00	None	FTR BR	None	800	800	0	800	0	None	ZT5J11	None	CA00180494	C	SFY2009-10
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-26 00:00:00	110007776	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2011-05-17 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	F05411	None	CA00220983, CA00221929, CA00231150, CA00231154	C, C, C, C	SFY2010-11
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-04-26 00:00:00	110007777	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2011-05-17 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	F05411	None	CA00220983, CA00221929, CA00231150, CA00231154	C, C, C, C	SFY2010-11
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-09 00:00:00	110007894	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-29 00:00:00	2009-10-29 00:00:00	No	2011-03-30 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	11WC11	None	CA00207374	C	SFY2010-11
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-01-11 00:00:00	110007927	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-12-06 00:00:00	2009-12-06 00:00:00	No	2012-02-02 00:00:00	None	FTR BR	None	8900	8900	0	8900	0	None	FG3S11	None	CA00221286	C	SFY2011-12
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-03-09 00:00:00	110007974	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2011-03-30 00:00:00	None	FTR BR	None	500	500	-125	375	0	None	U08Y11	None	CA00203018, CA00204752, CA00204762	C, C, C	SFY2010-11
010000956	SUTTER VISITING NURSES ASSOCIATION	Non-LTC	HHA	Home Health Agency	Santa Rosa	2011-04-07 00:00:00	110008028	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	2010-06-09 00:00:00	2010-06-09 00:00:00	No	2011-04-28 00:00:00	None	FTR BR	None	100	100	0	100	0	None	JG8N11	None	CA00232571	B	SFY2010-11
110000068	SUTTER SOLANO MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-08-04 00:00:00	110008357	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-08-05 00:00:00	2009-08-05 00:00:00	No	2011-12-30 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	JELV11	N	CA00203797	B	SFY2011-12
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2011-10-28 00:00:00	110008657	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2010-12-02 00:00:00	2010-12-02 00:00:00	No	2013-01-11 00:00:00	None	AP IJ	None	10000	10000	0	10000	0	None	XCVV11	N	CA00251304, CA00252647, CA00252989	C, C, C	SFY2011-12
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-02-22 00:00:00	110008923	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	2010-06-29 00:00:00	2010-06-29 00:00:00	No	2012-03-14 00:00:00	None	FTR BR	None	400	400	0	400	0	None	180M11	None	CA00234953	C	SFY2011-12
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-02-21 00:00:00	110008924	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2010-06-28 00:00:00	2010-06-28 00:00:00	No	2012-03-13 00:00:00	None	FTR BR	None	300	300	0	300	0	None	1L6211	None	CA00234677	C	SFY2011-12
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2012-02-22 00:00:00	110008926	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	2010-06-17 00:00:00	2010-06-17 00:00:00	No	2012-03-14 00:00:00	None	FTR BR	None	500	500	0	500	0	None	CW0811	None	CA00233786	C	SFY2011-12
630009861	SUTTER COAST COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2012-05-23 00:00:00	110009268	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	2011-03-22 00:00:00	2011-03-22 00:00:00	No	2012-06-14 00:00:00	None	FTR BR	None	4200	4200	-1050	3150	0	None	W5OI11	None	CA00269011	C	SFY2011-12
630009861	SUTTER COAST COMMUNITY CLINIC	Non-LTC	COMTYC	Primary Care Clinic	Santa Rosa	2012-05-23 00:00:00	110009287	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	2011-03-22 00:00:00	2011-03-22 00:00:00	No	2012-06-14 00:00:00	None	FTR RES	None	4200	4200	-1050	3150	0	None	W5OI11	None	CA00269011	C	SFY2011-12
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2012-05-31 00:00:00	110009342	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	2011-04-06 12:00:00	2011-04-06 12:00:00	No	2012-06-21 00:00:00	None	FTR BR	None	200	200	0	200	0	None	UOL111	None	CA00266533	C	SFY2011-12
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2012-07-31 00:00:00	110009397	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	2010-09-01 00:00:00	2010-09-01 00:00:00	No	2012-08-21 00:00:00	None	FTR RES	None	500	500	0	500	0	None	0N4311	None	CA00242518	C	SFY2012-13
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2012-07-31 00:00:00	110009398	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	2010-09-01 00:00:00	2010-09-01 00:00:00	No	2012-08-21 00:00:00	None	FTR BR	None	500	500	0	500	0	None	0N4311	None	CA00242518	C	SFY2012-13
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2014-02-06 00:00:00	110010436	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-10-16 00:00:00	2013-10-16 00:00:00	No	2014-02-28 00:00:00	None	FTR RES	None	100	100	0	100	0	None	E7MT11	None	CA00374646	E	SFY2013-14
100001790	SUTTER VISITING NURSE ASSOCIATION AND HOSPICE	Non-LTC	HOSPICE	Hospice	Santa Rosa	2014-02-06 00:00:00	110010438	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-10-16 00:00:00	2013-10-16 00:00:00	No	2014-02-28 00:00:00	None	FTR BR	None	100	100	0	100	0	None	E7MT11	None	CA00374646	E	SFY2013-14
110001146	SILVERADO DIALYSIS	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Santa Rosa	2014-10-03 00:00:00	110011012	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-05-31 00:00:00	2012-05-31 00:00:00	No	2014-10-24 00:00:00	None	FTR RES	None	800	800	0	800	0	None	Q5WE11	None	CA00329002	E	SFY2014-15
110001146	SILVERADO DIALYSIS	Non-LTC	ESRD/CDC	Chronic Dialysis Clinic	Santa Rosa	2014-10-03 00:00:00	110011013	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-05-31 00:00:00	2012-05-31 00:00:00	No	2014-10-24 00:00:00	None	FTR BR	None	1200	1200	0	1200	0	None	Q5WE11	None	CA00329002	E	SFY2014-15
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-06-18 00:00:00	110011032	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-01-04 00:00:00	2012-01-04 00:00:00	No	2016-02-19 00:00:00	None	AP IJ	None	37500	37500	0	37500	0	None	8MMR11	N	CA00296060	B	SFY2014-15
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2015-07-10 00:00:00	110011605	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2013-02-14 00:00:00	2013-02-14 00:00:00	No	2015-07-31 00:00:00	None	FTR RES	None	600	600	0	600	0	None	J3F011	None	CA00351858, CA00355704, CA00359379	B, B, B	SFY2015-16
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-01 00:00:00	110013821	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	FTR-AE	2017-02-21 00:00:00	2017-02-21 00:00:00	No	2018-03-22 00:00:00	None	FTR AE	None	200	200	0	200	0	None	19Q211	N	CA00524400	C	SFY2017-18
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-01 00:00:00	110013823	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-03-10 00:00:00	2011-03-10 00:00:00	No	2018-03-22 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	EFF311	None	CA00264308	D	SFY2017-18
110000019	SUTTER LAKESIDE HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-01 00:00:00	110013825	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-03-10 00:00:00	2011-03-10 00:00:00	No	2018-03-22 00:00:00	None	FTR BR	None	400	400	-100	300	0	None	EFF311	None	CA00264308	D	SFY2017-18
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-05 00:00:00	110013833	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	2014-03-14 00:00:00	2014-03-14 00:00:00	No	2018-03-26 00:00:00	None	FTR BR	None	700	700	0	700	0	None	RSZ811	None	CA00393461	E	SFY2017-18
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-05 00:00:00	110013834	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	2014-03-14 00:00:00	2014-03-14 00:00:00	No	2018-03-26 00:00:00	None	FTR BR	None	700	700	0	700	0	None	RSZ811	None	CA00393461	E	SFY2017-18
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2018-03-19 00:00:00	110013883	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2017-05-05 00:00:00	2017-05-05 00:00:00	No	2018-04-09 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	KFJG11	N	CA00536666	C	SFY2017-18
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2019-07-31 00:00:00	110015241	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-05-21 00:00:00	2015-05-21 00:00:00	No	2019-08-21 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	TIXQ11	N	CA00444440, CA00444440, CA00444440	B, B, B	SFY2019-20
110000056	SONOMA VALLEY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2020-02-13 00:00:00	110015645	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2019-08-20 00:00:00	2019-08-20 00:00:00	No	2020-03-05 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	H70311	N	CA00652173	B	SFY2019-20
110000007	SUTTER SANTA ROSA REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2021-03-29 00:00:00	110016308	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	2020-10-02 00:00:00	2020-10-02 00:00:00	No	2021-04-20 00:00:00	None	FTR AE	None	600	600	0	600	0	None	DGLZ11	Y	CA00708878, CA00708878, CA00708878	B, B, B	SFY2020-21
110000038	SONOMA SPECIALTY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2022-09-15 00:00:00	110017942	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2021-09-02 00:00:00	2021-09-02 00:00:00	No	2022-10-06 00:00:00	None	AP NON-IJ	None	13200	13200	0	0	13200	None	UNUK11	Y	CA00752094, CA00752094	B, B	SFY2022-23
110000049	SUTTER COAST HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Santa Rosa	2023-02-07 00:00:00	110019009	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2021-01-08 00:00:00	2021-01-08 00:00:00	No	2023-08-31 00:00:00	None	AP BR	None	17500	17500	0	17500	0	None	P4PX11	None	CA00727033	D	SFY2022-23
120001464	SIERRA VIEW MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2010-01-21 00:00:00	120006813	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	2009-10-02 00:00:00	2009-10-02 00:00:00	No	2010-02-11 00:00:00	None	FTR AE	None	900	900	0	900	0	None	DVCI11	N	CA00205106	C	SFY2009-10
120001464	SIERRA VIEW MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2019-09-04 00:00:00	120015364	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE14 - Maternal death/disab due to labor/del/post	None	2019-02-06 00:00:00	2019-02-06 00:00:00	No	2020-10-19 00:00:00	None	AP IJ	None	71962.5	71962.5	0	71962.5	0	None	O5ZX11	Y	CA00625350	B	SFY2019-20
120001464	SIERRA VIEW MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Bakersfield	2021-03-12 00:00:00	120018559	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-10-26 00:00:00	2017-10-26 00:00:00	Yes	2023-05-03 00:00:00	2023-04-17 00:00:00	AP BR	None	15000	15000	0	15000	0	None	YWPM11	None	CA00563413	D	SFY2020-21
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-10 00:00:00	170020128	Closed	Administrative Penalty	None	A10 - Telemetry	None	2023-11-29 00:00:00	2023-11-29 00:00:00	No	2024-05-20 00:00:00	None	NP	None	30000	30000	0	30000	0	None	PLZE11	N	CA00865440, CA00871989, CA00873312, CA00875565, CA00876905	B, B, B, B, B	SFY2023-24
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2008-07-30 00:00:00	220005279	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-06-12 00:00:00	2008-06-12 00:00:00	No	2008-08-20 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	NITE11	N	CA00156958	B	SFY2008-09
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-05-26 00:00:00	220006216	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2009-04-29 08:00:00	2009-04-29 08:00:00	No	2009-06-16 00:00:00	None	FTR AE	None	400	400	0	400	0	None	SRM011	N	CA00187643	C	SFY2008-09
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-12-23 00:00:00	220006775	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-07-09 08:00:00	2009-07-09 08:00:00	No	2010-01-19 00:00:00	None	FTR BR	None	3800	3800	-950	2850	0	None	GP7W11	None	CA00199522	C	SFY2009-10
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2009-12-24 00:00:00	220006852	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-08-13 08:00:00	2009-08-13 08:00:00	No	2010-01-20 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	MSKF11	None	CA00199518	C	SFY2009-10
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-02 00:00:00	220007277	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-01-05 08:00:00	2010-01-05 08:00:00	No	2010-06-25 00:00:00	None	FTR BR	None	2300	2300	0	2300	0	None	H0YF11	None	CA00217148	C	SFY2009-10
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-15 00:00:00	220007311	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	2009-05-26 08:00:00	2009-05-26 08:00:00	No	2010-07-06 00:00:00	None	FTR AE	None	200	200	0	200	0	None	EWKZ11	N	CA00190494	C	SFY2009-10
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-17 00:00:00	220007315	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-02-12 08:00:00	2009-02-12 08:00:00	No	2010-07-08 00:00:00	None	FTR AE	None	5900	5900	0	5900	0	None	ZXW511	N	CA00185285	C	SFY2009-10
220000007	SAN MATEO MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-06-22 00:00:00	220007320	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-03-30 00:00:00	2010-03-30 00:00:00	No	2013-05-09 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	6QEU11	N	CA00223807	A	SFY2009-10
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-07-16 00:00:00	220007396	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-03-29 08:00:00	2010-03-29 08:00:00	No	2010-08-09 00:00:00	None	FTR BR	None	200	200	-50	150	0	None	MOKH11	None	CA00224616	B	SFY2010-11
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2010-08-24 00:00:00	220007517	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2010-04-09 08:00:00	2010-04-09 08:00:00	No	2010-09-28 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	1ZDW11	N	CA00226695	B	SFY2010-11
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-03-07 00:00:00	220008008	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	2011-01-12 08:00:00	2011-01-12 08:00:00	No	2011-03-28 00:00:00	None	FTR BR	None	800	800	0	800	0	None	S85T11	None	CA00257400	C	SFY2010-11
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-04-04 00:00:00	220008079	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2010-05-17 00:00:00	2010-05-17 00:00:00	No	2012-09-20 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	ZZ2C11	N	CA00232109	C	SFY2010-11
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-10-26 00:00:00	220008594	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Immediate Jeopardy	None	2010-12-14 00:00:00	2010-12-14 00:00:00	Yes	2014-02-10 00:00:00	2014-01-24 00:00:00	AP BR	None	250000	250000	-250000	0	0	None	I8K811	None	CA00259080	B	SFY2011-12
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-11-14 00:00:00	220008743	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2011-07-26 00:00:00	2011-07-26 00:00:00	Yes	2013-02-26 00:00:00	2013-02-08 00:00:00	AP IJ	None	100000	100000	-100000	0	0	None	ZSFP11	Y	CA00280120	B	SFY2011-12
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2011-11-17 00:00:00	220008757	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2011-02-11 00:00:00	2011-02-11 00:00:00	No	2013-02-26 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	59J911	N	CA00259468	C	SFY2011-12
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-03-09 00:00:00	220009104	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2010-10-14 00:00:00	2010-10-14 00:00:00	Yes	2012-09-20 00:00:00	2012-09-08 00:00:00	AP IJ	None	50000	50000	0	0	50000	None	1GDJ11	N	CA00254601	C	SFY2011-12
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2012-04-10 00:00:00	220009223	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-09-28 08:00:00	2010-09-28 08:00:00	No	2012-05-01 00:00:00	None	FTR AE	None	900	900	0	900	0	None	WKV611	N	CA00245844	C	SFY2011-12
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-06 00:00:00	220009934	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	2012-08-30 08:00:00	2012-08-30 08:00:00	No	2013-06-27 00:00:00	None	FTR BR	None	1100	1100	0	1100	0	None	PJDT11	None	CA00326018	C	SFY2012-13
220001110	SURGERY CENTER MOUNTAIN VIEW	Non-LTC	ASC/SURGC	Surgical Clinic	San Jose	2013-06-11 00:00:00	220009945	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2013-02-21 08:00:00	2013-02-21 08:00:00	No	2013-07-02 00:00:00	None	FTR BR	None	4100	4100	0	4100	0	None	TXJS11	None	CA00350385	C	SFY2012-13
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-06-13 00:00:00	220009951	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2012-09-26 08:00:00	2012-09-26 08:00:00	No	2013-07-05 00:00:00	None	FTR BR	None	600	600	-150	450	0	None	XEPN11	None	CA00328727	C	SFY2012-13
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2013-09-09 00:00:00	220010138	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	2012-08-01 08:00:00	2012-08-01 08:00:00	No	2013-09-30 00:00:00	None	FTR BR	None	500	500	0	500	0	None	NMFJ11	None	CA00323952	C	SFY2013-14
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-29 00:00:00	220011208	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	2012-05-22 00:00:00	2012-05-22 00:00:00	No	2015-01-21 00:00:00	None	FTR AE	None	1300	1300	0	1300	0	None	M0HJ11	N	CA00314000	C	SFY2014-15
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2014-12-29 00:00:00	220011209	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	2014-09-24 00:00:00	2014-09-24 00:00:00	No	2015-01-21 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	5WD311	None	CA00415424	C	SFY2014-15
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-03-05 00:00:00	220011303	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	2014-07-03 00:00:00	2014-07-03 00:00:00	No	2015-03-26 00:00:00	None	FTR BR	None	800	800	-200	600	0	None	EHGW11	None	CA00406634	C	SFY2014-15
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2015-12-23 00:00:00	220011923	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-10-01 00:00:00	2015-10-01 00:00:00	No	2016-01-15 00:00:00	None	FTR AE	None	800	800	0	800	0	None	TZC311	N	CA00462007	C	SFY2015-16
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-05-10 00:00:00	220012220	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2012-01-20 00:00:00	2012-01-20 00:00:00	No	2016-06-01 00:00:00	None	FTR AE	None	4700	4700	0	4700	0	None	MNU511	N	CA00302802	C	SFY2015-16
220000025	SEQUOIA HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-09-21 00:00:00	220012590	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2016-02-08 00:00:00	2016-02-08 00:00:00	No	2017-05-11 00:00:00	None	AP IJ	None	47452	47452	0	47452	0	None	EIIK11	N	CA00477434	C	SFY2016-17
220000030	ST. MARY'S MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2016-10-05 00:00:00	220012628	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2014-10-08 00:00:00	2014-10-08 00:00:00	No	2016-10-26 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	9W0211	N	CA00421347	C	SFY2016-17
220000029	SAINT FRANCIS MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Francisco	2017-05-31 00:00:00	220013243	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	2016-06-16 00:00:00	2016-06-16 00:00:00	No	2017-06-21 00:00:00	None	FTR AE	None	900	900	0	900	0	None	BVD311	N	CA00494001	C	SFY2016-17
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2008-04-16 00:00:00	230004897	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE01 - Surgery performed on a wrong body part	None	2007-12-19 10:30:00	2007-12-19 10:30:00	Yes	2008-05-07 00:00:00	2008-05-19 00:00:00	FTR AE	FTR AE	8800	6600	0	6600	0	None	K9Q911	N	CA00144518	A	SFY2007-08
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2007-12-07 00:00:00	230004898	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2007-08-05 11:45:00	2007-08-05 11:45:00	No	2007-12-31 00:00:00	None	FTR AE	None	1000	1000	0	1000	0	None	NQJT11	N	CA00123862	A	SFY2007-08
230000020	ST. ELIZABETH COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-03-16 00:00:00	230006830	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-04-07 00:00:00	2009-04-07 00:00:00	No	2010-04-07 00:00:00	None	FTR AE	None	1100	1100	0	1100	0	None	F02211	N	CA00185991	A	SFY2009-10
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-08-13 00:00:00	230006831	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach by h/c worker within facility/hc system	None	2009-10-27 00:00:00	2009-10-27 00:00:00	No	2010-09-10 00:00:00	None	FTR BR	None	300	300	0	300	0	None	43F311	None	CA00207179	E	SFY2010-11
230000020	ST. ELIZABETH COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-08 00:00:00	230006965	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-18 00:00:00	2009-11-18 00:00:00	No	2010-12-29 00:00:00	None	FTR BR	None	1400	1400	0	1400	0	None	FL7W11	None	CA00210582	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230007667	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-16 17:00:00	2009-01-16 17:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	R40011	None	CA00177057	C	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230007697	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-16 17:00:00	2009-01-16 17:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	R40011	None	CA00177058	C	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230007698	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-16 17:00:00	2009-01-16 17:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	700	700	-175	525	0	None	R40011	None	CA00177059	C	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-06 00:00:00	230007699	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-01-16 17:00:00	2009-01-16 17:00:00	No	2010-12-27 00:00:00	None	FTR BR	None	900	900	-225	675	0	None	R40011	None	CA00177061	C	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-09 00:00:00	230007717	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-03-09 15:00:00	2010-03-09 15:00:00	No	2010-12-30 00:00:00	None	FTR BR	None	2800	2800	-700	2100	0	None	M6FZ11	None	CA00225172	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-01-04 00:00:00	230007718	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-11-28 18:00:00	2009-11-28 18:00:00	No	2011-01-26 00:00:00	None	FTR BR	None	17500	17500	-4375	13125	0	None	YSEY11	None	CA00230466	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-21 00:00:00	230007719	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2010-05-06 15:30:00	2010-05-06 15:30:00	No	2011-01-11 00:00:00	None	FTR BR	None	100	100	-25	75	0	None	8L4J11	None	CA00228880	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2010-12-21 00:00:00	230007720	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	2010-06-02 10:20:00	2010-06-02 10:20:00	No	2011-01-11 00:00:00	None	FTR BR	None	1900	1900	-475	1425	0	None	B4UO11	None	CA00233773	E	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-02-03 00:00:00	230007806	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Breach to person/entity outside facility/hc system	None	2009-03-06 17:00:00	2009-03-06 17:00:00	No	2011-02-25 00:00:00	None	FTR BR	None	300	300	-75	225	0	None	K42S11	None	CA00181578	B	SFY2010-11
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-01-27 00:00:00	230007867	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2010-07-23 07:52:00	2010-07-23 07:52:00	No	2011-02-17 00:00:00	None	FTR AE	None	1400	1400	0	1400	0	None	F20711	N	CA00238767	B	SFY2010-11
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-04-27 00:00:00	230008126	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-01-18 04:42:00	2011-01-18 04:42:00	No	2011-05-18 00:00:00	None	FTR AE	None	2500	2500	0	2500	0	None	EY2611	N	CA00259489	B	SFY2010-11
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-05-26 00:00:00	230008245	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach of IT system theft/loss of edevice/med rec	None	2010-12-13 00:00:00	2010-12-13 00:00:00	No	2014-02-10 00:00:00	None	AP BR	None	5000	5000	0	5000	0	None	Q6J411	None	CA00255981	B	SFY2010-11
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2011-06-08 00:00:00	230008279	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2011-04-04 03:20:00	2011-04-04 03:20:00	No	2011-06-29 00:00:00	None	FTR AE	None	300	300	0	300	0	None	463N11	N	CA00265585	B	SFY2010-11
230000367	SHASTA COMMUNITY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Chico	2011-07-11 00:00:00	230008369	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Patient Rights	None	2011-04-27 09:00:00	2011-04-27 09:00:00	No	2011-08-01 00:00:00	None	FTR RES	None	600	600	0	600	0	None	2HJX11	None	CA00267737	E	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-02-15 00:00:00	230008682	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-22 09:30:00	2011-02-22 09:30:00	No	2012-03-08 00:00:00	None	FTR AE	None	6100	6100	0	6100	0	None	5JCJ11	N	CA00267994	B	SFY2011-12
230000367	SHASTA COMMUNITY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Chico	2012-02-14 00:00:00	230008878	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-07-27 00:00:00	2011-07-27 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	CIYE11	None	CA00286832	B	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-16 00:00:00	230009149	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-12-13 00:00:00	2011-12-13 00:00:00	Yes	2012-12-05 00:00:00	2012-11-19 00:00:00	AP BR	AP BR	95000	77500	0	77500	0	None	UCFP11	None	CA00295004	B	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-12 00:00:00	230009151	Closed	Failure to Report Penalty	Failure to Report Breach to CDPH (HSC 1280.15(b)(1))	Deliberate breach of PHI by health care worker	None	2011-12-13 17:16:00	2011-12-13 17:16:00	Yes	2012-05-03 00:00:00	2012-04-27 00:00:00	FTR BR	FTR BR	1600	1300	0	1300	0	None	UCFP11	None	CA00295004	B	SFY2011-12
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-04-12 00:00:00	230009157	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	2011-12-13 17:16:00	2011-12-13 17:16:00	Yes	2012-05-03 00:00:00	2012-04-27 00:00:00	FTR RES	FTR RES	1500	1200	0	1200	0	None	UCFP11	None	CA00295004	B	SFY2011-12
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-06-28 00:00:00	230009235	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-09-16 00:00:00	2011-09-16 00:00:00	No	2014-06-20 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	0QO711	None	CA00282653	B	SFY2012-13
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2012-06-22 00:00:00	230009270	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-01-29 00:00:00	2012-01-29 00:00:00	Yes	2012-12-05 00:00:00	2012-11-19 00:00:00	AP BR	AP BR	25000	18750	0	18750	0	None	JBYM11	None	CA00300148	B	SFY2011-12
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-08-28 00:00:00	230010104	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	2012-04-12 16:26:00	2012-04-12 16:26:00	No	2013-09-19 00:00:00	None	FTR BR	None	2200	2200	-550	1650	0	None	L3UL11	None	CA00310285	C	SFY2013-14
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2013-08-28 00:00:00	230010106	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach to person/entity outside facility/hc system	None	2012-04-12 16:26:00	2012-04-12 16:26:00	No	2013-09-19 00:00:00	None	FTR RES	None	2200	2200	-550	1650	0	None	L3UL11	None	CA00310285	C	SFY2013-14
630011844	SUTTER SURGICAL HOSPITAL - NORTH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-05-16 00:00:00	230010720	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-09-27 14:45:00	2012-09-27 14:45:00	No	2014-06-09 00:00:00	None	FTR AE	None	900	900	0	900	0	None	INPQ11	N	CA00329163	B	SFY2013-14
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-09-30 00:00:00	230011004	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2013-10-18 00:00:00	2013-10-18 00:00:00	No	2014-10-21 00:00:00	None	FTR AE	None	1200	1200	0	1200	0	None	137B11	N	CA00376101	B	SFY2014-15
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-08-31 00:00:00	230011168	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2011-03-14 00:00:00	2011-03-14 00:00:00	Yes	2016-10-13 00:00:00	2016-07-18 00:00:00	AP BR	None	42500	42500	0	0	42500	None	7YG311	None	CA00352699	D	SFY2015-16
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2014-12-10 00:00:00	230011169	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2013-07-26 00:00:00	2013-07-26 00:00:00	Yes	2016-08-01 00:00:00	2016-07-18 00:00:00	AP BR	None	75000	75000	0	0	75000	None	R6ZF11	None	CA00363574	D	SFY2014-15
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-10-12 00:00:00	230011753	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-07-03 00:00:00	2015-07-03 00:00:00	No	2015-11-02 00:00:00	None	AP NON-IJ	AP NON-IJ	11875	8906.25	0	8906.25	0	None	FMSW11	N	None	None	SFY2015-16
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-10-12 00:00:00	230011755	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-06-22 00:00:00	2015-06-22 00:00:00	No	2015-11-02 00:00:00	None	AP NON-IJ	AP NON-IJ	14250	10687.5	0	10687.5	0	None	FMSW11	N	None	None	SFY2015-16
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2015-10-12 00:00:00	230011756	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2015-07-28 00:00:00	2015-07-28 00:00:00	No	2015-11-02 00:00:00	None	AP NON-IJ	AP NON-IJ	5225	3918.75	0	3918.75	0	None	FMSW11	N	None	None	SFY2015-16
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2016-07-15 00:00:00	230012310	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-07-25 00:00:00	2014-07-25 00:00:00	No	2016-08-05 00:00:00	None	FTR AE	None	500	500	0	500	0	None	OBEY11	N	CA00407693, CA00408010	A, A	SFY2016-17
630011844	SUTTER SURGICAL HOSPITAL - NORTH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Chico	2017-07-06 00:00:00	230013329	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-07-10 00:00:00	2015-07-10 00:00:00	No	2017-07-27 00:00:00	None	FTR AE	None	100	100	0	100	0	None	IBDS11	N	CA00450925	B	SFY2017-18
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-02-27 00:00:00	230013739	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2017-04-17 00:00:00	2017-04-17 00:00:00	No	2018-03-20 00:00:00	None	AP NON-IJ	None	11250	11250	0	11250	0	None	3EEJ11	N	CA00535417	C	SFY2017-18
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2018-01-11 00:00:00	230013846	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2016-06-14 00:00:00	2016-06-14 00:00:00	No	2018-10-01 00:00:00	None	AP BR	None	7500	7500	-1875	5625	0	None	2MT011	None	None	None	SFY2017-18
230000262	SIERRA NEVADA MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2019-07-17 00:00:00	230015126	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2016-07-22 00:00:00	2016-07-22 00:00:00	No	2019-08-07 00:00:00	None	AP NON-IJ	None	13200	13200	0	0	13200	None	6GTE11	Y	CA00496760	C	SFY2019-20
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-11-22 00:00:00	230017109	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2019-08-09 00:00:00	2019-08-09 00:00:00	No	2021-12-15 00:00:00	None	FTR AE	None	200	200	0	200	0	None	SIBT11	N	CA00650912	B	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-12-13 00:00:00	230017128	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	2020-11-16 00:00:00	2020-11-16 00:00:00	No	2022-01-03 00:00:00	None	FTR AE	None	900	900	0	900	0	None	VUYN11	N	CA00712759, CA00712759, CA00714911	B, B, B	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-03-09 00:00:00	230017239	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-11-11 00:00:00	2020-11-11 00:00:00	No	2022-03-30 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	5VL811	Y	CA00713080	C	SFY2021-22
230000020	ST. ELIZABETH COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-03-30 00:00:00	230017474	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2019-08-18 00:00:00	2019-08-18 00:00:00	No	2022-04-21 00:00:00	None	AP NON-IJ	None	15675	15675	0	15675	0	None	57GH11	Y	CA00651165	B	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-06-09 00:00:00	230017635	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2020-12-03 00:00:00	2020-12-03 00:00:00	No	2022-06-30 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	JKW711	Y	CA00725751	B	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-12-08 00:00:00	230017990	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2022-07-27 00:00:00	2022-07-27 00:00:00	No	2022-12-29 00:00:00	None	AP IJ	None	125000	125000	0	125000	0	None	XLME11	Y	CA00795932, CA00796230, CA00796287	B, B, B	SFY2022-23
630011844	SUTTER SURGICAL HOSPITAL - NORTH VALLEY	Non-LTC	GACH	General Acute Care Hospital	Chico	2022-01-12 00:00:00	230018148	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2022-01-12 00:00:00	2022-01-12 00:00:00	No	2022-02-03 00:00:00	None	AP IJ	None	29925	29925	0	29925	0	None	IOLI11	N	CA00772143	B	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-04-09 00:00:00	230018537	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-07-03 00:00:00	2017-07-03 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	BZS411	None	CA00549397	D	SFY2020-21
230000367	SHASTA COMMUNITY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Chico	2021-12-03 00:00:00	230018542	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-09-13 00:00:00	2012-09-13 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	5000	5000	-1250	3750	0	None	Q7MF11	None	CA00449090	D	SFY2021-22
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2021-03-26 00:00:00	230018558	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-07-10 00:00:00	2017-07-10 00:00:00	No	2023-05-03 00:00:00	None	AP BR	None	10000	10000	-2500	7500	0	None	E9ZD11	None	CA00543831	D	SFY2020-21
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-08-15 00:00:00	230018591	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-01-16 00:00:00	2023-01-16 00:00:00	No	2023-09-06 00:00:00	None	AP IJ	None	125000	125000	0	125000	0	None	ORER11	Y	CA00823123	A	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-01-12 00:00:00	230019020	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-03-12 00:00:00	2023-03-12 00:00:00	No	2024-02-02 00:00:00	None	AP IJ	None	94500	94500	0	94500	0	None	HXX211	Y	CA00831256, CA00831256, CA00831256	B, B, B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-11-02 00:00:00	230019043	Open	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2023-03-19 00:00:00	2023-03-19 00:00:00	No	2023-11-28 00:00:00	None	AP IJ	None	90562	90562	0	90562	0	None	MM1G11	N	CA00831920	B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2023-11-16 00:00:00	230019202	Closed	Administrative Penalty	None	A10 - Telemetry	None	2022-07-18 00:00:00	2022-07-18 00:00:00	No	2023-11-26 00:00:00	None	NP	None	15000	15000	0	15000	0	None	2L1Y11	N	CA00794229, CA00794229, CA00798348, CA00798348, CA00801315, CA00801315	B, B, B, B, B, B	SFY2023-24
230000367	SHASTA COMMUNITY HEALTH CENTER	Non-LTC	COMTYC	Primary Care Clinic	Chico	2023-08-15 00:00:00	230019207	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2017-02-14 00:00:00	2017-02-14 00:00:00	No	2023-11-16 00:00:00	None	AP BR	None	12500	12500	-3125	9375	0	None	T2AN11	None	CA00523650	D	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-06 00:00:00	230019214	Closed	Administrative Penalty	None	A10 - Telemetry	None	2023-01-05 00:00:00	2023-01-05 00:00:00	No	2024-05-16 00:00:00	None	NP	None	30000	30000	0	30000	0	None	ETZ311	N	CA00838783, CA00842716	B, B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-02-02 00:00:00	230019325	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE01 - Surgery performed on a wrong body part	None	2023-08-04 00:00:00	2023-08-04 00:00:00	No	2024-02-26 00:00:00	None	AP IJ	None	60375	60375	0	60375	0	None	ZMJ011	N	CA00854291	B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-06 00:00:00	230020107	Closed	Administrative Penalty	None	A10 - Telemetry	None	2023-10-13 00:00:00	2023-10-13 00:00:00	No	2024-05-16 00:00:00	None	NP	None	30000	30000	0	30000	0	None	RL3B11	N	CA00867356, CA00867356, CA00867497, CA00867497, CA00884933, CA00884933, CA00885455, CA00885455	C, C, C, C, B, B, B, B	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-06 00:00:00	230020108	Closed	Administrative Penalty	None	A10 - Telemetry	None	2024-01-07 00:00:00	2024-01-07 00:00:00	No	2024-05-16 00:00:00	None	NP	None	30000	30000	0	30000	0	None	FEKP11	N	CA00879158, CA00879158	C, C	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-15 00:00:00	230020141	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	Other Non-Immediate Jeopardy (not an AE)	None	2023-10-12 00:00:00	2023-10-12 00:00:00	No	2024-06-06 00:00:00	None	AP NON-IJ	None	15750	15750	0	15750	0	None	RL3B11	N	CA00867356, CA00867356, CA00867497, CA00867497	C, C, C, C	SFY2023-24
230000016	SHASTA REGIONAL MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	Chico	2024-05-21 00:00:00	230020201	Closed	Administrative Penalty	None	A10 - Telemetry	None	2023-12-16 00:00:00	2023-12-16 00:00:00	No	2024-05-31 00:00:00	None	NP	None	30000	30000	0	30000	0	None	ZBDW11	N	CA00875170, CA00875176, CA00875234, CA00875383, CA00875945, CA00876903, CA00882065	B, B, B, B, B, B, B	SFY2023-24
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-07-02 00:00:00	240006288	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE26 - Sexual assault on a patient	None	2008-08-20 22:30:00	2008-08-20 22:30:00	No	2009-07-23 00:00:00	None	FTR AE	None	100	100	0	100	0	None	BUKL11	N	CA00161205	C	SFY2009-10
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-12-09 00:00:00	240006762	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-03-09 00:00:00	2009-03-09 00:00:00	Yes	2009-12-31 00:00:00	2010-04-16 00:00:00	AP IJ	Drop>Deficiency	50000	10000	0	10000	0	None	9WXJ11	N	CA00181368	E	SFY2009-10
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2009-12-22 00:00:00	240006823	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Breach by h/c worker within facility/hc system	None	2009-05-22 00:00:00	2009-05-22 00:00:00	No	2012-10-01 00:00:00	None	AP BR	None	25000	25000	-6250	18750	0	None	1EJN11	None	CA00190082	E	SFY2009-10
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-05-14 00:00:00	240010645	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2011-01-14 00:00:00	2011-01-14 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	DDGE11	N	CA00256145	E	SFY2013-14
240000103	ST. BERNARDINE MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2014-09-03 00:00:00	240010971	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	2012-03-28 00:00:00	2012-03-28 00:00:00	No	2014-09-24 00:00:00	None	FTR AE	None	18000	18000	0	18000	0	None	ZZAL11	N	CA00304250	E	SFY2014-15
240000053	SAN ANTONIO REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2015-03-02 00:00:00	240011291	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	2012-02-08 00:00:00	2012-02-08 00:00:00	No	2015-03-23 00:00:00	None	FTR AE	None	32900	32900	0	32900	0	None	NX4N11	N	CA00300028	E	SFY2014-15
240000053	SAN ANTONIO REGIONAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	San Bernardino	2021-12-03 00:00:00	240018578	Open	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2018-06-26 00:00:00	2018-06-26 00:00:00	Yes	2023-05-03 00:00:00	2023-04-14 00:00:00	AP BR	None	15000	15000	0	0	15000	None	82MN11	None	CA00596986	D	SFY2021-22
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2007-12-18 00:00:00	250004254	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-05-30 00:00:00	2007-05-30 00:00:00	Yes	2008-01-10 00:00:00	2007-10-29 00:00:00	AP IJ	AP IJ	25000	5000	0	5000	0	None	4HCU11	N	None	None	SFY2007-08
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-03-12 00:00:00	250004483	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2007-10-02 00:00:00	2007-10-02 00:00:00	Yes	2008-04-03 00:00:00	2008-03-21 00:00:00	AP IJ	AP IJ	25000	5000	0	5000	0	None	8QOU11	N	None	None	SFY2007-08
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-08-18 00:00:00	250005108	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-01-24 00:00:00	2008-01-24 00:00:00	Yes	2008-09-09 00:00:00	2008-08-22 00:00:00	AP IJ	AP IJ	25000	18750	0	18750	0	None	1B2U11	N	CA00138472, CA00138472	C, C	SFY2008-09
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2008-08-18 00:00:00	250005109	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2008-02-28 00:00:00	2008-02-28 00:00:00	Yes	2008-09-09 00:00:00	2008-08-22 00:00:00	AP IJ	AP IJ	25000	18750	0	18750	0	None	1B2U11	N	CA00138472	C	SFY2008-09
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-08-31 00:00:00	250006195	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	Staffing	2008-06-06 00:00:00	2008-06-06 00:00:00	Yes	2009-09-22 00:00:00	2009-09-03 00:00:00	AP IJ	AP IJ	25000	5000	0	5000	0	None	WJMG11	N	CA00146788	C	SFY2009-10
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-01-05 00:00:00	250006888	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-10-28 00:00:00	2009-10-28 00:00:00	Yes	2010-01-28 00:00:00	2010-04-22 00:00:00	AP IJ	AP IJ	100000	100000	0	100000	0	None	E4O411	N	CA00206439	B	SFY2009-10
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-01-14 00:00:00	250006921	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-08-12 00:00:00	2009-08-12 00:00:00	Yes	2010-02-08 00:00:00	2010-04-22 00:00:00	AP IJ	AP IJ	50000	50000	0	50000	0	None	DLPF11	N	CA00196406, CA00196406, CA00196406	C, C, C	SFY2009-10
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2010-01-14 00:00:00	250006922	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	Other Immediate Jeopardy (not an AE)	None	2009-09-03 00:00:00	2009-09-03 00:00:00	Yes	2010-02-08 00:00:00	2010-04-22 00:00:00	AP IJ	AP IJ	75000	75000	0	75000	0	None	UNQN11	N	CA00200713	B	SFY2009-10
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2009-04-16 00:00:00	250007134	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2008-05-21 00:00:00	2008-05-21 00:00:00	No	2009-05-07 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	CWRH11	N	CA00151535	C	SFY2008-09
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2011-01-11 00:00:00	250008905	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2010-04-19 00:00:00	2010-04-19 00:00:00	No	2012-06-22 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	LID811	Y	CA00226479, CA00250406	B, C	SFY2010-11
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-03-13 00:00:00	250009787	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-09-14 00:00:00	2011-09-14 00:00:00	No	2013-04-04 00:00:00	None	FTR AE	None	200	200	0	200	0	None	QC1O11	N	CA00284226	C	SFY2012-13
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-03-13 00:00:00	250009788	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-07-22 00:00:00	2011-07-22 00:00:00	No	2013-04-04 00:00:00	None	FTR AE	None	1600	1600	0	1600	0	None	VK2011	N	CA00279353	C	SFY2012-13
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-03-13 00:00:00	250009790	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-08-16 00:00:00	2011-08-16 00:00:00	No	2013-04-04 00:00:00	None	FTR AE	None	100	100	0	100	0	None	HYO511	N	CA00280542	C	SFY2012-13
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-24 00:00:00	250010025	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-08-16 00:00:00	2011-08-16 00:00:00	No	2013-08-14 00:00:00	None	FTR AE	None	100	100	0	100	0	None	1OMG11	N	CA00280536	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-01-24 00:00:00	250010027	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-02-11 00:00:00	2011-02-11 00:00:00	No	2014-02-14 00:00:00	None	FTR AE	None	10700	10700	0	10700	0	None	OC7H11	N	CA00271610	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-07-24 00:00:00	250010031	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-07-25 00:00:00	2011-07-25 00:00:00	No	2013-08-14 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	SODO11	N	CA00280452	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-03 00:00:00	250010182	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-09-21 00:00:00	2011-09-21 00:00:00	No	2013-10-24 00:00:00	None	FTR AE	None	12100	12100	0	12100	0	None	Q6PY11	N	CA00296116	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2013-10-03 00:00:00	250010185	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2011-09-19 00:00:00	2011-09-19 00:00:00	No	2013-10-24 00:00:00	None	FTR AE	None	11100	11100	0	11100	0	None	Q6PY11	N	CA00296116	C	SFY2013-14
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-01-15 00:00:00	250010378	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2012-11-28 00:00:00	2012-11-28 00:00:00	No	2014-02-06 00:00:00	None	FTR AE	None	400	400	0	400	0	None	N1FW11	Y	CA00335502	B	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-03-06 00:00:00	250010524	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-08-21 00:00:00	2010-08-21 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	SJW411	N	CA00240375	B	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-04-03 00:00:00	250010599	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE26 - Sexual assault on a patient	None	2010-08-19 00:00:00	2010-08-19 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	0F9311	N	CA00240276, CA00240382	B, B	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-05-08 00:00:00	250010718	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2012-01-01 00:00:00	2012-01-01 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	EKED11	N	CA00298458	C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-05-09 00:00:00	250010721	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2011-02-18 00:00:00	2011-02-18 00:00:00	No	2014-08-15 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	BGKC11	Y	CA00259865, CA00260367	C, C	SFY2013-14
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2014-08-08 00:00:00	250010925	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2011-01-15 00:00:00	2011-01-15 00:00:00	No	2015-03-05 00:00:00	None	AP IJ	None	100000	100000	0	100000	0	None	LCRP11	N	CA00283972	B	SFY2014-15
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-04-24 00:00:00	250011420	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	2014-07-29 00:00:00	2014-07-29 00:00:00	No	2015-05-15 00:00:00	None	FTR BR	None	1000	1000	-250	750	0	None	WX9U11	None	CA00409626	D	SFY2014-15
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011446	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-02-15 00:00:00	2014-02-15 00:00:00	No	2015-05-28 00:00:00	None	FTR AE	None	600	600	0	600	0	None	H2L511	N	CA00389250	D	SFY2014-15
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-05-06 00:00:00	250011449	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2014-02-19 00:00:00	2014-02-19 00:00:00	No	2015-05-28 00:00:00	None	FTR AE	None	8000	8000	0	8000	0	None	ZDAD11	N	CA00398669	C	SFY2014-15
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-09-03 00:00:00	250011708	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE28 - Adverse event or series of adverse events	None	2015-03-26 00:00:00	2015-03-26 00:00:00	No	2015-09-25 00:00:00	None	FTR AE	None	600	600	0	600	0	None	AL0F11	N	CA00437783	C	SFY2015-16
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2015-10-20 00:00:00	250011789	Closed	Failure to Report Penalty	Failure to Report Breach to Resident (HSC 1280.15(b)(2))	Breach by h/c worker within facility/hc system	None	2011-01-06 00:00:00	2011-01-06 00:00:00	No	2015-11-10 00:00:00	None	FTR RES	None	16500	16500	0	16500	0	None	9EKK11	None	CA00255039	C	SFY2015-16
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2016-03-21 00:00:00	250012131	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	2015-09-30 00:00:00	2015-09-30 00:00:00	No	2016-04-12 00:00:00	None	FTR AE	None	200	200	0	200	0	None	SQ1L11	N	CA00460964	C	SFY2015-16
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2017-06-07 00:00:00	250013263	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	2017-02-06 00:00:00	2017-02-06 00:00:00	No	2017-06-28 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	PIVL11	N	CA00524908	C	SFY2016-17
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-04-12 00:00:00	250013996	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-03-06 00:00:00	2018-03-06 00:00:00	No	2018-05-03 00:00:00	None	FTR AE	None	500	500	0	500	0	None	2QXD11	N	CA00578549	C	SFY2017-18
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2018-07-13 00:00:00	250014239	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-05-04 00:00:00	2018-05-04 00:00:00	No	2018-08-03 00:00:00	None	FTR AE	None	200	200	0	200	0	None	7XZ011	N	CA00586546	B	SFY2018-19
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-08-27 00:00:00	250015356	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE04 - Retention of a foreign object in a patient	None	2009-11-03 00:00:00	2009-11-03 00:00:00	No	2019-09-17 00:00:00	None	FTR AE	None	48900	48900	0	48900	0	None	YG1U11	N	CA00627031	C	SFY2019-20
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2019-08-28 00:00:00	250015358	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-11-03 00:00:00	2017-11-03 00:00:00	No	2019-09-18 00:00:00	None	AP NON-IJ	None	14962.5	14962.5	0	14962.5	0	None	YG1U11	N	CA00627031	C	SFY2019-20
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2020-09-14 00:00:00	250016037	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE28 - Adverse event or series of adverse events	None	2020-02-29 00:00:00	2020-02-29 00:00:00	No	2020-10-05 00:00:00	None	AP NON-IJ	None	16500	16500	0	16500	0	None	X5BM11	Y	CA00679420, CA00679420	B, B	SFY2020-21
250000507	SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-10-22 00:00:00	250017031	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE05 - Death during or up to 24 hours after surgery	None	2020-10-02 00:00:00	2020-10-02 00:00:00	No	2021-11-15 00:00:00	None	AP IJ	None	49500	49500	0	49500	0	None	GG5011	Y	CA00708083, CA00711912	C, B	SFY2021-22
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-11-05 00:00:00	250017080	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	2020-11-16 00:00:00	2020-11-16 00:00:00	No	2021-12-01 00:00:00	None	FTR AE	None	8700	8700	0	8700	0	None	XSYF11	N	CA00720475	C	SFY2021-22
250000101	SAN GORGONIO MEMORIAL HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	Riverside	2021-12-06 00:00:00	250017155	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	2021-02-02 00:00:00	2021-02-02 00:00:00	No	2021-12-27 00:00:00	None	FTR AE	None	15800	15800	0	15800	0	None	9YMQ11	N	CA00726021, CA00726021	B, B	SFY2021-22
930000015	SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-10-16 00:00:00	930005530	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-09-15 00:00:00	2008-09-15 00:00:00	No	2008-11-06 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	0R5U11	N	CA00163007	C	SFY2008-09
930000128	ST. FRANCIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2008-10-16 00:00:00	930005533	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2008-09-17 00:00:00	2008-09-17 00:00:00	No	2008-11-06 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	1CDQ11	Y	None	None	SFY2008-09
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-02-25 00:00:00	930005906	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE21 - Death/disability due to a burn	None	2008-12-09 00:00:00	2008-12-09 00:00:00	No	2009-03-18 00:00:00	None	AP IJ	None	25000	25000	0	25000	0	None	O99G11	N	CA00172164	B	SFY2008-09
930000015	SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2009-06-26 00:00:00	930006322	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2008-12-13 00:00:00	2008-12-13 00:00:00	No	2009-07-17 00:00:00	None	FTR AE	None	10900	10900	0	10900	0	None	BN3J11	N	None	None	SFY2008-09
930000015	SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2010-04-14 00:00:00	930007124	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	2010-02-25 00:00:00	2010-02-25 00:00:00	No	2010-05-05 00:00:00	None	FTR AE	None	2200	2200	0	2200	0	None	J37P11	N	CA00224968	C	SFY2009-10
930000103	ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-04-19 00:00:00	930008172	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2010-04-09 00:00:00	2010-04-09 00:00:00	No	2012-10-04 00:00:00	None	AP BR	None	112500	112500	0	112500	0	None	M3Q311	None	CA00228561	H	SFY2010-11
930000015	SOUTHERN CALIFORNIA HOSPITAL AT CULVER CITY	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2011-04-20 00:00:00	930008177	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2009-04-18 00:00:00	2009-04-18 00:00:00	Yes	2011-09-29 00:00:00	2011-09-19 00:00:00	AP IJ	AP IJ	50000	25000	0	25000	0	None	GOYC11	N	CA00231733	B	SFY2010-11
930000049	SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-02-12 00:00:00	930009745	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2009-03-23 00:00:00	2009-03-23 00:00:00	No	2013-06-26 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	7PQR11	N	CA00185841	C	SFY2012-13
930000041	SAN GABRIEL VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2013-04-01 00:00:00	930009793	Closed	Administrative Penalty	AP - Breach (HSC 1280.15)	Deliberate breach of PHI by health care worker	None	2012-11-06 00:00:00	2012-11-06 00:00:00	Yes	2015-11-09 00:00:00	2015-10-23 00:00:00	AP BR	None	250000	250000	-62500	187500	0	None	OSSD11	None	CA00343755	C	SFY2012-13
930000064	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-01-08 00:00:00	930011946	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE10 - Death/disability due to disappearance	None	2013-06-10 00:00:00	2013-06-10 00:00:00	Yes	2016-02-01 00:00:00	2017-01-09 00:00:00	AP IJ	AP IJ	50000	35000	0	35000	0	None	XH6I11	N	CA00358774	C	SFY2015-16
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-09-09 00:00:00	930011949	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	2015-07-02 00:00:00	2015-07-02 00:00:00	No	2016-09-30 00:00:00	None	FTR AE	None	2000	2000	0	2000	0	None	ZYEC11	N	CA00452995	B	SFY2016-17
930000103	ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-02-09 00:00:00	930012008	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE11 - Suicide/attempted suicide	None	2013-07-20 00:00:00	2013-07-20 00:00:00	No	2016-03-02 00:00:00	None	AP IJ	None	50000	50000	0	50000	0	None	GEX711	N	CA00363083	B	SFY2015-16
930000140	SHERMAN OAKS HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-06-24 00:00:00	930012289	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	2015-11-19 00:00:00	2015-11-19 00:00:00	No	2016-07-18 00:00:00	None	FTR AE	None	100	100	0	100	0	None	QDLP11	Y	CA00466959	B	SFY2015-16
930000049	SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2016-10-06 00:00:00	930012631	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	2015-05-23 00:00:00	2015-05-23 00:00:00	No	2016-10-27 00:00:00	None	FTR AE	None	32600	32600	0	32600	0	None	T48S11	N	CA00475364, CA00475364	B, B	SFY2016-17
930000104	SAINT VINCENT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-05-09 00:00:00	930014070	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE22 - Death associated with a fall	None	2016-12-02 00:00:00	2016-12-02 00:00:00	No	2018-05-31 00:00:00	None	AP IJ	None	71250	71250	0	71250	0	None	GQK011	Y	CA00513129	B	SFY2017-18
930000103	ST. MARY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-08-08 00:00:00	930014256	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	2016-08-22 00:00:00	2016-08-22 00:00:00	No	2018-08-29 00:00:00	None	FTR AE	None	300	300	0	300	0	None	9F2511	N	CA00501220	C	SFY2018-19
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2018-07-27 00:00:00	930014277	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2016-06-03 00:00:00	2016-06-03 00:00:00	No	2018-08-17 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	MUF711	N	CA00491116	C	SFY2018-19
930000049	SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-23 00:00:00	930014982	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	2016-12-06 00:00:00	2016-12-06 00:00:00	No	2019-05-14 00:00:00	None	FTR AE	None	1800	1800	0	1800	0	None	ED2N11	N	CA00516236	B	SFY2018-19
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-26 00:00:00	930014985	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2016-10-25 00:00:00	2016-10-25 00:00:00	No	2019-05-17 00:00:00	None	AP NON-IJ	None	12600	12600	0	12600	0	None	2L8Q11	Y	CA00510760, CA00510760, CA00510760	B, B, B	SFY2018-19
930000104	SAINT VINCENT MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-26 00:00:00	930014991	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE03 - Wrong surgical procedure performed on a patient	None	2018-01-19 00:00:00	2018-01-19 00:00:00	No	2019-05-17 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	SNIN11	N	CA00570711	B	SFY2018-19
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-04-26 00:00:00	930014992	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2017-08-30 00:00:00	2017-08-30 00:00:00	No	2019-05-17 00:00:00	None	AP NON-IJ	None	14250	14250	0	14250	0	None	6HTT11	N	CA00551659	B	SFY2018-19
930000128	ST. FRANCIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-05-13 00:00:00	930015067	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-11-14 00:00:00	2018-11-14 00:00:00	No	2019-06-03 00:00:00	None	FTR AE	None	9100	9100	0	9100	0	None	BWOD11	N	CA00625253	B	SFY2018-19
930000125	SAN DIMAS COMMUNITY HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-10-14 00:00:00	930015454	Closed	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-06-25 00:00:00	2018-06-25 00:00:00	No	2019-11-04 00:00:00	None	FTR AE	None	3900	3900	0	3900	0	None	HRE611	N	CA00598803	B	SFY2019-20
930000100	SAINT JOHN'S HEALTH CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2019-11-14 00:00:00	930015532	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE10 - Death/disability due to disappearance	None	2017-11-25 00:00:00	2017-11-25 00:00:00	No	2019-12-09 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	ZNES11	Y	CA00562612	B	SFY2019-20
930000064	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2020-01-16 00:00:00	930015688	Open	Failure to Report Penalty	Failure to Report Adverse Events to CDPH (HSC 1280.4)	AE17 - Stage 3 or 4 ulcer acquired after admission	None	2018-11-28 00:00:00	2018-11-28 00:00:00	Yes	2020-02-06 00:00:00	2020-01-24 00:00:00	FTR AE	None	14300	14300	0	0	14300	None	8IL411	N	CA00635113	B	SFY2019-20
930000049	SANTA MONICA - UCLA MEDICAL CENTER AND ORTHOPAEDIC HOSPITAL	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-04-07 00:00:00	930016399	Closed	Administrative Penalty	AP - Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2018-11-14 00:00:00	2018-11-14 00:00:00	No	2021-04-28 00:00:00	None	AP IJ	None	75000	75000	0	75000	0	None	53RN11	Y	CA00612408	B	SFY2020-21
930000041	SAN GABRIEL VALLEY MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-06-30 00:00:00	930016659	Closed	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE04 - Retention of a foreign object in a patient	None	2018-06-02 00:00:00	2018-06-02 00:00:00	No	2021-07-21 00:00:00	None	AP NON-IJ	None	12000	12000	0	12000	0	None	4EVV11	N	CA00590590	B	SFY2020-21
930000064	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2021-07-13 00:00:00	930016711	Open	Administrative Penalty	AP - Non-Immediate Jeopardy (HSC 1280.3)	AE12 - Medication error	None	2019-02-02 00:00:00	2019-02-02 00:00:00	Yes	2021-08-03 00:00:00	2021-07-30 00:00:00	AP NON-IJ	AP NON-IJ	12487.5	11238.75	0	0	11238.75	None	7YGM11	Y	CA00623672	B	SFY2021-22
930000128	ST. FRANCIS MEDICAL CENTER	Non-LTC	GACH	General Acute Care Hospital	LA Acute/Ancillary	2023-04-13 00:00:00	930018625	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	2020-04-08 00:00:00	2020-04-08 00:00:00	No	2023-05-04 00:00:00	None	FTR AE	None	1400	1400	-1400	0	0	None	GEE611	N	CA00686466	B	SFY2022-23